Repair of Trachomatous Cicatricial Entropion Using Mucous Membrane Graft

Hosni, F A

doi:10.1001/archopht.1974.03900060053013

Cited by 32 publications

(8 citation statements)

References 5 publications

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“…14 Therefore, in severe symblepharon, additional mucosal grafting is needed to improve the outcome; for this purpose, oral mucosa may be a proper option. An oral mucosal graft has been used for a long time for covering the conjunctival defects during fornix reconstruction in eyes with symblepharon 4,14,16,17 or anophthalmic contracted sockets, [18][19][20] for cicatricial entropion surgery, 21,22 for ocular resurfacing before osteo-odontokeratoprosthesis, 23 after pterygium surgery, 24 or even to cover a leaking conjunctival bleb. 25 In our study, the combination of cicatrix lysis, extensive removal of subconjunctival fibrovascular tissue, intraoperative MMC application, anchoring sutures, AMT, and OMT in cases with severe symblepharon resulted in complete success in 27 eyes (84.4%), partial success in 3 eyes (9.4%), and failure in only 2 eyes (6.2%; Figs.…”

Section: Discussionmentioning

confidence: 99%

A Combined Approach of Amniotic Membrane and Oral Mucosa Transplantation for Fornix Reconstruction in Severe Symblepharon

Kheirkhah

Ghaffari

Kaghazkanani

et al. 2013

Cornea

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Section: Discussionmentioning

confidence: 99%

A Combined Approach of Amniotic Membrane and Oral Mucosa Transplantation for Fornix Reconstruction in Severe Symblepharon

Kheirkhah

Ghaffari

Kaghazkanani

et al. 2013

Cornea

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“…Moist nonirradiated preparations and thawed medium-frozen prepa- [16,17] , and scar revisions. Reconstruction of the ocular surface has been attempted with conjunctival autografts [18] and other mucosa [19,20] . Currently, there has been a resurgence in the use of amniotic membrane grafts in the treatment of ocular surface defects.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Characterization of Human Amniotic Membrane Preparations for Ocular Surface Reconstruction

et al. 2004

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Purpose: To investigate the tensile and elastic properties of both commercially available and experimental human amniotic membrane preparations. Method: Nine preparations of human amniotic membrane were studied. The four dry preparations were untreated (nonirradiated, n = 20), and gamma (n = 25), low-dose (AmbioDry^®, Okto Ophtho Inc., Costa Mesa, Calif., USA, n = 20) and high-dose (n = 20) electron beam sterilized. The same dry membranes were moistened with balanced salt solution (n = 20, 34, 20 and 20, respectively). The ninth group consisted of thawed medium-frozen amniotic membrane (AmnioGraft^®, Bio-Tissue Inc., Miami, Fla., USA, n = 20). The membranes were cut into thin strips, loaded on a gram range load sensor, and stretched incrementally to the point of rupture. The modulus of elasticity, displacement until rupture and maximum tolerated stress were recorded and compared. Results: The dry preparations exhibited higher moduli of elasticity when compared with the moist samples, with the low-dose electron beam-irradiated samples having the greatest mean modulus of elasticity overall and maintaining a high modulus of elasticity as a moist sample (p < 0.05). Moist nonirradiated preparations and thawed medium-frozen preparations stretched the farthest before rupture and experienced the greatest mean stresses at the point of rupture. While 3 of 4 membranes had greater stretch when moistened as compared to their dry counterparts, there was no difference in the membrane stiffness between dry and moistened low-dose electron beam-irradiated samples (p > 0.8). Conclusions: Low-dose electron beam-irradiated amnion appeared to maintain desirable elastic characteristics in transition from a dry to rehydrated state and may thus provide an easy-to-manipulate transplant tissue for ocular surface reconstruction. Moist nonirradiated and thawed medium-frozen tissues, however, may provide surgical advantages as they required greater forces to rupture.

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“…7,8,[23][24][25][26][27][28][29] This is usually indicated in cases of severe cicatricial entropion with shortening or even distortion of the tarsus but in isolation will not address eyelid margin distortion, keratinization, or trichiasis.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Lower Eyelid Cicatricial Entropion With Grey-Line Split, Retractor Recession, Lateral-Horn Lysis, and Anterior Lamella Repositioning

Malhotra

Yau

Norris

2012

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Repair of Trachomatous Cicatricial Entropion Using Mucous Membrane Graft

Cited by 32 publications

References 5 publications

A Combined Approach of Amniotic Membrane and Oral Mucosa Transplantation for Fornix Reconstruction in Severe Symblepharon

A Combined Approach of Amniotic Membrane and Oral Mucosa Transplantation for Fornix Reconstruction in Severe Symblepharon

Biomechanical Characterization of Human Amniotic Membrane Preparations for Ocular Surface Reconstruction

Outcomes of Lower Eyelid Cicatricial Entropion With Grey-Line Split, Retractor Recession, Lateral-Horn Lysis, and Anterior Lamella Repositioning

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