Amniotic membrane transplantation with fibrin glue for conjunctivochalasis.
OBJECTIVE
To evaluate the feasibility of performing sutureless amniotic membrane transplantation (AMT) using fibrin glue for conjunctivochalasis.


METHODS
Noncomparative interventional case series.


METHODS
In 25 eyes of 16 patients with refractory conjunctivochalasis (CCh), AMT using fibrin glue was performed to cover the bare sclera.


RESULTS
The mean age was 55.2 +/- 18.5 years with nine patients (56.2%) younger than 60 years. The Tenon capsule was dissolved in all eyes. Fibrin glue was effective in securing the amniotic membrane to the sclera. For a mean follow-up of 10.6 +/- 4.3 months, all eyes achieved a smooth conjunctival surface with complete or significant improvement of symptoms in 44% and 56%, respectively. Complications included focal conjunctival inflammation in four eyes and pyogenic granuloma in one eye.


CONCLUSIONS
AMT using fibrin glue can be performed for refractory CCh resulting in alleviating its symptoms and signs.
Kheirkhah
Ahmad
A
Ocular Surface Center, Miami, FL 33173, USA.
Casas
Victoria
V
Blanco
Gabriela
G
Li
Wei
W
Hayashida
Yasutaka
Y
Chen
Ying-Ting
YT
Tseng
Scheffer C G
SC
D000650:Amnion / Q000637:transplantation*; D001684:Biological Dressings; D003229:Conjunctival Diseases / Q000473:pathology / Q000601:surgery*; D005260:Female; D016332:Fetal Tissue Transplantation / Q000379:methods*; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques / Q000295:instrumentation*; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives