Nargis Nizam Ashraf, Muhammad Idrees Adhi.
Outcome of application of amniotic membrane graft in ocular surface disorders.
J Pak Med Assoc Jan ;67(7):1045-9.

Objective: To determine the outcome of application of amniotic graft in ocular surface disorders. Methods: This cross-sectional study was conducted at Dow University of Health Sciences, Karachi, from January 2010 to December 2012, and comprised patients with ocular surface disorders. Patients' presenting symptoms and signs were recorded. Previously harvested and frozen amniotic graft was applied in different types of ocular surface disorders, such as corneal ulcers, pterygium, keratomalacia, Steven-Johnson syndrome, etc. Following the surgery, patients were assessed for improvement in symptoms and signs related to epithelialisation in corneal ulcers. Results: Of the 50 patients, 30(60%) were male and 20(40%) female. The overall mean age was 40±19.3 years (range: 9 months to 80 years). Out of the 18(36%) cases of pterygium, there was recurrence in 5(27.7%) cases. There were 26(52%) patients of corneal ulcers, of whom re-epithelialisation occurred in 21(80.7%) patients. Conclusion: Amniotic membrane grafting was found to be a safe procedure for ocular surface disorders.

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