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2013 OMIG Abstract 3

Superficial Keratectomy, Cautery, Amniotic Membrane Transplant for the Treatment of Painful Bullous Keratopathy in Eyes with Poor Visual Potential
Nabeel Shalabi MD^1,2,3, Carol Karp MD², Hassan Aziz MD², Bennie H. Jeng MD^4,5, Anat Galor MD, MSPH^1,2
1Department of Ophthalmology, Miami Veterans Hospital, Miami, FL; ²Bascom Palmer Eye Institute,
University of Miami Miller School of Medicine, Miami, FL; ³Faculty of Medicine, Hail University, Hail,
Saudi Arabia; ⁴Department of Ophthalmology and Francis I. Proctor Foundation, University of California
San Francisco, San Francisco, CA; ⁵Department of Ophthalmology, San Francisco General Hospital,
San Francisco, CA

Objective: To report a new technique for the treatment of painful bullous keratopathy in eyes with poor visual potential.

Methods: Review of technique and outcomes of treated patients.

Results: The surgical technique involves superficial epithelial keratectomy, corneal cautery, amniotic membrane, and temporary bandage contact lens placement. Three patients were treated with this technique.  All had significant pain due to painful bullous keratopathy prior to surgery and all reported resolution of pain after surgery. After a mean follow up of 16.6 months (1-38), all corneas had smooth surfaces without bullae.

Conclusion:  Superficial keratectomy, cautery, and amniotic membrane transplant placement is an alternative and effective treatment for painful bullous keratopathy with poor visual potential.

Funding: Supported by VA career development award (Dr. Galor), NIH Center Core Grant P30EY014801, Research to Prevent Blindness Unrestricted Grant, Department of Defense (DOD- Grant#W81XWH-09-1-0675).

2013 Agenda and Abstracts | < Previous | Next >