Adjunctive Green Thermal Laser Photocoagulation for Treatment of Resistant Infectious Keratitis

Mohamed H Nasef, Sharif Y El Emam, Amr F Sharaf, Waleed A Allam Ophthalmology Department, Faculty of Medicine, Tanta University, Tanta, EgyptCorrespondence: Mohamed H NasefOphthalmology Department, Faculty of Medicine, Tanta University, Tanta, EgyptTel +201002826555Email mohammednasef323@gmail.comPu...

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Autores principales:	Nasef MH, El Emam SY, Sharaf AF, Allam WA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	laser resistant keratitis infectious keratitis. cornea Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/ef3d608acb154125a382930dfd711dfd
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spelling	oai:doaj.org-article:ef3d608acb154125a382930dfd711dfd2021-12-02T17:40:50ZAdjunctive Green Thermal Laser Photocoagulation for Treatment of Resistant Infectious Keratitis1177-5483https://doaj.org/article/ef3d608acb154125a382930dfd711dfd2021-06-01T00:00:00Zhttps://www.dovepress.com/adjunctive-green-thermal-laser-photocoagulation-for-treatment-of-resis-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Mohamed H Nasef, Sharif Y El Emam, Amr F Sharaf, Waleed A Allam Ophthalmology Department, Faculty of Medicine, Tanta University, Tanta, EgyptCorrespondence: Mohamed H NasefOphthalmology Department, Faculty of Medicine, Tanta University, Tanta, EgyptTel +201002826555Email mohammednasef323@gmail.comPurpose: To investigate the safety and efficacy of green thermal laser as an adjunctive therapy for the treatment of resistant infectious keratitis (IK) in the Delta region of Egypt.Methods: A retrospective case series of 150 patients, within a 4 year duration, with resistant IK, who failed to respond to specific medical treatment alone for 7 days, were included. They all received green thermal laser photocoagulation treatment to the cornea as an adjunctive to medical treatment.Results: Forty-eight women and 102 men were included in this study with a mean age of 46.2 ± 7.7 years. Common risk factors associated with IK included trauma by material of plant origin and contact lens wear. The mean duration of healing was 2.87 ± 0.7 weeks. A single session of green thermal laser application was adequate in 138 IK cases (92%), while 12 cases (8%) required an additional session a week later. Supplementary amniotic membrane transplantation (AMT) was required in 26 cases (17.3%). Two patients (1.3%) required tectonic keratoplasty for corneal perforation. The final corrected distance visual acuity (CDVA) was counting fingers (CF) or better in 78 patients (52%). No decrease of CDVA was reported throughout the study.Conclusion: Green thermal laser is a safe and effective adjunctive therapy for the treatment of resistant infectious keratitis.Keywords: laser, resistant keratitis, infectious keratitis, corneaNasef MHEl Emam SYSharaf AFAllam WADove Medical Pressarticlelaserresistant keratitisinfectious keratitis. corneaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 2447-2453 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	laser resistant keratitis infectious keratitis. cornea Ophthalmology RE1-994
spellingShingle	laser resistant keratitis infectious keratitis. cornea Ophthalmology RE1-994 Nasef MH El Emam SY Sharaf AF Allam WA Adjunctive Green Thermal Laser Photocoagulation for Treatment of Resistant Infectious Keratitis
description	Mohamed H Nasef, Sharif Y El Emam, Amr F Sharaf, Waleed A Allam Ophthalmology Department, Faculty of Medicine, Tanta University, Tanta, EgyptCorrespondence: Mohamed H NasefOphthalmology Department, Faculty of Medicine, Tanta University, Tanta, EgyptTel +201002826555Email mohammednasef323@gmail.comPurpose: To investigate the safety and efficacy of green thermal laser as an adjunctive therapy for the treatment of resistant infectious keratitis (IK) in the Delta region of Egypt.Methods: A retrospective case series of 150 patients, within a 4 year duration, with resistant IK, who failed to respond to specific medical treatment alone for 7 days, were included. They all received green thermal laser photocoagulation treatment to the cornea as an adjunctive to medical treatment.Results: Forty-eight women and 102 men were included in this study with a mean age of 46.2 ± 7.7 years. Common risk factors associated with IK included trauma by material of plant origin and contact lens wear. The mean duration of healing was 2.87 ± 0.7 weeks. A single session of green thermal laser application was adequate in 138 IK cases (92%), while 12 cases (8%) required an additional session a week later. Supplementary amniotic membrane transplantation (AMT) was required in 26 cases (17.3%). Two patients (1.3%) required tectonic keratoplasty for corneal perforation. The final corrected distance visual acuity (CDVA) was counting fingers (CF) or better in 78 patients (52%). No decrease of CDVA was reported throughout the study.Conclusion: Green thermal laser is a safe and effective adjunctive therapy for the treatment of resistant infectious keratitis.Keywords: laser, resistant keratitis, infectious keratitis, cornea
format	article
author	Nasef MH El Emam SY Sharaf AF Allam WA
author_facet	Nasef MH El Emam SY Sharaf AF Allam WA
author_sort	Nasef MH
title	Adjunctive Green Thermal Laser Photocoagulation for Treatment of Resistant Infectious Keratitis
title_short	Adjunctive Green Thermal Laser Photocoagulation for Treatment of Resistant Infectious Keratitis
title_full	Adjunctive Green Thermal Laser Photocoagulation for Treatment of Resistant Infectious Keratitis
title_fullStr	Adjunctive Green Thermal Laser Photocoagulation for Treatment of Resistant Infectious Keratitis
title_full_unstemmed	Adjunctive Green Thermal Laser Photocoagulation for Treatment of Resistant Infectious Keratitis
title_sort	adjunctive green thermal laser photocoagulation for treatment of resistant infectious keratitis
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/ef3d608acb154125a382930dfd711dfd
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Adjunctive Green Thermal Laser Photocoagulation for Treatment of Resistant Infectious Keratitis

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