Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic
To examine the efficacy of phototherapeutic keratectomy as a treatment for variable pathologies with anterior corneal opacities and evaluate the distribution of phototherapeutic keratectomy indications over the past 10 years. The records of 334 eyes from 276 patients who underwent phototherapeutic k...
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Veröffentlicht in: | Arquivos brasileiros de oftalmologia 2023-07, Vol.86 (4), p.353-358 |
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creator | Taskoparan, Sariye Genc, Selim Cakmak, Semih Oztutuncu, Ozum Yildiz, Burcin Kepez Yildirim, Yusuf |
description | To examine the efficacy of phototherapeutic keratectomy as a treatment for variable pathologies with anterior corneal opacities and evaluate the distribution of phototherapeutic keratectomy indications over the past 10 years.
The records of 334 eyes from 276 patients who underwent phototherapeutic keratectomy between March 2010 and 2020 were retrospectively reviewed. Etiologies of the patients who underwent phototherapeutic keratectomy were noted, and their changes were examined. Refractive and visual acuity results before and after the operation were recorded and analyzed according to etiology.
The mean age of the patients was 40.7 ± 16.2 years (range: 19-84). The mean follow-up was 25.5 ± 19.1 months (range: 3-96). Phototherapeutic keratectomy was most frequently applied for corneal stromal dystrophies (44%, 151 eyes from 111 patients), and granular dystrophy was the most common phototherapeutic keratectomy indication among corneal dystrophies. Unlike other indications, there has been an increase in the application of phototherapeutic keratectomy for persistent subepithelial opacities due to adenoviral conjunctivitis in the past 10 years. There was a significant increase in visual acuity in all groups except for the recurrent epithelial defect group (p |
doi_str_mv | 10.5935/0004-2749.20230055 |
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The records of 334 eyes from 276 patients who underwent phototherapeutic keratectomy between March 2010 and 2020 were retrospectively reviewed. Etiologies of the patients who underwent phototherapeutic keratectomy were noted, and their changes were examined. Refractive and visual acuity results before and after the operation were recorded and analyzed according to etiology.
The mean age of the patients was 40.7 ± 16.2 years (range: 19-84). The mean follow-up was 25.5 ± 19.1 months (range: 3-96). Phototherapeutic keratectomy was most frequently applied for corneal stromal dystrophies (44%, 151 eyes from 111 patients), and granular dystrophy was the most common phototherapeutic keratectomy indication among corneal dystrophies. Unlike other indications, there has been an increase in the application of phototherapeutic keratectomy for persistent subepithelial opacities due to adenoviral conjunctivitis in the past 10 years. There was a significant increase in visual acuity in all groups except for the recurrent epithelial defect group (p<0.05). The greatest improvement in visual acuity was detected for stromal dystrophies in the granular dystrophy subgroup.
Despite changing indication trends, phototherapeutic keratectomy remains an effective and reliable treatment for anterior corneal lesions.</description><identifier>ISSN: 0004-2749</identifier><identifier>ISSN: 1678-2925</identifier><identifier>EISSN: 1678-2925</identifier><identifier>DOI: 10.5935/0004-2749.20230055</identifier><identifier>PMID: 35544925</identifier><language>eng</language><publisher>Brazil: Conselho Brasileiro de Oftalmologia</publisher><subject>OPHTHALMOLOGY</subject><ispartof>Arquivos brasileiros de oftalmologia, 2023-07, Vol.86 (4), p.353-358</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3015-462c483151eb8afbe33814a96adf2a6226cfe633e7eb0d87c376c6ca1b1e3cd53</citedby><orcidid>0000-0003-2638-0569 ; 0000-0003-3049-2571 ; 0000-0001-5977-2601 ; 0000-0002-4161-0919 ; 0000-0002-2687-3534 ; 0000-0002-5224-1354</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35544925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Taskoparan, Sariye</creatorcontrib><creatorcontrib>Genc, Selim</creatorcontrib><creatorcontrib>Cakmak, Semih</creatorcontrib><creatorcontrib>Oztutuncu, Ozum</creatorcontrib><creatorcontrib>Yildiz, Burcin Kepez</creatorcontrib><creatorcontrib>Yildirim, Yusuf</creatorcontrib><title>Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic</title><title>Arquivos brasileiros de oftalmologia</title><addtitle>Arq Bras Oftalmol</addtitle><description>To examine the efficacy of phototherapeutic keratectomy as a treatment for variable pathologies with anterior corneal opacities and evaluate the distribution of phototherapeutic keratectomy indications over the past 10 years.
The records of 334 eyes from 276 patients who underwent phototherapeutic keratectomy between March 2010 and 2020 were retrospectively reviewed. Etiologies of the patients who underwent phototherapeutic keratectomy were noted, and their changes were examined. Refractive and visual acuity results before and after the operation were recorded and analyzed according to etiology.
The mean age of the patients was 40.7 ± 16.2 years (range: 19-84). The mean follow-up was 25.5 ± 19.1 months (range: 3-96). Phototherapeutic keratectomy was most frequently applied for corneal stromal dystrophies (44%, 151 eyes from 111 patients), and granular dystrophy was the most common phototherapeutic keratectomy indication among corneal dystrophies. Unlike other indications, there has been an increase in the application of phototherapeutic keratectomy for persistent subepithelial opacities due to adenoviral conjunctivitis in the past 10 years. There was a significant increase in visual acuity in all groups except for the recurrent epithelial defect group (p<0.05). The greatest improvement in visual acuity was detected for stromal dystrophies in the granular dystrophy subgroup.
