Synthetic rubber sheet to manage exposure keratopathy

Exposure keratopathy often progresses even with conventional various treatments and needs plastic surgery. However, plastic surgery of eye lid is often difficult in cases with poor general condition by cerebrovascular disorders. We will propose a novel method using synthetic rubber sheet to manage t...

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Bibliographic Details
Published in:American journal of ophthalmology case reports 2021-09, Vol.23, p.101185-101185, Article 101185
Main Authors: Yoshimura, Ayano, Araki-Sasaki, Kaoru, Toyokawa, Noriko, Fujiwara, Ryo, Takahashi, Kanji, Gomi, Fumi
Format: Article
Language:English
Subjects:
Brief Report
Corneal ulcer
Dry eye
Exposure keratopathy
Facial paralysis
Lagophthalmos
Ocular surface
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Summary:Exposure keratopathy often progresses even with conventional various treatments and needs plastic surgery. However, plastic surgery of eye lid is often difficult in cases with poor general condition by cerebrovascular disorders. We will propose a novel method using synthetic rubber sheet to manage the exposure keratopathy under poor general conditions. We treated with synthetic rubber sheet on 9 eyes of 9 patients who suffered from refractory exposure keratopathy due to cerebrovascular disorders. Sheets cut from sterile surgical gloves made of synthetic rubber (SR sheets) were placed directly onto the ocular surface with antibiotic ointment and fixed with gauze and tape. Severity of the exposure keratopathy was scored before and after the application of SR sheet. Covered ocular surface with SR sheet could keep an adequate moist environment and exposure keratopathy was improved in all the cases with no adverse effects during an average observation period of 166.2 days. Sterile synthetic rubber sheet cut from surgical gloves is an effective, safe, easy, and economical material to maintain better condition of ocular surface and especially useful for refractory exposure keratopathy under poor general condition.
ISSN:2451-9936
2451-9936
DOI:10.1016/j.ajoc.2021.101185