Document Detail


Management of acute ulcerative and necrotising herpes simplex and zoster keratitis with amniotic membrane transplantation.
MedLine Citation:
PMID:  14507749     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To report promoted healing of acute ulcerative and necrotising herpetic keratitis after amniotic membrane transplantation (AMT). METHODS: Retrospective, non-comparative case series of seven patients with acute ulcerative and necrotising herpetic stromal keratitis. Single or multilayer AMT with epithelial side facing up was performed. The main outcome measures were wound healing of the corneal ulcers and decrease of stromal inflammation. RESULTS: The mean follow up was 10.7 (SEM 1.4) months (range 5-15 months). AMT was performed once in five cases, and twice in further two. Improvement of stromal inflammation was noted within 16.4 (2.5) days (range 7-28 days). Epithelial defects healed within a mean of 17 (2.7) days (range 7-28 days). Vision improved in all but two patients. No serious side effects occurred during the follow up. CONCLUSIONS: Although performed in an uncontrolled and non-randomised series of patients, these findings indicate that the AMT shows promise in selected cases for the restoration of ocular surface integrity, reduction of stromal inflammation, and improvement of vision in acute ulcerative and necrotising herpetic keratitis.
Authors:
A Heiligenhaus; H Li; E E Hernandez Galindo; J M Koch; K-P Steuhl; D Meller
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  87     ISSN:  0007-1161     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-09-25     Completed Date:  2003-11-24     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1215-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, St Franziskus Hospital, Hohenzollernring 74, 48145 Muenster, Germany. arnd.heiligenhaus@t-online.de
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aged
Biological Dressings*
Corneal Ulcer / therapy,  virology
Female
Follow-Up Studies
Humans
Keratitis, Herpetic / physiopathology,  therapy*
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Vision Disorders / physiopathology,  therapy
Wound Healing
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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