Dr. RISHI SWARUP

Dr.Divya jain, Dr. Samip Amitbhai Mehta

Abstract

A cross sectional observational study was conducted in 46 eyes of 34 patients to report the findings of optical coherence tomography (OCT) in the corneas of patients with recurrent corneal erosion syndrome (RCES) at a tertiary eye care center.

8 (17%) eyes diagnosed with RCES had underlying Epithelial Basement Membrane Dystrophy (EBMD). The findings on OCT were: anterior stromal hyper-reflectivity (71%), epithelial edema (58%), undetected epithelial basement membrane (53%) and intraepithelial inclusions (53%). Changes in the epithelial Basement membrane-Bowman’s membrane junction such as thickening (71%), hyper-reflectivity (88%) and slit-like spaces (54%) were noted. 11 (23%) eyes underwent Trans-PTK following which 10/11 eyes had complete resolution of OCT changes noted previously.

Corneal OCT is useful to study the pathophysiology of RCES and its evolution through various stages of the disease. It also helps in deciding the depth and size of ablation during Trans-PTK procedure.

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