Treatment of band keratopathy by excimer laser phototherapeutic keratectomy: surgical techniques and long term follow up
A series of 122 eyes with band keratopathy was treated by excimer laser phototherapeutic keratectomy (PTK), with a mean follow up of over 12.3 months (range 3 to 60 months). A single photoablation zone was used to remove the opacity over the visual axis in smooth surfaced band deposition. In eyes wi...
Gespeichert in:
| Veröffentlicht in: | British journal of ophthalmology 1993-11, Vol.77 (11), p.702-708 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 708 |
|---|---|
| container_issue | 11 |
| container_start_page | 702 |
| container_title | British journal of ophthalmology |
| container_volume | 77 |
| creator | O'Brart, D P Gartry, D S Lohmann, C P Patmore, A L Kerr Muir, M G Marshall, J |
| description | A series of 122 eyes with band keratopathy was treated by excimer laser phototherapeutic keratectomy (PTK), with a mean follow up of over 12.3 months (range 3 to 60 months). A single photoablation zone was used to remove the opacity over the visual axis in smooth surfaced band deposition. In eyes with reduced vision, an improvement was reported in 88% and in a series of 66 eyes mean Snellen visual acuity increased significantly (p < 0.05, t = 2.27). A reduction in glare was reported in 88% and in a series of 17 patients, visual contrast sensitivity (p < 0.01) and measurements of disability glare (p < 0.01) improved postoperatively. The mean hyperopic shift in 32 eyes at 6 months was 1.4 D (range 0-4.25 D). Multiple overlapping ablation zones, with mechanical debulking of large calcium plaques, were used to smooth the irregular corneal surface in eyes with rough bands. Ocular discomfort was improved in 95%. Band keratopathy recurred in nine eyes (8%) within 2 to 30 months (mean 12 months) of surgery, with silicone oil responsible in five eyes. Reablation was necessary in three eyes and performed successfully in all cases. Excimer laser PTK is a safe and effective outpatient treatment for band keratopathy. |
| doi_str_mv | 10.1136/bjo.77.11.702 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_504628</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>76153934</sourcerecordid><originalsourceid>FETCH-LOGICAL-b575t-645737f1480e2857d8d7233565349c4960c488d13f6a046676f0941dfb35e4453</originalsourceid><addsrcrecordid>eNqFkcuP0zAQhy0EWsrCkSOSJRDikmLHzyBxgIrXsjwOCwculuM4jbtJHGwH2v8eV63K48LFHs_vm_E8ALiP0RJjwp_WG78UIttLgcobYIEpl0WJRHUTLBBCosCY49vgToyb_Cw5FmfgTJYScUkWYHsVrE6DHRP0Laz12MBrG3Tyk07dDtY7aLfGDTbAXsd8Tp1PPnUZmeycnDnQ1iQ_7J7BOIe1M7qH2dON7vtsI9yn7P24zr4wwNb3vf8J5-kuuNXqPtp7x_scfHn96mr1trj89Obd6sVlUTPBUsEpE0S0mEpkS8lEIxtREsI4I7QytOLIUCkbTFquEeVc8BZVFDdtTZillJFz8PyQd5rrwTYmdxp0r6bgBh12ymun_lZG16m1_6FYTlfKHP_4GB_8vp-kBheN7Xs9Wj9HJThmpCI0gw__ATd-DmPuTWEhECKCcpKp4kCZ4GMMtj1VgpHa71PlfSohsq3yPjP_4M_yT_RxgVl_dNR1zINvgx6NiyeMCEkYrX5_62Ky25Osw7Xieb5Mffy6UhffPn94_5IidZH5Jwe-Hjb_qfAX10zF5Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1770037463</pqid></control><display><type>article</type><title>Treatment of band keratopathy by excimer laser phototherapeutic keratectomy: surgical techniques and long term follow up</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>O'Brart, D P ; Gartry, D S ; Lohmann, C P ; Patmore, A L ; Kerr Muir, M G ; Marshall, J</creator><creatorcontrib>O'Brart, D P ; Gartry, D S ; Lohmann, C P ; Patmore, A L ; Kerr Muir, M G ; Marshall, J</creatorcontrib><description>A series of 122 eyes with band keratopathy was treated by excimer laser phototherapeutic keratectomy (PTK), with a mean follow up of over 12.3 months (range 3 to 60 months). A single photoablation zone was used to remove the opacity over the visual axis in smooth surfaced band deposition. In eyes with reduced vision, an improvement was reported in 88% and in a series of 66 eyes mean Snellen visual acuity increased significantly (p < 0.05, t = 2.27). A reduction in glare was reported in 88% and in a series of 17 patients, visual contrast sensitivity (p < 0.01) and measurements of disability glare (p < 0.01) improved postoperatively. The mean hyperopic shift in 32 eyes at 6 months was 1.4 D (range 0-4.25 D). Multiple overlapping ablation zones, with mechanical debulking of large calcium plaques, were used to smooth the irregular corneal surface in eyes with rough bands. Ocular discomfort was improved in 95%. Band keratopathy recurred in nine eyes (8%) within 2 to 30 months (mean 12 months) of surgery, with silicone oil responsible in five eyes. Reablation was necessary in three eyes and performed successfully in all cases. Excimer laser PTK is a safe and effective outpatient treatment for band keratopathy.