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  • Title: Novel technique of corneal biopsy by using a femtosecond laser in infectious ulcers.
    Author: Kim JH, Yum JH, Lee D, Oh SH.
    Journal: Cornea; 2008 Apr; 27(3):363-5. PubMed ID: 18362669.
    Abstract:
    PURPOSE: To describe femtosecond laser-assisted corneal biopsy and its use in assessing the causative organisms in 2 cases of infectious corneal ulcers. METHODS: A 27-year-old man and a 65-year-old woman, both of whom showed uncertain symptoms, repeated negative test results for infectious organisms, and after no improvement despite empirical therapy, underwent diagnostic corneal biopsy by using a femtosecond laser. A corneal flap depth of 200 microm and a diameter of 3 mm were obtained from each patient. RESULTS: The biopsy specimen from the male patient showed pseudohyphae, which led to a diagnosis of candidal keratitis. The biopsy specimen from the female patient showed positive Gram stain and no evidence of fungal ulcers and yielded a culture of Streptococcus viridans. No complications occurred during either procedure. CONCLUSIONS: Femtosecond laser-assisted corneal biopsy enabled identification of the infectious pathogen in both patients. This technique is easy, safe, and rapid, and it yields a biopsy specimen with a uniform depth and precise size. Femtosecond laser-assisted corneal biopsy can be used as an accurate diagnostic method in uncertain cases of corneal ulcers.
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