Uso de transplante de membrana amniótica no tratamento da ceratopatia bolhosa
Autor(a) principal: | |
---|---|
Data de Publicação: | 2003 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0004-27492003000200002 http://repositorio.unifesp.br/handle/11600/1613 |
Resumo: | PURPOSE: To evaluate the therapeutic effect on amniotic membrane transplantation in symptomatic bullous keratopathy. METHODS: Nine patients with symptomatic bullous keratopathy, candidates or not for penetrating keratoplasty were evaluated before, 1, 3, 6 and 12 months after amniotic membrane transplantation. During each visit, patients have been asked about pain, photophobia, and foreign body sensation and were submitted to complete ophthalmological evaluation, esthesiometry and ultrasound pachymetry. RESULTS: Comparing evaluations performed previously and after the procedure regarding pain, photophobia, foreign body sensation and esthesiometry, there was a statistical significant reduction in symptoms and corneal sensitivity. Medium pachymetry showed an increased thickness soon after the procedure and decreasing between 6 and 12 months. It was observed that after 6 months of follow-up, the transplanted amniotic membrane became partially dissolved in 3 cases (33.3%) and totally dissolved in other 3 cases (33.3%). CONCLUSION: Amniotic membrane transplantation represents an effective alternative for the treatment of symptomatic bullous keratopathy up to 12 months of follow-up. |
id |
UFSP_1c8d0195249288535989f6efacf4a5c7 |
---|---|
oai_identifier_str |
oai:repositorio.unifesp.br/:11600/1613 |
network_acronym_str |
UFSP |
network_name_str |
Repositório Institucional da UNIFESP |
repository_id_str |
3465 |
spelling |
Uso de transplante de membrana amniótica no tratamento da ceratopatia bolhosaUse of amniotic membrane transplantation to treat bullous keratopathyAmnionTransplantation, heterotopicCorneal diseasesÂmnioTransplante heterotópicoDoenças da córneaPURPOSE: To evaluate the therapeutic effect on amniotic membrane transplantation in symptomatic bullous keratopathy. METHODS: Nine patients with symptomatic bullous keratopathy, candidates or not for penetrating keratoplasty were evaluated before, 1, 3, 6 and 12 months after amniotic membrane transplantation. During each visit, patients have been asked about pain, photophobia, and foreign body sensation and were submitted to complete ophthalmological evaluation, esthesiometry and ultrasound pachymetry. RESULTS: Comparing evaluations performed previously and after the procedure regarding pain, photophobia, foreign body sensation and esthesiometry, there was a statistical significant reduction in symptoms and corneal sensitivity. Medium pachymetry showed an increased thickness soon after the procedure and decreasing between 6 and 12 months. It was observed that after 6 months of follow-up, the transplanted amniotic membrane became partially dissolved in 3 cases (33.3%) and totally dissolved in other 3 cases (33.3%). CONCLUSION: Amniotic membrane transplantation represents an effective alternative for the treatment of symptomatic bullous keratopathy up to 12 months of follow-up.OBJETIVO: Avaliar o efeito terapêutico do transplante de membrana amniótica no tratamento da ceratopatia bolhosa. MÉTODOS: Nove pacientes portadores de ceratopatia bolhosa sintomática, com baixa acuidade visual, com e sem indicação de transplante de córnea foram avaliados antes, 1, 3, 6 e 12 meses após transplante de membrana amniótica. Em cada visita, os pacientes foram questionados sobre intensidade da dor, fotofobia, sensação de corpo estranho, e submetidos a exame oftalmológico completo,estesiometria e paquimetria. RESULTADOS: As comparações realizadas entre os valores antes e após o procedimento referentes à dor, fotofobia, sensação de corpo estranho e estesiometria apresentaram diferenças estatisticamente significantes quanto à diminuição desses sintomas e da sensibilidade corneal (p<0,05). A paquimetria apresentou aumento da espessura logo após o procedimento e uma diminuição entre as avaliações de 6 e 12 meses, que foram estatisticamente significantes (p<0,05). Após o sexto mês de seguimento, observou-se reabsorção parcial da membrana amniótica em 3 casos (33,3%) e reabsorção total em outros 3 casos (33,3%). CONCLUSÃO: O transplante de membrana amniótica representa modalidade efetiva no controle dos sintomas da ceratopatia bolhosa por até 12 meses.Universidade Federal de São Paulo (UNIFESP) Departamento de Oftalmologia Setor de Córnea e Doenças ExternasUNISA Faculdade de Medicina de Santo AmaroUNIFESP, Depto. de Oftalmologia Setor de Córnea e Doenças ExternasSciELOConselho Brasileiro de OftalmologiaUniversidade Federal de São Paulo (UNIFESP)UNISA Faculdade de Medicina