{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T15:29:52Z","timestamp":1688138992845},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective To evaluate the clinical outcomes of patients who underwent corneal surgery with debridement of epithelium by localised application of an alcohol-impregnated sponge instead of the usual alcohol reservoir method.<\/jats:p><jats:p>\n          Design This study retrospectively included 52 eyes of 27 patients who underwent LASEK (laser-assisted subepithelial keratectomy) and CXL (cross-linking) surgery after application of this alcohol-assisted debridement method between January 2019 and April 2019.<\/jats:p><jats:p>\n          Participants Twenty-four patients who underwent LASEK and three patients who underwent CXL surgery were included in this study, which comprised a total of 52 eye operations.<\/jats:p><jats:p>\n          Methods Epithelial debridement was performed after placing a 20% ethanol-impregnated sponge on the cornea for 20 seconds.<\/jats:p><jats:p>\n          Results The mean pachymetry value was 509.40\u2009\u00b1\u200930.37\u2009\u00b5m, the mean preoperative spherical equivalent was \u2212\u20092.14\u2009\u00b1\u20091.02 dioptres, and the highest myopia and astigmatism values were \u2212\u20094.25 dioptres and \u2212\u20092.75 dioptres, respectively. It was seen that the corneal epithelium was completely and easily debrided in a size identical to that of the applied sponge.<\/jats:p><jats:p>\n          Conclusions Complete debridement of the corneal epithelium can be performed quickly, safely, and easily with this specially prepared sponge.<\/jats:p>","DOI":"10.1055\/a-1327-3156","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T00:02:25Z","timestamp":1616025745000},"page":"185-190","source":"Crossref","is-referenced-by-count":1,"title":["The Effectiveness of Corneal Epithelial Debridement Performed with an Alcohol-Impregnated Sponge"],"prefix":"10.1055","volume":"239","author":[{"given":"Deniz","family":"Altinbay","sequence":"additional","affiliation":[{"name":"Niv Eye Center, Adana, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahim","family":"Taskin","sequence":"additional","affiliation":[{"name":"Niv Eye Center, Adana, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,3,17]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"395","DOI":"10.3928\/1081-597X-19930901-16","article-title":"Laser epithelium removal before photorefractive keratectomy","volume":"9","author":"J L Alio","year":"1993","journal-title":"J Refract Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"439","DOI":"10.3928\/1081-597X-19940701-11","article-title":"Rotating brush for fast removal of corneal epithelium","volume":"10","author":"I G Pallikaris","year":"1994","journal-title":"J Refract Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"38","DOI":"10.3928\/1081-597X-19980101-09","article-title":"Removal of corneal epithelium with phototherapeutic technique during multizone, multipass photorefractive keratectomy","volume":"14","author":"D G Johnson","year":"1998","journal-title":"J Refract 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before photorefractive keratectomy","volume":"104","author":"J C Abad","year":"1997","journal-title":"Ophthalmology"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"887","DOI":"10.3928\/1081597X-20110823-02","article-title":"Mechanical versus alcohol-assisted epithelial debridement during photorefractive keratectomy: a confocal microscopic clinical trial","volume":"27","author":"B Einollahi","year":"2011","journal-title":"J Refract Surg"},{"key":"ref16","first-page":"133","article-title":"Safety and efficacy of Photorefractive Keratectomy (PRK) for myopia using a new corneal epithelium debridement technique","volume":"6","author":"R Bilbao-Calabuig","year":"2015","journal-title":"J Emmetropia"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1016\/S0161-6420(94)31242-5","article-title":"Keratocyte loss after different methods of de-epithelialization","volume":"101","author":"M Campos","year":"1994","journal-title":"Ophthalmology"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1001\/archopht.1994.01090140130034","article-title":"Keratocyte loss after corneal deepithelialization in primates and rabbits","volume":"112","author":"M Campos","year":"1994","journal-title":"Arch Ophthalmol"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"3852","DOI":"10.1167\/iovs.13-11717","article-title":"Analysis of ethanol effects on corneal epithelium","volume":"54","author":"J Y Oh","year":"2013","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"ref20","first-page":"33","article-title":"Toxic effect of using twenty percent alcohol on corneal epithelial tight junctions during LASEK","volume":"6","author":"P Zhang","year":"2012","journal-title":"Mol Med Rep"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1016\/S0886-3350(97)80309-4","article-title":"Alcohol removal of the epithelium for excimer laser ablation: 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