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BULLOUS KERATOPATHY
BY : SHEILA VINESA
I 11106042
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DEFINITION
• caused ! "#e d$s%u&"$'( '% dea"#') e(d'"#e*$u+ "$ssue '( "#e c'%(ea
• T#$s 'ccu%s ecause "#e $((e% *a!e% ')"#e c'%(ea, "#e e(d'"#e*$u+, #asee( da+a-ed a(d $s ('" &u+&$(-.u$d &%'&e%*!/
• T#e cause ') "#e e(d'"#e*$a* da+a-ec'u*d e )%'+ "%au+a, -*auc'+a, '%$(.a++a"$'( a)"e% e!e su%-e%!/
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• 1 E&$"#e*$u+
• 2 B'+e(3s +e+%a(e
•
S"%'+a• 4 Desce+e"3s +e+%a(e
• 5 E(d'"#e*$u+
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TYPES
• 1) P's" Su%-$ca* $(c*ud$(- "%au+a
• 2) Due "' s'+e d$seases *$7e a8*auc'+a , U9e$"$s , cde-e(e%a"$9e d$seases ') c'%(ea e"c/a$( u*7 ') "#e d$sease $s due "'PBK a(d ABK /
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PATHOPHYSIOLO8Y
• F'% a(! cause , #e( "#e e(d'"#e*$a* ce**s)a$* "' 7ee& "#e c'%(ea %e*a"$9e*! d%! as%e;u$%ed , .u$d
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• Ru&"u%e ') "#e u**ae +a7es "#ec'%(ea* su%)ace $%%e-u*a%
• T#$s a*s' e=&'ses "#e (e%9e e(d$(-s
a(d cause &a$(
• E&$"#e*$a* 'ede+a -%'ss*! %educes "#ec'%(ea* "%a(s&a%e(c! a(d "#us %educe
9$sua* acu$"!• Ru&"u%e ') "#e u**ae a*s' +a7es "#e
c'%(ea &%'(e "' $()ec"$'(
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>AUSES
• T#e causes ') u**'us 7e%a"'&a"#! #a9ec#a(-ed '9e% "#e *as" "' decades/
• 20 !ea%s a-' : "#e +'s" c'++'( %eas'( )'%
u**'us 7e%a"'&a"#! as c'+&*$ca"$'(s )%'+ca"a%ac" su%-e%! $"# '% $"#'u" &%'*e+s )%'+$("%a?'cu*a% *e(ses/
• Pas" 20 !ea%s : >u%%e("*!, '(e ') "#e +'s"
c'++'( %eas'(s )'% de9e*'&$(- u**'us7e%a"'&a"#!, '% sec'(da%! c'%(ea*dec'+&e(sa"$'(, $s )%'+ &%'*e+s %e*a"ed "'-*auc'+a su%-e%!/
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PRO>EDURES
• A (u+e% ') s"ud$es ca( e #e*&)u* $( c'(
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TREATENT• H!&e%"'($c S'd$u+ c#*'%$de 5C d%'& a(d 6C
'$("+e(" #as "' e used %e-u*a%*!
• T'&$ca* a("$-*auc'+a d%u-s #a9e "' e used %'u"$(e*!"' 7ee& IOP $( a *'e% s$de E&$(e%$(e de%$9a"$9es#a9e "' e a9'$ded
• B%'ad s&ec"%u+ a("$$'"$c d%'&s "' &%e9e(" u*ce%a"$'(
') "#e u(#ea*"#! c'%(ea $s "' e used %'u"$(e*!/• >!c*'&*e-$cs a(d *' d'se s"e%'$ds a%e used "' c'("%'*
a(! ass'c$a"ed u9e$"$s/
• Las" u" ('" "#e *eas", #!d%'$*$c a(da-e c'("ac"*e(ses a%e "' e c'(s$de%ed/ T#ese *e(ses &%'"ec" "#ee&$"#e*$a* u**ae )%'+ %u&"u%e, "#us %educe &a$(
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SUR8I>AL >ARE
• &e(e"%a"$(- 7e%a"'&*as"! : $) +ed$ca* +a(a-e+e(")a$*s "' cu%e $( "#%ee +'("#s
• e(uc*ea"$'( '% e9$sce%a"$'( $( e="%e+e cases
• %e"%'u*a% a*c'#'* $(ec"$'( : "' %educe &a$(
• c'(u(c"$9a* .a&
• cau"e%$a"$'( ') "#e B'+a( *a!e%
• a("e%$'% s"%'+a* +$c%'&u(c"u%e, e=c$+e% *ase%'"'"#e%a&eu"$c 7e%a"ec"'+! PTK, a((u*a%7e%a"'"'+! : "' %educe &a$(
• Desce+e" s"%$&&$(- au"'+a"ed e(d'"#e*$a*7e%a"'&*as"! DSAEK : *a"es" "%ea"+e(" +'da*$"!)'% BK/
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THANKS FOR YOURATTENTION