Outcome of Epithelial Debridement for Anterior Baement Membrane Dytrophy Original Reearch Article

Purpoe To evaluate the outcome of imple mechanical debridement for the management of anterior baement membrane dytrophy (ABMD) in a cohort of patient treated primarily for viual ymptom. Deign Retropective, obervational cae erie. Method etting: ingle center. tudy population: eventy-four eye of 55 patient treated with mechanical epithelial debridement over a 15-year period. obervation procedure: We recorded ymptom, pre- and potoperative bet-corrected viual acuity (BCVA), urgical technique, complication, and evidence of dieae recurrence. main outcome meaure: Mean bet-corrected logMAR acuity and refractive error, compared by uing paired t tet or Wilcoxon igned-rank tet. Interval to recurrence of ABMD wa determined by uing Kaplan-Meier etimate. Reult Mean patient age wa 74 year, and 80% were female. Viual difficulty wa reported by the patient before the procedure in 61 eye (82%), and eroion ymptom alone were noted before the procedure in the remaining 13 eye. Mean BCVA improved from 20/44 before urgery to 20/30 (P = .0001) at the early follow-up viit and 20/33 (P = .0001) at the lat follow-up (mean = 33 month). The mean refractive pherical equivalent changed –0.6 diopter (range, –4.75 to +2.0 diopter). No infection or peritent epithelial defect occurred. The mot common potoperative complication wa ubepithelial haze, occurring in 19 eye (26%). The five-year cumulative probability of recurrence of ABMD wa 44.7%. Concluion Our reult with thi imple technique are comparable to outcome reported with other procedure ued to treat ABMD. We recommend manual debridement a an effective option for ABMD affecting viual acuity.