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Published on: September 17, 2014
Amniotic membrane transplantation for wound dehiscence after deep lamellar keratoplasty: a case report
Tetsuya Kawakita1, Tamaki Sumi, Murat Dogru
1Department of Ophthalmology, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan, 272-8513. kawatetsu@gmail.com.
Purpose:
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.
Conclusion:
AM transplantation may offer an effective treatment modality for herpetic corneal wound dehiscence after DLKP.
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