Zeitschrift für klinische und experimentelle Ophthalmologie
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The Use of Amniotic Membrane in the Management of Strabismus Reoperation Cases

Betul Tugcu, Firat Helvacioglu, Erdal Yuzbasioglu and Cere Gurez

Objective: To describe the use of amniotic membrane (AM) in reoperations to decrease scar formation and to improve ductions.
 
Design: Prospective interventional case series.
 
Participants: Four previously operated cases with restrictive strabismus.
 
Methods: Objective clinical findings were recorded during both pre and post-operative periods. Excision of adhesions and scar tissue, repositioning of extraocular muscles and placement of AM between muscle, sclera and tenon tissue were performed.
 
Results: Orthophoria with no duction deficits was achieved in 2 patients. One patient with fat adherence syndrome had orthophoria with -1 adduction deficit. Only one patient with congenital fibrosis syndrome had 25 PD of esotropia with abduction deficit (-2).
 
Conclusions: We believe that AM placement between the extra ocular muscle, sclera and tenon tissue improves the ductions by inhibiting post-operative scar formation.