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Amniotic membrane transplantation for wound dehiscence after deep lamellar keratoplasty: a case report.

Kawakita T, Sumi T, Dogru M, Tsubota K, Shimazaki J - J Med Case Rep (2007)

Bottom Line: To report amniotic membrane (AM) transplantation in a patient with wound dehiscence 5 months after deep lamellar keratoplasty (DLKP) METHODS: The patient was an 84-year-old Japanese man who had undergone right DLKP 5 months earlier for central corneal scarring due to recurrent stromal herpetic keratitis.He developed wound dehiscence with corneal stromal melting due to recurrence of stromal herpes in both the donor and recipient sites. "AM roll-in filling technique" and AM patching were performed.AM transplantation may offer an effective treatment modality for herpetic corneal wound dehiscence after DLKP.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Ophthalmology, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan, 272-8513. kawatetsu@gmail.com.

ABSTRACT

Purpose: To report amniotic membrane (AM) transplantation in a patient with wound dehiscence 5 months after deep lamellar keratoplasty (DLKP) METHODS: The patient was an 84-year-old Japanese man who had undergone right DLKP 5 months earlier for central corneal scarring due to recurrent stromal herpetic keratitis. He developed wound dehiscence with corneal stromal melting due to recurrence of stromal herpes in both the donor and recipient sites. "AM roll-in filling technique" and AM patching were performed.

Results: Following AM transplantation, stromal inflammation subsided and complete epithelization occurred within 10 days of surgery.At 8 months postoperatively, biomicroscopy revealed stable wound apposition or stromal gain. Following AM transplantation, stromal inflammation subsided and complete epithelialization was achieved within 10 days after surgery.

Conclusion: AM transplantation may offer an effective treatment modality for herpetic corneal wound dehiscence after DLKP.

No MeSH data available.


Related in: MedlinePlus

Left, preoperative appearance showing lipid deposition covering pupil. Right, postoperative appearance 2 weeks after DLKP. There is blood in the interface between graft and host.
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Figure 1: Left, preoperative appearance showing lipid deposition covering pupil. Right, postoperative appearance 2 weeks after DLKP. There is blood in the interface between graft and host.

Mentions: An 84-year-old Japanese man was referred to our hospital for keratoplasty-due to central corneal opacity and peripheral corneal neovascularization with lipid deposition in the right eye (Figure 1A). His medical history showed that laboratory culture and serological tests had revealed recurrent herpetic keratitis in that eye. At his initial visit, the best corrected visual acuities (BCVA) were 12/200 OD and 20/20 OS.


Amniotic membrane transplantation for wound dehiscence after deep lamellar keratoplasty: a case report.

Kawakita T, Sumi T, Dogru M, Tsubota K, Shimazaki J - J Med Case Rep (2007)

Left, preoperative appearance showing lipid deposition covering pupil. Right, postoperative appearance 2 weeks after DLKP. There is blood in the interface between graft and host.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC1913057&req=5

Figure 1: Left, preoperative appearance showing lipid deposition covering pupil. Right, postoperative appearance 2 weeks after DLKP. There is blood in the interface between graft and host.
Mentions: An 84-year-old Japanese man was referred to our hospital for keratoplasty-due to central corneal opacity and peripheral corneal neovascularization with lipid deposition in the right eye (Figure 1A). His medical history showed that laboratory culture and serological tests had revealed recurrent herpetic keratitis in that eye. At his initial visit, the best corrected visual acuities (BCVA) were 12/200 OD and 20/20 OS.

Bottom Line: To report amniotic membrane (AM) transplantation in a patient with wound dehiscence 5 months after deep lamellar keratoplasty (DLKP) METHODS: The patient was an 84-year-old Japanese man who had undergone right DLKP 5 months earlier for central corneal scarring due to recurrent stromal herpetic keratitis.He developed wound dehiscence with corneal stromal melting due to recurrence of stromal herpes in both the donor and recipient sites. "AM roll-in filling technique" and AM patching were performed.AM transplantation may offer an effective treatment modality for herpetic corneal wound dehiscence after DLKP.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Ophthalmology, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan, 272-8513. kawatetsu@gmail.com.

ABSTRACT

Purpose: To report amniotic membrane (AM) transplantation in a patient with wound dehiscence 5 months after deep lamellar keratoplasty (DLKP) METHODS: The patient was an 84-year-old Japanese man who had undergone right DLKP 5 months earlier for central corneal scarring due to recurrent stromal herpetic keratitis. He developed wound dehiscence with corneal stromal melting due to recurrence of stromal herpes in both the donor and recipient sites. "AM roll-in filling technique" and AM patching were performed.

Results: Following AM transplantation, stromal inflammation subsided and complete epithelization occurred within 10 days of surgery.At 8 months postoperatively, biomicroscopy revealed stable wound apposition or stromal gain. Following AM transplantation, stromal inflammation subsided and complete epithelialization was achieved within 10 days after surgery.

Conclusion: AM transplantation may offer an effective treatment modality for herpetic corneal wound dehiscence after DLKP.

No MeSH data available.


Related in: MedlinePlus