Epithelial Basement Membrane Dystrophy (EBMD) by Dr Raymond Stein

Dr. Raymond Stein of the Bochner Eye Institute wrote the following clinical update. We hope you find it of interest.

EBMD is a common hereditary corneal dystrophy that may result in recurrent corneal erosions and/or blurred vision. Clinical epithelial signs include fingerprint lines, map-like changes or microcysts. If the corneal signs are subtle, it is valuable to instill fluorescein and view with a Cobalt-blue light. With EBMD, the epithelium is irregular and the tear breakup will be abnormal.

If patients have recurrent erosions and they are refractory to hypertonic solutions (Muro 128 5% drops and/or ointment) then a keratectomy can be performed. This procedure involves debridement of the corneal epithelium and polishing of Bowman’s layer with a diamond burr. Eighty-five percent of eyes with this technique will have resolution of their erosions. The procedure can be repeated when necessary.

If patients have glare, halos, or reduced vision secondary to EBMD then a keratectomy can be performed. The epithelium that grows back is usually smoother resulting in improved vision. It usually takes four to six weeks for the best vision to be achieved.

Dr. Raymond Stein and the eye surgeons of Bochner Eye Institute have been proving effective vision correction procedures to patients in Canada and the U.S. for several decades. In fact, the Bochner Eye Institute is among the first facilities in Canada to offer a range of sophisticated treatments, including corneal collagen cross linking for keratoconus, which is performed by Dr. Raymond Stein Toronto patients trust with their eye care needs.

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