Journal of the Korean Ophthalmological Society 2004;45(2):315-318.
Published online February 1, 2004.
Amniotic Membrane Transplantation in the Management of Shield Ulcers of Vernal Keratoconjunctivitis.
Yeo Hun Kim, Sang Yoon Oh, Jong Kook Ha, Min Cheol Shin
Department of Ophthalmology, Hallym University College of Medicine, Korea. smcheol0@hanmail.net
봄철각결막염 환자의 Shield Ulcer에서 양막이식 1예
김여훈 ( Kim Yeo Hun ) , 오상윤 ( O Sang Yun ) , 하종국 ( Ha Jong Gug ) , 신민철 ( Sin Min Cheol )
Abstract
PURPOSE
Human amniotic membrane has been used to variable ocular surface disorder. We report a case of the usefulness of amniotic membrane transplantation (AMT) for vernal keratoconjunctivitis "Shield ulcer". METHODS: A 12-year-old male patient was diagnosed to have vernal keratoconjunctivitis "Shield ulcer" and treated with medical therapy for four weeks. But he showed severe itiching, foreign body sensation, decreased visual acuity and continued to corneoconjunctival lesion and then, Amniotic membrane transplantation with stromal side down was performed after debridement of the ulcer bed and therapeutic contact lens was applied. RESULTS: At tenth day after AMT, ulcer size was decreased and corneal state was generally improved with restoration of visual acuity. One month after, he has been comfortable with improved visual acuity, giant papillae of upper tarsal conjunctiva was nearly complete remission. CONCLUSIONS: AMT is an effective method for managing vernal keratoconjunctivitis "Shield ulcer", that are refractory to conventional medical treatment.
Key Words: Amniotic membrane transplantation;Shield Ulcer


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