[Amniotic membrane transplantation for congenital distichiasis]

To evaluate the use of amniotic membrane transplantation [AMT] for management of congenital distichiasis. This interventional case series was performed on 16 eyelids of 5 patients with congenital distichiasis treated with posterior lamella resection and AMT. All patients were men aged 2 to 42 years. Mean follow up was 17 months [6-29months]. Post-operative symptoms of dry eye were controlled by medical treatment in all patients. Misdirected eyelashes recurred in 3 eyelids [18.8%] outside the AMT area and in 2 eyelids within the AMT area which were treated by gentle laser epilation. AMT is a useful option in management of distichiasis with a low rate of complications and acceptable eyelid contour