Argon laser treatment of lipid keratopathy.
Sixty-three cases of vascularised lipid keratopathy were treated with the argon laser to occlude feeder vessels which had been identified by fluorescein angiography. There was a reduction in extent in 62% and density in 49%. Visual acuity was improved in 48%. Six patients had keratoplasties shortly after treatment, none of which showed graft rejection. Minor complications included temporary haemorrhage into the cornea and iris atrophy. A more serious problem was severe corneal thinning after resorption of lipid. The patients had to be carefully followed up and maintained on a low dose of topical steroid.
Marsh
R J
RJ
Western Ophthalmic Hospital, London.
D003315:Cornea / Q000098:blood supply; D003316:Corneal Diseases / Q000378:metabolism / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D007498:Iris / Q000473:pathology; D053685:Laser Therapy; D050356:Lipid Metabolism; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014656:Vascular Surgical Procedures; D014792:Visual Acuity