Use of Radiofrequency Diathermy for the Treatment of Chronic Corneal Neovascularization with Lipid Keratopathy

Abstract

Purpose: To present the use of radiofrequency diathermy for the management of chronic resistant corneal neovascularization with lipid keratopathy. Method(s): Two post keratitis patients with chronic corneal neovascularization and lipid keratopathy refractory to conventional treatment underwent radiofrequency diathermy. (Kloti, Oertli , Switzerland) on an outpatient basis under topical anesthesia at the slit lamp biomicroscope. Result(s): No intra-or postoperative complications were encountered. After the procedure, significant regression of neovascularization with decrease in lipid deposition and improvement in corneal opacification was observed in both patients during the 12-month follow-up. Corrected distance visual acuity improved from 20/200 preoperatively to 20/80 postoperatively in the first case while remained stable at 20/20 in the second case. Significant symptomatic improvement regarding photophobia and discomfort was noted in both patients. Conclusion(s): Radiofrequency diathermy seems to represent an effective and safe minimally invasive treatment for chronic resistant corneal neovascularization with lipid keratopathy.Copyright © 2019 Kymionis et al.