Research Information System
10th EUCornea Congress, Paris, France, 13 - 14 September 2019, pp.18-19
Purpose: To establish the clinical features and
outcomes of patients with chronically retained, feathery chestnut-burr
spine related corneal injury.
Methods: The data of the patients who presented
with chestnut-burr related corneal injury between 2010 and 2018 were
retrospectively evaluated and 19 eyes of
19 patients (11M, 8F) were included.
Results: The mean age was
29.8±19.9 (range, )years. Best-corrected visual acuity was
0.13±0.23 logMAR at the initial exam, and increased to 0.0±0.0 logMAR at last
visit. Chestnut-burr spines were located periferally in 14 and centrally in 5
eyes. There was localized corneal edema with no Seidel. Three eyes had
low-grade anterior chamber reaction. No epithelial ulceration or any sign of
infection was present. In order to control inflammation, topical steroid was
initiated. The mean duration of steroid usage was 3.8±1.8 (range; ) months.
During the follow-up period, inflammation was controlled and no sign of reinflammation
was detected.
Conclusion: Acute inflammation in intrastromal
chestnut-burr spines can be well controlled with easy tapering of topical
steroids. However, long term follow-up for any reinflammation is mandatory.
Keywords: chestnut-burr, corneal injury,
inflammation