ISSN: 2459 - 1777 | E-ISSN 2587-0394
Volume: 4
Issue: 1
Year: 2019
Manual intracorneal silicone oil insertion for the symptomatic treatment of bullous keratopathy in a patient with corneal scarring [Beyoglu Eye J]
Beyoglu Eye J. Ahead of Print: BEJ-79553 | DOI: 10.14744/bej.2019.79553  

Manual intracorneal silicone oil insertion for the symptomatic treatment of bullous keratopathy in a patient with corneal scarring

Selim Genç, Semih Çakmak, Yusuf Yıldırım
University of Health Sciences, Beyoglu Eye Training and Research Hospital, Department of Ophthalmology, İstanbul, Turkey

Endothelial loss and failure of the remaining corneal epithelium to pump away the leaking water molecules from the corneal tissue causes overhydration of the corneal tissue and presents with the clinical picture of bullous keratopathy. In eyes with good visual potential, keratoplasty is the primary treatment in the bullous keratopathy. There are also many other described appraoches to temporarily improve this condition until a permenent solution with keratoplasty. There are also many other described appraoches to temporarily improve this condition until a permenent solution with keratoplasty. These alternatives include hypertonic topical sodium chloride (5%) drops, bandage contact lenses, anterior stromal puncture, phototherapeutic keratectomy, amniotic membrane transplantation, conjunctival flaps, and, collagen crosslinking. Here, we describe a different surgical technique with manual lamellar corneal dissection and intrastromal silicone oil insertion for the symptomatic treatment of bullous keratopathy in eyes with no light perception, prognosis and intense corneal scarring.

Keywords: intracorneal silicone oil, bullous keratopathy, corneal scarring




Corresponding Author: Selim Genç, Türkiye


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