1 / 12

Corneal Tattooing with Amniotic Membrane

Corneal Tattooing with Amniotic Membrane. Woo Chan Park M.D., Won Yeol Ryu M.D. Dept. of Ophthalmology, College of Medicine, Dong-A University Busan, Korea The authors have no financial interest in the subject matter of this poster. PURPOSE .

chaeli
Télécharger la présentation

Corneal Tattooing with Amniotic Membrane

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Corneal Tattooing with Amniotic Membrane Woo Chan Park M.D., Won Yeol Ryu M.D. Dept. of Ophthalmology, College of Medicine, Dong-A University Busan, Korea The authors have no financial interest in the subject matter of this poster.

  2. PURPOSE • The purpose of this study was to investigate the effects of Davidson Marking Dye tattooing with permanent amniotic membrane transplantation (AMT) on treatment of corneal opacity and/or bullous keratopathy in patients who suffered from pain, photophobia and cosmetic problem.

  3. METHODS • We performed corneal tattooing with amniotic membrane transplantation in 27 eyes with corneal opacity and/or bullous keratopathy in patients who suffered cosmetic problem, pain, poor visual potential, photophobia from January 2002 to July 2009. • The average age of the study group was 57.7 years old (M:F=16:11) and the average follow-up period was 7.6 months (2~26 months)(Table 1).

  4. METHODS • Under the topical anesthesia, corneal epithelium was removed using No. 15 blade (Fig. 1-A) and the Davidson marking dye was applied on the cornea. We performed multiple punctures with 23G needle into the anterior stroma (Fig. 1-B,C). • The amniotic membrane was designed smaller than epithelial debridement diameter (Fig. 1-D) and was placed on the cornea and was sutured purse-string manner with 10-0 nylon (Fig. 1-E,F). • Therapeutic soft lens was worn and pressure patch was done. • Postoperatively, we assessed the resolution of pain and photophobia, and the persistence of the dye tattooing.

  5. B A C E F D Fig. 1. Procedure of tattooing and amniotic membrane transplantation (AMT) (A~F)

  6. RESULTS • Postoperative pain relief was obtained in 25 eyes out of 27 eyes (92.6%), and the photophobia was improved in 24 eyes of 27 eyes (96%) (Table 2). • The dye was disappeared more than 50% in only 2 eyes (Fig. 2~5). • In 1 eye (case 11), evisceration was carried out due to ocular hypertension. And in another 1 eye (case 22), permanent amniotic membrane transplantation was performed due to persistent corneal epithelial defect. • Postoperative visual acuity was similar to the preoperation.

  7. B A B A Fig. 2. Case 5. Ectopic pupil Partial dye-AMT was done. A. POD 1 day B. POD 6 months, dye was still remained Fig. 3. Case 16. Traumatic aniridia Hole dye-AMT & pupilloplasty were done. A, POD 3 months B. stained with fluororescein

  8. A B C D Fig. 4. Case 14. Bullous keratopathy Hole dye-AMT was done. A. POD 1 day, B. POD 5 days, C. POD 1 week, reepithelialization was done D. POD 14 months, dye was nearly disappeared

  9. B A D C Fig. 5. Case 21. Herpetic keratitis with persistent corneal epithelial defect Dye-AMT was done. A. POD 3 days B. POD 1 week C. POD 2 months D. POD 8 months, dye was still remained

  10. CONCLUSIONS The combined operation of corneal tattooing and amniotic membrane transplantation is a good choice for treatment of corneal opacity and/or bullous keratopathy with regard to cosmetic problem, pain, and photophobia.

More Related