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Corneal opacification is a term used when the human cornea loses its transparency. The term corneal opacity is used particularly for the loss of transparency of cornea due to scarring. Transparency of the cornea is dependent on the uniform diameter and the regular spacing and arrangement of the collagen fibrils within the stroma.
Corneal pachymetry may be useful in confirming the diagnosis. Treatment usually consists of vision correction with eyeglasses or contact lenses. Intacs implants, corneal collagen cross-linking, and corneal transplant surgery are additional options. Surgery is reserved for individuals who do not tolerate contact lenses.
Interstitial keratitis (IK), also known as Immune Stromal Keratitis (ISK), is an eye disorder characterized by scarring of the cornea due to chronic inflammation of the corneal stroma . "Interstitial" refers to space between cells (i.e. the corneal stroma, which lies between the epithelium and the endothelium).
With PRK, the corneal epithelium is removed and discarded, allowing the cells to regenerate after the surgery. The procedure is distinct from LASIK (laser-assisted in-situ keratomileusis), a form of laser eye surgery where a permanent flap is created in the deeper layers of the cornea. However, PRK takes longer to heal and can, initially, cause ...
In some cases when the cornea becomes dangerously thin or when sufficient vision can no longer be achieved by contact lenses due to steepening of the cornea, scarring, or lens intolerance, corneal cross-linking is not an option, and a corneal transplant may be required. Keratoconus affects about 1 in 2,000 people.
Long-term contact lens use can lead to alterations in corneal thickness, stromal thickness, curvature, corneal sensitivity, cell density, and epithelial oxygen uptake. . Other structural changes may include the formation of epithelial vacuoles and microcysts (containing cellular debris), corneal neovascularization, as well as the emergence of polymegethism in the corneal endoth
Treatment is aimed at managing the symptoms of the disease. A form of laser eye surgery named keratectomy may help with the superficial corneal scarring. In more severe cases, a partial or complete corneal transplantation may be considered. [3] However, it is common for the dystrophy to recur within the grafted tissue. [3]
Treatment of patients whose vision is less than 20/200 in the affected eye. Patients with failed corneal transplant using donor cornea and have little or no vision left. Patients with non-autoimmune diseases, congenital birth defects and other ocular problems. Patients who do not have access to corneal transplant tissue