By Varsha Rathi
    Refractive Mgmt/Intervention

    ConMETHODS: Phototherapeutic keratectomy (PTK) and amniotic membrane graft (AMG) is done for spheroidal degeneration. First the epithelial is debrided, and then PTK is performed. At the end of procedure, AMG is placed on top with fibrin glue, and bandage contact lens (BCL) is applied at the end of procedure. BCL is removed after 1 week and patient is prescribed topical steroids over 1 month. RESULTS: With the use of AMG with PTK, the outcome of surgery is better as haze is less in these patients, and the complications associated with rough spherules, like delayed healing and infectious keratitis, are less . CONCLUSION: PTK and AMG is a good technique for the management of spheroidal degeneration.