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Stromal puncture as treatment of recurrent corneal erosions: OCT images and slit-lamp photography before and after treatment

Poster Details

First Author: S.Darma THE NETHERLANDS

Co Author(s):    R. Lapid-Gortzak                    

Abstract Details


We present a case of a 39-year old hypermetropic male patient with recurrent corneal erosions in the non-amblyopic eye. No improvement was achieved with conservative (wait-and-see) treatment or bandage contact lenses. Phototherapeutic keratectomy was contra-indicated due to the hypermetropia as well as the peripheral localization of the corneal erosions.


Academic Medical Center, Amsterdam, Netherlands


Anterior stromal puncture was performed in this eye. Procedure: after instillation of topical anaesthetic drops, anterior stromal puncturing is performed with a 25G-30G needle. The cornea is punctured through the epithelium and Bowman�â�€�™s layer, not further than the anterior stroma. Micropunctures are made in the area of the corneal erosion, until just outside the erosion. The central visual axis should not be treated with anterior stromal puncturing. Slit-lamp photography and optical coherence tomography (OCT) images (Topcon 3D OCT-2000) were made before and after treatment.


Evaluation after 1 week showed good effect of anterior stromal puncture, with minimal corneal scarring, good visual acuity and no pain. Slit-lamp photography and anterior segment OCT images illustrate the cornea before and after treatment with anterior stromal puncture.


Anterior stromal puncture is a good option for treatment of recurrent corneal erosions in hypermetropic eyes, especially when the area to treat is outside the visual axis and the excimer laser treatment areas.

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