Purchase this article with an account.
C. Longo, P. Sivelli, L. Geroli, L. Venco, P. Chelazzi, S. Donati, C. Azzolini; A New Surgical Method for Sterile Corneal Ulceration. Invest. Ophthalmol. Vis. Sci. 2007;48(13):1882.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To describe a new surgical method for the treatment of sterile corneal ulceration, using fibrin glue and a dedicated surgical forceps to apply and to lay the Amniotic Membrane (AM) on the corneal surface.
Surgical treatment was performed with a two component fibrin glue (thrombin and fibrinogen) spread in two different surgical times. Amniotic membrane was washed in BSS, trimmed and layied down to the cornea by means of a dedicated forceps with specific opening claws. The patch of AM was soaked in thrombin, one of the two component of fibrin glue. The other component of fibrin glue, fibrinogen, was spread on corneal surface. The two components polymerized immediately within few seconds laying down the amniotic membrane on the cornea. A detached-stitch suture was not necessary so to fix the membrane on the eye surface
In early post surgical time we appreciated a regular and thin glue film under the membrane. We had a complete adhesion to the corneal surface without suture, also in 360° surface reconstruction where we implanted a big patch of amniotic membrane.
The use of fibrin glue and specific experimental forceps made that surgical amniotic membrane transplant technique simpler and faster. We studied and performed this new experimental surgical tool to ameliorate our surgical performance. We applied particular care during that surgical application to obtain the best results.
This PDF is available to Subscribers Only