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Excimer Laser Phototherapeutic Keratectomy for the Treatment of Clinically Presumed Fungal Keratitis
Joint Authors
Li, Liang-Mao
Qu, Ling-Hui
Li, Peng
Zhao, Li-Quan
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-05-07
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
This retrospective study was to evaluate treatment outcomes of excimer laser phototherapeutic keratectomy (PTK) for clinically presumed fungal keratitis.
Forty-seven eyes of 47 consecutive patients underwent manual superficial debridement and PTK.
All corneal lesions were located in the anterior stroma and were resistant to medication therapy for at least one week.
Data were collected by a retrospective chart review with at least six months of follow-up data available.
After PTK, infected corneal lesions were completely removed and the clinical symptoms resolved in 41 cases (87.2%).
The mean ablation depth was 114.39±45.51 μm and diameter of ablation was 4.06±1.07 mm.
The mean time for healing of the epithelial defect was 8.8±5.6 days.
Thirty-four eyes (82.9%) showed an improvement in best spectacle-corrected visual acuity of two or more lines.
PTK complications included mild to moderate corneal haze, hyperopic shift, irregular astigmatism, and thinning cornea.
Six eyes (12.8%) still showed progressed infection, and conjunctival flap covering, amniotic membrane transplantation, or penetrating keratoplasty were given.
PTK is a valuable therapeutic alternative for superficial infectious keratitis.
It can effectively eradicate lesions, hasten reepithelialization, and restore and preserve useful visual function.
However, the selection of surgery candidates should be conducted carefully.
American Psychological Association (APA)
Li, Liang-Mao& Zhao, Li-Quan& Qu, Ling-Hui& Li, Peng. 2014. Excimer Laser Phototherapeutic Keratectomy for the Treatment of Clinically Presumed Fungal Keratitis. Journal of Ophthalmology،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1042666
Modern Language Association (MLA)
Li, Liang-Mao…[et al.]. Excimer Laser Phototherapeutic Keratectomy for the Treatment of Clinically Presumed Fungal Keratitis. Journal of Ophthalmology No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-1042666
American Medical Association (AMA)
Li, Liang-Mao& Zhao, Li-Quan& Qu, Ling-Hui& Li, Peng. Excimer Laser Phototherapeutic Keratectomy for the Treatment of Clinically Presumed Fungal Keratitis. Journal of Ophthalmology. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1042666
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1042666