Title: Amniotic Membrane transplantation for corneal surface reconstruction

Authors: Suchismita Mishra, Jayashree Dora, Ramesh Chandra Mohapatra, Pragati Jain, Swati Samant

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i11.08

Abstract

Objectives: To evaluate the efficacy of fresh human amniotic membrane for reconstruction in corneal surface diseases.

Material and Methods: 28 eyes of 26 patients with corneal surface disorders were evaluated.  Indications for AMT included bullous keratopathy (4 eyes), climatic droplet keratopathy (3 eyes), Steven Johnson syndrome (7 eyes), chemical injury(3 eyes), corneal ulcer (7 eyes), band keratopathy (2 eyes) and shield ulcers (2 eyes). Fresh amniotic membrane was used in all the cases.

Result: The age range was from 18-65 years, out of which 15 were males and 11 were females. Success was noted in75% (21/28 eyes) with very few complications in an average follow up period of 6 months. The mean epithelisation time varied from 2 – 2.4 weeks.

Conclusion: Fresh amniotic membrane can reduce inflammation, promote epithelisation and decrease in various corneal surface disorders.

Keywords: AMT, AM, Human amniotic membrane, corneal surface disorder, SJS.

References

  1. Bourne GL. The microscopic anatomy of the human amnion and chorion .Am J Obstet Gynecol 1960;79:1070-3.
  2. Danforth DN, Hull RW. The microscopic anatomy of foetal membranes with particular reference to detailed structure of the amnion.Am J Obstet gynecol 1958;75:536-50.
  3. Bose B. Burn wound dressing with human amniotic membrane. Ann R CollSurg Engl.1979  Nov;61(6):444-7.
  1. Somerville PG.The possible use of amniotic membrane in chronic leg ulcers. Phlebologie.1982 Jan-Mar;35(1):223-9.
  2. Silverton JS, Trelford JD, Roussere JT, Wolfe BM, Conti S. The use of amniotic membrane in acute massive full-thickness loss of the abdominal wall from clostridialmyonecrosis. Ann Plast Surg. 1979 Dec;3(6):558-66.
  3. Dhall K. Amnion graft for treatment of congenital absence of the vagina.Br J ObstetGynaecol. 1984 Mar;91(3):279-82.7.     
  4. De Roth A .Plastic repair of conjunctival defects with membranes. Arch Ophthalmol 1940;23:522-58.     
  5. Kim JC, Tseng SC. Transplantation of preserved human amniotic membrane for surface reconstruction in severely damaged rabbit corneas. Cornea. 1995Sep; 14(5):473-84.9.     
  6. Lee S and Tseng SCG. Amniotic membrane transplantation for persistent epithelial defect with ulceration. Am J Ophthalmol.1997;123:303-312.
  7. Khokhar S, Natung T, Sony P, Sharma N, Agarwal N, Vajpayee RB. Amniotic membrane transplantation in refractory neurotrophic corneal ulcers: a randomized, controlled clinical trial. Cornea. 2005 Aug;24(6):654-60.
  8. Pires RTF, Tseng SCG, Prabhasawat P, PuangricharernV, Maskin SL,Kim JC and Tan DTH. Amniotic membrane transplantation in symptomatic bullous keratopathy. Arch Ophthalmol. 1999;117: 1291-1297.
  9. Tsubota K, Satake Y, Kaido M, Shinozaki N, Shimmura S, Bissen-Miyajima H, Shimazaki J. Treatment of severe ocular-surface disorders with corneal epithelial stem-cell transplantation. N Engl J Med. 1999 Jun 3;340(22):1697-703.
  10. Anderson DF, Prabhasawat P, Alfonso E, Tseng SC. Amniotic membrane transplantation after the primary surgical management of band keratopathy.Cornea. 2001 May;20(4):354-61.
