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