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To determine the effects of thermokeratoplasty (TKP) on the basement membrane complexes of the corneal epithelium, transmission electron microscopy was performed on the corneal buttons of five patients with failed TKP and on two normal corneas and five corneas with keratoconus that were immediately treated by TKP (acute TKP). The consistent findings of thermal dissolution of basement membrane after acute TKP and persistent defects of basement membrane complexes many months after therapeutic thermokeratoplasty were significant. Given the potentially damaging effects of thermokeratoplasty on the epithelial basement membrane, faulty epithelial adhesion should be anticipated after thermokeratoplasty and should be treated aggressively, possibly with careful prophylactic use of bandage hydrophilic contact lenses.
J A Fogle, and
K R Kenyon, and
W J Stark
March 1983,
Archives of ophthalmology (Chicago, Ill. : 1960),
J A Fogle, and
K R Kenyon, and
W J Stark
August 2019,
Journal of refractive surgery (Thorofare, N.J. : 1995),
J A Fogle, and
K R Kenyon, and
W J Stark
January 1987,
Transactions of the American Ophthalmological Society,
J A Fogle, and
K R Kenyon, and
W J Stark
October 1983,
Klinische Monatsblatter fur Augenheilkunde,
J A Fogle, and
K R Kenyon, and
W J Stark
September 2020,
Experimental eye research,
J A Fogle, and
K R Kenyon, and
W J Stark
August 1969,
Nature,
J A Fogle, and
K R Kenyon, and
W J Stark
February 1994,
Investigative ophthalmology & visual science,
J A Fogle, and
K R Kenyon, and
W J Stark
March 1983,
Developmental biology,
J A Fogle, and
K R Kenyon, and
W J Stark
May 1968,
Immunology,
J A Fogle, and
K R Kenyon, and
W J Stark
January 1988,
Ophthalmic surgery,
