Amniotic Membrane Transplantation for the Repair of Severe Conjunctival Dehiscence After Strabismus Surgery With Adjustable Sutures
To evaluate the outcome of amniotic membrane transplantation (AMT) for the repair of severe conjunctival dehiscence that occurred during or after fornix-incision strabismus surgery with adjustable sutures. Retrospective, interventional case series. Four patients in whom severe conjunctival dehiscenc...
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Veröffentlicht in: | American journal of ophthalmology 2005-09, Vol.140 (3), p.533.e1-533.e |
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creator | Mocan, Mehmet Cem Azar, Nathalie F. |
description | To evaluate the outcome of amniotic membrane transplantation (AMT) for the repair of severe conjunctival dehiscence that occurred during or after fornix-incision strabismus surgery with adjustable sutures.
Retrospective, interventional case series.
Four patients in whom severe conjunctival dehiscence developed during or after strabismus surgery were treated with amniotic membrane grafts. The extent of conjunctival reepithelization over sclera, range of ocular motility, and patient comfort were evaluated immediately after the surgery and at 1, 2, and 4 weeks.
The mean follow-up period was 16 weeks (range 4 to 28 weeks). Conjunctival dehiscence was detected 0 to 14 days after surgery. AMT was performed 0 to 14 days later. The conjunctival defect was reepithelized in all patients by the fourth postoperative week without evidence of scarring or restriction of motility.
In the treatment of large conjunctival defects that may follow strabismus surgery, AMT may be an alternative to conservative management or primary conjunctival closure. |
doi_str_mv | 10.1016/j.ajo.2005.02.061 |
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Retrospective, interventional case series.
Four patients in whom severe conjunctival dehiscence developed during or after strabismus surgery were treated with amniotic membrane grafts. The extent of conjunctival reepithelization over sclera, range of ocular motility, and patient comfort were evaluated immediately after the surgery and at 1, 2, and 4 weeks.
The mean follow-up period was 16 weeks (range 4 to 28 weeks). Conjunctival dehiscence was detected 0 to 14 days after surgery. AMT was performed 0 to 14 days later. The conjunctival defect was reepithelized in all patients by the fourth postoperative week without evidence of scarring or restriction of motility.
In the treatment of large conjunctival defects that may follow strabismus surgery, AMT may be an alternative to conservative management or primary conjunctival closure.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/j.ajo.2005.02.061</identifier><identifier>PMID: 16139008</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Amnion - transplantation ; Biological and medical sciences ; Biological Dressings ; Conjunctival Diseases - etiology ; Conjunctival Diseases - surgery ; Defects ; Female ; Humans ; Male ; Medical research ; Medical sciences ; Middle Aged ; Miscellaneous ; Oculomotor disorders ; Ophthalmology ; Postoperative Complications ; Retrospective Studies ; Strabismus - surgery ; Surgery ; Surgical outcomes ; Surgical Wound Dehiscence - etiology ; Surgical Wound Dehiscence - surgery ; Suture Techniques ; Wound healing</subject><ispartof>American journal of ophthalmology, 2005-09, Vol.140 (3), p.533.e1-533.e</ispartof><rights>2005 Elsevier Inc.</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Elsevier Limited Sep 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-95fb2ab49a5799381fe67a7f99ff21c8208afd3ec5dfae828e30c07be00432523</citedby><cites>FETCH-LOGICAL-c409t-95fb2ab49a5799381fe67a7f99ff21c8208afd3ec5dfae828e30c07be00432523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002939405003004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17234120$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16139008$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mocan, Mehmet Cem</creatorcontrib><creatorcontrib>Azar, Nathalie F.</creatorcontrib><title>Amniotic Membrane Transplantation for the Repair of Severe Conjunctival Dehiscence After Strabismus Surgery With Adjustable Sutures</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>To evaluate the outcome of amniotic membrane transplantation (AMT) for the repair of severe conjunctival dehiscence that occurred during or after fornix-incision strabismus surgery with adjustable sutures.
Retrospective, interventional case series.
Four patients in whom severe conjunctival dehiscence developed during or after strabismus surgery were treated with amniotic membrane grafts. The extent of conjunctival reepithelization over sclera, range of ocular motility, and patient comfort were evaluated immediately after the surgery and at 1, 2, and 4 weeks.
The mean follow-up period was 16 weeks (range 4 to 28 weeks). Conjunctival dehiscence was detected 0 to 14 days after surgery. AMT was performed 0 to 14 days later. The conjunctival defect was reepithelized in all patients by the fourth postoperative week without evidence of scarring or restriction of motility.
