Some corneal surgery cases—particularly those involving severe ocular surface disease and associated limbal stem cell deficiency—are particularly challenging, noted Clara Chan, MD, assistant professor of ophthalmology at the University of Toronto, in a recent interview.
She suggests this 4-step approach:
- Optimize the patient’s dry eye.
- Perform oculoplastics to repair eyelid deformities, lagophthalmos, or lash trauma issues.
- Manage glaucoma using a tub shunt or cyclophotocoagulation.
- Perform surgery to rehabilitate corneal blindness.
Stodola E. Dealing with challenging cases in corneal surgery. Eye World July 2018.
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