Fat adherence syndrome after retinal surgery treated with amniotic membrane transplantation.
OBJECTIVE
We present favorable results with amniotic membrane transplantation in a patient who developed fat adherence syndrome after retinal surgery.


METHODS
Interventional case report.


METHODS
A 37-year-old man had diplopia resulting from hypotropia of the left eye after retinal detachment surgery. Removal of a previously implanted silicon sponge had little effect because of fibrous adhesion between the inferior rectus muscle and adjacent periorbital fat. We performed amniotic membrane transplantation combined with conventional extraocular muscle surgery.


RESULTS
Postoperatively, supraduction of the left eye became almost full. The field of binocular vision was extended markedly by treatment, both in the primary position and with downward gaze. These improvements remained stable over 1 year of follow-up.


CONCLUSIONS
Amniotic membrane transplantation appears to be effective for preventing regrowth of restrictive scar tissue in the fat adherence syndrome.
Yamada
M
M
Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan. yamadam@mc.med.keio.ac.jp
Shinoda
K
K
Hatakeyama
A
A
Nishina
S
S
Mashima
Y
Y
D000273:Adipose Tissue / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000650:Amnion / Q000637:transplantation*; D004172:Diplopia / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D015835:Ocular Motility Disorders / Q000209:etiology / Q000601:surgery; D009801:Oculomotor Muscles / Q000601:surgery*; D009916:Orbital Diseases / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery*; D012163:Retinal Detachment / Q000601:surgery*; D013577:Syndrome; D000267:Tissue Adhesions / Q000601:surgery; D015348:Vision, Binocular