Dr. Raymond Stein- Toronto, Ontario

Dr. Raymond Stein, in the article below, discusses epithelial basement membrane dystrophy that can hinder an individual’s vision. Along with the team at Bochner Eye Institute, Raymond Stein, MD, believes that patient education is important to rewarding eye care. For additional information about other eye care topics, please visit the other pages on this site.

EBMD is a common hereditary corneal dystrophy that may lead to recurrent corneal erosions and/or blurred vision. Clinical epithelial signs include fingerprint lines, map-like changes or microcysts. If the corneal signs are subtle, it is valuable to instill fluorescein and view with a Cobalt-blue light. With EBMD the epithelium is irregular and the tear breakup is often abnormal.

If patients have recurrent erosions and they are refractory to hypertonic solutions, (Muro 128 5% drops and/or ointment) then a keratectomy can be performed. This procedure involves debridement of the corneal epithelium and polishing of Bowman’s layer with a diamond burr. With this technique, 85 percent of eyes will have resolution of their erosions. The procedure can be repeated if necessary.

If patients have glare, halos, or reduced vision secondary to EBMD then a keratectomy is the best treatment option. The epithelium that grows back is usually smoother resulting in improved vision. Best vision is achieved within four to six weeks following the procedure.

To learn more about Raymond Stein and the skilled vision professionals at Bochner Eye Institute, visit www.bochner.com or call 416-960-2020.

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This entry was posted on Wednesday, January 20th, 2010 at 9:16 pm and is filed under Published Articles by Raymond Stein MD, Raymond Stein MD. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.