Femtosecond Laser-Assisted Intracorneal Biopolymer Insertion for the Symptomatic Treatment of Bullous Keratopathy

Kymionis, George D.; Diakonis, Vasilios F.; Kankariya, Vardhaman P.; Plaka, Argyro D.; Panagopoulou, Sophia I; Kontadakis, George A.; Grentzelos, Michael A.; Tsilimbaris, Miltiadis K.; Pallikaris, Ioannis G.

doi:10.1097/ico.0000000000000081

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Conjunctival flaps represent another option for these patients since they have very good results in alleviating ocular pain and discomfort but they may be related to several complications such as flap retraction [ 10 ]. Lastly, in blind eyes with BK, intracorneal silicone oil insertion has also been shown to result in immediate symptomatic relief [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Burr-Assisted Peripheral Superficial Keratectomy for the Treatment of Persistent Symptomatic Peripheral Corneal Edema

et al. 2021

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Purpose: To describe a simple technique of diamond burr-assisted superficial keratectomy for the treatment of peripheral corneal edema. Cases Presentation: Two patients with persistent symptomatic peripheral corneal edema underwent superficial keratectomy with the use of a diamond ophthalmic burr. The efficacy of the treatment was evaluated clinically as well as with anterior segment optical coherence tomography. During the postoperative followup period, no adverse events were observed and corneal edema reduced significantly. The patients were asymptomatic, no epithelial cysts could be identified clinically, and visual acuity remained unchanged. Conclusion: Peripheral superficial keratectomy could be an effective alternative for the treatment of peripheral, symptomatic corneal edema.

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Section: Discussionmentioning

confidence: 99%

Burr-Assisted Peripheral Superficial Keratectomy for the Treatment of Persistent Symptomatic Peripheral Corneal Edema

et al. 2021

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“…[ 111 ] Other case reports use FSL-assisted intrastromal pockets to implant intrastromal KeraKlear artificial cornea in congenital aniridia[ 112 ] or insert silicon oil as palliative management of bullous keratopathy in blind eyes. [ 113 ]…”

Section: Other Proceduresmentioning

confidence: 99%

Femtosecond laser applications in corneal surgery

Morales-Wong,

Navas,

Yañez-Oviedo

et al. 2023

Taiwan Journal of Ophthalmology

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Femtosecond laser (FSL) applications in corneal surgery have increased since its inception. Corneal surgery has undergone a tremendous transformation thanks to the introduction of FSL technology. This laser makes precise, three-dimensional incisions while causing minimal damage to surrounding tissue. This review updates and summarizes current and upcoming FSL applications in corneal surgery, current commercially available FSL, and its respective applications. Refractive surgery applications include laser in-situ keratomileusis flaps, refractive corneal lenticule extraction such as small incision lenticule extraction, astigmatic keratotomy, intracorneal ring segments tunnels for keratoconus including corneal allogenic intrastromal ring segments, and presbyopia treatments with intrastromal pockets for corneal inlays and intrastromal incisions (INTRACOR). Keratoplasty applications include penetrating keratoplasty trephination; superficial and deep anterior lamellar keratoplasty trephination, lamellar dissection, and tunnel creation; posterior lamellar keratoplasty donor and recipient preparation; Bowman layer transplantation donor, and recipient preparation; and stromal keratophakia. Other applications include conjunctival graft preparation in pterygium surgery, and keratopigmentation (corneal tattooing). FSL is a surgical instrument widely used in corneal surgery because it improves reproducibility and safety in many procedures.

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“…These alternatives include hypertonic topical sodium chloride (5%) drops, bandage contact lenses, anterior stromal puncture, phototherapeutic keratectomy, amniotic membrane transplantation, conjunctival flaps, and collagen crosslinking (5-7). Recently, Kymionis et al (9) reported that a new technique had alleviated the pain of bullous keratopathy in eyes with no visual potential. The authors described a corneal pocket formed with a femtosecond laser and silicone oil added to this pocket to prevent overhydration of the cornea and the development of epithelial edema.…”

Section: Introductionmentioning

confidence: 99%

Manual intracorneal silicone oil insertion for the symptomatic treatment of bullous keratopathy in a patient with corneal scarring

Genç¹

2019

Beyoglu Eye J

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Bullous keratopathy is a result of endothelial loss and the failure of the remaining corneal epithelium to pump leaking water molecules away from the corneal tissue, causing overhydration. In eyes with good visual potential, keratoplasty is the primary treatment. There are also several other approaches to provide temporary improvement until a permanent solution with keratoplasty can be achieved. These alternatives include hypertonic topical sodium chloride (5%) drops, bandage contact lenses, anterior stromal puncture, phototherapeutic keratectomy, amniotic membrane transplantation, conjunctival flaps, and collagen crosslinking. This case report is a description of a different surgical technique using manual lamellar corneal dissection and intrastromal silicone oil insertion to provide symptomatic treatment of bullous keratopathy in an eye with no light perception and significant corneal scarring.

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Femtosecond Laser-Assisted Intracorneal Biopolymer Insertion for the Symptomatic Treatment of Bullous Keratopathy

Abstract: Intracorneal insertion of silicone oil is a feasible new technique for the symptomatic treatment of bullous keratopathy in blind eyes.

Cited by 3 publications

References 9 publications

Burr-Assisted Peripheral Superficial Keratectomy for the Treatment of Persistent Symptomatic Peripheral Corneal Edema

Burr-Assisted Peripheral Superficial Keratectomy for the Treatment of Persistent Symptomatic Peripheral Corneal Edema

Femtosecond laser applications in corneal surgery

Manual intracorneal silicone oil insertion for the symptomatic treatment of bullous keratopathy in a patient with corneal scarring

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