Human Amniotic Membrane Transplantation With Fibrin Glue in Management of Primary Pterygia

Cornea ◽  
2008 ◽  
Vol 27 (1) ◽  
pp. 94-99 ◽  
Author(s):  
Arun K Jain ◽  
Reema Bansal ◽  
Jaspreet Sukhija
Keyword(s):  
Fibrin Glue ◽  
Amniotic Membrane ◽  
Amniotic Membrane Transplantation ◽  
Human Amniotic Membrane

Treatment ofPseudomonas aeruginosakeratitis with combined corneal cross-linking and human amniotic membrane transplantation

2013 ◽  
Vol 91 (5) ◽  
pp. e410-e411 ◽  
Author(s):  
Jaakko S. Mattila ◽  
Anna Korsbäck ◽  
Kari Krootila ◽  
Juha M. Holopainen
Keyword(s):  
Amniotic Membrane ◽  
Amniotic Membrane Transplantation ◽  
Cross Linking ◽  
Human Amniotic Membrane

scholarly journals Amniotic Membrane Transplantation in the Treatment of Primary Pterygium: A Comparative Study of Two Techniques

2014 ◽  
Vol 48 (1) ◽  
pp. 1-7
Author(s):  
Reema Bansal ◽  
R Sehgal
Keyword(s):  
Comparative Study ◽  
Amniotic Membrane ◽  
Free Edge ◽  
Amniotic Membrane Transplantation ◽  
Human Amniotic Membrane ◽  
Purse String ◽  
Group A ◽  
End To End ◽  
Group B ◽  
Primary Pterygium

ABSTRACT Purpose To compare two techniques of human amniotic membrane transplantation (AMT) following pterygium excision: (1) end to end suturing of the amniotic membrane graft (AMG) with the conjunctiva versus (2) a new technique of purse-string suturing of the AMG and tucking of AMG under the free edge of conjunctiva. Materials and methods Pterygium surgery with human AMT was done in 42 eyes with primary pterygium. Twenty four eyes (group A) underwent end-to-end suturing of AMG with conjunctiva. Eighteen eyes (group B) underwent purse-string suturing of AMG with underlying sclera with free edge of AMG tucked under conjunctiva on three sides. The two groups were compared in terms of the outcome measures, i.e. complete epithelialization time of AMG and recurrence of pterygium within 1 year. Results The complete epithelialization of AMG occurred in 21 days (range 14 to 28 days) and 14 days (range 7 to 21 days) in groups A and B respectively. In group A, 7 eyes (29.17%) developed recurrence. In group B, 2 eyes (11.11%) developed recurrence. Conclusion Purse string suturing and tucking of AMG resulted in faster epithelization of AMG and lower recurrences in comparison with end to end suturing of AMG in the management of primary pterygium. How to cite this article Bansal R, Jain AK, Sehgal R. Amniotic Membrane Transplantation in the Treatment of Primary Pterygium: A Comparative Study of Two Techniques. J Postgrad Med Edu Res 2014;48(1):1-7.

scholarly journals Non-Recurrence Complications of Fibrin Glue Use in Pterygium Surgery: Prevention and Management

2015 ◽  
Vol 9 (1) ◽  
pp. 159-163 ◽  
Author(s):  
Halil Hüseyin Cagatay ◽  
Gökçen Gökçe ◽  
Alper Mete ◽  
Yaran Koban ◽  
Metin Ekinci
Keyword(s):  
Fibrin Glue ◽  
Amniotic Membrane ◽  
Ocular Surface ◽  
Management Strategies ◽  
Cyst Formation ◽  
Amniotic Membrane Transplantation ◽  
Topical Steroids ◽  
Graft Removal ◽  
Pterygium Surgery ◽  
Pterygium Excision

Purpose : To present complications of using fibrin glue in conjunctival-limbal autografting in pterygium surgeries other than recurrences and discuss their prevention and management strategies. Materials and Methodology: The charts of all patients who underwent fibrin glue assisted pterygium excision surgery with conjunctival-limbal autograft transplantation from 2010 to 2013 were reviewed. Patients who developed complications except recurrence postoperatively were included in this study. Results : Sixteen (17.39%) of the 92 patients were detected with a complication. Graft dehiscence was diagnosed in 7 (7.6%) patients with 5 of them treated conservatively and 2 patients requiring suturing. Five (5.43%) patients were diagnosed with cyst formation between the graft and conjunctiva or in the graft-removal area; these cysts were primarily excised and no additional problems occurred. Corneal dellen developed in 3 (3.26%) patients and 2 of them regressed after cessation of topical steroids and application of lubricant therapy while one was treated with amniotic membrane transplantation. Residual fibrin glue particles had stiffened on the ocular surface, which resulted in intensive pain and irritation in one (1.08%) patient on the same day of the surgery. The patient’s complaints were reduced by removing these particles from the ocular surface under topical anesthesia. Conclusion : Complications in fibrin glue assisted pterygium surgery are relatively different from other techniques. To avoid potential complications of fibrin glue in pterygium surgery, peroperatively ophthalmologists should ensure the conjunctival autograft and conjunctiva are properly adhered, fibrin glue remnants are completely removed from the ocular surface, and no Tenon’s capsule remains between the graft and the conjunctiva.

scholarly journals Amniotic membrane transplantation (AMT) without the use of sutures/fibrin glue

2016 ◽  
Vol 7 (2) ◽  
pp. 173-177 ◽  
Author(s):  
Ajai Agrawal ◽  
V B Pratap
Keyword(s):  
Fibrin Glue ◽  
Dry Eye ◽  
Amniotic Membrane ◽  
Ocular Surface ◽  
Symptomatic Relief ◽  
Stevens Johnson Syndrome ◽  
Amniotic Membrane Transplantation ◽  
Sutureless Technique ◽  
Ocular Surface Reconstruction ◽  
Johnson Syndrome

Introduction: Amniotic membrane transplantation (AMT) has been used for a wide variety of ocular surface problems. Current techniques for the AMT involve suturing of the graft or patch over the ocular surface or use of fibrin glue.Objective: To describe a new sutureless technique of amniotic membrane transplantation (AMT) without the use of sutures/fibrin glue.Materials and methods: Amniotic membrane transplantation as overlay or patch was done in fourteen eyes of eight patients with severe dry eye due to Stevens Johnson syndrome for ocular surface reconstruction, promotion of epithelization, reduction of inflammation and symptomatic relief from dry eye. In this new technique of amniotic membrane transplantation, we mount the amniotic membrane with its epithelial side up on a conformer & place it on the ocular surface without applying any sutures.Conclusion: In all the fourteen eyes of eight patients operated at our centre, the amniotic membrane take up was satisfactory, with significant reduction of inflammation and symptomatic relief from dry eye. This is a simple, fast effective technique with surgical outcomes comparable to amniotic membrane transplantation using sutures/ fibrin glue.

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