Treatment of band shaped keratopathy: March 2011
## **Core Concept**
Band-shaped keratopathy is a corneal disease characterized by the deposition of calcium salts in the Bowman's layer of the cornea. It often presents as a band-like opacity in the interpalpebral fissure. The condition can be associated with various systemic and ocular diseases.
## **Why the Correct Answer is Right**
The correct treatment for band-shaped keratopathy involves the removal of the calcium deposits from the cornea. **Chelation therapy** with **EDTA (Ethylenediaminetetraacetic acid)** is a commonly used treatment. EDTA binds to calcium ions, facilitating their removal from the corneal tissue. This treatment helps in clearing the opacity and improving vision.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because it does not specify a known treatment for band-shaped keratopathy.
- **Option B:** This option might suggest another treatment, but without specifics, it's hard to evaluate. Generally, treatments like **phototherapeutic keratectomy (PTK)** or **deep anterior lamellar keratoplasty (DALK)** might be considered in certain cases, but they are not the first line or as directly related to chelation as EDTA.
- **Option C:** Similar to Option A, without specifics, it's hard to assess, but it's not the correct answer provided.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that band-shaped keratopathy can recur after treatment, necessitating follow-up. Additionally, treatment with EDTA is often combined with measures to address the underlying cause, if identifiable. This condition can also be associated with uveitis, particularly in children, highlighting the importance of a comprehensive ocular and systemic evaluation.
## **Correct Answer:** D. EDTA chelation therapy.