Treatment of Epithelial Ingrowth after Laser in Situ Keratomilusis Using Amniotic Membrane Patch
Journal of the Korean Ophthalmological Society
;
: 230-237, 2007.
Article
in Korean
| WPRIM
| ID: wpr-140033
ABSTRACT
PURPOSE:
To present the result of a new technique for compressing the flap with amniotic membrane patch to manage epithelial ingrowth following a lacerated or microperforated flap near the visual axis during laser in situ keratomileusis (LASIK) surgery.METHODS:
Four patients having epithelial ingrowth involving the visual axis were treated as follows Under a surgical microscope, 3~5 landmark sutures were located at the margin of the flap and the flap was lifted carefully. After removing epithelial cells, preplaced corneal sutures were tied to fix the flap and a prepared amniotic membrane patch was tightly sutured to the sclera to compress the entire cornea. The amniotic membrane overlay was maintained for about a week and then removed.RESULTS:
All four eyes achieved a best corrected visual acuity of 20/25 or better and no eyes have shown signs of recurrence within 3 months.CONCLUSIONS:
Amniotic membrane patch can be a useful way to secure the flap in the treatment of epithelial ingrowth threatening the visual axis, especially when direct sutures are deemed difficult.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Sclera
/
Axis, Cervical Vertebra
/
Sutures
/
Visual Acuity
/
Cornea
/
Keratomileusis, Laser In Situ
/
Epithelial Cells
/
Amnion
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2007
Type:
Article
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