Application of Amniotic Membrane Graft for the Treatment of Bullous Keratopathy Combined with Intractable Glaucoma.

Ha, Sang Woo; Ha, Hyo Shin; Kim, Jae Chan

Original Article

Journal of the Korean Ophthalmological Society 2004;45(2):244-250.
Published online February 1, 2004.

Application of Amniotic Membrane Graft for the Treatment of Bullous Keratopathy Combined with Intractable Glaucoma.

Sang Woo Ha, Hyo Shin Ha, Jae Chan Kim

Department of Ophthalmology, Chung-Ang University, College of Medicine, Korea. loiseau@empal.com

난치성 녹내장이 합병된 수포각막병증 환자의 치료에 있어서 양막이식술의 적용

하상우 ( Ha Sang U ) , 하효신 ( Ha Hyo Sin ) , 김재찬 ( Kim Jae Chan )

Abstract

PURPOSE
To evaluate the clinical effect of amniotic membrane (AM) graft and drainage valve implantation for the treatment of bullous keratopathy combined with intractable glaucoma. METHODS: Total 15 patients (15 eyes) were analyzed who underwent the operation for bullous keratopathy combined with intractable glaucoma, from Feb. 2002 to Aug. 2003. Under retrobulbar anesthesia, Ahmed valve was implanted under the supratemporal conjunctiva and exposed valve was covered with AM. And then, AM graft was performed after lamellar keratectomy for treatment of keratopathy. Serial check of IOP, corneal status and complications were performed after operation and during follow up. RESULTS: Mean IOP at last follow up was 11 mmHg. Corneal epithelium was stabilized within 10days. No serious complication was found and the drainage tube was well positioned. Especially, there is no pain in all cases. CONCLUSIONS: AM graft and valve implantation was clinically effective method for treatment of bullous keratopathy, combined with intractable glaucoma.

Key Words: Ahmed valve;Amniotic membrane graft;Bullous keratopathy;Intractable glaucoma