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2015 ; 22
(3
): 386-8
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Amniotic Membrane Transplant with a Special Technique (Motowa s Sandwich
Technique) in Mooren s Ulcer
#MMPMID26180482
Al Motowa S
; Al Zobidi M
Middle East Afr J Ophthalmol
2015[Jul]; 22
(3
): 386-8
PMID26180482
show ga
To illustrate amniotic membrane transplant (AMT) with a novel surgical technique
("sandwich technique") for treating patients with malignant Mooren's ulcer. A
case report of a patient with bilateral, malignant Mooren's ulcer who had
undergone systemic steroid therapy and topical immunosuppresive therapy to
stabilize his condition. However, perforation of cornea occurred in one eye. AMT
with a new surgical technique ("Motowa's sandwich technique") was performed to
treat this case. On the 1(st) day postoperatively, there was no pain, no
photophobia, and visual acuity was same as preoperatively. At 4 weeks
postoperatively, visual acuity improved in the right eye to 20/160 with pinhole,
and there was no fluorescein staining. The right eye was quiet. Amniotic membrane
transplant with "Motowa's sandwich technique" resulted in the preservation of the
anatomical integrity and progression of disease was halted along with an improved
vision. This technique is a novel surgical modality in treating Mooren's ulcer.
Further study on a large cohort of patients is required for evidence-based data
to verify the outcome of this initial case report.