Corneal calcific band keratopathy

@article{Jhanji2011CornealCB,
  title={Corneal calcific band keratopathy},
  author={V. Jhanji and C. Rapuano and R. Vajpayee},
  journal={Current Opinion in Ophthalmology},
  year={2011},
  volume={22},
  pages={283–289}
}
Purpose of review Calcific band keratopathy is a chronic degenerative condition characterized by the deposition of grayish to whitish opacities in the superficial layers of the cornea. It is usually associated with chronic ocular inflammatory conditions. Various treatment modalities have been used for the management of band keratopathy including mechanical debridement, chelation, and excimer laser phototherapeutic keratectomy (PTK). This review will discuss the cause and management of calcific… Expand
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Phototherapeutic keratectomy
Phototherapeutic keratectomy (PTK) was approved by the US FDA in 1995 for the treatment of anterior corneal disorders. The surgery entails ablation of corneal tissue using excimer laser in order toExpand
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This combined treatment is a safe and effective method for the removal of deep-situated calcium plaque and allowing the recovery of a stable ocular surface and no recurrence of band keratopathy was observed. Expand
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Band keratopathy has long been recognized as a corneal degeneration associated with chronic uveitis and phthisis, but there has been increasing awareness that the hypercalcemia present in a variety of systemic diseases may produce band ker atopathy in otherwise normal corneas. Expand
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A 91-year-old man with advanced glaucoma, status post trabeculectomy, and pseudophakia had a symptomatic recurrent band and bullous keratopathy in his left eye and the calcified lesions were removed surgically, resulting in a smooth ocular surface. Expand
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TLDR
Amniotic membrane transplantation represents a safe and effective method to restore a stable corneal epithelium in eyes after primary surgical removal of band keratopathy arising from ocular causes. Expand
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TLDR
Eximer laser PTK is a safe and effective outpatient treatment and should be used as initial treatment for band keratopathy. Expand
Treatment of band keratopathy by excimer laser phototherapeutic keratectomy: surgical techniques and long term follow up.
TLDR
In eyes with reduced vision, an improvement was reported in 88% and in a series of 66 eyes mean Snellen visual acuity increased significantly, and visual contrast sensitivity and measurements of disability glare improved postoperatively. Expand
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TLDR
Histopathologic examination suggests that the basement membrane of the corneal epithelium is the primary focus of cristallisation of the calcium salt in band keratopathy. Expand
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Eximer PTK is an effective procedure in the management of band keratopathy whether it is performed for visual rehabilitation or for ocular surface improvement to prevent erosions, and factors associated with the myopic shift seen may be epithelial remodelling, concurrent ocular pathology, or inaccuracy of preoperative refractive data. Expand
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