Amniotic membrane transplantation for severe neurotrophic corneal ulcers

被引:204
作者
Chen, HJ
Pires, RTF
Tseng, SCG
机构
[1] Bascom Palmer Eye Inst, Ocular Surface & Tear Ctr, Dept Ophthalmol, Miami, FL 33136 USA
[2] Univ Miami, Sch Med, Dept Cell Biol & Anat, Miami, FL 33101 USA
关键词
D O I
10.1136/bjo.84.8.826
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Aims-To evaluate whether amniotic membrane transplantation can be an effective alternative treatment for neurotrophic corneal ulcers. Methods-Amniotic membrane transplantation was performed in 16 eyes of 15 patients with neurotrophic corneal ulcers and vision equal to or worse than 20/200. The neurotrophic state was developed following keratoplasty (four eyes), herpes tester ophthahmicus (four eyes), diabetes mellitus (four eyes), radiation (two eyes), removal of acoustic neuroma with neuroparalysis tone eye), and herpes simplex keratitis tone eye). Results-During a mean follow up period of 18.8 (SD 13.0) months, one to three layers of amniotic membrane with or without additional membrane as a patch were used for 17 procedures in 16 eyes for persistent neurotrophic corneal ulcers. All but four (76.4%) instances of amniotic membrane transplantation achieved rapid epithelialisation in 16.6 (9.0) days. Of the four eyes showing delayed healing, three eyes healed by tarsorrhaphy, and the remaining one eye with corneal perforation required penetrating keratoplasty and tarsorrhaphy. Two eyes gained vision better than 20/200. The healed corneal surface was accompanied by reduced inflammation. Conclusion-Amniotic membrane transplantation can be considered an effective alternative for treating severe neurotrophic corneal ulcers.
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收藏
页码:826 / 833
页数:8
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