Despite changing indication trends, phototherapeutic keratectomy remains an effective and reliable treatment for anterior corneal lesions.</description><subject>OPHTHALMOLOGY</subject><issn>0004-2749</issn><issn>1678-2925</issn><issn>1678-2925</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNo9kU9P4zAQxa0Vq6Ww-wU4IB-5pPh_Em4IsYCExErAEVnOZNK6pEmxnUO__bpq6WlGmvfeaH5DyAVnc11Lfc0YU4UoVT0XTEjGtP5BZtyUVSFqoU_I7Cg4JWcxrhgTqq71L3IqtVYqa2bk499yTGNaYnAbnJIH-pnbhJDG9faGwhQCDom6zSaMDpYYqRtaCks3LPywoClP20j9QB1NGJJ3YUtxixR6P3j4TX52ro_451DPyfvf-7e7x-L55eHp7va5AMm4LpQRoCrJNcemcl2DUlZcudq4thPOCGGgQyMlltiwtipBlgYMON5wlNBqeU7m-9wIHvvRrsYpDHmhfd0hsDsEGZHIiBgzgvFsuNob8llfE8Zk1z4C9r0bcJyiFcaoigmtd9liL4Uwxhiws5vg1_lOy5nd_cEed9jvP2TT5SF_atbYHi3f4OV_V-2BVw</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Taskoparan, Sariye</creator><creator>Genc, Selim</creator><creator>Cakmak, Semih</creator><creator>Oztutuncu, Ozum</creator><creator>Yildiz, Burcin Kepez</creator><creator>Yildirim, Yusuf</creator><general>Conselho Brasileiro de Oftalmologia</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>GPN</scope><orcidid>https://orcid.org/0000-0003-2638-0569</orcidid><orcidid>https://orcid.org/0000-0003-3049-2571</orcidid><orcidid>https://orcid.org/0000-0001-5977-2601</orcidid><orcidid>https://orcid.org/0000-0002-4161-0919</orcidid><orcidid>https://orcid.org/0000-0002-2687-3534</orcidid><orcidid>https://orcid.org/0000-0002-5224-1354</orcidid></search><sort><creationdate>202307</creationdate><title>Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic</title><author>Taskoparan, Sariye ; Genc, Selim ; Cakmak, Semih ; Oztutuncu, Ozum ; Yildiz, Burcin Kepez ; Yildirim, Yusuf</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3015-462c483151eb8afbe33814a96adf2a6226cfe633e7eb0d87c376c6ca1b1e3cd53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>OPHTHALMOLOGY</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Taskoparan, Sariye</creatorcontrib><creatorcontrib>Genc, Selim</creatorcontrib><creatorcontrib>Cakmak, Semih</creatorcontrib><creatorcontrib>Oztutuncu, Ozum</creatorcontrib><creatorcontrib>Yildiz, Burcin Kepez</creatorcontrib><creatorcontrib>Yildirim, Yusuf</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><jtitle>Arquivos brasileiros de oftalmologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Taskoparan, Sariye</au><au>Genc, Selim</au><au>Cakmak, Semih</au><au>Oztutuncu, Ozum</au><au>Yildiz, Burcin Kepez</au><au>Yildirim, Yusuf</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic</atitle><jtitle>Arquivos brasileiros de oftalmologia</jtitle><addtitle>Arq Bras Oftalmol</addtitle><date>2023-07</date><risdate>2023</risdate><volume>86</volume><issue>4</issue><spage>353</spage><epage>358</epage><pages>353-358</pages><issn>0004-2749</issn><issn>1678-2925</issn><eissn>1678-2925</eissn><abstract>To examine the efficacy of phototherapeutic keratectomy as a treatment for variable pathologies with anterior corneal opacities and evaluate the distribution of phototherapeutic keratectomy indications over the past 10 years.
The records of 334 eyes from 276 patients who underwent phototherapeutic keratectomy between March 2010 and 2020 were retrospectively reviewed. Etiologies of the patients who underwent phototherapeutic keratectomy were noted, and their changes were examined. Refractive and visual acuity results before and after the operation were recorded and analyzed according to etiology.
The mean age of the patients was 40.7 ± 16.2 years (range: 19-84). The mean follow-up was 25.5 ± 19.1 months (range: 3-96). Phototherapeutic keratectomy was most frequently applied for corneal stromal dystrophies (44%, 151 eyes from 111 patients), and granular dystrophy was the most common phototherapeutic keratectomy indication among corneal dystrophies. Unlike other indications, there has been an increase in the application of phototherapeutic keratectomy for persistent subepithelial opacities due to adenoviral conjunctivitis in the past 10 years. There was a significant increase in visual acuity in all groups except for the recurrent epithelial defect group (p<0.05). The greatest improvement in visual acuity was detected for stromal dystrophies in the granular dystrophy subgroup.
Despite changing indication trends, phototherapeutic keratectomy remains an effective and reliable treatment for anterior corneal lesions.</abstract><cop>Brazil</cop><pub>Conselho Brasileiro de Oftalmologia</pub><pmid>35544925</pmid><doi>10.5935/0004-2749.20230055</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-2638-0569</orcidid><orcidid>https://orcid.org/0000-0003-3049-2571</orcidid><orcidid>https://orcid.org/0000-0001-5977-2601</orcidid><orcidid>https://orcid.org/0000-0002-4161-0919</orcidid><orcidid>https://orcid.org/0000-0002-2687-3534</orcidid><orcidid>https://orcid.org/0000-0002-5224-1354</orcidid><oa>free_for_read</oa></addata></record> |
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title | Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic |
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