Tape Splint Tarsorrhaphy for Persistent Corneal Epithelial Defects.
Am J Ophthalmol
; 237: 235-240, 2022 05.
Article
in English
| MEDLINE | ID: covidwho-1797286
ABSTRACT
PURPOSE:
To report outcomes of tape splint tarsorrhaphy (TST) for persistent corneal epithelial defects (PCED).DESIGN:
Retrospective, interventional case series.METHODS:
The study population was consecutive patients with a PCED (14 days or longer) treated at a tertiary cornea clinic with TST. Patients with a corneal epithelial defect that did not respond to treatment with a bandage contact lens were included. Patients with a follow-up time of less than 3 months were excluded. Time to PCED resolution was the main outcome measure.RESULTS:
Thirty-four eyes of 33 patients (mean age 62.9 ± 17.8 years; range, 27-90 years) were included in this study. The main etiologies of the PCED were post keratoplasty (n = 15), herpes simplex virus (n = 4), superficial keratectomy (n = 3), neurotrophic cornea (n = 4), fungal keratitis (n = 2), exposure keratopathy (n = 2), failed graft (n = 1), peripheral ulcerative keratitis (n = 1), rosacea (n = 1), and stitch abscess (n = 1). Mean ± SD time from PCED presentation to TST was 58.9 ± 106.3 days (range, 14-390 days). The mean ± SD area of the PCED was 25.1 ± 15.7 mm2 (range, 0.50-42.0 mm2). After TST, resolution of the PCED was achieved in 29/34 eyes (85.3%) without the need for additional interventions within 22.5 ± 24.3 days (range, 2-105 days). The mean ± SD logMAR best-corrected visual acuity improved significantly from 1.11 ± 0.41 to 0.83 ± 0.70 (P = .02). There were no complications attributed to TST and 2 patients elected to discontinue due to discomfort.CONCLUSIONS:
TST achieved resolution of PCEDs secondary to various etiologies in 85.3% of eyes, with significant improvement in vision demonstrated. This simple, inexpensive, noninvasive technique may be considered for patients with PCEDs.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Corneal Ulcer
/
Corneal Transplantation
/
Corneal Diseases
Type of study:
Cohort study
/
Etiology study
/
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
/
Middle aged
Language:
English
Journal:
Am J Ophthalmol
Year:
2022
Document Type:
Article
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