American Journal of Ophthalmology Case Reports (Dec 2020)

Autologous platelet-rich plasma in the treatment of refractory corneal ulcers: A case report

  • Miguel Rechichi, MD PhD,
  • Marco Ferrise, MD Febo,
  • Francesco Romano, MD,
  • Luca Gallelli, MD,
  • Vincenzo Toschi,
  • Andrea Dominijanni,
  • Alessandro Meduri, MD

DOI
https://doi.org/10.1016/j.ajoc.2020.100838
Journal volume & issue
Vol. 20
p. 100838

Abstract

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Purpose: To evaluate the efficacy of a low-cost preparation of platelet-rich plasma (PRP) eye drops in the treatment of persistent non-infectious corneal ulcer. Observations: A 67-year-old female presented to our clinic with a wide corneal ulcer and severe paracentral corneal thinning refractory to medical therapy with antibiotics, lubricant and contact lens bandage. The patient received a novel preparation of PRP solution. After 15 days of therapy, we observed complete resolution of the corneal ulcer with regrowth of the epithelium and a reduction in corneal opacity. Conclusion and importance: Although the low-cost PRP preparation gives a lower platelet concentration than standard procedures, our work shows this preparation to be effective in the treatment of refractory non-infectious corneal ulcer.

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