| paper of Feizi et al1 that compared the
outcomes of penetrating keratoplasty
and lamellar keratoplasty in patients
with mustard gas keratitis. The authors
concluded that management of the corneal
involvements in mustard gas keratitis
with conventional lamellar
keratoplasty, rather than penetrating
keratoplasty, could result in more favorable
outcomes.1 Several years after sulfur
mustard exposure, most victims
present ocular symptoms such as itching,
burning sensation, photophobia,
and so on. In some cases, ocular examinations
may reveal corneal thinning,
corneal opacification and neovascularization,
limbal ischemia, and corneal epithelial
defect, suggestive of an ocular
phenomenon known as sulfur mustard
keratitis.2,3 In the previous clinical studies,
including the recent study by Feizi
et al,1 investigating sulfur mustard keratitis,
this clinical entity has been indicated
as mustard gas keratitis.2,4 |