Resorbable and running suture for stable fixation of amniotic membrane multilayers: A useful modification in deep or perforating sterile corneal ulcers
PURPOSE: To present a modified technique for secure tightening and fixing of multilayer amniotic membranes in deep or perforating corneal ulcers. OBSERVATIONS: The modified procedure for application and fixation of multilayer amniotic membranes is retrospectively described step by step, and the resu...
| Verfasser: | |
|---|---|
| FB/Einrichtung: | FB 05: Medizinische Fakultät |
| Dokumenttypen: | Artikel |
| Medientypen: | Text |
| Erscheinungsdatum: | 2018 |
| Publikation in MIAMI: | 16.05.2018 |
| Datum der letzten Änderung: | 16.04.2019 |
| Angaben zur Ausgabe: | [Electronic ed.] |
| Quelle: | American Journal of Ophthalmology Case Reports (2018) 10, 296–299 |
| Schlagwörter: | Amniotic membrane transplantation; Corneal ulcer; Corneal perforation; Multilayer; Keratoplasty |
| Fachgebiet (DDC): | 610: Medizin und Gesundheit |
| Lizenz: | CC BY-NC-ND 4.0 |
| Sprache: | English |
| Förderung: | Finanziert durch den Open-Access-Publikationsfonds 2018 der Deutschen Forschungsgemeinschaft (DFG) und der Westfälischen Wilhelms-Universität Münster (WWU Münster). |
| Format: | PDF-Dokument |
| URN: | urn:nbn:de:hbz:6-48169664320 |
| Weitere Identifikatoren: | DOI: 10.1016/j.ajoc.2018.04.012 |
| Permalink: | https://nbn-resolving.de/urn:nbn:de:hbz:6-48169664320 |
| Onlinezugriff: | artikel_uhlig_mueller_2018.pdf |
PURPOSE: To present a modified technique for secure tightening and fixing of multilayer amniotic membranes in deep or perforating corneal ulcers. OBSERVATIONS: The modified procedure for application and fixation of multilayer amniotic membranes is retrospectively described step by step, and the results of three patients treated with this technique were retrospectively analysed and presented. The modification consists basically in fixing the inlays with one mini-overlay that is sutured intracorneally with resorbable and running Vicryl 10.0, before a corneoscleral overlay is fixed on top conjunctivally with a running nylon 10.0 suture. The resorbable Vicryl suture is left in place permanently. CONCLUSIONS AND IMPORTANCE: The method described avoids any risk of destroying or displacing the inlays by removing sutures later. In each of the three patients demonstrated as case reports the cornea remained stable throughout the 3- to 5-month follow-up period. This modified technique represents a very useful auxiliary means of treating deep or perforating non-infectious corneal ulcers.