CASE REPORT
Use of Radiofrequency Diathermy for the Treatment of Chronic Corneal Neovascularization with Lipid Keratopathy
George D. Kymionis1, *, Nafsika Voulgari1, Michael A. Grentzelos1, Konstantinos Aliferis1, Kate Hashemi1, Dimitrios Mikropoulos2
Article Information
Identifiers and Pagination:
Year: 2019Volume: 13
First Page: 65
Last Page: 67
Publisher ID: TOOPHTJ-13-65
DOI: 10.2174/1874364101913010065
Article History:
Received Date: 12/05/2019Revision Received Date: 5/8/2019
Acceptance Date: 23/09/2019
Electronic publication date: 15/11/2019
Collection year: 2019
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Purpose:
To present the use of radiofrequency diathermy for the management of chronic resistant corneal neovascularization with lipid keratopathy.
Methods:
Two post keratitis patients with chronic corneal neovascularization and lipid keratopathy refractory to conventional treatment underwent radiofrequency diathermy. (Klöti, Oertli ®, Switzerland) on an outpatient basis under topical anesthesia at the slit lamp biomicroscope.
Results:
No intra- or postoperative complications were encountered. After the procedure, significant regression of neovascularization with decrease in lipid deposition and improvement in corneal opacification was observed in both patients during the 12-month follow-up. Corrected distance visual acuity improved from 20/200 preoperatively to 20/80 postoperatively in the first case while remained stable at 20/20 in the second case. Significant symptomatic improvement regarding photophobia and discomfort was noted in both patients.
Conclusions:
Radiofrequency diathermy seems to represent an effective and safe minimally invasive treatment for chronic resistant corneal neovascularization with lipid keratopathy.