1. Amniotic Membrane Transplantation in the Management of Corneal Ulceration Following Infectious Keratitis.
- Author
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Lamas-Francis, David, Navarro, Daniel, Moreno, Claudio, de-Rojas, Victoria, Mansilla, Raquel, Dios, Enrique, Rigueiro, Jesús, Álvarez, Dolores, Crego, Paloma, Rodríguez-Ares, Teresa, and Touriño, Rosario
- Subjects
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AMNION , *CORNEA injuries , *THERAPEUTIC complications , *KERATITIS , *STEROID drugs - Abstract
Purpose: To report on the outcomes of amniotic membrane transplantation (AMT) for corneal ulceration following infectious keratitis. Method: In this retrospective cohort study of 654 patients with culture-proven infectious keratitis from 8 hospitals in Galicia (Spain), a total of 43 eyes of 43 patients (6.6%) underwent AMT for postinfectious corneal ulceration. The indications for AMT were sterile persistent epithelial defects, severe corneal thinning or perforation. Results: AMT was successful in 62.8% of cases, with 37.2% requiring an additional surgery. Median time to healing was 40.0 days (IQR 24.2–101.7 days) and final BCVA was lower than baseline (p = 0.001). Ulcers were large (>3 mm) in 55.8% of cases. Previous herpetic keratitis and topical steroid use were more common in patients who received AMT (p < 0.001). 49 microorganisms (43 bacteria and 6 fungi) were isolated. Conclusions: AMT is a therapeutic option for complications following infectious keratitis, which present with a sterile persistent epithelial defect, significant corneal thinning or perforation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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