The amniotic membrane in ophthalmology.

Abstract:

:The amniotic membrane is the innermost of the three layers forming the fetal membranes. It was first used in 1910 in skin transplantation. Thereafter it has been used in surgical procedures related to the genito-urinary tract, skin, brain, and head and neck, among others. The first documented ophthalmological application was in the 1940s when it was used in the treatment of ocular burns. Following initial reports, its use in ocular surgery abated until recently when it was re-discovered in the Soviet Union and South America. Its introduction to North America in the early 1990s heralded a massive surge in the ophthalmic applications of this membrane. The reintroduction of amniotic membrane in ophthalmic surgery holds great promise; however, although it has been shown to be a useful and viable alternative for some conditions, it is currently being used far in excess of its true useful potential. In many clinical situations it offers an alternative to existing management options without any distinct advantage over the others. Further studies will undoubtedly reveal the true potential of the membrane, its mechanism(s) of action, and the effective use of this tissue in ophthalmology.

journal_name

Surv Ophthalmol

journal_title

Survey of ophthalmology

authors

Dua HS,Gomes JA,King AJ,Maharajan VS

doi

10.1016/j.survophthal.2003.10.004

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

51-77

issue

1

eissn

0039-6257

issn

1879-3304

pii

S0039625703001267

journal_volume

49

pub_type

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