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Title: Amniotic membrane transplantation for symptomatic bullous keratopathy
Authors: Renato T.F. Pires
Scheffer C.G. Tseng
Pinnita Prabhasawat
Vilavun Puangsricharern
Steven L. Maskin
Jae Chan Kim
Donald T.H. Tan
Bascom Palmer Eye Institute
University of Miami Leonard M. Miller School of Medicine
Mahidol University
Chulalongkorn University
Cornea and External Diseases of the Eye
Chung-Ang University, College of Medicine
Singapore National Eye Centre
Keywords: Medicine
Issue Date: 1-Jan-1999
Citation: Archives of Ophthalmology. Vol.117, No.10 (1999), 1291-1297
Abstract: Objective: To determine whether amniotic membrane transplantation can be used to treat symptomatic bullous keratopathy displaying poor visual potential. Methods: Amniotic membrane transplantation was performed at 5 centers on 50 consecutive eyes (50 patients) with symptomatic bullous keratopathy and poor visual potential. The underlying causes of bullous keratopathy included aphakia (9 eyes), pseudophakia (19 eyes), failed grafts (9 eyes), and others (13 eyes). Results: During the follow-up period of 33.8 weeks (3-96 weeks) after amniotic membrane transplantation, 43 (90%) of 48 eyes with intolerable pain preoperatively became pain free postoperatively. Among the 5 eyes with residual pain, 3 received repeated amniotic membrane transplantation, 1 required a conjunctival flap for pain relief, and 1 had reduced pain. Epithelial defects in 45 (90%) of 50 eyes created and covered by amniotic membrane healed rapidly within 3 weeks. Only 4 eyes (8%) showed recurrent surface breakdown. Epithelial edema or bullae recurred in a smaller area in 5 eyes (10%) and pseudopterygium developed in 1 eye. Conclusion: Amniotic membrane transplantation can be considered as an alternative to conjunctival flaps in alleviating pain, promoting epithelial healing, and preserving cosmetic appearance in patients with symptomatic bullous keratopathy and poor visual potential.
ISSN: 00039950
Appears in Collections:Scopus 1991-2000

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