Removal of calcific band keratopathy without ethylenediaminetetraacetic acid (EDTA) in eyes with limited visual potential

Carson R Bee,1 Lisa R Koenig,2 Eileen S Hwang,1 Steven B Koenig1 1Department of Ophthalmology, Froedtert and the Medical College of Wisconsin, Milwaukee, WI, USA; 2Weill Cornell Medical College, New York, NY, USA Purpose: Treatment of calcific band keratopathy (CBK) is commonly performed with ethy...

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Autores principales:	Bee CR, Koenig LR, Hwang ES, Koenig SB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	diamond-dusted burr superficial keratectomy corneal epithelial debridement chelation Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/af1409cda3b7490192374397b0a60b06
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spelling	oai:doaj.org-article:af1409cda3b7490192374397b0a60b062021-12-02T02:16:00ZRemoval of calcific band keratopathy without ethylenediaminetetraacetic acid (EDTA) in eyes with limited visual potential1177-5483https://doaj.org/article/af1409cda3b7490192374397b0a60b062018-10-01T00:00:00Zhttps://www.dovepress.com/removal-of-calcific-band-keratopathy-without-ethylenediaminetetraaceti-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Carson R Bee,1 Lisa R Koenig,2 Eileen S Hwang,1 Steven B Koenig1 1Department of Ophthalmology, Froedtert and the Medical College of Wisconsin, Milwaukee, WI, USA; 2Weill Cornell Medical College, New York, NY, USA Purpose: Treatment of calcific band keratopathy (CBK) is commonly performed with ethylenediaminetetraacetic acid (EDTA), but EDTA has become more difficult to obtain. This paper describes a technique for treating CBK using a diamond-dusted burr without EDTA in eyes with limited visual potential. Patients and methods: In this paper, we provide detailed instructions on how to perform the surgical technique for treating CBK, along with a surgical video. We performed a retrospective review of consecutive patients with clinically significant CBK who underwent this procedure from December 2012 to July 2015. Results: Seven eyes of six patients were included for analysis. Preoperatively, all patients suffered from ocular discomfort. All eyes had poor preoperative visual acuity due to non-corneal ocular disease. The most common causes of CBK in this series were retinopathy of prematurity (three eyes) and chronic uveitis (two eyes). Postoperatively, all patients reported partial or complete relief of discomfort. The length of follow-up ranged from 15 days to 31 months. Two eyes experienced recurrence of CBK. This occurred at 4 and 28 months after treatment. Conclusion: The diamond-dusted burr can easily and effectively remove the corneal epithelium and underlying calcium deposits. Therefore, it may be used to effectively treat discomfort from CBK. Keywords: diamond-dusted burr, superficial keratectomy, corneal epithelial debridement, chelationBee CRKoenig LRHwang ESKoenig SBDove Medical Pressarticlediamond-dusted burrsuperficial keratectomycorneal epithelial debridementchelationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1895-1899 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	diamond-dusted burr superficial keratectomy corneal epithelial debridement chelation Ophthalmology RE1-994
spellingShingle	diamond-dusted burr superficial keratectomy corneal epithelial debridement chelation Ophthalmology RE1-994 Bee CR Koenig LR Hwang ES Koenig SB Removal of calcific band keratopathy without ethylenediaminetetraacetic acid (EDTA) in eyes with limited visual potential
description	Carson R Bee,1 Lisa R Koenig,2 Eileen S Hwang,1 Steven B Koenig1 1Department of Ophthalmology, Froedtert and the Medical College of Wisconsin, Milwaukee, WI, USA; 2Weill Cornell Medical College, New York, NY, USA Purpose: Treatment of calcific band keratopathy (CBK) is commonly performed with ethylenediaminetetraacetic acid (EDTA), but EDTA has become more difficult to obtain. This paper describes a technique for treating CBK using a diamond-dusted burr without EDTA in eyes with limited visual potential. Patients and methods: In this paper, we provide detailed instructions on how to perform the surgical technique for treating CBK, along with a surgical video. We performed a retrospective review of consecutive patients with clinically significant CBK who underwent this procedure from December 2012 to July 2015. Results: Seven eyes of six patients were included for analysis. Preoperatively, all patients suffered from ocular discomfort. All eyes had poor preoperative visual acuity due to non-corneal ocular disease. The most common causes of CBK in this series were retinopathy of prematurity (three eyes) and chronic uveitis (two eyes). Postoperatively, all patients reported partial or complete relief of discomfort. The length of follow-up ranged from 15 days to 31 months. Two eyes experienced recurrence of CBK. This occurred at 4 and 28 months after treatment. Conclusion: The diamond-dusted burr can easily and effectively remove the corneal epithelium and underlying calcium deposits. Therefore, it may be used to effectively treat discomfort from CBK. Keywords: diamond-dusted burr, superficial keratectomy, corneal epithelial debridement, chelation
format	article
author	Bee CR Koenig LR Hwang ES Koenig SB
author_facet	Bee CR Koenig LR Hwang ES Koenig SB
author_sort	Bee CR
title	Removal of calcific band keratopathy without ethylenediaminetetraacetic acid (EDTA) in eyes with limited visual potential
title_short	Removal of calcific band keratopathy without ethylenediaminetetraacetic acid (EDTA) in eyes with limited visual potential
title_full	Removal of calcific band keratopathy without ethylenediaminetetraacetic acid (EDTA) in eyes with limited visual potential
title_fullStr	Removal of calcific band keratopathy without ethylenediaminetetraacetic acid (EDTA) in eyes with limited visual potential
title_full_unstemmed	Removal of calcific band keratopathy without ethylenediaminetetraacetic acid (EDTA) in eyes with limited visual potential
title_sort	removal of calcific band keratopathy without ethylenediaminetetraacetic acid (edta) in eyes with limited visual potential
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/af1409cda3b7490192374397b0a60b06
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Removal of calcific band keratopathy without ethylenediaminetetraacetic acid (EDTA) in eyes with limited visual potential

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