Review of diagnosis and management of recurrent erosion syndrome

Curr Opin Ophthalmol. 2009 Jul;20(4):287-91. doi: 10.1097/ICU.0b013e32832c9716.

Abstract

Purpose of review: This article reviews the literature since 2003 concerning recurrent corneal abrasions and various treatment modalities of corneal erosions.

Recent findings: Recurrent corneal erosions are a well known pathologic condition to the practicing ophthalmologist. However, recent articles have comprehensively reviewed the clinical history, presentation, pathophysiology and traditional treatment of corneal erosions. In addition to review articles, new treatments of recurrent corneal erosions, such as oral doxycycline and topical corticosteroid, alcohol delamination, substance P-derived peptide and ILGF-I drops, botulinum lid injections, Amoils epithelial scrubber epithelial debridement, diamond burr polishing and excimer laser phototherapeutic keratectomy, have been presented in recent journal articles.

Summary: Although the basic history and underlying pathophysiology of recurrent corneal erosions has remained stable, recent advances in the treatment of erosions have resulted in a lower recurrence rate and greater patient comfort.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Anti-Bacterial Agents / administration & dosage
  • Corneal Diseases / diagnosis*
  • Corneal Diseases / physiopathology
  • Corneal Diseases / therapy*
  • Corneal Surgery, Laser
  • Debridement
  • Epithelium, Corneal / physiopathology
  • Humans
  • Ophthalmic Solutions / administration & dosage
  • Recurrence
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones
  • Anti-Bacterial Agents
  • Ophthalmic Solutions