Purpose: To describe technique and evaluate outcomes of using amniotic membrane onlay strip for repair of corneal lacerations.Methods: Retrospective case series included eight eyes with traumatic corneal lacerations. A strip of amniotic membrane was applied to the corneal surface to cover the wound. Wound was then sutured with nylon 10/0 sutures involving the membrane. Sutures were well-spaced and suturing was avoided in the visual axis. Average keratometric reading (average K), keratometric astigmatism (KA), manifest refractive astigmatism (RA) in diopters (D) and spectacle or soft contact lens best corrected visual acuity (BCVA) were assessed 2 months after suture removal. Results: Transient postoperative hypotony was encountered in five cases (62.5%). Average K was 44.61 ± 2.81 D (mean± SD). KA was 2.20±0.71 D (mean± SD). RA was 1.78 ± 0.73 D (mean± SD) and ranged from 1 to 3 D. Log MAR BCVA was 0.39±0.18 (mean± SD) ranged from 0.22 to 0.70.Conclusions: The application of amniotic membrane onlay strip during repair of corneal lacerations was associated with good visual outcome possibly due to reduction of wound and suture related corneal astigmatism.

Background: To describe technique and evaluate outcomes of using amniotic membrane onlay strip for repair of corneal lacerations.Methods: Retrospective case series included eight eyes with traumatic corneal lacerations. A strip of amniotic membrane was applied to the corneal surface to cover the wound. Wound was then sutured with nylon 10/0 sutures involving the membrane. Sutures were well-spaced and suturing was avoided in the visual axis. Average keratometric reading (average K), keratometric astigmatism (KA), manifest refractive astigmatism (RA) in diopters (D) and spectacle or soft contact lens best corrected visual acuity (BCVA) were assessed 2 months after suture removal. Results: Transient postoperative hypotony was encountered in five cases (62.5%). Average K was 44.61 ± 2.81 D (mean± SD). KA was 2.20±0.71 D (mean± SD). RA was 1.78 ± 0.73 D (mean± SD) and ranged from 1 to 3 D. Log MAR BCVA was 0.39±0.18 (mean± SD) ranged from 0.22 to 0.70.Conclusions: The application of amniotic membrane onlay strip during repair of corneal lacerations was associated with good visual outcome possibly due to reduction of wound and suture related corneal astigmatism.