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Recurrent
Corneal Erosions
Many people at one time or another will have a piece
of grit fly into their eye and have to have it professionally
removed. Once the eye is patched for 24 hours, the cornea
repairs itself and the mishap is forgotten.
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If
however, the eye is injured by anything organic, such
as a fingernail, the cornea may heal but break down
again weeks or months later.
The entire sequence of the initial accident is relived,
and the person suffers pain,
sensitivity to light, watering eyes, redness of the
eye, and marked blurring of vision.
The
event may seem unreal because there is no antecedent
injury the second or third time.
For immediate relief, a local anesthetic will relieve
the symptoms. Treatment consists of a pressure bandage
on the eye to promote the healing. Mechanical denuding
of the loose corneal epithelium may be necessary.
The other eye should be kept closed most of the
time to minimize movement of the lid over the affected
eye.
Bed
rest is desirable for 24 hours. The cornea usually heals
in 2 -3 days. To prevent recurrence and to promote continued
healing it is important for these patients to use a
bland ointment (e.g.. boric acid or other ocular lubricants)
at bedtime for several months. In more severe cases,
artificial tears are instilled during the day. The use
of hypertonic ointment or saline drops
is often of value. Therapeutic soft contact lenses and
needle micropuncture of Bowmans layer have been
useful in cases that do not respond to more conservative
management.
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Interior Retina, Kamloops, B.C.,
Canada, Dr. Peter Hopp, argon laser treatments for diabetic retinopathy,
branch retinal vein occlusions, clinically significant macular edema,
central serous retinopathy, lattice degeneration, macular edema
and retinal tears, retinal detachments, vitreous hemorrhages, dropped
nucleuses, macular holes
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laser treatment of the retina,
laser treatment for glaucoma, laser treatment for diabetic eye disease,
laser treatment for certain types of macular degeneration,surgery
for cataracts, retinal detachment, macular hole, epiretinal membrane,
diabetic retinal disease,vitreous hemorrhages, chalazion excision,
entropion, other miscellaneous retinal and vitreous disorders
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Interior Retina, Kamloops, B.C.,
Canada, Dr. Peter Hopp, argon laser treatments for diabetic retinopathy,
branch retinal vein occlusions, clinically significant macular edema,
central serous retinopathy, lattice degeneration, macular edema
and retinal tears, retinal detachments, vitreous hemorrhages, dropped
nucleuses, macular holes
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Interior Retina provides treatment
and management of glaucoma, iritis, scleritis, vein/artery occlusions,
diabetic eye diseases, corneal abrasions, double vision, floaters,
optic neuritis, uveitis and after-cataracts.
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