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
Identifiers and Pagination:Year: 2019
First Page: 65
Last Page: 67
Publisher Id: TOOPHTJ-13-65
Article History:Received Date: 12/05/2019
Revision 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.
To present the use of radiofrequency diathermy for the management of chronic resistant corneal neovascularization with lipid keratopathy.
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.
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.
Radiofrequency diathermy seems to represent an effective and safe minimally invasive treatment for chronic resistant corneal neovascularization with lipid keratopathy.