Surgical do's and don'ts of corneal dystrophies

Eun Suk Lee, Eungkweon Kim

Research output: Contribution to journalReview article

19 Citations (Scopus)

Abstract

Purpose of review: Characteristics of corneal dystrophies have been described with regards to such as location in the cornea, morphology, material composition, and recurrence after penetrating keratoplasty. The main goal of this review is to describe the surgical methods in treating corneal dystrophies. Recent findings: Laser in situ keratomileusis (LASIK) has been shown to aggravate corneal deposits in Avellino dystrophy exacerbation LASIK and hence should be avoided. Phototherapeutic keratectomy (PTK) has shown its usefulness in clearing opacities with visual improvement and prevents painful erosion, resulting in delay or postponement of corneal grafting in some corneal dystrophies. Mitomycin-C may be used topically in conjunction with PTK to reduce the recurrence of the opacities. Topical use of antibody to TGF-β can also be considered to suppress recurrence of corneal opacities after PTK or lamellar keratectomy. Summary: Clinicians must become more adept at choosing a treatment depending on different genotypes and future studies on treatment of corneal dystrophies should be focused on establishing treatment of categorized corneal dystrophies based on their chromosomal mutation.

Original languageEnglish
Pages (from-to)186-191
Number of pages6
JournalCurrent Opinion in Ophthalmology
Volume14
Issue number4
DOIs
Publication statusPublished - 2003 Aug 1

Fingerprint

Laser In Situ Keratomileusis
Recurrence
Corneal Opacity
Penetrating Keratoplasty
Corneal Transplantation
Mitomycin
Cornea
Therapeutics
Genotype
Mutation
Antibodies
icodextrin

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

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Surgical do's and don'ts of corneal dystrophies. / Lee, Eun Suk; Kim, Eungkweon.

In: Current Opinion in Ophthalmology, Vol. 14, No. 4, 01.08.2003, p. 186-191.

Research output: Contribution to journalReview article

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