Schechter Barry A, Rand William J, Nagler Robert S, Estrin Irving, Arnold Stephen S, Villate Natalia, Velazquez Gabriel E
Rand Eye Institute, Pompano Beach, Florida 33064, USA.
Cornea. 2005 Jan;24(1):106-7. doi: 10.1097/01.ico.0000127480.16090.89.
To report an eye-threatening complication associated with amniotic membrane grafting.
Interventional case report.
Retrospective review of the clinical and surgical records of a 43-year-old man who developed melting of his corneal graft after amniotic membrane transplantation.
Melting of a corneal graft after amniotic membrane transplantation was arrested by utilizing a tectonic, full-thickness corneal button denuded of endothelium in conjunction with a temporary tarsorraphy and systemic steroids.
To the best of our knowledge, this is the first report of an eye-threatening complication associated with amniotic membrane grafting. Caution should be exercised in utilizing amniotic membrane in patients who have undergone multiple ophthalmologic surgical procedures, which may sensitize the ocular immune system or lead to localized ischemia.
报告与羊膜移植相关的一种威胁视力的并发症。
介入性病例报告。
回顾性分析一名43岁男性患者的临床及手术记录，该患者在羊膜移植后发生角膜移植片溶解。
通过使用一块去除内皮的全层角膜移植片并结合临时睑裂缝合术及全身应用类固醇药物，阻止了羊膜移植后角膜移植片的溶解。
据我们所知，这是与羊膜移植相关的一种威胁视力的并发症的首例报告。对于接受过多次眼科手术的患者，在使用羊膜时应谨慎，因为这些手术可能会使眼部免疫系统致敏或导致局部缺血。
