Corneal Descemetocele Management with Multi-Layer Amniotic Membrane Transplantation in an Ocular Graft-versus-Host Disease Case.

Medicina (Kaunas)

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Sun Yat-sen University, Guangzhou 510060, China.

Published: September 2023

AI Article Synopsis

  • Chronic ocular graft-versus-host disease (oGVHD) commonly arises after allogeneic hematopoietic stem cell transplantation, leading to serious eye issues like inflammation and dry eye that can result in corneal perforation.
  • A 47-year-old female patient experienced severe symptoms, including dryness and blurred vision, which were diagnosed as graft-versus-host disease with corneal descemetocele in her left eye.
  • Multi-layer amniotic membrane transplantation successfully improved her symptoms, providing relief and time to prepare for potential corneal transplantation.

Article Abstract

: Chronic ocular graft-versus-host disease (oGVHD) is a common ocular complication following allogeneic hematopoietic stem cell transplantation (allo-HSCT), characterized by progressive inflammation of the ocular surface and refractory dry eye. In severe cases, sterile corneal perforation can occur, which poses a significant challenge, due to the low survival rate of grafts after corneal transplantation. : A 47-year-old female presented to our hospital with persistent dryness, foreign body sensation, and blurred vision in her left eye. Diagnosis of graft-versus-host disease with corneal descemetocele in the left eye was made after detailed history review and thorough examination. Multi-layer amniotic membrane transplantation was performed in the affected eye, resulting in amelioration of the patient's symptoms. This amelioration of symptoms provided the patient with a level of comfort that permitted additional time while awaiting corneal transplantation. : We report a successful case of multi-layer amniotic membrane transplantation for the management of corneal descemetocele following allo-HSCT.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607979PMC
http://dx.doi.org/10.3390/medicina59101733DOI Listing

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