Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Anterior segment optical coherence tomography findings in recurrent corneal erosion syndrome and traumatic corneal abrasions

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Session Details

Session Title: Presented Poster Session: Solutions for Traumatic Cases

Session Date/Time: Tuesday 13/09/2016 | 09:30-11:00

Paper Time: 10:50

Venue: Poster Village: Pod 3

First Author: : A. Rashed EGYPT

Co Author(s): :    A. Hamza              

Abstract Details

Purpose:

Detect the findings of optical coherence tomography (OCT) in the corneas of patients with recurrent corneal erosion syndrome (RCES) and traumatic corneal abrasions.

Setting:

Opthalmology Department,Faculty of Medicine,Cairo University.

Methods:

Ten normal subjects and 25 patients with RCES,15 with traumatic corneal abrasions,were recruited for the study. Ten patients with RCES suffered from an acute episode of pain and 15 patients complained of typical chronic symptoms of RCES. All eyes were scanned with the anterior segment radial mode of the . 3D OCT-2000 of TOPCON. The etiology of RCES was investigated and treatment was provided following a standard clinical protocol. Scans were obtained at different stages of the pathology and each patient was followed-up after treatment for a period of 6 months after.

Results:

Tear film, epithelium, basement membrane, Bowman layer, stroma, and Descemet-endothelium complex were identified by OCT in all normal corneas. The same structures were identified in nonaffected areas of RCES corneas. The findings on OCT from patients suffering from acute RCES were as follows: anterior stromal hyper-reflectivity (100%), epithelial edema (100%), and irregular breaks in the epithelium (90%). Undetected epithelial basement membrane (100%), intraepithelial basement membrane (60%), intraepithelial inclusions (60%), and anterior stromal hyper-reflectivity (40%) were seen in patients with chronic RCES. These findings correlated well with the clinical symptoms and with previously described histological reports of RCES. Traumatic corneal abrasions showed mainlyirregular breaks in the epithelium.

Conclusions:

Corneal OCT can be useful to study and manage RCES. Traumatic corneal erosions is a very commonly encountered everyday clinic finding,and in the same time with a very high cure rate and rarely leaves a corneal scar.Using corneal OCT to detect its degree and depth helps to monitor its prognosis. Specific OCT findings may clarify etiology, confirm a suspected diagnosis, and give advice on the decision to treat patients.

Financial Disclosure:

NONE

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