Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
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Corneal Problems and Sjogren's Syndrome

Thursday, 19 Nov 2009 12:31 PM

Question: I have been diagnosed in the past with psoriatic arthritis, Sjogren's syndrome, and ocular neovascularization. I was told that there are blood vessels growing on my sclera and if they reach my cornea I will need a corneal transplant. They tend to slow down and occasionally speed up with new growth, but are not on my cornea yet. Since I know that corneal transplants often do not work, can you tell me the current treatments for the level my problem is now?




Dr. Hibberd's Answer:

Your lack of lubrication as a result of Sjogren’s syndrome will impair corneal integrity. This will jeopardize stem cell therapy and makes corneal transplantation more prone to failure. Superficial tissue growths over the sclera that advance toward the cornea are usually removed. Vascular changes of sclera management are beyond the scope of this column, though they may be accessible to selective laser therapy. Corneal repair by stem cell transplantation is a hot topic, but corneal transplantation remains the standard for corneal disease that has not responded to medical measures.

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