Punções do estroma anterior no tratamento da ceratopatia bolhosa

• Autor(a) principal: Gomes, José Álvaro Pereira [UNIFESP]
• Data de Publicação: 2000
• Outros Autores: Haraguchi, Daniel Keizo de Medeiros [UNIFESP], Zambrano, Delbis Uzcátegui [UNIFESP], Villavicencio, Luis Izquierdo [UNIFESP], Cunha, Marcelo C. [UNIFESP], Freitas, Denise de [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492000000200008; http://repositorio.unifesp.br/handle/11600/954
• topic: Bullous keratopathy; Corneal edema; Treatment; Ceratopatia bolhosa; Edema de córnea; Tratamento

Purpose: To evaluate the effect of anterior stromal puncture to treat bullous keratopathy patients (BK) who were symptomatic. Methods: Twenty-five patients with BK and decreased vision, awaiting or not penetrating keratoplasty, were evaluated before, 1, 4 and 12 weeks after anterior stromal punctures performed with a # 25 needle. The patients were asked about pain intensity, foreign body sensation and photophobia. Biomicroscopy, esthesiometry and pachymetry results were evaluated. Results: The comparisons between results before and after the anterior stromal puncture related to pain (p<0.001), photophobia (p=0.0198), foreign-body sensation (p<0.001), insomnia (p=0.0015) and esthesiometry (p=0.00654) showed significant statistical differences regarding decreasing symptoms and corneal sensitivity. The mean pachymetry did not show a statistical difference between results before and after the procedure (p=0.873). We did not find important differences in terms of corneal neovascularization. Conclusion: Anterior stromal puncture is an effective, simple and low cost alternative to treat symptomatic patients with BK.