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. 2025 Jan 1;51(1):14-19.
doi: 10.1097/ICL.0000000000001136. Epub 2024 Nov 5.

Spotlight on Amniotic Membrane Extract Eye Drops: A Review of the Literature

Raphael Kilian  1 , Erika Bonacci, Ruth Donner, Jan Lammer, Clara Rizzo, Emanuele Crincoli, Valentino De Ruvo, Gerald Schmidinger, Emilio Pedrotti, Giorgio Marchini
Affiliations

Spotlight on Amniotic Membrane Extract Eye Drops: A Review of the Literature

Raphael Kilian et al. Eye Contact Lens. .

Abstract

Objective: To review the literature focusing on the effectiveness of amniotic membrane extract eye drops (AMEDs) in the treatment of ocular surface diseases.

Methods: PubMed/MEDLINE, Scopus, and CENTRAL databases were searched until March 4, 2024. Overall, we identified 1,121 studies, 26 of which were selected for a full-text review. Twelve studies met the inclusion criteria and were analyzed for clinical improvements, time to resolution of corneal staining, adverse events, and preparation methods. Strength of clinical data was graded according to the Oxford Center for Evidence-Based Medicine.

Results: Overall, AMED compounds were used in 296 eyes of 205 patients. Fifty-nine percent of eyes were treated for dry eye disease, 23% for an epithelial defect, and the rest (18%) for other corneal wound healing disorders. Three main types of eye drops preparation were described, that is, lyophilized, homogenized, and fresh AMED. Although the methods of outcome reporting were heterogeneous, all included studies showed various grades of improvement in both signs and symptoms. The overall incidence of ocular side effects was 2.3%.

Conclusions: Despite the suboptimal quality of evidence, overall, the available literature suggests that AMED is a valuable tool in the treatment of ocular surface disorders.

Keywords: Amniotic membrane extract; Amniotic membrane extract eye drops; Ocular surface disorders.

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Conflict of interest statement

The authors have no funding or conflicts of interest to disclose.

References

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