Capsulotomy complication

[Tom121212]

I had a capsulotomy in Sep 08, 10 months post cataract removal. My cornea was scratched during the procedure. Due to Basement Membrane Dystrophy, the cornea will not heal. My MD has tried several eye drops and recently tried YAG correction. My eyesight in that eye was 20/20 before the original procedure. Now it is app. 20/400. Are there any other treatments available. My MD will not be in town for another month. Thank you for your help.

[Sandy Feldman, MD, MS]

Dear Tom121212,

There are a number of treatments for anterior basement membrane dystrophy including the use of topical salt solutions, a bandage contact lens, anterior stromal puncture [or a procedure of inducing scarring to form a tighter bond] or a procedure known as superficial epithelial keratectomy.  Seek the care of the doctor covering for your eyeMD if you are  concerned.

Dr. Feldman

Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California

[Michael J Kutryb, MD]

Sorry about your problems.  I don't understand how further yag treatments would make any difference.  It sounds like you have a non-healing corneal erosion???? At this point you just need to see a corneal specialist ophthalmologist and there are many different treatments that can be tried.  Get a second opinion and work with the new ophthalmologist to get this situation taken care of.

MJK MD