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Phototherapeutic keratectomy (PTK) is a type of eye surgery that uses a laser to treat various ocular disorders by removing tissue from the cornea. PTK allows the removal of superficial corneal opacities and surface irregularities. It is similar to photorefractive keratectomy, which is used for the treatment of refractive conditions.
In severe cases, surgery may be required due to excessive corneal scarring such as superficial keratectomy (SK), phototherapeutic keratectomy (PTK), lamellar keratoplasty, or penetrating keratoplasty. [1] Patients may relapse in symptoms but surgery prolongs the reoccurrence and may also lessen severity. [1]
Mast cell stabilizers such as sodium cromoglycate (2%) drops 4–5 times a day are quite effective in controlling VKC, especially atopic ones. Azelastine eyedrops are also effective. Topical antihistamines can be used. Acetyl cysteine (0.5%) used topically has mucolytic properties and is useful in the treatment of early plaque formation.
Superficial lamellar keratoplasty: Superficial lamellar keratoplasty is used to treat superficial corneal opacities, which occupies superficial one third part of stroma. In this technique, the opaque part of the cornea is removed and replaced with donor tissue, leaving healthy part of the cornea including deeper parts of stroma and endothelium.
Photorefractive keratectomy at U.S. Naval Medical Center San Diego. [ edit on Wikidata ] Photorefractive keratectomy ( PRK ) and laser-assisted sub-epithelial keratectomy (or laser epithelial keratomileusis [ 1 ] ) ( LASEK ) are laser eye surgery procedures intended to correct a person's vision, reducing dependency on glasses or contact lenses .
Maximilian Salzmann (9 December 1862, in Vienna – 17 April 1954, in Graz) was an Austrian ophthalmologist. In 1887 he received his medical doctorate from the University of Vienna , where he later worked as an assistant to Ernst Fuchs at the eye hospital.
In 1980, Swinger performed first keratomileusis surgery in US. [2] In 1985, Krumeich and Swinger introduced non-freeze keratomileusis technique, [2] it remained a relatively imprecise technique. In 1974 a refractive procedure called Radial Keratotomy (RK) was developed in the USSR by Svyatoslav Fyodorov and later introduced to the United States ...
[2] [3] Normal corneal thickness is about 520 to 540 microns in the centre and 600 to 620 microns in the periphery. [4] Pre descemet's layer which is dissected in PDEK, measures about 10.15±3.6 microns thick. [5] The descemet membrane (DM) measures about 16±2 microns (range 13-20μ) thick and the normal endothelium is about 5 microns thick.