A Case of Human Amniotic Membrane Transplantation for the Treatment of Overhanging Bleb.

Kim, Seonghee; Kee, Changwon

Case Report

Journal of the Korean Ophthalmological Society 2000;41(8):1801-1806.
Published online August 1, 2000.

A Case of Human Amniotic Membrane Transplantation for the Treatment of Overhanging Bleb.

Seonghee Kim, Changwon Kee

Department of Ophthalmology, Samsung Medical Center, School of Medicine, Sungkyunkwan University.

사람양막이식을 이용한 Overhanging Bleb 의 치료 1 례

김성희(Seong Hee Kim),기창원(Chang Won Kee)

Abstract

Overhanging bleb after trabeculectomy is a late complication which can cause visual disturbance, ocular pain and even be a risk factor of late endophthalmitis. When it fails to be managed with conservative and less invasive treatment, the bleb is to be excised surgically. In this case, the shortage of conjunctiva in the course of partial excision of the bleb was successfully managed by human amniotic membrane transplantation. Amniotic membrane is avascular tissue with thick basement membrane and rich stroma, and it can supply the conjunctiva with basement membrane and growth factors. We report the usefulness of amniotic membrane transplantation as a temporary substitute of conjunctiva and a source of stroma for its growth in the excision of overhanging bleb.

Key Words: Amniotic membrane transplantation;Overhanging bleb;Trabeculectomy