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Stromal Micropuncture, for Recurrent Corneal Erosions

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Encyclopedia of Ophthalmology

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Synonyms

Corneal micropuncture; Epithelial reinforcement technique

Definition

An operative procedure where superficial puncture wounds are made in the cornea for treatment of recurrent erosion, map-dot-fingerprint dystrophy, and other superficial dystrophic or degenerative disorders of the cornea.

Indication

Patients with recurrent corneal erosions or epithelial basement membrane dystrophy (EBMD) that failed conservative medical management including lubricants, hypertonic saline solutions, topical corticosteroids, systemic tetracyclines, and therapeutic bandage contact lenses.

Contraindications

Patients with severe basement membrane dystrophy and numerous spontaneous, multifocal erosions are better candidates for superficial keratectomy than anterior stromal puncture. Patients with recurrent erosions or epithelial defects that are secondary to deeper corneal dystrophies or degenerations would not be good stromal puncture candidates. In these patients, the surgical management can vary...

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References

  • Hsu JKW et al (1993) Anterior stromal puncture. Immunohistochemical studies in human corneas. Arch Ophthalmol 111:1057–1063

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  • Katsev DA et al (1990) Recurrent corneal erosion: pathology of corneal puncture. Cornea 9:152–160

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  • Reidy JJ, Paulus MP, Gona S (2000) Recurrent erosions of the cornea: epidemiology and treatment. Cornea 19(6):767–771

    Article  CAS  PubMed  Google Scholar 

  • Rubinfeld RS (1995) Recurrent corneal erosion. In: Roy FH (ed) Master techniques in ophthalmic surgery. Williams & Wilkins, Baltimore

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, University of Texas – Southwestern Medical Center, Dallas, USA

    Eli B. Moses

  2. Corneal Associates of New Jersey, 100 Passaic Ave., Suite 200, Fairfield, NJ, 07004, USA

    Eli B. Moses

Authors
  1. Eli B. Moses
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Corresponding author

Correspondence to Eli B. Moses .

Editor information

Editors and Affiliations

  1. Dept of Ophthal & Optometry,AKH, Medical University of Wien Dept of Ophthal & Optometry,AKH, Wien, Austria

    Ursula Schmidt-Erfurth

  2. Department of Ophthalmology, Goethe University of Frankfurt am Main Department of Ophthalmology, Frankfurt am Main, Germany

    Thomas Kohnen

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© 2014 Springer-Verlag Berlin Heidelberg

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Moses, E.B. (2014). Stromal Micropuncture, for Recurrent Corneal Erosions. In: Schmidt-Erfurth, U., Kohnen, T. (eds) Encyclopedia of Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35951-4_881-1

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  • DOI: https://doi.org/10.1007/978-3-642-35951-4_881-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-35951-4

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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