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“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

doi: 10.1097/ICO.0b013e31820ce80f

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.

Supplemental Digital Content is available in the text.

From the Department of Ophthalmology, St Thomas' Hospital, London, United Kingdom.

Received for publication June 24, 2010; revision received September 27, 2010; accepted November 10, 2010.

The authors state that they have no financial or conflicts of interests to disclose.

This work has not previously been presented or published.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Reprints: Mr David P. S. O'Brart, Eye Department, South Wing, St Thomas' Hospital, London SE1 7EH, United Kingdom (e-mail:

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