"Swiss roll" amniotic membrane technique for the management of corneal perforations.

PURPOSE

To describe a novel technique for using amniotic membrane in the management of corneal perforations.

METHODS

Interrupted 10-0 nylon sutures are passed across the perforation site. A roll of amniotic membrane is then placed across the row of preplaced sutures, and the sutures are tied to secure the membrane. An amniotic membrane patch is placed over the graft, which is then protected by a bandage contact lens.

RESULTS

We illustrate the results of our 2 most recent patients.

CONCLUSIONS

Amniotic membrane has been widely used in ocular surgery. We recommend the "Swiss roll" amniotic membrane graft technique in cases of severe corneal thinning or localized perforations.