In the treatment of large conjunctival defects that may follow strabismus surgery, AMT may be an alternative to conservative management or primary conjunctival closure.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amnion - transplantation</subject><subject>Biological and medical sciences</subject><subject>Biological Dressings</subject><subject>Conjunctival Diseases - etiology</subject><subject>Conjunctival Diseases - surgery</subject><subject>Defects</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Oculomotor disorders</subject><subject>Ophthalmology</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Strabismus - surgery</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Surgical Wound Dehiscence - etiology</subject><subject>Surgical Wound Dehiscence - surgery</subject><subject>Suture Techniques</subject><subject>Wound healing</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2LFDEQhoMo7rj6A7xIQPTWbSX9GTwN4yesCM6Kx5BOV5w03Z3ZJD2wZ_-4aWZgwYOXhISnKm_qIeQlg5wBq98NuRpczgGqHHgONXtENqxtRMZawR6TDQDwTBSivCLPQhjSsW7K5im5YjUrBEC7IX-202xdtJp-w6nzakZ6m9ZwHNUcVbRupsZ5Gg9If-BRWU-doXs8oUe6c_OwzDrakxrpBzzYoHHWSLcmoqf76FVnw7QEul_8b_T39JeNB7rthyVE1Y2Y7uPiMTwnT4waA7647Nfk56ePt7sv2c33z19325tMlyBiJirTcdWVQlWNEEXLDNaNaowQxnCmWw6tMn2BuuqNwpa3WICGpkOAsuAVL67J23Pfo3d3C4YopzXymL6KbgmybquqYJwl8PU_4OAWP6dsktVl2QpR1pAodqa0dyF4NPLo7aT8vWQgVz9ykMmPXP1I4DL5STWvLp2XbsL-oeIiJAFvLoAKWo0mudA2PHANL0rG18ffnzlMAztZ9DJou06_tx51lL2z_4nxF3i3ruo</recordid><startdate>20050901</startdate><enddate>20050901</enddate><creator>Mocan, Mehmet Cem</creator><creator>Azar, Nathalie F.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20050901</creationdate><title>Amniotic Membrane Transplantation for the Repair of Severe Conjunctival Dehiscence After Strabismus Surgery With Adjustable Sutures</title><author>Mocan, Mehmet Cem ; Azar, Nathalie F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-95fb2ab49a5799381fe67a7f99ff21c8208afd3ec5dfae828e30c07be00432523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amnion - transplantation</topic><topic>Biological and medical sciences</topic><topic>Biological Dressings</topic><topic>Conjunctival Diseases - etiology</topic><topic>Conjunctival Diseases - surgery</topic><topic>Defects</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Oculomotor disorders</topic><topic>Ophthalmology</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Strabismus - surgery</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Surgical Wound Dehiscence - etiology</topic><topic>Surgical Wound Dehiscence - surgery</topic><topic>Suture Techniques</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mocan, Mehmet Cem</creatorcontrib><creatorcontrib>Azar, Nathalie F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mocan, Mehmet Cem</au><au>Azar, Nathalie F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Amniotic Membrane Transplantation for the Repair of Severe Conjunctival Dehiscence After Strabismus Surgery With Adjustable Sutures</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2005-09-01</date><risdate>2005</risdate><volume>140</volume><issue>3</issue><spage>533.e1</spage><epage>533.e</epage><pages>533.e1-533.e</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>To evaluate the outcome of amniotic membrane transplantation (AMT) for the repair of severe conjunctival dehiscence that occurred during or after fornix-incision strabismus surgery with adjustable sutures.
Retrospective, interventional case series.
Four patients in whom severe conjunctival dehiscence developed during or after strabismus surgery were treated with amniotic membrane grafts. The extent of conjunctival reepithelization over sclera, range of ocular motility, and patient comfort were evaluated immediately after the surgery and at 1, 2, and 4 weeks.
The mean follow-up period was 16 weeks (range 4 to 28 weeks). Conjunctival dehiscence was detected 0 to 14 days after surgery. AMT was performed 0 to 14 days later. The conjunctival defect was reepithelized in all patients by the fourth postoperative week without evidence of scarring or restriction of motility.
In the treatment of large conjunctival defects that may follow strabismus surgery, AMT may be an alternative to conservative management or primary conjunctival closure.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16139008</pmid><doi>10.1016/j.ajo.2005.02.061</doi><tpages>2</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Amnion - transplantation Biological and medical sciences Biological Dressings Conjunctival Diseases - etiology Conjunctival Diseases - surgery Defects Female Humans Male Medical research Medical sciences Middle Aged Miscellaneous Oculomotor disorders Ophthalmology Postoperative Complications Retrospective Studies Strabismus - surgery Surgery Surgical outcomes Surgical Wound Dehiscence - etiology Surgical Wound Dehiscence - surgery Suture Techniques Wound healing |
title | Amniotic Membrane Transplantation for the Repair of Severe Conjunctival Dehiscence After Strabismus Surgery With Adjustable Sutures |
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