title: A corneal lens/shield system to promote postoperative corneal epithelial healing.
abstract: We used a disposable bandage soft contact lens piggybacked onto a medicated, 12-hour corneal collagen shield to promote postoperative corneal epithelial healing and to provide sustained delivery of high levels of medications after corneal surgery in patients known to have poor corneal epithelial wound healing characteristics. Our experience with three patients indicates that the collagen shield dissolves completely by the first postoperative day and that the bandage lens remains in place with good mobility until it is removed when epithelialization is complete. This system eliminates the need for painful manipulation and placement of a bandage soft contact lens in an edematous, inflamed eye during the immediate postoperative period.
authors.affiliation: LSU Eye Center, Louisiana State University Medical Center School of Medicine, New Orleans 70112, USA.
authors.forename: R M
authors.initials: RM
authors.lastname: Palmer
authors.forename: M B
authors.initials: MB
authors.lastname: McDonald
mesh_terms: D001684:Biological Dressings; D003263:Contact Lenses, Hydrophilic; D003315:Cornea / Q000502:physiology*; D003316:Corneal Diseases / Q000601:surgery; D003907:Dexamethasone / Q000008:administration & dosage; D016503:Drug Delivery Systems; D004848:Epithelium / Q000502:physiology; D006801:Humans; D011112:Polymyxin B / Q000008:administration & dosage; D011182:Postoperative Care; D014295:Trimethoprim / Q000008:administration & dosage; D014945:Wound Healing / Q000187:drug effects
chemical_list: D003907:Dexamethasone; D014295:Trimethoprim; D011112:Polymyxin B