Skip Navigation LinksHome > May 2014 - Volume 33 - Issue 5 > Femtosecond Laser-Assisted Intracorneal Biopolymer Insertion...
Cornea:
doi: 10.1097/ICO.0000000000000081
Techniques

Femtosecond Laser-Assisted Intracorneal Biopolymer Insertion for the Symptomatic Treatment of Bullous Keratopathy

Kymionis, George D. MD, PhD*,†; Diakonis, Vasilios F. MD, PhD*; Kankariya, Vardhaman P. MD*; Plaka, Argyro D. MD, MSc*; Panagopoulou, Sofia I. PhD*; Kontadakis, George A. MD, MSc*; Grentzelos, Michael A. MD*; Tsilimbaris, Miltiades K. MD, PhD*; Pallikaris, Ioannis G. MD, PhD*

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Abstract

Purpose:

To describe a new minimally invasive surgical technique for the symptomatic management of bullous keratopathy in blind eyes.

Methods:

Four patients with severe corneal edema due to endothelial decompensation and no visual function in the affected eye presented for the relief of their ocular symptoms (pain and tearing). Femtosecond laser technology was used to create a deep corneal pocket into which silicone oil was inserted.

Results:

After the procedure, all patients demonstrated immediate relief of their symptoms, along with restoration of a normal corneal surface 7 days after the procedure (no bullae and no epithelial defects). All patients remained free of symptoms during the entire follow-up period (from 24 to 31 months). Anterior to the inserted implant, the corneal lamellae remained compact, transparent, and without bullae; whereas the posterior corneal stroma under the implant was edematous. No intraoperative or postoperative complications were noted.

Conclusions:

Intracorneal insertion of silicone oil is a feasible new technique for the symptomatic treatment of bullous keratopathy in blind eyes.

Copyright © 2014 by Lippincott Williams & Wilkins

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