The surface underneath is polished with a diamond burr. Corneal Curettageĭuring this procedure, the epithelium is removed so a new healthy layer of epithelium can replace it. This procedure is called corneal curettage or corneal debridement.
In cases where other surgeries that rely on the regularity of the corneal surface for a good outcome, such as cataract surgery, a minor procedure may be recommended. Occasionally, doctors will use soft contact lenses to smooth out the cornea. This helps the epithelial cells stay more tightly adhered to the cornea. In moderate to severe cases, doctors will recommend a hypertonic eye drop or ointment during the day and at night which is a salt solution that draws the fluid out of the cornea, reducing swelling. Moisture chamber goggles may also be part of the treatment plan to prevent dryness from occurring at night. Punctal occlusion involves inserting a small collagen or silicone plug in the tear drainage canal of the eye to conserve the patient’s tears. If there is a history of dry eye, punctal occlusion is also recommended. People with more noticeable symptoms require more frequent use of artificial tears, and bland eye ointments used before bedtime. Treatment of EBMD in people who do not have apparent symptoms include using artificial tears several times per day to encourage optimal epithelial cell health. People with EBMD may complain of the following symptoms: These characteristic changes can only be seen with the use of a slit lamp biomicroscope by your eye doctor. The changes will cause an uneven appearance of maps, dots, and fingerprints within the cornea. Map Dot Fingerprint Dystrophy: Bilateral, symmetric intraepithelial, grayish cystic corneal opacities, which are thought to be aggregates of basement membrane material that wax and wane. In EBMD, the epithelial cells to become loosely attached to the layer below known as Bowmans membrane. EBMD is a disorder of the basal epithelial cells located in the front part of the cornea.
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