Amniotic membrane graft after excision of widespread conjunctival concretions

• Autor(a) principal: Brízido,Margarida Costa e Silva Sena
• Data de Publicação: 2021
• Outros Autores: Lopes,Beatriz de Oliveira, Almeida,Ana Catarina Rodrigues, Miranda,Margarida Maria Domingas Isidoro, Soares,Ícaro Perez
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Revista Brasileira de Oftalmologia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000300500
• topic: Conjunctival diseases/surgery; Amnion/transplantation; Conservative treatment; Fibrin tissue adhesive/therapeutic use

ABSTRACT Conjunctival concretions are single or clustered lesions frequently found on the palpebral conjunctiva. They are commonly present in older individuals, despite being rarely symptomatic. This case report describes an 83-year-old man with multiple conjunctival concretions, which were surgically treated. The patient was symptomatic on presentation and did not respond to conservative treatment. For this reason, a surgical approach was considered. After wide excision of the conjunctival lesions, a piece of amniotic membrane was fitted using fibrin glue. During follow-up, a markedly improvement in patient's symptoms was observed, along with nearly complete absence of conjunctival concretions. This is the first case report addressing extensive conjunctival concretions with a surgical approach using amniotic membrane. The authors conceived the technique described after noticing the limited clinical options in the literature. This technique was easily performed and achieved satisfactory results.