Clinical choice of treatment regimens for recurrent corneal erosion
10.3760/cma.j.cn115989-20200331-00228
- VernacularTitle:复发性角膜上皮糜烂治疗方法的临床选择
- Author:
Lanruo LIN
1
;
Siquan ZHU
Author Information
1. 首都医科大学第六临床医学院，北京 100029
- Keywords:
Corneal diseases;
Epithelium, corneal;
Therapeutics;
Recurrent corneal erosion;
Contact lenses, bandage;
Phototherapeutic keratectomy
- From:
Chinese Journal of Experimental Ophthalmology
2022;40(2):187-192
- CountryChina
- Language:Chinese
-
Abstract:
Recurrent corneal erosion (RCE), a common disease caused by repeated episodes of corneal epithelial defects, is characterized by the sudden onset of eye pain, usually upon first awakening.Among many causes of the disease, trauma is the most common one, followed by epithelial basement membrane dystrophy.The disease can be diagnosed via the characteristic medical history, ocular symptoms and slit-lamp examination.Treatment of RCE includes both conservative management and surgical management.Conservative treatment is the first choice for the primary patients, including medication, bandage contact lens, application of serum drops, coverage of cryopreserved amniotic membrane, etc.The appropriate surgical procedures should be performed in patients when the conservative therapy failed.Surgical treatment mainly includes epithelial debridement, diamond burr polishing, anterior stromal puncture, alcohol delamination, phototherapeutic keratectomy, photorefractive keratectomy, femtosecond laser-assisted lamellar keratectomy, etc.RCE treatment progress was comprehensively reviewed in this article to provide references for clinical therapy.
