Barcelona 2015 Programme Registration Glaucoma Day 2015 Exhibition Virtual Exhibition Satellite Meetings Hotel Booking Star Alliance

Take a look inside the London 2014 Congress


Then register to join us
in Barcelona!

Sequential customized therapeutic keratectomy for Reis-Bücklers corneal dystrophy: long-term follow up

Search Abstracts by author or title
(results will display both Free Papers & Poster)

Session Details

Session Title: Surface Photoablation

Session Date/Time: Sunday 06/09/2015 | 16:30-18:00

Paper Time: 16:54

Venue: Room 10

First Author: : R.Vinciguerra ITALY

Co Author(s): :    P. Vinciguerra   F. Camesasca   S. Trazza              

Abstract Details


To report long-term outcome of Sequential Customized Therapeutic Keratectomy (SCTK) for the treatment of Reis-Bücklers corneal dystrophy. Reis-Bücklers dystrophy involves the Bowman layer, progressively hinders visual acuity and causes recurrent erosions.


Eye Center, Humanitas Clinical and Research Center, Rozzano, Italy


SCTK is a therapeutic refractive treatment which entails the use of a multistep customized approach with sequential intraoperative topographies to achieve better results.Fourteen eyes of 9 patients with Reis-Bücklers corneal dystrophy underwent PTK surgery, followed by 0.02 % mytomicin application. Mean preoperative visual acuity was 0.44±0.22 LogMAR with mean correction of 0.14 D sph and -0.81 D cyl at 112°. Mean pupillary K was 42.67 D and mean pachimetry 554.62±29.81µ.


7.44±12.33 years after surgery, mean visual acuity was 0.78±0.24 LogMAR with mean correction of 0.75 D sph and -1.33 D cyl at 130°. Mean pupillary K was 43.08 D and mean pachimetry 536.20±58.03µ. Two eyes required retreatment, and no patient underwent corneal transplant.


Seven years after SCTK, treated patients showed marked improvement in visual acuity, stability of refraction and recurrence of the disease requiring retreatment in only 14.2% of eyes. We recommend SCTK as a first-line treatment for Reis-Bücklers corneal dystrophy, before considering a more invasive approach.

Financial Interest:


Back to previous