tspk

[gurl_blonde]

what can lasik do? is soft contact lens advisable in tspk? can it possibly lessen the signs and symptoms of tsph?

[John C Hagan III, MD, FACS, FAAO]

Usually thygeson superficial keratitis responds nicely to steroid drops that can be monitored for side effects. I have not seen articles in medical journals about lasik for the problem and I would be reluctant to recommended it when most patients do nicely on steroid drops (not indefinitely but tapered according to symptoms and the appearance of the cornea).

JCH III MD   Eye MD

[John C Hagan III, MD, FACS, FAAO]

Add me to the list also.

JCH III MD  Eye Physician and Surgeon

[roosje]

I did a quick literature check, and found that there are limited reports of success with PRK vs lasik; still none are very promising.
Refs:
1. PRK-PTK as a Treatment for a Patient with Thygeson's Superficial Punctate Keratopathy. CLAO Journal. 28(4):172-173, October 2002.
2. Thygeson's superficial punctate keratitis recurrence after laser in situ keratomileusis. Am J Ophthalmol. 2004 Sep;138(3):507-8.
3. Photorefractive Keratectomy for Myopia in the Setting of Thygeson's Superficial Punctate Keratitis. Cornea. 20(4):425-426, May 2001.

I have tspk and the specialist cornea team at the national eye unit in my country did not consider any 'laser' treatment to be worthwhile.

[roosje]

I think tspk = thygeson superficial punctate keratitis. Soft 'bandage' contact lens are thought by some to ease symptoms (not cure). Laser treatment is trickier since the corneal surface is distorted by the disease, but I've seen limited anecdotal evidence about TSPK symptoms being lessened after lasik - but can flare up again later.

[John C Hagan III, MD, FACS, FAAO]

I need to seek clarification. What do you mean by "teph"?

JCH III MD