Cornea and External Eye Disease by Leejee H. Suh, M. Vaughn Emerson (auth.), Thomas Reinhard,

By Leejee H. Suh, M. Vaughn Emerson (auth.), Thomas Reinhard, Frank Larkin (eds.)

Te sequence necessities in Ophthalmology was once initi- to debate clinically proper and applicable to- ated years in the past to expedite the well timed trans - ics. Summaries of clinically proper info fer of recent details in imaginative and prescient technology and feature been supplied all through every one bankruptcy. evidence-based drugs into scientific perform. every one subspecialty zone now has been coated We notion that this prospicient concept will be as soon as, and the reaction to the frst 8 volumes moved and guided through a resolute dedication within the sequence has been enthusiastically confident. to excellence. it really is moderate to now replace our With the beginning of the second one cycle of subspecialty readers with what has been accomplished. insurance, the dissemination of functional informa - Te instant objective used to be to move informa - tion should be persevered as we examine extra approximately tion via a top quality quarterly booklet the rising advances in a variety of ophthalmic within which ophthalmology will be represented through subspecialties that may be utilized to procure the 8 subspecialties. during this regard, each one factor has absolute best care of our sufferers. additionally, we had a subspecialty subject matter and has been overseen will proceed to spotlight clinically proper i- by means of the world over famous quantity edi - formation and retain our dedication to e- tors, who in flip have invited a bevy of specialists cellence. G. ok. Krieglstein R. N.

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Ulceration and melting is a serious complication that can lead to perforation and loss of vision. 2 Treatment As the infectious epithelial lesions are caused by viral replication, the lesions are treated with antiviral agents. , bacteria, fungi, Acanthamoeba. The management of HSV-induced, immunemediated keratitis with ulceration includes medical and surgical approaches. The immunemediated inflammation is mostly treated with topical corticosteroids [75, 100]. However, corticosteroids may impair corneal re-epithelialization and wound-healing, and corneal melting and perforation have sometimes been the consequence.

Invest Ophthalmol Vis Sci 40 [Suppl]:578 9. Charukamnoetkanok P, Pineda R Jr (2005) Controversies in management of bacterial keratitis. Int Ophthalmol Clin 45:199–210 10. Chen HC, Tan HY, Hsiao CH (2006) Amniotic membrane transplantation for persistent corneal ulcers and perforations in acute fungal keratitis. Cornea 25:564–572 11. Chen JH, Ma DH, Tsai RJ (2002) Amniotic membrane transplantation for pseudomonal keratitis with impending perforation. Chang Gung Med J 25:144–152 12. Daniell M, Mills R, Morlet N (2003) Microbial keratitis: what’s the preferred initial therapy?

Depending on the depth of the corneal ulcer, a single or multilayer technique is chosen. Briefly, the base of the corneal ulcer is cleaned off the necrotic tissue. The poorly adherent epithelium adjacent to the ulcer and the blood is removed. Amniotic membrane may be used in an “onlay” (patch) or an “inlay” (graft) technique. 3 Onlay Technique The onlay technique is recommended when epithelial wound healing must be supported, and good visual acuity can be expected in cases of superficial ulcerations.

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