Abstract

ORTIZ SANFELIZ, Elizabeth; PEREZ PARRA, Zaadia; RODRIGUEZ DE PAZ, Urbano  and  CASTILLO PEREZ, Alexeide de la C.. Cauterization of Bowman´s membrana and amniotic membrane graft in painful bullous keratopathy after cataract surgery. Rev Cubana Oftalmol [online]. 2008, vol.21, n.1, pp. 0-0. ISSN 1561-3070.

INTRODUCTION: Keratectomy with cauterization of Bowman´s membrane and the amniotic membrane graft are some of the palliative therapies to be applied in patients with painful bullous keratopathy without any criterion of corneal transplant. To describe the results of each technique was our fundamental objective in this study. METHODS: A descriptive study of 34 patients with painful bullous keratopathy after cataract surgery was carried out. They were divided into two groups: one undergoing keratectomy with cauterization of Bowman´s membrane and the other amniotic membrane graft followed-up for six months. RESULTS: After six months, 64.7 % of cases with cauterization of Bowman´s membrane and 41.2 % of those with amniotic membrane graft had no blebs. Increase of corneal vascularization as minimal for both techniques. The symptom relief in the first week of surgery was observed in 82.4 % and 94.1 % of cases respectively. After six months, the patients kept asymptomatic in 88.2 % of cases with cauterized Bowman´s membrane and 70.6 % of amniotic membrane grafts. Corneal epithelization occurred before 14 days of surgery in 100 % of patients treated with graft and in 94.1 % of cauterized cases. CONCLUSIONS: Both surgical techniques are effective in short-term treatment of painful bullous keratopathy after a cataract surgery.

Keywords : Painful bullous keratopathy; cauterization of Bowman´s membrane; amniotic membrane graft.

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