Wydanie 1/2008

Zastosowanie błony owodniowej i soczewek terapeutycznych w leczeniu chorób powierzchni oka u dzieci

Amniotic Membrane and Therapeutic Contact Lenses Use in Ocular Surface Diseases Treatment in Children

Mirosława Grałek1,2, Beata Kępa1, Krystyna Kanigowska1, Anna Niwald2, Dorota Klimczak-Ślączka1, Wojciech Hautz1, Małgorzata Seroczyńska1

1Klinika Okulistyki, Instytut ?Pomnik ? Centrum Zdrowia Dziecka? w Warszawie
Kierownik: prof. dr hab. n. med. Mirosława Grałek
2Klinika Okulistyki Dziecięcej Katedry Pediatrii Zabiegowej, Uniwersytet Medyczny w Łodzi
P.o. kierownik: dr n. med. Anna Niwald

Summary: Aim: To examine the efficacy of amniotic membrane transplantation with therapeutic contact lenses application in the treatment of ocular surface diseases of different etiology in children. Materials and methods: Between 2003-2007, total number of 19 amniotic membrane transplantations in 16 eyes in 15 children were performed. Surgery was performed under total anesthesia. The amniotic membrane was implanted with the surface of the epithelium ? basement membrane uppermost (overlay method). Bandage Therapeutic Silicone Hydrogel contact lens was applied on the amniotic membrane graft. The silicone hydrogel bandage contact lenses used were Focus Night & Day. Contact lens was removed when all the sutures were removed. Subsequently, the amniotic membrane was disintegrated. Control examination was performed in 1, 2, 6 week after surgery. Results: Amniotic membrane transplantation has enhanced epithelialization, the corneal surface had completely epithelialized. Reduced inflammation, reduced scaring and cleared of cornea was obtained. Conclusions: Amniotic membrane graft with therapeutic silicone hydrogel contact lens application is advantageous management in ocular surface diseases in children.


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