Skip to main content
Log in

Application of Preserved Human Amniotic Membrane for Corneal Surface Reconstruction

  • Published:
Cell and Tissue Banking Aims and scope Submit manuscript

Abstract

Objective: To evaluate the efficacy of preserved human amniotic membrane transplantation for reconstruction of the corneal surface diseases.

Methods: Preserved human amniotic membrane transplantations were performed in 84 eyes of 78 patients for corneal surface reconstruction. The indications were limbal stem cell deficiency from Steven–Johnson syndrome, chemical burn and herpes keratitis (27 eyes), bullous keratopathy (26 eyes), persistent epithelial defect and dellen (17 eyes), band keratopathy (11 eyes), preparing for prosthesis (1 eye), corneal ulcer (1 eye) and acute chemical burn (1 eye).

Results: Success was noted in 83.3% (70/84) eyes, partial success in 13.1% (11/84) eyes, and failure in 3.6% (3/84) eyes for an average follow-up of 10.5 months (3 – 29 months). No patient developed major immediate post-operative complications.

Conclusion: Amniotic membrane transplantation can reduce inflammation, promote corneal epithelial healing, and decrease irritation in corneal surface problems.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Azuara-Blanco A, Pillai CT and Dua HS (1999) Amniotic membrane transplantation for ocular surface reconstruction. Br J Ophthalmol 83: 399-402

    Google Scholar 

  • Bleggi-Torres LF, Werner B and Piazza MJ (1997) Ultrastructural study of the neovagina following the utilization of human amniotic membrane for treatment of congenital abscence of the vagina. Braz J Med Biol Res 3: 861-864

    Google Scholar 

  • Bose B (1979) Skinwound dressing with human amniotic membrane. Ann R Coll Surg Eng 61: 444-447

    Google Scholar 

  • Choi YS, Kim JY. Wee WR and Lee JH (1998) Effect of the application of human amniotic membrane on rabbit corneal wound healing after excimer laser photorefractive keratectomy. Cornea 17: 389-395

    Google Scholar 

  • DeRoth A (1940) Plastic repair of conjunctival defects with fetal membranes. Arch Ophthalmol 23: 522-525

    Google Scholar 

  • Dhall K (1984) Amnion graft for treatment of congenital abscence of the vagina. Br J Obstet Gynaecol 91: 279-282

    Google Scholar 

  • Gundersen T (1958) Conjunctival flaps in the treatment of corneal disease with reference to a new technique of application. Arch Ophthalmol 60: 880-888

    Google Scholar 

  • Insler MS and Pechous B (1987) Conjunctival flaps revisited. Ophthalmic Surg 18: 455-458

    Google Scholar 

  • Kim JC and Tseng SCG (1995) Transplantation of preserved human amniotic membrane for surface reconstruction in severely damaged rabbit corneas. Cornea 14: 473-484

    Google Scholar 

  • Kruse FE, Rohrschneider K and Volcker HE (1999) Multilayer amniotic membrane transplantation for reconstruction of deep corneal ulcers. Ophthalmology 106: 1504-1511

    Google Scholar 

  • Lee S and Tseng SCG (1997) Amniotic membrane transplantation for persistent epithelial defects with ulceration. Am J Ophthalmol 123: 303-312

    Google Scholar 

  • Panzardi D (1947) Sul'uso delle membrane fetali come materiale per plastiche congiumtivali con paritcolare riguardo al loro impiego nello pterigio. Bulieltino D'Oculistica 26: 332-336

    Google Scholar 

  • Prabhasawat P and Tseng SCG (1997) Impression cytology study of epithelial phenotype of ocular surface reconstructed by preserved human amniotic membrane. Arch Ophthalmol 115: 1360-1367

    Google Scholar 

  • Pires RTF, Tseng SCG, Prabhasawat P, Puangsricharern V, Maskin SL, Kim JC and Tan DTH (1999) Amniotic membrane transplantation for symptomatic bullous keratopathy. Arch Ophthalmol 117: 1291-1297

    Google Scholar 

  • Ramakrishnan KM and Jayaraman V (1997) Management of partialthickness burn wounds by amniotic membrane: a cost-effective treatment in developing countries. Burns 23 (suppl): S33-S36

