Synthetic rubber sheet to manage exposure keratopathy
Purpose: 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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993621001948 |
| _version_ | 1819119067602092032 |
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| author | Ayano Yoshimura Kaoru Araki-Sasaki Noriko Toyokawa Ryo Fujiwara Kanji Takahashi Fumi Gomi |
| author_facet | Ayano Yoshimura Kaoru Araki-Sasaki Noriko Toyokawa Ryo Fujiwara Kanji Takahashi Fumi Gomi |
| author_sort | Ayano Yoshimura |
| collection | DOAJ |
| description | Purpose: 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. Observations: 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. Conclusions and importance: 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. |
| first_indexed | 2024-12-22T05:58:53Z |
| format | Article |
| id | doaj.art-4f8d875ed80446f0b6fb8a7d29c6b998 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-22T05:58:53Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-4f8d875ed80446f0b6fb8a7d29c6b9982022-12-21T18:36:36ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362021-09-0123101185Synthetic rubber sheet to manage exposure keratopathyAyano Yoshimura0Kaoru Araki-Sasaki1Noriko Toyokawa2Ryo Fujiwara3Kanji Takahashi4Fumi Gomi5Department of Ophthalmology, Hyogo College of Medicine, 1-1, Mukogawacho, Nishinomiya, Hyogo, 663-8501, Japan; Department of Ophthalmology, JCHO Hoshigaoka Medical Center, 4-8-1, Hoshigaoka, Hirakata, 573-8511, JapanDepartment of Ophthalmology, JCHO Hoshigaoka Medical Center, 4-8-1, Hoshigaoka, Hirakata, 573-8511, Japan; Department of Ophthalmology, Kansai Medical University, 2-5-1, Shinmachi, Hirakata, Osaka, 573-1010, Japan; Corresponding author. Department of Ophthalmology, Kansai Medical University, 2-5-1, Shin-machi, Hirakata, Osaka, 573-1010, Japan.Nagata Eye Clinic, 1147 Horai-cho, Nara, JapanDepartment of Ophthalmology, JCHO Hoshigaoka Medical Center, 4-8-1, Hoshigaoka, Hirakata, 573-8511, Japan; Department of Ophthalmology, Kansai Medical University, 2-5-1, Shinmachi, Hirakata, Osaka, 573-1010, JapanDepartment of Ophthalmology, Kansai Medical University, 2-5-1, Shinmachi, Hirakata, Osaka, 573-1010, JapanDepartment of Ophthalmology, Hyogo College of Medicine, 1-1, Mukogawacho, Nishinomiya, Hyogo, 663-8501, JapanPurpose: 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. Observations: 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. Conclusions and importance: 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.http://www.sciencedirect.com/science/article/pii/S2451993621001948LagophthalmosCorneal ulcerExposure keratopathyDry eyeFacial paralysisOcular surface |
| spellingShingle | Ayano Yoshimura Kaoru Araki-Sasaki Noriko Toyokawa Ryo Fujiwara Kanji Takahashi Fumi Gomi Synthetic rubber sheet to manage exposure keratopathy American Journal of Ophthalmology Case Reports Lagophthalmos Corneal ulcer Exposure keratopathy Dry eye Facial paralysis Ocular surface |
| title | Synthetic rubber sheet to manage exposure keratopathy |
| title_full | Synthetic rubber sheet to manage exposure keratopathy |
| title_fullStr | Synthetic rubber sheet to manage exposure keratopathy |
| title_full_unstemmed | Synthetic rubber sheet to manage exposure keratopathy |
| title_short | Synthetic rubber sheet to manage exposure keratopathy |
| title_sort | synthetic rubber sheet to manage exposure keratopathy |
| topic | Lagophthalmos Corneal ulcer Exposure keratopathy Dry eye Facial paralysis Ocular surface |
| url | http://www.sciencedirect.com/science/article/pii/S2451993621001948 |
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