High-resolution optical coherence tomography in a case of descemetocele managed with amniotic membrane transplantation
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Date
2018-02
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Publisher
All India Ophthalmological Society
Abstract
Amniotic membrane transplantation is a useful in the management of corneal melts and descemetocele. We describe high-resolution anterior segment optical coherence tomography (OCT) (Optovue) in a patient with descemetocele who was managed surgically with amniotic membrane transplantation. A 60-year-old female presented with a corneal melt in the right eye. She was a case of rheumatoid arthritis and was on systemic treatment with immunomodulators. Slit lamp examination revealed a severe thinning paracentrally. High-resolution OCT was performed at the site of descemetocele. She underwent amniotic membrane transplantation using fibrin glue and bandage contact lens application. At 6 weeks postoperative, the bandage contact lens was removed. The area of thinning healed with scarring. OCT at the healed site revealed stable surface and an increase in stromal thickness to 281 ? this case describes the utility of amniotic membrane in the healing of sterile corneal melts by providing tectonic support and its integration in the stroma. The stromal healing and increased thickness at the site of descemetocele could be delineated on high-resolution OCT imaging.
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Keywords
Amniotic membrane transplantation, corneal melt, descemetocele, optical coherence tomography
Citation
Sultana N, Chaurasia S, Ramappa M. High-resolution optical coherence tomography in a case of descemetocele managed with amniotic membrane transplantation. Indian Journal of Ophthalmology. 2018 Feb; 66(2): 315-317