Chronically retained feathery chestnut-burr spine-related corneal injury: clinical features and outcome

dc.contributor.authorKaraca, Irmak
dc.contributor.authorSelver, Ozlem Barut
dc.contributor.authorPalamar, Melis
dc.contributor.authorEgrilmez, Sait
dc.date.accessioned2020-12-01T12:01:35Z
dc.date.available2020-12-01T12:01:35Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose To establish the clinical features and outcomes of patients with chronically retained, feathery chestnut-burr spine-related corneal injury. Methods the data of the patients who presented with chestnut-burr-related corneal injury between 2010 and 2018 were retrospectively evaluated. Nineteen eyes of 19 patients, with chronically retained corneal intrastromal feathery chestnut-burr spines, were included. Results the mean age of the patients (11 male and 8 female) was 29.8 +/- 19.9 years. Best-corrected visual acuity was 0.13 +/- 0.23 logMAR at initial examination and increased to 0.0 +/- 0.0 logMAR at last visit. Chestnut-burr spines were located in the peripheral cornea in 14 eyes (73.7%) and in the central cornea in 5 eyes (26.3%). Localized corneal edema surrounding the chestnut-burr spines were detected in all eyes. No eyes were Seidel positive. Three eyes (15.8%) had low-grade anterior chamber reaction. None of the patients had epithelial ulceration or any sign of infection at initial presentation. in order to control acute localized inflammation, all patients were put on topical steroid (loteprednol etabonate). the mean duration of topical steroid treatment was 3.8 +/- 1.8 (range 2-7) months. During the follow-up period, inflammation was controlled and no sign of reinflammation occurred. Conclusion Acute inflammation in intrastromal chestnut-burr spines can be well controlled with easy tapering of topical steroids. However, as the reinflammation possibility cannot be excluded, long-term follow-up of these patients is mandatory.en_US
dc.identifier.doi10.1007/s10792-020-01374-9en_US
dc.identifier.endpage1997en_US
dc.identifier.issn0165-5701
dc.identifier.issn1573-2630
dc.identifier.issue8en_US
dc.identifier.pmid32328919en_US
dc.identifier.scopus2-s2.0-85084129768en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1993en_US
dc.identifier.urihttps://doi.org/10.1007/s10792-020-01374-9
dc.identifier.urihttps://hdl.handle.net/11454/62464
dc.identifier.volume40en_US
dc.identifier.wosWOS:000528292900004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofInternational Ophthalmologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChestnut-burren_US
dc.subjectCorneal injuryen_US
dc.subjectInflammationen_US
dc.subjectAnterior segment optical coherence tomographyen_US
dc.titleChronically retained feathery chestnut-burr spine-related corneal injury: clinical features and outcomeen_US
dc.typeArticleen_US

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