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Amniotic Membrane Transplantation for Perforation and Impending Perforation of Cornea: Four Cases
Journal of the Korean Ophthalmological Society ; : 1693-1699, 2003.
Artículo en Coreano | WPRIM | ID: wpr-7540
ABSTRACT

PURPOSE:

To report successfully cured four cases of amniotic membrane transplantation(AMT) as a primary procedure in the cornea that was perforated or impending perforation.

METHODS:

We performed AMT on 1 case of corneal perforation due to chemical burn, 1 case of perforated descemetocele, 1 case of perforated corneal ulcer due to metallic foreign body and 1 case of impending corneal perforation due to recurrent keratitis. Three or four layers of amniotic membrane(AM) that preserved under -70degrees C were applied over the perforation site and anchored with 10-0 nylon interrupted or running sutures. In one case, a large AM piece was used as a temporary patch. After surgery, all cases were treated with systemic antibiotics, antibiotic eyedrops, and topical corticosteroids.

RESULTS:

Amniotic membrane transplantation was successful in sealing the perforation in all cases. All corneas remained stable and visual acuity improved. There was no infection or rejection postoperatively.

CONCLUSIONS:

Multilayer amniotic membrane transplantation allowed a successful repair of corneal perforations. This method may be a good alternative to patch graft or penetrating keratoplasty for treating corneal perforations.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Soluciones Oftálmicas / Carrera / Suturas / Quemaduras Químicas / Agudeza Visual / Úlcera de la Córnea / Queratoplastia Penetrante / Corticoesteroides / Córnea / Trasplantes Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Año: 2003 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Soluciones Oftálmicas / Carrera / Suturas / Quemaduras Químicas / Agudeza Visual / Úlcera de la Córnea / Queratoplastia Penetrante / Corticoesteroides / Córnea / Trasplantes Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Año: 2003 Tipo del documento: Artículo