At a glance

Abstract

Lack of understanding of grading and management in atopic allergic conjunctivitis in young patients without pathognomonic signs of corneal involvement at the time of presentation was the rationale for a new universal grading scheme. After penetrating keratoplasty, in vivo confocal microscopy confirmed the formation of a continuous pre-Descemet monolayer of keratocyte-like cells. Neuropathic pain was found to complicate SMILE in 13.3% and LASIK in 10.5% of eyes. Preoperative risk factors include mean refractive spherical equivalent >−8.0D for SMILE and poorer corneal nerve metrics for LASIK. Postoperative NCP eyes were found to have higher tear concentrations of NGF, CGRP, FZD7, and NME3. The incidence of RD, for a follow-up period of at least 2 years …