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December 1997

Should We Patch Corneal Erosions?-Reply

Author Affiliations

Montreal, Quebec

Arch Ophthalmol. 1997;115(12):1607. doi:10.1001/archopht.1997.01100160777031

In reply  It is true that patients with traumatic corneal abrasions and patients with recurrent erosion syndrome were enrolled in this study. The pathophysiological features of the 2 entities are indeed different. However, despite variable degrees of involvement of the epithelial basement membrane, this group was homogeneous in that in none of the eyes was the involvement posterior to the Bowman layer surface. Moreover, it is often not possible at the time of the emergency visit to identify to what extent the traumatized epithelium was predisposed to erosion. Often the mate of an eye known for a recurrent erosion syndrome will only show minor irregularities1 at the slit lamp, consisting of a few intraepithelial microcysts that can well be missed at the time of this first visit. Furthermore, the presence of microcysts and fingerprint patterns can fluctuate notably from one visit to another.Therefore, we decided to enroll all

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