Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques

Aliagha Alishiri; Mostafa Naderi; Khosro Jadidi; Seyed Aliasghar Mosavi

doi:doi:10.11648/j.cmr.20130204.11

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Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques

Aliagha Alishiri, Mostafa Naderi, Khosro Jadidi, Seyed Aliasghar Mosavi

Published in Clinical Medicine Research (Volume 2, Issue 4)

Received: 6 April 2013 Accepted: Published: 10 June 2013

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Abstract

Purpose: To compare the epithelial defect size after epithelial removal by Weck-Cel sponge (Medtronic) spatula and blunt scalpel hockey blade. Method: This prospective study comprised 100 cases of PRK with mean age of 26±5 years (range, 19 to 45) performed at Bina Eye Specialist Hospital from January to march 2012. The size of epithelium removal was the same in all patients and it was 8.5 mm2. Each patienst’s right eyes epithelium was removed by Weck spounge and it was removed by Haki spatula in the left eye. The residual epithelial defect size was measured in both eyes after 4 days from surgery. Result: Of 200 eyes that met the inclusion criteria, the mean preoperative spherical equivalent (SE) refractive error in right eyes was -2.6±1.5 (Range: -1 to -7 D) versus 2.6±1.4 (Range: -1 to -6.5D) in left eyes (P= 0.527 ). The mean epithelial defect size after 4 days in right eyes was 1.5+- 0.77 and it was 1.46 +- 0.77 in the left eyes (P = 0.623). Conclusion: This sudy showed that there is no difference between corneal epithelial defect size in two methods of PRK surgery after corneal epithelial removal .We consider both methods to be comparable in terms of efficacy and believe the choice of one method over the other rests on the surgeon’s decision and experience.

Published in	Clinical Medicine Research (Volume 2, Issue 4)
DOI	10.11648/j.cmr.20130204.11
Page(s)	45-47
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Photorefractive Surgery, Mechanical Debridement, Epithelial Defect

References

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[3]	Weiss, RA, Lih-Huei, L, Liaw, MS, Berns, M, Amoils, SP. (1999) Scanning electron microscopy comparison of corneal epithelial removal techniques before photorefractive keratectomy J Cataract Refract Surg 25, 1093-1096
[4]	Griffith, M, Jackson, B, Lafontaine, MD, et al (1998) Evaluation of current techniques of corneal epithelial removal in hyperopic photorefractive keratectomy J Cataract Refract Surg 24, 1070-1078
[5]	Pallikaris IG, Karoutis AD, Lydataki SE, Siganos DS. Rotating brush for fast removal of corneal epithelium. J Refract Corneal Surg 1994; 10439-442.
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[10]	10. Ghadhfan F, Al-Rajhi A, Wagoner MD. Laser in situ keratomileusis versus surface ablation: visual outcomes and complications. J Cataract Refract Surg 2007; 33:2041–2048
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[13]	Lee JB, Seong GJ, Lee JH, et al. Comparison of laser epithelial keratomileusis and photorefractive keratectomy for low o mod-erate myopia. J Cataract Refract Surg 2001; 27:565–570
[14]	Buzzonetti L, Petrocelli G, Laborante A, Mazzilli E, Gaspari M, Valenti P, Francia E. A new transepithelial phototherapeutic keratectomy mode using the NIDEK CXIII excimer laser. J Refract Surg 2009; 25: S122–S124
[15]	Ali Fadlallah A, Fahed D, Khalil K et al. Transepithelial photorefractive keratectomy:Clinical results: J Cataract Refract Surg Volume 37, Issue 10 , Pages 1852-1857, October 2011.
[16]	Luo Lu, Peter S. Reinach and Winston W.-Y. Kao. Corneal Epithelial Wound Healing Experimental Biology and Medicine 2001, 226: 653-664.
[17]	Engle AT, Laurent JM, Schallhorn SC, Toman SD, Newacheck JS, Tanzer DJ, Tidwell JL. Masked comparison of silicone hydrogel lotrafilcon A and etafilcon A extended-wear bandage contact lenses after photorefractive keratectomy. J Cataract Refract Surg 2005; 31: 681–686
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APA Style

Aliagha Alishiri, Mostafa Naderi, Khosro Jadidi, Seyed Aliasghar Mosavi. (2013). Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques. Clinical Medicine Research, 2(4), 45-47. https://doi.org/10.11648/j.cmr.20130204.11

