Amniotic membrane transplantation to reconstruct the conjunctival surface in cases of chemical burn.
OBJECTIVE
To evaluate the efficiency of preserved human amniotic membrane transplantation for conjunctival surface reconstruction in cases of chemical burn.


METHODS
Preserved amniotic membrane transplantation was performed in 6 patients (6 eyes) having symblepharon and fornix insufficiency due to chemical burn. Amniotic membrane was sutured to the intact conjunctiva after the fibrotic tissue was excised. The fornix was reconstructed in cases having fornix insufficiency. These cases were followed up for 4-24 months.


RESULTS
During the mean follow-up period (10+/-7.37 months) adequate bulbar conjunctiva and fornix depth was achieved in 5 patients without recurrence and with mild fibrosis. In 1 patient who did not have a healthy conjunctiva preoperatively, conjunctival fibrosis and symblepharon recurred.


CONCLUSIONS
Preserved human amniotic membrane transplantation is a good alternative treatment method for conjunctival surface reconstruction in those cases with some healthy peripheral conjunctival tissue.
Katircioglu
Yasemin A
YA
Ankara Education and Research Hospital, Ankara, Turkey.
Budak
Koray
K
Salvarli
Sibel
S
Duman
Sunay
S
D000293:Adolescent; D000328:Adult; D000468:Alkalies / Q000009:adverse effects; D000650:Amnion / Q000637:transplantation*; D002057:Burns, Chemical / Q000473:pathology / Q000601:surgery*; D003228:Conjunctiva / Q000293:injuries* / Q000473:pathology; D005126:Eye Burns / Q000473:pathology / Q000601:surgery*; D005260:Female; D005355:Fibrosis; D006801:Humans; D008297:Male; D012008:Recurrence
D000468:Alkalies