New Treatment for Band Keratopathy: Superficial Lamellar Keratectomy, EDTA Chelation and Amniotic Membrane Transplantation.
10.3346/jkms.2004.19.4.611
- Author:
Young Sam KWON
1
;
Young Soo SONG
;
Jae Chan KIM
Author Information
1. Department of Ophthalmology, College of Medicine, Chung-Ang University, Seoul, Korea. jck50ey@kornet.net
- Publication Type:Case Report
- Keywords:
Amnion;
Band Keratopathy;
Covneal Diseases;
Edetic Acid
- MeSH:
Amnion/*anatomy & histology/*transplantation;
Calcium/metabolism;
Chelating Agents/*therapeutic use;
Cornea/pathology/surgery;
Corneal Diseases/*drug therapy/pathology/*surgery;
Edetic Acid/*therapeutic use;
Female;
Humans;
Male;
Middle Aged
- From:Journal of Korean Medical Science
2004;19(4):611-615
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report two cases of band keratopathy who were treated with thick amniotic membrane that contained a basement membrane structure as a graft, after ethylenediaminetetraacetic acid chelation with trephination and blunt superficial lamellar keratectomy in the anterior stroma. In each case, basement membrane was destroyed and calcium plaque invaded into anterior stroma beneath Bowman's membrane. The calcified lesions were removed surgically, resulting in a smooth ocular surface, and the fine structures of band keratopathy were confirmed by pathologic findings. After that, amniotic membrane transplantation was performed to replace the excised epithelium and stroma. Wound healing was completed within 10 days. Stable ocular surface was restored without pain or inflammation. During the mean follow-up period of 13.5 months, no recurrence of band keratopathy was observed. This combined treatment is a safe and effective method for the removal of deep-situated calcium plaque and allowing the recovery of a stable ocular surface.
