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Corneal Erosion After Anterior Stromal Puncture
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Greg0145 posted:
I had recurrent corneal erosion and my doctor immediately performed anterior stromal puncture. This was about 5 weeks ago. I have had 3 corneal erosion episodes since then and wondered if this was normal or if I need to have the procedure performed again. My doctor did state sometimes it took 2 procedures to fully fix the problem. I really hope this is just part of the healing process, but I have the feeling it didn't "take" like it should have.
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Alan M Kozarsky, MD responded:
It is not uncommon for the area of loose corneal epithelium which is associated with your recurrent erosion to be larger than area initially identified and treated with the anterior stromal puncture. Additional erosions at the edge of the original treated area can happen and can be treated with additional stromal puncture.

Corneal erosions are very painful and I know this is a tough situation to go through. However, if your ophthalmologist can clearly identify the "new" area of erosion, if it is at the edge of the previously identified and treated area, it can be treated with the expectation of major improvement and increasing freedom from these painful episodes.
 
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Greg0145 replied to Alan M Kozarsky, MD's response:
Thanks for the reply. That makes perfect sense. I've noticed on each occasion since the procedure, that the pain seems to come from the outer part of my cornea, not centered like it initially began. I'll make another appointment and see what my Dr finds.

Thanks again.


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