Treatment of Epithelial Ingrowth after Laser in Situ Keratomilusis Using Amniotic Membrane Patch
Journal of the Korean Ophthalmological Society
; : 230-237, 2007.
Article
de Ko
| WPRIM
| ID: wpr-140032
Bibliothèque responsable:
WPRO
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.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Récidive
/
Sclère
/
Axis
/
Matériaux de suture
/
Acuité visuelle
/
Cornée
/
Kératomileusis in situ avec laser excimère
/
Cellules épithéliales
/
Amnios
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Journal of the Korean Ophthalmological Society
Année:
2007
Type:
Article