J Korean Ophthalmol Soc > Volume 49(3); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(3):503-508.
DOI: https://doi.org/10.3341/jkos.2008.49.3.503    Published online March 31, 2008.
7 Cases of Combined Corneal Tattooing and Amniotic Membrane Transplantation in Bullous Keratopathy.
Yong Kyu Kim, Young Keun Han, Won Ryang Wee, Jin Hak Lee, Ji Won Kwon
1Department of Ophthalmology, Seoul National University College of Medicine, Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Seoul, Korea.
2Department of Ophthalmology, Seoul National University Boramae Hospital, Seoul, Korea.
3Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
4Seoul National University Hospital, Health Care System Gangnam Center, Healthcare Research Institute, Seoul, Korea.
수포각막병증에서 각막문신술과 양막이식술 동시 시행 7예
김용규1ㆍ한영근2ㆍ위원량1ㆍ이진학3ㆍ권지원1,4
"Department of Ophthalmology, Seoul National University College of Medicine, Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute1, Seoul, KoreaDepartment of Ophthalmology, Seoul National University Boramae Hospital2, Seoul, KoreaDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital3, Seongnam, KoreaSeoul National University Hospital, Health Care System Gangnam Center, Healthcare Research Institute4, Seoul, Korea"
Correspondence:  Yong Kyu Kim, M.D.1
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.
Key Words: Amniotic membrane transplantation;Bullous keratopathy;Corneal tattooing


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