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.77.11.702</identifier><identifier>PMID: 8280683</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Cornea - pathology ; Cornea - surgery ; Corneal Opacity - etiology ; Corneal Opacity - pathology ; Corneal Opacity - surgery ; Diseases of cornea, anterior segment and sclera ; Follow-Up Studies ; Humans ; Laser Therapy - methods ; Male ; Medical sciences ; Ophthalmology ; Postoperative Complications ; Recurrence</subject><ispartof>British journal of ophthalmology, 1993-11, Vol.77 (11), p.702-708</ispartof><rights>1994 INIST-CNRS</rights><rights>Copyright BMJ Publishing Group LTD Nov 1993</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b575t-645737f1480e2857d8d7233565349c4960c488d13f6a046676f0941dfb35e4453</citedby><cites>FETCH-LOGICAL-b575t-645737f1480e2857d8d7233565349c4960c488d13f6a046676f0941dfb35e4453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC504628/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC504628/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3783549$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8280683$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'Brart, D P</creatorcontrib><creatorcontrib>Gartry, D S</creatorcontrib><creatorcontrib>Lohmann, C P</creatorcontrib><creatorcontrib>Patmore, A L</creatorcontrib><creatorcontrib>Kerr Muir, M G</creatorcontrib><creatorcontrib>Marshall, J</creatorcontrib><title>Treatment of band keratopathy by excimer laser phototherapeutic keratectomy: surgical techniques and long term follow up</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>A series of 122 eyes with band keratopathy was treated by excimer laser phototherapeutic keratectomy (PTK), with a mean follow up of over 12.3 months (range 3 to 60 months). A single photoablation zone was used to remove the opacity over the visual axis in smooth surfaced band deposition. In eyes with reduced vision, an improvement was reported in 88% and in a series of 66 eyes mean Snellen visual acuity increased significantly (p < 0.05, t = 2.27). A reduction in glare was reported in 88% and in a series of 17 patients, visual contrast sensitivity (p < 0.01) and measurements of disability glare (p < 0.01) improved postoperatively. The mean hyperopic shift in 32 eyes at 6 months was 1.4 D (range 0-4.25 D). Multiple overlapping ablation zones, with mechanical debulking of large calcium plaques, were used to smooth the irregular corneal surface in eyes with rough bands. Ocular discomfort was improved in 95%. Band keratopathy recurred in nine eyes (8%) within 2 to 30 months (mean 12 months) of surgery, with silicone oil responsible in five eyes. Reablation was necessary in three eyes and performed successfully in all cases. Excimer laser PTK is a safe and effective outpatient treatment for band keratopathy.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cornea - pathology</subject><subject>Cornea - surgery</subject><subject>Corneal Opacity - etiology</subject><subject>Corneal Opacity - pathology</subject><subject>Corneal Opacity - surgery</subject><subject>Diseases of cornea, anterior segment and sclera</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laser Therapy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Ophthalmology</subject><subject>Postoperative Complications</subject><subject>Recurrence</subject><issn>0007-1161</issn><issn>1468-2079</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkcuP0zAQhy0EWsrCkSOSJRDikmLHzyBxgIrXsjwOCwculuM4jbtJHGwH2v8eV63K48LFHs_vm_E8ALiP0RJjwp_WG78UIttLgcobYIEpl0WJRHUTLBBCosCY49vgToyb_Cw5FmfgTJYScUkWYHsVrE6DHRP0Laz12MBrG3Tyk07dDtY7aLfGDTbAXsd8Tp1PPnUZmeycnDnQ1iQ_7J7BOIe1M7qH2dON7vtsI9yn7P24zr4wwNb3vf8J5-kuuNXqPtp7x_scfHn96mr1trj89Obd6sVlUTPBUsEpE0S0mEpkS8lEIxtREsI4I7QytOLIUCkbTFquEeVc8BZVFDdtTZillJFz8PyQd5rrwTYmdxp0r6bgBh12ymun_lZG16m1_6FYTlfKHP_4GB_8vp-kBheN7Xs9Wj9HJThmpCI0gw__ATd-DmPuTWEhECKCcpKp4kCZ4GMMtj1VgpHa71PlfSohsq3yPjP_4M_yT_RxgVl_dNR1zINvgx6NiyeMCEkYrX5_62Ky25Osw7Xieb5Mffy6UhffPn94_5IidZH5Jwe-Hjb_qfAX10zF5Q</recordid><startdate>19931101</startdate><enddate>19931101</enddate><creator>O'Brart, D P</creator><creator>Gartry, D S</creator><creator>Lohmann, C P</creator><creator>Patmore, A L</creator><creator>Kerr Muir, M G</creator><creator>Marshall, J</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19931101</creationdate><title>Treatment