Encyclopedia of Ophthalmology

Living Edition
| Editors: Ursula Schmidt-Erfurth, Thomas Kohnen

Superficial Keratectomy

Living reference work entry
DOI: https://doi.org/10.1007/978-3-642-35951-4_367-3

Synonyms

Definition

Operative procedure for treatment of recurrent erosion, map-dot-fingerprint dystrophy, and other superficial dystrophic or degenerative disorders of the cornea.

Epidemiology

No epidemiologic data available for this topic.

History

Superficial keratectomy has been performed since the early 1980s. Buxton et al. were among the first who performed this procedure to treat epithelial basement membrane dystrophy.

Clinical Features

See “Treatment” section below.

Tests

Thorough examination of the anterior segment with the slit lamp and corneal topography, pachymetry, and measurement of uncorrected and best spectacle-corrected visual acuity are mandatory to maintain best possible postoperative results.

Differential Diagnosis

Other types of incisional keratotomy:
  • Phototherapeutic keratectomy

  • Surface cautery

  • Debridement

  • Anterior stromal puncture

Etiology

See “History” section above.

Treatment

After topical anesthesia, the treated area is...

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Further Reading

  1. Albert DM, Miller JW, Azar DT (2008) Albert & Jakobiec’s principles & practice of ophthalmology. Saunders, PhiladelphiaGoogle Scholar
  2. Buxton JN, Fox ML (1983) Superficial epithelial keratectomy in the treatment of epithelial basement membrane dystrophy. Arch Ophthalmol 101(3):392–395CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of OphthalmologyGoethe-University Frankfurt am MainFrankfurt/MainGermany