Yıl: 2023 Cilt: 3 Sayı: 1 Sayfa Aralığı: 32 - 35 Metin Dili: İngilizce DOI: 10.14744/eer.2022.18209 İndeks Tarihi: 01-06-2023

Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses

Öz:
The aim of the study was to report the results of phototherapeutic keratectomy (PTK) and toric contact lens fitting for a young man with recurrent gelatinous droplet dystrophy (GDD) after penetrating keratoplasty (PK). A 21-year-old man was referred for pain, photophobia, and decreased vision. The patient who experienced decreasing vision for 15 years had under- gone PK 2 years ago due to GDD. He was having frequent recurrent epithelial erosions lately. Visual acuity (VA) was counting fingers at 3 m in the right eye and 0.8 in the left eye. Biomicroscopic examiantion revealed nodular dystrophic lesions on the nasal side of the graft in the right eye. Keratometric values were K1: 54.5, K2: 52.5 in the right eye and K1: 41.2, K2: 39.7 in the left eye. PTK was performed twice in the right eye and once in the left eye in 3 years. Final VA was 0.5 and 0.8 in the right and left eyes, respectively (with glasses and toric contact lenses) during 10 years of follow-up. A superficial corneal scar was noted on the right graft and the left cornea. No recurrence of dystrophy was observed. PTK decreases photophobia and provides visual improvement in patients with GDD and may help defer PK in case of recurrent GDD.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Nakaizumi G. A rare case of corneal dystrophy. Acta Soc Oph- thalmol Jpn 1914;18:949–50.
  • 2. Kaza H, Barik MR, Reddy MM, Mittal R, Das S. Gelatinous drop-like corneal dystrophy: A review. Br J Ophthalmol 2017;101:10–5.
  • 3. Quantock AJ, Nishida K, Kinoshita S. Histopathology of re- current gelatinous drop-like corneal dystrophy. Cornea 1998;17:215–21.
  • 4. Alex AF, Eter N, Uhlig CE. Combined excimer laser photoab- lation and amniotic membrane overlay for relief of sympto- matic discomfort in gelatinous drop-like corneal dystrophy. Cornea 2015;34:1316–7.
  • 5. Movahedan H, Anvari-Ardekani HR, Nowroozzadeh MH. Lim- bal stem cell transplantation for gelatinous drop-like corneal dystrophy. J Ophthalmic Vis Res 2013;8:107–12.
  • 6. Cortina MS, Porter IW, Sugar J, De la Cruz J. Boston Type I ker- atoprosthesis for visual rehabilitation in a patient with gelati- nous drop-like corneal dystrophy. Cornea 2012;31:844–5.
  • 7. Dinh R, Rapuano CJ, Cohen EJ, Laibson PR. Recurrence of corneal dystrophy after excimer laser phototherapeutic ker - atectomy. Ophthalmology 1999;106:1490–7.
  • 8. Reddy JC, Rapuano CJ, Nagra PK, Hammersmith KM. Excimer laser phototherapeutic keratectomy in eyes with corneal stro- mal dystrophies with and without a corneal graft. Am J Oph- thalmol 2013;155:1111–8e.
  • 9. Chen M, Xie L. Features of recurrence after excimer laser pho- totherapeutic keratectomy for anterior corneal pathologies in North China. Ophthalmology 2013;120:1179–85.
  • 10. Yuksel E, Cubuk MO, Eroglu HY, Bilgihan K. Excimer laser pho- totherapeutic keratectomy in conjunction with mitomycin C in corneal macular and granular dystrophies. Arq Bras Oftal- mol 2016;79:69–72.
  • 11. Rathi VM, Taneja M, Murthy SI, Bagga B, Vaddavalli PK, Sang- wan VS. Phototherapeutic keratectomy for recurrent granular dystrophy in postpenetrating keratoplasty eyes. Indian J Oph- thalmol 2016;64:140–4.
  • 12. Nakamura T, Kataoka T, Kojima T, Yoshida Y, Sugiyama Y. Re- fractive outcomes after phototherapeutic refractive keratec- tomy for granular corneal dystrophy. Cornea 2018;37:548–53.
  • 13. Maeno S, Soma T, Tsujikawa M, Shigeta R, Kawasaki R, Oie Y, et al. Efficacy of therapeutic soft contact lens in the manage - ment of gelatinous drop-like corneal dystrophy. Br J Ophthal- mol 2020;104:241–6.
  • 14. Kawasaki S, Kinoshita S. Clinical and basic aspects of gelatinous drop-like corneal dystrophy. Dev Ophthalmol 2011;48:97–115.
  • 15. Hieda O, Kawasaki S, Yamamura K, Nakatsukasa M, Kinoshita S, Sotozono C. Clinical outcomes and time to recurrence of phototherapeutic keratectomy in Japan. Medicine (Baltimore) 2019;98:e16216.
APA OZBEK Z, Akbulut Yagci B, Yüksel B, durak i (2023). Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses. , 32 - 35. 10.14744/eer.2022.18209
Chicago OZBEK ZEYNEP,Akbulut Yagci Betul,Yüksel Bora,durak ismet Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses. (2023): 32 - 35. 10.14744/eer.2022.18209
MLA OZBEK ZEYNEP,Akbulut Yagci Betul,Yüksel Bora,durak ismet Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses. , 2023, ss.32 - 35. 10.14744/eer.2022.18209
AMA OZBEK Z,Akbulut Yagci B,Yüksel B,durak i Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses. . 2023; 32 - 35. 10.14744/eer.2022.18209
Vancouver OZBEK Z,Akbulut Yagci B,Yüksel B,durak i Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses. . 2023; 32 - 35. 10.14744/eer.2022.18209
IEEE OZBEK Z,Akbulut Yagci B,Yüksel B,durak i "Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses." , ss.32 - 35, 2023. 10.14744/eer.2022.18209
ISNAD OZBEK, ZEYNEP vd. "Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses". (2023), 32-35. https://doi.org/10.14744/eer.2022.18209
APA OZBEK Z, Akbulut Yagci B, Yüksel B, durak i (2023). Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses. European eye research, 3(1), 32 - 35. 10.14744/eer.2022.18209
Chicago OZBEK ZEYNEP,Akbulut Yagci Betul,Yüksel Bora,durak ismet Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses. European eye research 3, no.1 (2023): 32 - 35. 10.14744/eer.2022.18209
MLA OZBEK ZEYNEP,Akbulut Yagci Betul,Yüksel Bora,durak ismet Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses. European eye research, vol.3, no.1, 2023, ss.32 - 35. 10.14744/eer.2022.18209
AMA OZBEK Z,Akbulut Yagci B,Yüksel B,durak i Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses. European eye research. 2023; 3(1): 32 - 35. 10.14744/eer.2022.18209
Vancouver OZBEK Z,Akbulut Yagci B,Yüksel B,durak i Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses. European eye research. 2023; 3(1): 32 - 35. 10.14744/eer.2022.18209
IEEE OZBEK Z,Akbulut Yagci B,Yüksel B,durak i "Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses." European eye research, 3, ss.32 - 35, 2023. 10.14744/eer.2022.18209
ISNAD OZBEK, ZEYNEP vd. "Long-term management of gelatinous droplet dystrophy with phototherapeutic keratectomy and toric soft contact lenses". European eye research 3/1 (2023), 32-35. https://doi.org/10.14744/eer.2022.18209