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Case Reports
. 2018 Feb;66(2):315-317.
doi: 10.4103/ijo.IJO_697_17.

High-resolution optical coherence tomography in a case of descemetocele managed with amniotic membrane transplantation

Nilufer Sultana  1 , Sunita Chaurasia  1 , Muralidhar Ramappa  1
Affiliations
Case Reports

High-resolution optical coherence tomography in a case of descemetocele managed with amniotic membrane transplantation

Nilufer Sultana et al. Indian J Ophthalmol. 2018 Feb.

Abstract

Amniotic membrane transplantation is a useful in the management of corneal melts and descemetocele. We describe high-resolution anterior segment optical coherence tomography (OCT) (Optovue) in a patient with descemetocele who was managed surgically with amniotic membrane transplantation. A 60-year-old female presented with a corneal melt in the right eye. She was a case of rheumatoid arthritis and was on systemic treatment with immunomodulators. Slit lamp examination revealed a severe thinning paracentrally. High-resolution OCT was performed at the site of descemetocele. She underwent amniotic membrane transplantation using fibrin glue and bandage contact lens application. At 6 weeks postoperative, the bandage contact lens was removed. The area of thinning healed with scarring. OCT at the healed site revealed stable surface and an increase in stromal thickness to 281 μ this case describes the utility of amniotic membrane in the healing of sterile corneal melts by providing tectonic support and its integration in the stroma. The stromal healing and increased thickness at the site of descemetocele could be delineated on high-resolution OCT imaging.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Slit lamp photograph of the right eye showing significant thinning paracentrally. (b) High-resolution optical coherence tomography at the site of corneal melt and descemetocele. (c) Slit lamp photograph at 6 weeks showing scarring and increased stromal thickness at the site of melt. (d) High-resolution optical coherence tomography showing the healed area with epithelization and incorporation of amniotic membrane at the site of descemetocele. The stromal thickness measured 281 μ. The line scan (inset) shows the same area of imaging as obtained at baseline before amniotic membrane transplantation
See this image and copyright information in PMC

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