Treatment of Refractory Filamentary Keratitis With Autologous Serum Tears.
Eye Contact Lens
; 43(5): e16-e18, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-26657665
ABSTRACT
PURPOSE:
To report a case of filamentary keratitis (FK) successfully treated with autologous serum tears and to review the pathogenesis and management of FK.METHODS:
Case report including high-resolution anterior segment optical coherence tomography and filament histopathology. CASE REPORT A 61-year-old Hispanic man presented with pain and photophobia of the right eye. He was found to have a corneal epithelial defect and a small peripheral infiltrate 4 months after Laser Assisted in situ Keratomileusis. After resolution of the epithelial defect, he developed FK. Over a 4-month period, conservative management with aggressive lubrication, lid hygiene, topical corticosteroids, topical cyclosporine, bandage contact lenses, and oral doxycycline failed to resolve the corneal filaments. Notably, treatment with 20% autologous serum tears, four times daily, led to a sustained resolution of the FK within 1 week.CONCLUSIONS:
This case demonstrates the complexity of FK management and introduces autologous serum tears as a viable management option when conservative approaches to this condition fail.
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Base de dados:
MEDLINE
Assunto principal:
Lágrimas
/
Soro
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Ceratite
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article