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Purpose <p>To report a successful amniotic membrane transplantation (AMT) for painful decompensated cornea using a trephination-assisted inlay technique and to highlight its long-term efficacy and advantages over conventional methods.</p> Materials and Methods <p>Case report.</p> Result <p>A 39-year-old gentleman presented with chronic left eye pain for months. His left eye was blind since 10&#xa0;years old due to treated traumatic retinal detachment. Examination revealed left corneal scarring and band keratopathy with pseudo-pterygium formation. There was no fundus view. He was offered AMT after frequent failure of bandage contact lens use and refusal of evisceration. He underwent pseudo-pterygium excision and chelation of band keratopathy at the same setting. The AM was tucked into the pre-trephined cornea groove via inlay transplantation and secured with nylon 10/0. He recovered well and remained pain free post-operatively.</p> Conclusion <p>AMT is an effective alternative for treating painful decompensated cornea, as it can greatly enhance a patient’s quality of life while also offering cosmetic benefits.</p>

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Trephination-Assisted Inlay Amniotic Membrane Transplantation for Painful Decompensated Cornea in a Blind Eye

  • 期刊论文

  • 发表日期：

    2025年8月2日

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  • Damian Wen Xian Liew,
  • On Heong Liew,
  • N. Khaliddin,
  • Lindfay Laura Lau,
  • Yi Wen Lim

摘要

Purpose

To report a successful amniotic membrane transplantation (AMT) for painful decompensated cornea using a trephination-assisted inlay technique and to highlight its long-term efficacy and advantages over conventional methods.

Materials and Methods

Case report.

Result

A 39-year-old gentleman presented with chronic left eye pain for months. His left eye was blind since 10 years old due to treated traumatic retinal detachment. Examination revealed left corneal scarring and band keratopathy with pseudo-pterygium formation. There was no fundus view. He was offered AMT after frequent failure of bandage contact lens use and refusal of evisceration. He underwent pseudo-pterygium excision and chelation of band keratopathy at the same setting. The AM was tucked into the pre-trephined cornea groove via inlay transplantation and secured with nylon 10/0. He recovered well and remained pain free post-operatively.

Conclusion

AMT is an effective alternative for treating painful decompensated cornea, as it can greatly enhance a patient’s quality of life while also offering cosmetic benefits.