Cosmetic Repair of Band Keratopathy Using Stained Amniotic Membrane

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Cosmetic Repair of Band Keratopathy Using Stained
Amniotic Membrane
2007 ASCRSPoster No. 153
Cinoo Kim MD, Jung Suk Kim Won Ryang Wee, MD,
Jin Hak Lee MD, Ji Won Kwon MD Department of
Ophthalmology Seoul National University College
of Medicine Seoul National University Hospital,
Korea
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Financial Disclosure

• None of the authors has a financial
• interest in any material or method in
• the study.

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Purpose

• To evaluate the efficacy of
• stained amniotic membrane transplantation
  (AMT)
• for cosmetic repair of band keratopathy

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Method

• Tissue marking dye is injected using 1 cc syringe
  
• with 30 gauze needle in bevel up
• All patients followed for a period of at least 6
  months

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Results

• Total nine eyes of 9 patients
• Mean patient age 25.7 years (range 1863)
• Mean time to epithelial healing 11.3 days
  (range724)
• Preop. VA NLP 7 eyes, LP 2 eyes
• Mean follow-up period 7.4 months

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Results

• Causes of band keratopathy
• Trauma 5 of 9 eyes
• Infectious disease 2 of 9 eyes
• Congenital vitreoretinal disease 1 of 9 eyes
• Following intraocular surgery 1 of 9 eyes
• Comorbid diagnosis
• Sensory exotropia 4 of 9 eyes
• Traumatic cataract 2 of 9 eyes

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Case 1 (F / 20 Yr)

• (A) and (C) Before, (B) and (D) After
  tattooing and stained AMT

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Case 2 (M /36 Yr)

• (A) and (C) Before, (B) and (D) After
  tattooing and stained AMT

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Case 3 (F /63 Yr)

• (A) and (C) Before, (B) and (D) After
  tattooing and stained AMT

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Results

• All patients noted satisfactory results with
  cosmetic staining
• A remaining opacity was not observed during
  follow-up period
• Postoperative complications
• Foreign body sensation (8/9) and conjunctival
  injection (7/9) disappeared within 2 months after
  surgery

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Conclusion

• Cosmetic repair by corneal tattooing and stained
  AMT is an effective treatment for band
  keratopathy and is not associated with any
  significant complications.