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Joel Sugar, MD
University of Illinois College of Medicine Chicago

JAMA. 1987;257(14):1898-1899.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Dr Lerman,¹ in his answer in response to a query on the treatment of recurrent corneal erosion, states that "the treatment... is still far from definitive." While this is indeed true, many ophthalmologists would take a therapeutic approach different from the one recommended by Dr Lerman. The standard treatment for recurrent corneal erosions is patching at the time of the erosion and the use of topical ointments, especially hypertonic saline ointment, at bedtime to prevent recurrent erosions. When this treatment is not successful, débridement of the loose corneal epithelium followed by patching may allow new epithelium to lay down normal basement membrane, eliminating future erosions. When all of these treatments fail, the use of soft contact lenses or of anterior stromal puncture to allow subepithelial scarring to hold the epithelium in place may be beneficial.² In general, the use of topical corticosteroids or pyrimidine analogues . . . [Full Text PDF of this Article]

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