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Electrolysis-Needle Cauterization of Corneal Vessels in Patients With Lipid Keratopathy

Wertheim, Michael S MRCOphth; Cook, Stuart D PhD, FRCOphth; Knox-Cartwright, Nathaniel E MRCOpth; Van, Dung Le RGN; Tole, Derek M MRCGP, FRCOphth

doi: 10.1097/01.ico.0000248383.09272.ee
Case Report

Purpose: To describe a technique of corneal vessel occlusion by using electrolysis-needle cautery.

Methods: A prospective case series of three patients.

Results: Corneal vessels were successfully occluded in all patients. Vessels remained occluded during the first 8 months post-cautery follow up. Two patients needed repeat cautery at 9 and 10 months repectively. Patients found the procedure comfortable. There was no post-operative induced astigmatism.

Conclusion: The technique of ENC is simple, effective and controlled. This technique compares favorably and may prove to be more versatile than Fine Needle Diathermy in the occlusion of corneal vessels that lead to lipid keratopathy.

Received for publication April 24, 2006; accepted October 2, 2006.

From the Bristol Eye Hospital, Bristol, United Kingdom.

The authors state that they have no proprietary interest in the products named in this article.

Reprints: Michael S. Wertheim, Bristol Eye Hospital, Bristol BS1 2LX, UK (e-mail: drwertie@hotmail.com).

Copyright © 2007 Wolters Kluwer Health, Inc. All rights reserved.