Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic

Detalhes bibliográficos
Autor(a) principal: Taskoparan,Sariye
Data de Publicação: 2022
Outros Autores: Genc,Selim, Cakmak,Semih, Oztutuncu,Ozum, Yildiz,Burcin Kepez, Yildirim,Yusuf
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos brasileiros de oftalmologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492022005006201
Resumo: ABSTRACT Purpose: To examine the efficacy of phototherapeutic keratectomy as a treatment for variable pathologies with anterior corneal opacities and evaluate the distribution of phototherapeutic keratectomy indications over the past 10 years. Methods: The records of 334 eyes from 276 patients who underwent phototherapeutic keratectomy between March 2010 and 2020 were retrospectively reviewed. Etiologies of the patients who underwent phototherapeutic keratectomy were noted, and their changes were examined. Refractive and visual acuity results before and after the operation were recorded and analyzed according to etiology. Results: The mean age of the patients was 40.7 ± 16.2 years (range: 19-84). The mean follow-up was 25.5 ± 19.1 months (range: 3-96). Phototherapeutic keratectomy was most frequently applied for corneal stromal dystrophies (44%, 151 eyes from 111 patients), and granular dystrophy was the most common phototherapeutic keratectomy indication among corneal dystrophies. Unlike other indications, there has been an increase in the application of phototherapeutic keratectomy for persistent subepithelial opacities due to adenoviral conjunctivitis in the past 10 years. There was a significant increase in visual acuity in all groups except for the recurrent epithelial defect group (p<0.05). The greatest improvement in visual acuity was detected for stromal dystrophies in the granular dystrophy subgroup. Conclusion: Despite changing indication trends, phototherapeutic keratectomy remains an effective and reliable treatment for anterior corneal lesions.
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spelling Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinicPhotorefractive keratectomyCorneal opacityCorneal injuriesCorneal dystrophiesPhototherapyABSTRACT Purpose: To examine the efficacy of phototherapeutic keratectomy as a treatment for variable pathologies with anterior corneal opacities and evaluate the distribution of phototherapeutic keratectomy indications over the past 10 years. Methods: The records of 334 eyes from 276 patients who underwent phototherapeutic keratectomy between March 2010 and 2020 were retrospectively reviewed. Etiologies of the patients who underwent phototherapeutic keratectomy were noted, and their changes were examined. Refractive and visual acuity results before and after the operation were recorded and analyzed according to etiology. Results: The mean age of the patients was 40.7 ± 16.2 years (range: 19-84). The mean follow-up was 25.5 ± 19.1 months (range: 3-96). Phototherapeutic keratectomy was most frequently applied for corneal stromal dystrophies (44%, 151 eyes from 111 patients), and granular dystrophy was the most common phototherapeutic keratectomy indication among corneal dystrophies. Unlike other indications, there has been an increase in the application of phototherapeutic keratectomy for persistent subepithelial opacities due to adenoviral conjunctivitis in the past 10 years. There was a significant increase in visual acuity in all groups except for the recurrent epithelial defect group (p<0.05). The greatest improvement in visual acuity was detected for stromal dystrophies in the granular dystrophy subgroup. Conclusion: Despite changing indication trends, phototherapeutic keratectomy remains an effective and reliable treatment for anterior corneal lesions.Conselho Brasileiro de Oftalmologia2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492022005006201Arquivos Brasileiros de Oftalmologia n.ahead 2022reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20230055info:eu-repo/semantics/openAccessTaskoparan,SariyeGenc,SelimCakmak,SemihOztutuncu,OzumYildiz,Burcin KepezYildirim,Yusufeng2022-05-06T00:00:00Zoai:scielo:S0004-27492022005006201Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2022-05-06T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false
dc.title.none.fl_str_mv Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic
title Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic
spellingShingle Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic
Taskoparan,Sariye
Photorefractive keratectomy
Corneal opacity
Corneal injuries
Corneal dystrophies
Phototherapy
title_short Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic
title_full Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic
title_fullStr Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic
title_full_unstemmed Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic
title_sort Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic
author Taskoparan,Sariye
author_facet Taskoparan,Sariye
Genc,Selim
Cakmak,Semih
Oztutuncu,Ozum
Yildiz,Burcin Kepez
Yildirim,Yusuf
author_role author
author2 Genc,Selim
Cakmak,Semih
Oztutuncu,Ozum
Yildiz,Burcin Kepez
Yildirim,Yusuf
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Taskoparan,Sariye
Genc,Selim
Cakmak,Semih
Oztutuncu,Ozum
Yildiz,Burcin Kepez
Yildirim,Yusuf
dc.subject.por.fl_str_mv Photorefractive keratectomy
Corneal opacity
Corneal injuries
Corneal dystrophies
Phototherapy
topic Photorefractive keratectomy
Corneal opacity
Corneal injuries
Corneal dystrophies
Phototherapy
description ABSTRACT Purpose: To examine the efficacy of phototherapeutic keratectomy as a treatment for variable pathologies with anterior corneal opacities and evaluate the distribution of phototherapeutic keratectomy indications over the past 10 years. Methods: The records of 334 eyes from 276 patients who underwent phototherapeutic keratectomy between March 2010 and 2020 were retrospectively reviewed. Etiologies of the patients who underwent phototherapeutic keratectomy were noted, and their changes were examined. Refractive and visual acuity results before and after the operation were recorded and analyzed according to etiology. Results: The mean age of the patients was 40.7 ± 16.2 years (range: 19-84). The mean follow-up was 25.5 ± 19.1 months (range: 3-96). Phototherapeutic keratectomy was most frequently applied for corneal stromal dystrophies (44%, 151 eyes from 111 patients), and granular dystrophy was the most common phototherapeutic keratectomy indication among corneal dystrophies. Unlike other indications, there has been an increase in the application of phototherapeutic keratectomy for persistent subepithelial opacities due to adenoviral conjunctivitis in the past 10 years. There was a significant increase in visual acuity in all groups except for the recurrent epithelial defect group (p<0.05). The greatest improvement in visual acuity was detected for stromal dystrophies in the granular dystrophy subgroup. Conclusion: Despite changing indication trends, phototherapeutic keratectomy remains an effective and reliable treatment for anterior corneal lesions.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.5935/0004-2749.20230055
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dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv Arquivos Brasileiros de Oftalmologia n.ahead 2022
reponame:Arquivos brasileiros de oftalmologia (Online)
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