Anterior stromal puncture in the treatment of bullous keratopathy - Six-month follow-up

Anterior stromal puncture in the treatment of bullous keratopathy - Six-month follow-up

Autor Gomes, José Álvaro Pereira Autor UNIFESP Google Scholar
Haraguchi, DKM Google Scholar
Zambrano, D. U. Google Scholar
Izquierdo, L. Google Scholar
Cunha, M. C. Google Scholar
Freitas, D. de Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo This study was designed to evaluate the effect of anterior stromal puncture to treat patients with symptomatic bullous keratopathy. Methods. Fourteen patients with bullous keratopathy who had decreased vision and were or were not awaiting penetrating keratoplasty were evaluated before and 1, 4, 12, and 24 weeks after anterior stromal punctures with a 25-gauge needle. the patients were questioned about pain intensity, foreign-body sensation, and photophobia. Biomicroscopy, esthesiometry, and pachymetry results were evaluated. the results before and after the punctures were compared using the McNemar test, Friedman test, and multiple comparison tests. Results. the comparisons among before and 1, 4, and 12 weeks after the anterior stromal puncture of pain (p = 0.00000556), photophobia (p = 0.0252), foreign-body sensation (p = 0.0000743), and esthesiometry (p = 0.0243) showed significant statistical differences in terms of decreasing symptoms and corneal sensitivity. the average pachymetry did not show statistical difference among before and 1, 4, 12, and 24 weeks after the procedure (p = 0.956). We did not find important differences in terms of corneal neovascularization. Conclusion. Anterior stromal puncture is an effective, simple, and low-cost alternative for treating patients with symptomatic bullous keratopathy.
Palavra-chave bullous keratopathy
anterior stromal puncture
corneal edema
Idioma Inglês
Data de publicação 2001-08-01
Publicado em Cornea. Philadelphia: Lippincott Williams & Wilkins, v. 20, n. 6, p. 570-572, 2001.
ISSN 0277-3740 (Sherpa/Romeo, fator de impacto)
Publicador Lippincott Williams & Wilkins
Extensão 570-572
Fonte http://dx.doi.org/10.1097/00003226-200108000-00003
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000170151200003
Endereço permanente http://repositorio.unifesp.br/handle/11600/26607

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