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Br J Ophthalmol 85:912-915 doi:10.1136/bjo.85.8.912
  • Scientific correspondence

A comparison of different depth ablations in the treatment of painful bullous keratopathy with phototherapeutic keratectomy

Table 3

Deep phototherapeutic keratectomy group

Patient Age (years) Sex Indication Pachymetry (pre-PTK, μm) Depth of ablation (μm) Ablation diameter (mm) Follow up (months) Epithelial stability post PTK Complications /further treatment
1 81 F Painful aphakia N/R 250 7.5 18 stable epithelium nil
2 59 F Failed corneal graft 969 290 7.5 12 recurrent pain, no large bullae amniotic membrane graft at 3 months
3 84 M Painful pseudophakia 588 147 7.5 11 microcysts nil
4 84 F Painful pseudophakia 708 175 7.5 11 microcysts nil
5 84 M Painful pseudophakia 900 250 7.5 9 few small recurrent bullae nil
6 89 M Painful aphakia 892 160 9.0 10 few small recurrent bullae nil
7 49 M Failed corneal graft pain 831 195 7.0 7 recurrent bullae Symptomatic improvement occasional discomfort
8 50 M Birth (forceps) trauma, pain 800 200 7.5 5 microcysts Symptomatic improvement occasional discomfort
9 59 F Buphthalmos Painful pseudophakia 913 228 7.5 9 microcysts acute anterior uveitis at 8 months
10 72 F Painful pseudophakia 694 173 7.0 1 microcysts nil
11 70 F Painful pseudophakia 817 204 7.5 6 microcysts nil
12 84 M Painful pseudophakia 675 160 7.5 8 PED microbial keratitis ×3, subsequent PED requiring Botox ptosis
13 86 F Painful pseudophakia 785 195 7.5 6 microcysts nil
14 81 M Painful pseudophakia 825 200 7.5 9 recurrent bullae retreatment at 8 months, now pain free
15 75 F Painful pseudophakia 834 209 7.5 3 microcysts nil
16 80 M Painful pseudophakia 964 240 7.0 4 microcysts nil
17 73 F Painful Pseudophaki a 764 191 7.5 3 microcysts nil
18 71 F Painful pseudophakia 810 190 7.5 3 microcysts nil
19 76 F Painful pseudophakia 620 155 7.5 3 recurrent bullae + pain PK at 3 months
20 81 M Pseudophaki a N/R 250 6.0 2 microcysts required retreatment at 1 month
21 27 F Diabetic PVR Painful pseudophakia N/R 250 7.5 2 microcysts Symptomatic improvement occasional discomfort
22 60 M Aphakia, pain, microbial keratitis 800 200 7.5 3 PED Incomplete epithelial healing. Botox ptosis at 1 month
23 83 F Painful pseudophakia 710 177 7.5 1 microcysts nil
24 81 F Failed corneal graft, pain 855 214 7.5 2 microcysts nil
  • PK = penetrating keratoplasty, PVR = proliferative vitreoretinopathy, PED = persitent epithelial defect, Botox = botulinum toxin,

  • time at initiation of further (different) treatment.

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