What's best treatment for recurrent corneal erosions: anterior stromal puncture or phototherapeutic keratectomy?

Meds then surgery: Usually you want to move from least to most aggressive treatment. Utilizing topical and oral anti-inflammatories as well as lubricating treatment should be tried first. Stromal puncture should only be used for small areas outside of the visual axis as scarring can occur. Laser ptk can be used for a larger area that is more anterior, especially if the cornea is steep or the pt is nearsighted.