Evidence map›Paper›PMID 37492212›Full record

ArticleSaudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society

Bowman's membrane lenticule tuck-in: A new approach for the management of neurotrophic ulcers.

Dharamveer S Choudhary, Gargi Verma, Kishor Kumar, Pratibha Choudhary, Bhuvanesh S Kalal, Anamika Chaudhary

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Article in Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Dharamveer S ChoudharyDepartment of Ophthalmology, Swai Man Singh Medical College and Hospitals, Jaipur, Rajasthan, India.
Gargi VermaDepartment of Ophthalmology, Swai Man Singh Medical College and Hospitals, Jaipur, Rajasthan, India.
Kishor KumarDepartment of Ophthalmology, Swai Man Singh Medical College and Hospitals, Jaipur, Rajasthan, India.
Pratibha ChoudharyDepartment of Ophthalmology, Swai Man Singh Medical College and Hospitals, Jaipur, Rajasthan, India.
Bhuvanesh S KalalMulti-Disciplinary Research Unit (MDRU), Swai Man Singh Medical College and Hospitals, Jaipur, Rajasthan, India.
Anamika ChaudharyDepartment of Ophthalmology, Swai Man Singh Medical College and Hospitals, Jaipur, Rajasthan, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate a new surgical method for managing nonhealing neurotrophic ulcers using a novel technique of tucking-in Bowman's membrane lenticule in the ulcer defect.

methodsA total of 22 eyes of 22 patients with neurotrophic ulcers of various etiologies and stages were included and underwent a surgical process where a donor Bowman's membrane lenticule was harvested and fashioned according to the lesion and tucked inside the ulcer after making a recess in anterior one-third of stroma all around 360 degrees. The primary outcomes measured were healing (stable epithelialization at 12 months) and best-corrected visual acuity (BCVA) improvement.

resultsTwenty-two eyes of 22 patients with neurotrophic ulcers underwent Bowman's membrane lenticule tuck-in procedure. Complete re-epithelialization was achieved in 21 eyes (95.45%). The average healing time was 2.77 ± 0.79 weeks. The mean corneal thickness improved from 267.36 ± 94.56 mm preoperatively to 435.9 ± 47.71 mm at six months postoperatively. The mean BCVA also improved from 0.05 ± 0.07 preoperatively to 0.24 ± 0.24 postoperatively one year. One patient (4.54%) showed recurrence after one month, and the epithelial defect persisted till the end of the study.

conclusionDonor Bowman's membrane lenticule tuck-in for neurotrophic ulcers is a safe and highly effective treatment and requires minimal instruments and expertise.

Indexed as

Bowman’s membrane lenticulecorneal transplantationgraft tuck-inneurotrophic ulcersulcer recess

Identifiers

PMID37492212
PMCPMC10365241

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.