Fevikwik Not Only Joins But Also Heals" - Fevikwik Temporary Tarsorraphy for Exposure Keratitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Purpose: To report a novel method of temporary tarsorraphy for exposure keratitis Methods: Five consecutive patients with exposure keratitis due to various etiologies were recruited. All patients received Fevikwik glue to partially close the eye lids. Patients followed up after 3 days, 1, 2, 4, 8 and 12 wks. The procedure repeated to a maximum 3 times in 3 months. Success is defined as intactness of tarsorraphy on every follow-up, Progressive clearing of exposure keratitis from serial digital and slit lamp photos, failure is defined as need for surgical intervention and progression of keratitis or appearance of new corneal lesions with in 3 months and loss of tarsorraphy effect even after 3 attempts. Results: Procedure was successful in 4 out of 5 patients i.e 80% ( 95% CI= 60.4 - 99.6). One patient needed surgical tarsorraphy after 1 month. Conclusion: Fevikwik temporary tarsorraphy is simple, safe, effective, economical, repeatable and sight saving OPD procedure. Also useful for intensive care physicians treating bedridden patients in whom surgical interventions are difficult due other reasons. Further study with large sample size is required to authenticate the procedure.
Authors and Affiliations
Dr. P. Prabhakar Sastry, Dr. G. Madhavi Latha, Dr. Pasyam Raj Kumar, Dr. E. S. N. Murthy, Dr. K. V. Ravi Kumar
Keywords
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- EP ID EP251051
- DOI 10.9790/0853-1612083436
- Views 42
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