Klinische Monatsblatter fur Augenheilkunde · 2021
The Effectiveness of Corneal Epithelial Debridement Performed with an Alcohol-Impregnated Sponge.
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Altinbay Deniz, Taskin Ibrahim
Аннотация
OBJECTIVE: To evaluate the clinical outcomes of patients who underwent corneal surgery with debridement of epithelium by localised application of an alcohol-impregnated sponge instead of the usual alcohol reservoir method.
DESIGN: This study retrospectively included 52 eyes of 27 patients who underwent LASEK (laser-assisted subepithelial keratectomy) and CXL (cross-linking) surgery after application of this alcohol-assisted debridement method between January 2019 and April 2019.
PARTICIPANTS: Twenty-four patients who underwent LASEK and three patients who underwent CXL surgery were included in this study, which comprised a total of 52 eye operations.
METHODS: Epithelial debridement was performed after placing a 20% ethanol-impregnated sponge on the cornea for 20 seconds.
RESULTS: The mean pachymetry value was 509.40 ± 30.37 µm, the mean preoperative spherical equivalent was - 2.14 ± 1.02 dioptres, and the highest myopia and astigmatism values were - 4.25 dioptres and - 2.75 dioptres, respectively. It was seen that the corneal epithelium was completely and easily debrided in a size identical to that of the applied sponge.
CONCLUSIONS: Complete debridement of the corneal epithelium can be performed quickly, safely, and easily with this specially prepared sponge.
DESIGN: This study retrospectively included 52 eyes of 27 patients who underwent LASEK (laser-assisted subepithelial keratectomy) and CXL (cross-linking) surgery after application of this alcohol-assisted debridement method between January 2019 and April 2019.
PARTICIPANTS: Twenty-four patients who underwent LASEK and three patients who underwent CXL surgery were included in this study, which comprised a total of 52 eye operations.
METHODS: Epithelial debridement was performed after placing a 20% ethanol-impregnated sponge on the cornea for 20 seconds.
RESULTS: The mean pachymetry value was 509.40 ± 30.37 µm, the mean preoperative spherical equivalent was - 2.14 ± 1.02 dioptres, and the highest myopia and astigmatism values were - 4.25 dioptres and - 2.75 dioptres, respectively. It was seen that the corneal epithelium was completely and easily debrided in a size identical to that of the applied sponge.
CONCLUSIONS: Complete debridement of the corneal epithelium can be performed quickly, safely, and easily with this specially prepared sponge.