జర్నల్ ఆఫ్ క్లినికల్ అండ్ ఎక్స్పెరిమెంటల్ ఆప్తాల్మాలజీ
అందరికి ప్రవేశం

నైరూప్య

The Use of Amniotic Membrane in the Management of Strabismus Reoperation Cases

Betul Tugcu, Firat Helvacioglu, Erdal Yuzbasioglu and Cere Gurez

Objective: To describe the use of amniotic membrane (AM) in reoperations to decrease scar formation and to improve ductions.
 
Design: Prospective interventional case series.
 
Participants: Four previously operated cases with restrictive strabismus.
 
Methods: Objective clinical findings were recorded during both pre and post-operative periods. Excision of adhesions and scar tissue, repositioning of extraocular muscles and placement of AM between muscle, sclera and tenon tissue were performed.
 
Results: Orthophoria with no duction deficits was achieved in 2 patients. One patient with fat adherence syndrome had orthophoria with -1 adduction deficit. Only one patient with congenital fibrosis syndrome had 25 PD of esotropia with abduction deficit (-2).
 
Conclusions: We believe that AM placement between the extra ocular muscle, sclera and tenon tissue improves the ductions by inhibiting post-operative scar formation.