Alcohol delamination of the corneal epithelium for recurrent corneal erosion syndrome
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áine Ní Mhéalóid. Education and Research Centre, Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin D02XK51, Ireland. ainenimhealoid@rcsi.ie

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    Abstract:

    AIM: To evaluate the outcomes of alcohol delamination (ALD) of the corneal epithelium for the treatment of recurrent corneal erosion syndrome (RCES) and to implement a standardized treatment protocol for this condition utilizing evidence based practice and the findings of an internal audit. METHODS: A retrospective analysis of 42 eyes of 40 patients diagnosed with RCES who were treated with ALD between January 2006 and March 2016 was conducted. Patients had 20% alcohol applied to the cornea with the use of a well for 40s. Patients were reviewed one week later in the Outpatient Department. Outcome criteria were established based on standards from other studies in the medical literature. These included, a treatment success rate of at least 72% (defined as complete resolution of symptoms one month after treatment), a postoperative complication a rate of <5% (mainly infective keratitis, and subepithelial haze), and the absence of any detrimental effect on visual acuity in ≥95% of patients. RESULTS: The mean age at the time of ALD was 41.17±13.44y. Patients were followed for an average of 12.8±15.65mo. The majority were female (52.5%, n=21) and the majority of eyes treated with ALD were left eyes (62.9%, n=26). Trauma was the primary aetiology in our study population. Treatment was successful in 73.8% (n=31) of eyes and in 75% (n=30) of patients. Recurrence occurred in 26.2% of eyes at a mean of 10.41±12.63mo post treatment. CONCLUSION: ALD is an efficacious and cost-effective primary surgical intervention for RCES.

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áine Ní Mhéalóid, Taylor Lukasik, William Power, et al. Alcohol delamination of the corneal epithelium for recurrent corneal erosion syndrome. Int J Ophthalmol, 2018,11(7):1129-1131

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Publication History
  • Received:March 09,2018
  • Revised:April 16,2018
  • Adopted:
  • Online: July 10,2018
  • Published: