Journal List > J Korean Ophthalmol Soc > v.48(11) > 1007956

Kim, Han, Hyon, Wee, Lee, and Kwon: Cosmetic Repair of Band Keratopathy Using Stained Amniotic Membrane

Abstract

Purpose

To evaluate the efficacy of stained amniotic membrane transplantation (AMT) for cosmetic repair of band keratopathy.

Methods

Eight eyes from 8 patients with band keratopathy without the possibility of visual improvement were treated with corneal tattooing and stained AMT. Calcific plaques were removed with EDTA and a blade prior to the tattooing. Tattooing by the injection of tissue marking dye into the corneal stroma was performed in corneal opacities. The remaining opacity, which could not be treated with corneal tattooing, was treated with black dye-stained AMT.

Results

The most common cause of band keratopathy was trauma (50%) and the mean time to epithelial healing was 11.3 days. All patients showed satisfactory results with cosmetic staining. Recurring cases and significant complications were not observed during the mean follow-up period of 7.4 months.

Conclusions

Cosmetic repair by corneal tattooing and stained AMT is an effective treatment for band keratopathy and is not associated with any significant complications.

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Figure 1.
A 20-year-old female patient with band keratopathy in the left eye. (A) and (C): Before tattooing and stained amniotic membrane transplantation (AMT). (B) and (D): After tattooing and stained AMT.
jkos-48-1459f1.tif
Figure 2.
A 63-year-old female patient with band keratopathy in the right eye. (A) and (C): Before tattooing and stained AMT. (B) and (D): After tattooing and stained AMT.
jkos-48-1459f2.tif
Table 1.
Characteristics of patients
Case Age (Yr) Sex F/U (Month) Visual acuity Cause of band keratopathy Comorbidity Postoperativecomplications
1 19 M 13 NLP* PHPV Injection, FBS#
2 36 M 8 LP Trauma FBS
3 20 F 10 NLP Infection FBS
4 63 F 6 LP Trauma Injection
5 13 M 8 NLP Cataract surgery
6 14 F 7 NLP PHPV, glaucoma Sensory ET§ Injection
7 25 M 4 NLP Trauma Cataract, sensory XTΠ FBS
8 18 M 3 NLP Trauma Sensory XT

* NLP: no light perception

LP : light perception

PHPV: persistent hyperplastic primary vitreous

§ ET: esotropia

Π XT: exotropia

# FBS: foreign body sensation

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