Phototherapeutic keratectomy: Indications, methods and decision making

被引:13
作者
Deshmukh, Rashmi [1 ]
Reddy, Jagadesh C. [2 ]
Rapuano, Christopher J. [3 ]
Vaddavalli, Pravin K. [2 ]
机构
[1] Cambridge Univ Hosp, Addenbrookes Hosp, Cambridge, England
[2] LV Prasad Eye Inst, Hyderabad, Telangana, India
[3] Wills Eye Hosp & Res Inst, Philadelphia, PA USA
关键词
Corneal dystrophy; corneal scar; excimer laser; phototherapeutic keratectomy; Phototherapeutic keratectomy; OPTICAL COHERENCE TOMOGRAPHY; COLLAGEN CROSS-LINKING; SALZMANNS NODULAR DEGENERATION; ANTERIOR LAMELLAR KERATOPLASTY; RECURRENT CORNEAL EROSIONS; INTRAOPERATIVE MITOMYCIN-C; EXCIMER-LASER; PHOTOREFRACTIVE KERATECTOMY; SUBEPITHELIAL FIBROSIS; HERPES-SIMPLEX;
D O I
10.4103/ijo.IJO_1524_20
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Phototherapeutic keratectomy (PTK) involves treating anterior corneal lesions by superficial corneal ablation using an excimer laser (193 nm). Some of the commonly treated conditions include recurrent corneal erosions (RCE), corneal dystrophies, spheroidal degeneration, keratoconus, and corneal scars. We discuss various techniques of PTK including large area PTK, focal PTK, and multifocal PTK and alternatives to PTK. Masking agents like hyaluronate, methylcellulose, and dextran are recommended to help achieve a better outcome when ablating irregular corneal surfaces. Antifibrotic agents like mitomycin C reduce the chances of recurrence of the disease, apart from minimizing the postoperative scarring. Some of the complications include induced hyperopia and irregular astigmatism, haze, recurrence, and corneal thinning. However, earlier postoperative recovery, possibility of a repeat procedure, and ability to control the depth of ablation make PTK a promising, minimally invasive alternative to keratoplasty in cases with anterior corneal pathologies.
引用
收藏
页码:2856 / 2866
页数:11
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