Amniotic membrane transplantation versus anterior stromal puncture in bullous keratopathy: a comparative study

Autor(es)

Paris, Fabiana dos Santos ^[1] ; Goncalves, Eliana Domingues ^[1] ; de Queiroz Campos, Mauro Silveira ^[1] ; Sato, Elcio Hideo ^[1] ; Dua, Harminder S. ^[2] ; Pereira Gomes, Jose Alvaro ^[1]

Afiliação do(s) autor(es)

^[1] Fed Univ Sao Paulo UNIFESP, Dept Ophthalmol, External Eye Dis & Cornea Serv, BR-17509020 Sao Paulo - Brazil

^[2] Univ Nottingham, Div Ophthalmol & Visual Sci, Nottingham NG7 2RD - England

• Tipo de documento: Artigo Científico
• Fonte: BRITISH JOURNAL OF OPHTHALMOLOGY; v. 97, n. 8, p. 980-984, AUG 2013.
• Citações Web of Science: 6

Resumo

Purpose To compare amniotic membrane transplantation (AMT) and anterior stromal puncture (ASP) in the management of pain in patients with symptomatic bullous keratopathy (BK). Methods In this prospective comparative study, 40 eyes of 40 patients with symptomatic BK (chronic intermittent pain) were randomised and divided into two groups (AMT and ASP) according to the technique used to treat symptomatic BK. The patients were examined on days 1, 14, 30, 90 and 180 postoperatively. Patients with BK under the age of 18 with raised eye pressure, concurrent ocular surface infection and those without any pain were excluded. Results At follow-up at 90 and 180days the presence of a regular epithelial surface was higher in the AMT group (60% and 50%, respectively) than in the ASP group (16.7% and 6. 3%, p=0.006 and p=0.008, respectively). At 180days follow-up there was no statistical difference between the two groups in the severity (p=0.391) or duration (p=0.715) of pain. Conclusions AMT is similar to ASP in the relief of pain in symptomatic BK. However, ASP is a simple outpatient procedure and should cost less than AMT. NCT 00659308 (AU)

• Processo FAPESP: 01/07036-3 - Reconstrução da superfície ocular: aspectos básicos, clínicos e cirúrgicos
• Beneficiário: Rubens Belfort Mattos Junior
• Modalidade de apoio: Auxílio à Pesquisa - Temático