Abstract

To Editor.— Dr Lerman,1in his answer in response to a query on treatment of recurrent corneal erosion, states that the treatment... is still far from definitive. While this is indeed true, many ophthalmologists would take a therapeutic approach different from one recommended by Dr Lerman. The standard treatment for recurrent corneal erosions is patching at time of erosion and use of topical ointments, especially hypertonic saline ointment, at bedtime to prevent recurrent erosions. When this treatment is not successful, debridement of loose corneal epithelium followed by patching may allow new epithelium to lay down normal basement membrane, eliminating future erosions. When all of these treatments fail, use of soft contact lenses or of anterior stromal puncture to allow subepithelial scarring to hold epithelium in place may be beneficial.2In general, use of topical corticosteroids or pyrimidine analogues

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