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


CONCLUSIONS
AM transplantation may offer an effective treatment modality for herpetic corneal wound dehiscence after DLKP.
Kawakita
Tetsuya
T
Department of Ophthalmology, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan, 272-8513. kawatetsu@gmail.com.
Sumi
Tamaki
T
Dogru
Murat
M
Tsubota
Kazuo
K
Shimazaki
Jun
J