    Google Scholar 

  • Rennekampff HO, Dohrmann P, Fory R and Fandrich F (1994) Evaluation of amniotic membrane as adhesion prophylaxis in a novel surgical gastroschisis model. J Invest Surg 7: 187-193

    Google Scholar 

  • Sharma SC, Bagree NM, Bhat AL, Banga BB and Singh MP (1985) Amniotic membrane is an effective burn dressing material. Jpn J Surg 15: 140-143

    Google Scholar 

  • Shimazaki J, Hao-Yang Y and Tsubota K (1997) Amniotic membrane transplantation for ocular surface reconstruction in patients with chemical and thermal burns. Ophthalmology 104: 2068-2076

    Google Scholar 

  • Shun A and Ramsey-Stewart G (1983) Human amnion in the treatment of chronic ulceration of the legs. Med J Aust 2: 279-283

    Google Scholar 

  • Silverton JS, Trelford JD, Roussere JT, Wolfe BM and Conti S (1979) The use of amniotic membrane in acute massive full-thickness loss of the abdominal wall from clostridial myonecrosis. Ann Plast Surg 3: 558-566

    Google Scholar 

  • Somerville PG (1982) The possible use of amniotic membrane in chronic leg ulcers. Phlebologie 35: 223-229

    Google Scholar 

  • Subrahmanyam M (1995) Amniotic membrane as a cover for microskin grafts. Br J Plast Surg 48: 477-478

    Google Scholar 

  • Talmi TP, Finckelstein Y and Zohar Y (1990) Use of human amniotic membrane as a biological dressing. Eur J Plast Surg 13: 160-162

    Google Scholar 

  • Trelford JD, Trelford-Sauder M (1979) The amnion in surgery, past and present. Am J Obstet Gynecol 134: 833-845

    Google Scholar 

  • Trelford-Sauder M, Dawe EJ and Trelford JD (1978) Use of allograft amniotic membrane for control of intra-abdominal adhesions. J Med 9: 273-284

    Google Scholar 

  • Tseng SCG, Prabhasawat P, Barton K, Gray T and Meller D (1998) Amniotic membrane transplantation with or without limbal allografts for corneal surface reconstruction in patients with limbal stem cell deficiency. Arch Ophthalmol 116: 431-441

    Google Scholar 

  • Tsubota K, Satake Y, Ohyama M et al. (1996) Surgical reconstruction of the ocular surface in advanced ocular cicatricial pemphigoid and Stevens-Johnson syndrome. Am J Ophthalmol 122: 38-52

    Google Scholar 

  • Tsubota K, Satake Y, Kaido M, et al. (1999) Treatment of severe ocular surface disorders with corneal epithelial stem-cell transplantation. N Eng J Med 340: 1697-1703

    Google Scholar 

  • Waikakul S, Chunmniprasas K, Setasubun S and Vajaradul Y (1990) Application of freeze-dried amniotic membrane: a control trial at the donor site of split thickness skin grafting. Bull Hosp Jt Dis Ortho Inst 50: 27-34

    Google Scholar 

  • Wang M, Gray T, Prabhasawat P et al (1997) Corneal haze is reduced by amniotic membrane matrix in excimer laser photoablation in rabbits. Invest Ophthalmol Vis Sci 38: S405.

    Google Scholar 

  • Welch C and Baum J (1988) Tarsorrhaphy for corneal disease in patients with rheumatoid arthiritis. Ophthalmic Surg 19: 31-32

    Google Scholar 

  • Yokomari K, Ohkubra M, Kitano Y et al. (1992) Advantages and pitfalls of amnion inversion repair for the treatment of large unruptured omphalocele: results of 22 cases. J Pediatr Surg 27: 882-884

    Google Scholar 

  • Young RL, Cota J, Sund G, Mason BA and Wheeler JM (1991) The use of an amniotic membrane graft to prevent postoperative adhesions. Fertil Steril 55: 624-628

    Google Scholar 

  • Zohar Y, Talmi YP, Finkelstein Y, Shvili Y, Sadov R and Laurian N (1987) Use of human amniotic membrane in otolaryngologic practice. Laryngoscope 97: 978-980

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Prabhasawat, P., Kosrirukvongs, P., Booranapong, W. et al. Application of Preserved Human Amniotic Membrane for Corneal Surface Reconstruction. Cell Tissue Banking 1, 213–222 (2000). https://doi.org/10.1023/A:1026542702099

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1026542702099

Navigation