  11. Honavar SG, Bansal AK, Sangwan VS, Rao GN. Amniotic membrane transplantation for ocular surface reconstruction in Stevens-Johnson syndrome. Ophthalmology.2000 May;107(5):975-9.
  12. Mohan S, Budhiraja I, Saxena A, Khan P, Sachan. Role of multilayer amniotic membrane transplantation for the treatment of resistant corneal ulcers in North India. Int Ophthalmol. 2014 Jun;34(3):485- 91.
  13. Dua HS, Gomes JA, King AJ, Maharajan VS. The amniotic membrane in ophthalmology. Surv Ophthalmol. 2004 Jan-Feb;49(1):51-77. Review.
  14. Allen CL, Clare G, Stewart EA, Branch MJ, McIntosh OD, Dadhwal M, Dua HS,Hopkinson A. Augmented dried versus cryopreserved amniotic membrane as an ocular surface dressing. PLoS One. 2013 Oct 30;8(10):e78441.
  15. Azuara-Blanco A, Pillai CT, Dua HS. Amniotic membrane transplantation for ocular surface reconstruction. Br J Ophthalmol. 1999 Apr;83(4):399-402.
  16. Kim JC,Tseng SC. Transplantation of preserved human amniotic membrane for surface reconstruction in severely damaged rabbit cornea.Cornea.1995:21:169-72.
  1. Tseng SCG, Prabhasawat P, Barton K, Gray T and Meller D (1998). Amniotic membrane transplantation with or without limbal allografts for corneal surface reconstruction in patients with limbal stem cell deficiency. Arch Ophthalmol 116: 431–441.
  2. Ocular surface reconstructed by preserved human amniotic membrane. Arch Ophthalmol 115: 1360–1367.
  3. Lee S and Tseng SCG (1997) Amniotic membrane transplantation for persistent epithelial defects with ulceration. Am J Ophthalmol123: 303–312.
  4. Espana EM, Grueterich M, Sandoval H, Solomon A, Alfonso E, Karp CL, et al. Amniotic membrane transplantation for bullous keratopathy in eyes with poor visual potential. J Cataract Refract Surg 2003;29:279-84.
  5. Pires RTF, Tseng SCG, Prabhasawat P, Puangsricharern V, Maskin SL, Kim JC and Tan DTH (1999) Amniotic membrane transplantation for symptomatic bullous keratopathy. ArchOphthalmol 117: 1291–1297.
  6. Lee SH, Tseng SC. Amniotic membrane transplantation for persistent epithelial defects with ulceration. Am J Ophthalmol. 1997 Mar;123(3):303-12.26. 
  7. Tseng SC, Prabhasawat P, Lee SH. Amniotic membrane transplantation for conjunctival surface reconstruction. Am J Ophthalmol. 1997 Dec;124(6):765-74.27.
  8. Shimazaki J, Shinozaki N, Tsubota K. Transplantation of amniotic membrane and limbal autograft for patients with recurrent pterygium associated with symblepharon. Br J Ophthalmol. 1998 Mar;82(3):235-40.28. 
  9. Solomon A, Meller D, Prabhasawat P, John T, Espana EM, Steuhl KP, Tseng SC. Amniotic membrane grafts for nontrau-matic corneal perforations, descemeto-celes, and deep ulcers. Ophthalmology. 2002 Apr;109(4):694-703.29. 
  10. Chen JH, Ma DH, Tsai RJ. Amniotic membrane transplantation for pseudomonal keratitis with impending perforation. Chang Gung Med J. 2002 Mar;25(3):144-52.
  11. Nubile M,Carpineto P, Lanzini M, Ciancaglini M,Zuppardi E, Mastropasqua L. Multilayer amniotic membrane transplantation for bacterial keratitia ith corneal perforation after hyperopic photorefractive keratectomy: case report and literature review.J Cataract Refract Surg 2007;33:1636-40.

Corresponding Author

Dr Swati Samant, MS          

Associate Professor, Department of Ophthalmology, IMS and SUM Hospital

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