How is thygeson treated?

Published by Anaya Cole on

How is thygeson treated?

The most common treatment of Thygeson’s keratitis is corticosteroids. Dr. Freund said his first approach to Thygeson’s keratitis is a short trial of corticosteroids, but if there is no indication the condition is starting to resolve after a few weeks, he will turn to the cyclosporine solution.

What is thygeson SPK?

Described in 1950 by Phillips Thygeson in a case report series, Thygeson’s superficial punctate keratitis (TSPK) is an insidious, chronic and recurrent disorder, characterized by small and elevated oval corneal intraepithelial, whitish-gray opacities, extending to the entire anterior surface of the cornea of both eyes.

Is thygeson contagious?

Uncommon, non-contagious, primary corneal inflammation of unknown etiology.

What does SPK mean in cornea?

Superficial punctate keratopathy (SPK) appears as irregularities in the squamous epithelium of the cornea that stain with NaFl or Rose Bengal. The staining can range from individual, tiny dots located diffusely over the surface of the cornea to more confluent arrangements of staining in specific patterns.

How painful is a superficial keratectomy?

It is common to experience varying degrees of discomfort beginning 30 to 90 minutes following the surgery as the numbing drops begin to wear off. Many patients describe this sensation as feeling like an eyelash is in the eye or lodged beneath the contact lens.

How is a superficial keratectomy performed?

Superficial Keratectomy Procedure The manual smoothing is performed with a blunt, hand-held instrument, allowing precise control over the tissue being removed. The mechanical technique involves a burr instrument that finely and evenly smoothes the corneal surface.

How is superficial punctate keratitis treated?

Treatment of Superficial Punctate Keratitis When the cause is a bacterial infection or prolonged use of contact lenses, antibiotics are used, and the wearing of contact lenses is temporarily discontinued. When the cause is dry eyes, ointments and artificial tears are effective.

Is keratitis serious?

With prompt attention, mild to moderate cases of keratitis can usually be effectively treated without loss of vision. If left untreated, or if an infection is severe, keratitis can lead to serious complications that may permanently damage your vision.

What causes superficial punctate keratitis?

Superficial punctate keratitis is an eye disorder caused by death of small groups of cells on the surface of the cornea (the clear layer in front of the iris and pupil). The eyes become red, watery, and sensitive to light, and vision may decrease somewhat.

How do you treat a corneal SPK?

There is no gold-standard treatment for this condition, however, symptoms may lessen using some combination of topical steroids, NSAIDs, bandage contact lenses, artificial tears and cyclosporine.

What conditions cause SPK?

The cause of superficial punctate keratitis may be any of the following:

  • A viral infection.
  • A bacterial infection (including trachoma.
  • Dry eyes.
  • Strong chemicals splashed in the eye.
  • Exposure to ultraviolet light (sunlight, sunlamps, or welding arcs)
  • Prolonged use of contact lenses.
  • An allergy to eye drops.
  • Blepharitis.