Treatment of symblepharon by transplantation of human amniotic membrane

ABSTRACT

We have been performed amniotic membrane transplantation in 18 patients (20 eyes) with 23 operations (3 eyes were regrafted). One month after operation, 90% of the eyes had exellent result, 10% were good. Three months following the transplantation of amniotic membrane, 10 of 17 eyes had excellent result, in 4 of 14 eyes, the symblepharon was reduced. 6 months after the procedure showed that 9 of 14 eyes had excellent result and only 1 eye had recurrence. The sudy showed that human amniotic membrane is good material for reconstruction ocular surface in severe symblepharon. In the eyes with successful transplantation, ocular surface was covered with a soft, thin membrane with vascularization as natural conjunctiva. The material can be easily taken at anytime. The procedure can be applied in every ophthalmological department of provincial hospitals.