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ACS Style

Aliagha Alishiri; Mostafa Naderi; Khosro Jadidi; Seyed Aliasghar Mosavi. Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques. Clin. Med. Res. 2013, 2(4), 45-47. doi: 10.11648/j.cmr.20130204.11

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AMA Style

Aliagha Alishiri, Mostafa Naderi, Khosro Jadidi, Seyed Aliasghar Mosavi. Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques. Clin Med Res. 2013;2(4):45-47. doi: 10.11648/j.cmr.20130204.11

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@article{10.11648/j.cmr.20130204.11,
  author = {Aliagha Alishiri and Mostafa Naderi and Khosro Jadidi and Seyed Aliasghar Mosavi},
  title = {Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques},
  journal = {Clinical Medicine Research},
  volume = {2},
  number = {4},
  pages = {45-47},
  doi = {10.11648/j.cmr.20130204.11},
  url = {https://doi.org/10.11648/j.cmr.20130204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20130204.11},
  abstract = {Purpose: To compare the epithelial defect size after epithelial removal by Weck-Cel sponge (Medtronic) spatula and blunt scalpel hockey blade. Method: This prospective study comprised 100 cases of PRK with mean age of 26±5 years (range, 19 to 45) performed at Bina Eye Specialist Hospital from January to march 2012. The size of epithelium removal was the same in all patients and it was 8.5 mm2. Each patienst’s right eyes epithelium was removed by Weck spounge and it was removed by Haki spatula in the left eye. The residual epithelial defect size was measured in both eyes after 4 days from surgery. Result: Of 200 eyes that met the inclusion criteria, the mean preoperative spherical equivalent (SE) refractive error in right eyes was -2.6±1.5 (Range: -1 to -7 D) versus 2.6±1.4 (Range: -1 to -6.5D) in left eyes (P= 0.527 ). The mean epithelial defect size after 4 days in right eyes was 1.5+- 0.77 and it was 1.46 +- 0.77 in the left eyes (P = 0.623). Conclusion: This sudy showed that there is no difference between corneal epithelial defect size in two methods of PRK surgery after corneal epithelial removal .We consider both methods to be comparable in terms of efficacy and believe the choice of one method over the other rests on the surgeon’s decision and experience.},
 year = {2013}
}

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TY  - JOUR
T1  - Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques
AU  - Aliagha Alishiri
AU  - Mostafa Naderi
AU  - Khosro Jadidi
AU  - Seyed Aliasghar Mosavi
Y1  - 2013/06/10
PY  - 2013
N1  - https://doi.org/10.11648/j.cmr.20130204.11
DO  - 10.11648/j.cmr.20130204.11
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 45
EP  - 47
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20130204.11
AB  - Purpose: To compare the epithelial defect size after epithelial removal by Weck-Cel sponge (Medtronic) spatula and blunt scalpel hockey blade. Method: This prospective study comprised 100 cases of PRK with mean age of 26±5 years (range, 19 to 45) performed at Bina Eye Specialist Hospital from January to march 2012. The size of epithelium removal was the same in all patients and it was 8.5 mm2. Each patienst’s right eyes epithelium was removed by Weck spounge and it was removed by Haki spatula in the left eye. The residual epithelial defect size was measured in both eyes after 4 days from surgery. Result: Of 200 eyes that met the inclusion criteria, the mean preoperative spherical equivalent (SE) refractive error in right eyes was -2.6±1.5 (Range: -1 to -7 D) versus 2.6±1.4 (Range: -1 to -6.5D) in left eyes (P= 0.527 ). The mean epithelial defect size after 4 days in right eyes was 1.5+- 0.77 and it was 1.46 +- 0.77 in the left eyes (P = 0.623). Conclusion: This sudy showed that there is no difference between corneal epithelial defect size in two methods of PRK surgery after corneal epithelial removal .We consider both methods to be comparable in terms of efficacy and believe the choice of one method over the other rests on the surgeon’s decision and experience.
VL  - 2
IS  - 4
ER  -

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Author Information

Aliagha Alishiri

Department of Ophthalmology Bina Eye Hospital, Tehran, Iran
Mostafa Naderi

Department of Ophthalmology Bina Eye Hospital, Tehran, Iran
Khosro Jadidi

Department of Ophthalmology Bina Eye Hospital, Tehran, Iran
Seyed Aliasghar Mosavi