de Santo AmaroHaraguchi, Daniel Keizo de MedeirosGomes, José Álvaro Pereira [UNIFESP]Sato, Elcio Hideo [UNIFESP]Novo, Neil Ferreira [UNIFESP]Freitas, Denise de [UNIFESP]2015-06-14T13:29:53Z2015-06-14T13:29:53Z2003-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion121-124application/pdfhttp://dx.doi.org/10.1590/S0004-27492003000200002Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 66, n. 2, p. 121-124, 2003.10.1590/S0004-27492003000200002S0004-27492003000200002.pdf0004-2749S0004-27492003000200002http://repositorio.unifesp.br/handle/11600/1613porArquivos Brasileiros de Oftalmologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T16:00:31Zoai:repositorio.unifesp.br/:11600/1613Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T16:00:31Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Uso de transplante de membrana amniótica no tratamento da ceratopatia bolhosa Use of amniotic membrane transplantation to treat bullous keratopathy |
title |
Uso de transplante de membrana amniótica no tratamento da ceratopatia bolhosa |
spellingShingle |
Uso de transplante de membrana amniótica no tratamento da ceratopatia bolhosa Haraguchi, Daniel Keizo de Medeiros Amnion Transplantation, heterotopic Corneal diseases Âmnio Transplante heterotópico Doenças da córnea |
title_short |
Uso de transplante de membrana amniótica no tratamento da ceratopatia bolhosa |
title_full |
Uso de transplante de membrana amniótica no tratamento da ceratopatia bolhosa |
title_fullStr |
Uso de transplante de membrana amniótica no tratamento da ceratopatia bolhosa |
title_full_unstemmed |
Uso de transplante de membrana amniótica no tratamento da ceratopatia bolhosa |
title_sort |
Uso de transplante de membrana amniótica no tratamento da ceratopatia bolhosa |
author |
Haraguchi, Daniel Keizo de Medeiros |
author_facet |
Haraguchi, Daniel Keizo de Medeiros Gomes, José Álvaro Pereira [UNIFESP] Sato, Elcio Hideo [UNIFESP] Novo, Neil Ferreira [UNIFESP] Freitas, Denise de [UNIFESP] |
author_role |
author |
author2 |
Gomes, José Álvaro Pereira [UNIFESP] Sato, Elcio Hideo [UNIFESP] Novo, Neil Ferreira [UNIFESP] Freitas, Denise de [UNIFESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) UNISA Faculdade de Medicina de Santo Amaro |
dc.contributor.author.fl_str_mv |
Haraguchi, Daniel Keizo de Medeiros Gomes, José Álvaro Pereira [UNIFESP] Sato, Elcio Hideo [UNIFESP] Novo, Neil Ferreira [UNIFESP] Freitas, Denise de [UNIFESP] |
dc.subject.por.fl_str_mv |
Amnion Transplantation, heterotopic Corneal diseases Âmnio Transplante heterotópico Doenças da córnea |
topic |
Amnion Transplantation, heterotopic Corneal diseases Âmnio Transplante heterotópico Doenças da córnea |
description |
PURPOSE: To evaluate the therapeutic effect on amniotic membrane transplantation in symptomatic bullous keratopathy. METHODS: Nine patients with symptomatic bullous keratopathy, candidates or not for penetrating keratoplasty were evaluated before, 1, 3, 6 and 12 months after amniotic membrane transplantation. During each visit, patients have been asked about pain, photophobia, and foreign body sensation and were submitted to complete ophthalmological evaluation, esthesiometry and ultrasound pachymetry. RESULTS: Comparing evaluations performed previously and after the procedure regarding pain, photophobia, foreign body sensation and esthesiometry, there was a statistical significant reduction in symptoms and corneal sensitivity. Medium pachymetry showed an increased thickness soon after the procedure and decreasing between 6 and 12 months. It was observed that after 6 months of follow-up, the transplanted amniotic membrane became partially dissolved in 3 cases (33.3%) and totally dissolved in other 3 cases (33.3%). CONCLUSION: Amniotic membrane transplantation represents an effective alternative for the treatment of symptomatic bullous keratopathy up to 12 months of follow-up. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-01-01 2015-06-14T13:29:53Z 2015-06-14T13:29:53Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0004-27492003000200002 Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 66, n. 2, p. 121-124, 2003. 10.1590/S0004-27492003000200002 S0004-27492003000200002.pdf 0004-2749 S0004-27492003000200002 http://repositorio.unifesp.br/handle/11600/1613 |
url |
http://dx.doi.org/10.1590/S0004-27492003000200002 http://repositorio.unifesp.br/handle/11600/1613 |
identifier_str_mv |
Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 66, n. 2, p. 121-124, 2003. 10.1590/S0004-27492003000200002 S0004-27492003000200002.pdf 0004-2749 S0004-27492003000200002 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
121-124 application/pdf |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268403046678528 |