Amniotic membrane transplantation with cauterization for keratoconus complicated by persistent hydrops in mentally retarded patients.

摘要: Purpose Vigorous eye rubbing is a cause of extensive hydrops in mentally retarded patients with keratoconus. We describe new management approach for this condition. Design Prospective, noncomparative, consecutive case series. Participants Ten eyes 10 aged 18 to 37 years (8 Down syndrome and 2 oligophrenia not associated syndrome). All had persistent the course keratoconus that was refractory traditional therapy. Intervention The underwent multifocal cauterization cornea combined amniotic membrane transplantation. Main Outcome Measures Corneal protuberance, final corneal thickness, time resolution, postoperative complications were assessed. Results Hydrops successfully resolved all eyes. mean initial protuberance (7.6±4.2 mm) after 21.4±9.5 days Mean central thickness 0.47±0.11 mm. Extent resolution positively correlated each other. Conclusions Amniotic transplantation series highly effective treatment related