of band keratopathy by excimer laser phototherapeutic keratectomy: surgical techniques and long term follow up</title><author>O'Brart, D P ; Gartry, D S ; Lohmann, C P ; Patmore, A L ; Kerr Muir, M G ; Marshall, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b575t-645737f1480e2857d8d7233565349c4960c488d13f6a046676f0941dfb35e4453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cornea - pathology</topic><topic>Cornea - surgery</topic><topic>Corneal Opacity - etiology</topic><topic>Corneal Opacity - pathology</topic><topic>Corneal Opacity - surgery</topic><topic>Diseases of cornea, anterior segment and sclera</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laser Therapy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Ophthalmology</topic><topic>Postoperative Complications</topic><topic>Recurrence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O'Brart, D P</creatorcontrib><creatorcontrib>Gartry, D S</creatorcontrib><creatorcontrib>Lohmann, C P</creatorcontrib><creatorcontrib>Patmore, A L</creatorcontrib><creatorcontrib>Kerr Muir, M G</creatorcontrib><creatorcontrib>Marshall, J</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'Brart, D P</au><au>Gartry, D S</au><au>Lohmann, C P</au><au>Patmore, A L</au><au>Kerr Muir, M G</au><au>Marshall, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of band keratopathy by excimer laser phototherapeutic keratectomy: surgical techniques and long term follow up</atitle><jtitle>British journal of ophthalmology</jtitle><addtitle>Br J Ophthalmol</addtitle><date>1993-11-01</date><risdate>1993</risdate><volume>77</volume><issue>11</issue><spage>702</spage><epage>708</epage><pages>702-708</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><coden>BJOPAL</coden><abstract>A series of 122 eyes with band keratopathy was treated by excimer laser phototherapeutic keratectomy (PTK), with a mean follow up of over 12.3 months (range 3 to 60 months). A single photoablation zone was used to remove the opacity over the visual axis in smooth surfaced band deposition. In eyes with reduced vision, an improvement was reported in 88% and in a series of 66 eyes mean Snellen visual acuity increased significantly (p < 0.05, t = 2.27). A reduction in glare was reported in 88% and in a series of 17 patients, visual contrast sensitivity (p < 0.01) and measurements of disability glare (p < 0.01) improved postoperatively. The mean hyperopic shift in 32 eyes at 6 months was 1.4 D (range 0-4.25 D). Multiple overlapping ablation zones, with mechanical debulking of large calcium plaques, were used to smooth the irregular corneal surface in eyes with rough bands. Ocular discomfort was improved in 95%. Band keratopathy recurred in nine eyes (8%) within 2 to 30 months (mean 12 months) of surgery, with silicone oil responsible in five eyes. Reablation was necessary in three eyes and performed successfully in all cases. Excimer laser PTK is a safe and effective outpatient treatment for band keratopathy.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>8280683</pmid><doi>10.1136/bjo.77.11.702</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-1161 |
| ispartof | British journal of ophthalmology, 1993-11, Vol.77 (11), p.702-708 |
| issn | 0007-1161 1468-2079 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_504628 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aged Biological and medical sciences Cornea - pathology Cornea - surgery Corneal Opacity - etiology Corneal Opacity - pathology Corneal Opacity - surgery Diseases of cornea, anterior segment and sclera Follow-Up Studies Humans Laser Therapy - methods Male Medical sciences Ophthalmology Postoperative Complications Recurrence |
| title | Treatment of band keratopathy by excimer laser phototherapeutic keratectomy: surgical techniques and long term follow up |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T21%3A38%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Treatment%20of%20band%20keratopathy%20by%20excimer%20laser%20phototherapeutic%20keratectomy:%20surgical%20techniques%20and%20long%20term%20follow%20up&rft.jtitle=British%20journal%20of%20ophthalmology&rft.au=O'Brart,%20D%20P&rft.date=1993-11-01&rft.volume=77&rft.issue=11&rft.spage=702&rft.epage=708&rft.pages=702-708&rft.issn=0007-1161&rft.eissn=1468-2079&rft.coden=BJOPAL&rft_id=info:doi/10.1136/bjo.77.11.702&rft_dat=%3Cproquest_pubme%3E76153934%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1770037463&rft_id=info:pmid/8280683&rfr_iscdi=true |