P. Heyworth et al., NATURAL-HISTORY OF RECURRENT EROSION SYNDROME - A 4 YEAR REVIEW OF 117 PATIENTS, British journal of ophthalmology, 82(1), 1998, pp. 26-28
Aims/background-Recurrent erosion syndrome encompasses a group of mixe
d aetiologies for which there are a number of methods of management wh
ich may influence the course of the disease. Methods-The outcomes of a
cohort of patients initially treated with topical lubricants Were stu
died. 117 consecutive patients presenting over 1 year with a history o
f recurrent erosions were enrolled, baseline characteristics were docu
mented, and treatment with lubricants was initiated. Patients were sur
veyed 4 years later inquiring about symptoms and treatments required.
Results-A total of 94 (80%) of the initial cohort were contacted. The
mean age was 44 years and the sex distribution was 44 males to 50 fema
les. The mean period of follow up was 48 months. 55 (59%) were Still s
ymptomatic with attacks occurring at a median frequency of 60 days. 13
patients (24%) complained of an episode at least every week and 28 pa
tients (51%,) suffered at least every month. The median pain score (an
alogue scale of 1-10) was 2.5. Seventy five per cent (n=21) of patient
s with epithelial basement membrane dystrophy (EBMD) were symptomatic
compared with those with a traumatic aetiology among whom 46% (n=28) w
ere symptomatic, This difference was significant (p=0.02). Those with
EBMD were more likely to be continuing to use topical lubricants than
the trauma group. Conclusion-Patients with a traumatic aetiology are l
ess likely to suffer chronic recurrent erosion syndrome than those wit
h EBMD.