J Korean Ophthalmol Soc.  2008 Mar;49(3):503-508. 10.3341/jkos.2008.49.3.503.

7 Cases of Combined Corneal Tattooing and Amniotic Membrane Transplantation in Bullous Keratopathy

• Kim YK
• Han YK
• Wee WR
• Lee JH
• Kwon JW

• KMID: 2211326
• DOI: http://doi.org/10.3341/jkos.2008.49.3.503

Abstract

PURPOSE: We report on the clinical efficacy of the combined operation of corneal tattooing and amniotic membrane transplantation on the treatment of bullous keratopathy in patients with poor visual potentials.
CASE SUMMARY
We performed corneal tattooing and amniotic membrane transplantation in 7 eyes with bullous keratopathy. Postoperatively, we assessed the status of corneal reepithelialization, postoperative pain, and cosmetic effects. In all cases but one, corneal reepithelialization was successful without pain, and the corneal tattooing persisted throughout the follow-up period. In one case, a corneal epithelial defect developed, so we performed an additional amniotic membrane transplantation. After 2 weeks, the corneal epithelial defect healed and caused no further pain.
CONCLUSIONS
The combined operation of corneal tattooing and amniotic membrane transplantation is a good choice for the treatment of bullous keratopathy with regard to cosmetic problems, pain, and poor visual potential.

Keyword

Amniotic membrane transplantation; Bullous keratopathy; Corneal tattooing

MeSH Terms

Amnion
Cosmetics
Eye
Follow-Up Studies
Humans
Pain, Postoperative
Tattooing
Transplants
Cosmetics

Figure

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  Figure 1. Thick corneal epithelium (A) with stromal fibro-collagenous change (B). (H&E, ×40)

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  Figure 2. Haphazardly proliferated fibroblasts in the stroma. (H&E, ×200)

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  Figure 3. A 50 year-old man with pseudophakic bullous keratopathy. Preoperative photograph (A) and postoperative photograph (B). (case 1)

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  Figure 4. A 44 year-old man with recurrent bullous keratopathy. Preoperative photograph (A, B) and postoperative photograph (C, D). (case 4)

Reference

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