Department of Ophthalmology, Bina Eye Hospital Research center, Tehran, Iran

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APA Style

Aliagha Alishiri, Mostafa Naderi, Khosro Jadidi, Seyed Aliasghar Mosavi. (2013). Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques. Clinical Medicine Research, 2(4), 45-47. https://doi.org/10.11648/j.cmr.20130204.11

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ACS Style

Aliagha Alishiri; Mostafa Naderi; Khosro Jadidi; Seyed Aliasghar Mosavi. Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques. Clin. Med. Res. 2013, 2(4), 45-47. doi: 10.11648/j.cmr.20130204.11

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AMA Style

Aliagha Alishiri, Mostafa Naderi, Khosro Jadidi, Seyed Aliasghar Mosavi. Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques. Clin Med Res. 2013;2(4):45-47. doi: 10.11648/j.cmr.20130204.11

Copy | Download

@article{10.11648/j.cmr.20130204.11,
  author = {Aliagha Alishiri and Mostafa Naderi and Khosro Jadidi and Seyed Aliasghar Mosavi},
  title = {Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques},
  journal = {Clinical Medicine Research},
  volume = {2},
  number = {4},
  pages = {45-47},
  doi = {10.11648/j.cmr.20130204.11},
  url = {https://doi.org/10.11648/j.cmr.20130204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20130204.11},
  abstract = {Purpose: To compare the epithelial defect size after epithelial removal by Weck-Cel sponge (Medtronic) spatula and blunt scalpel hockey blade. Method: This prospective study comprised 100 cases of PRK with mean age of 26±5 years (range, 19 to 45) performed at Bina Eye Specialist Hospital from January to march 2012. The size of epithelium removal was the same in all patients and it was 8.5 mm2. Each patienst’s right eyes epithelium was removed by Weck spounge and it was removed by Haki spatula in the left eye. The residual epithelial defect size was measured in both eyes after 4 days from surgery. Result: Of 200 eyes that met the inclusion criteria, the mean preoperative spherical equivalent (SE) refractive error in right eyes was -2.6±1.5 (Range: -1 to -7 D) versus 2.6±1.4 (Range: -1 to -6.5D) in left eyes (P= 0.527 ). The mean epithelial defect size after 4 days in right eyes was 1.5+- 0.77 and it was 1.46 +- 0.77 in the left eyes (P = 0.623). Conclusion: This sudy showed that there is no difference between corneal epithelial defect size in two methods of PRK surgery after corneal epithelial removal .We consider both methods to be comparable in terms of efficacy and believe the choice of one method over the other rests on the surgeon’s decision and experience.},
 year = {2013}
}

Copy | Download

TY  - JOUR
T1  - Epithelial Defect Induced Photorefractive Surgery: Comparison of Two Mechanical Epithelial Removal Techniques
AU  - Aliagha Alishiri
AU  - Mostafa Naderi
AU  - Khosro Jadidi
AU  - Seyed Aliasghar Mosavi
Y1  - 2013/06/10
PY  - 2013
N1  - https://doi.org/10.11648/j.cmr.20130204.11
DO  - 10.11648/j.cmr.20130204.11
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 45
EP  - 47
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20130204.11
AB  - Purpose: To compare the epithelial defect size after epithelial removal by Weck-Cel sponge (Medtronic) spatula and blunt scalpel hockey blade. Method: This prospective study comprised 100 cases of PRK with mean age of 26±5 years (range, 19 to 45) performed at Bina Eye Specialist Hospital from January to march 2012. The size of epithelium removal was the same in all patients and it was 8.5 mm2. Each patienst’s right eyes epithelium was removed by Weck spounge and it was removed by Haki spatula in the left eye. The residual epithelial defect size was measured in both eyes after 4 days from surgery. Result: Of 200 eyes that met the inclusion criteria, the mean preoperative spherical equivalent (SE) refractive error in right eyes was -2.6±1.5 (Range: -1 to -7 D) versus 2.6±1.4 (Range: -1 to -6.5D) in left eyes (P= 0.527 ). The mean epithelial defect size after 4 days in right eyes was 1.5+- 0.77 and it was 1.46 +- 0.77 in the left eyes (P = 0.623). Conclusion: This sudy showed that there is no difference between corneal epithelial defect size in two methods of PRK surgery after corneal epithelial removal .We consider both methods to be comparable in terms of efficacy and believe the choice of one method over the other rests on the surgeon’s decision and experience.
VL  - 2
IS  - 4
ER  -

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