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Cornea:
doi: 10.1097/ICO.0b013e31820ce80f
Techniques

“Swiss Roll” Amniotic Membrane Technique for the Management of Corneal Perforations

Chan, Elsie FRANZCO; Shah, Anish N MBBS; O'Brart, David P S MD, FRCS, FRCOphth

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Abstract

Purpose: To describe a novel technique for using amniotic membrane in the management of corneal perforations.

Methods: Interrupted 10-0 nylon sutures are passed across the perforation site. A roll of amniotic membrane is then placed across the row of preplaced sutures, and the sutures are tied to secure the membrane. An amniotic membrane patch is placed over the graft, which is then protected by a bandage contact lens.

Results: We illustrate the results of our 2 most recent patients.

Conclusions: Amniotic membrane has been widely used in ocular surgery. We recommend the “Swiss roll” amniotic membrane graft technique in cases of severe corneal thinning or localized perforations.

© 2011 Lippincott Williams & Wilkins, Inc.

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