Therapeutic effect of amniotic membrane transplantation for reconstruction of conjunctival sac combined with orbital implant implantation

Objective To observe the therapeutic effect of amniotic membrane transplantation for reconstruction of conjunctival sac combined with orbital implant implantation.Methods Thirty cases suffered of orbital sunken combined with degree Ⅰ or degree Ⅱ conjunctival constriction were treated with amniotic membrane transplantation for reconstruction of conjunctival sac and combined with orbital implant implantation simultaneously.The superior and lower eyelid were closed with mattress suture.Stitches were removed three months after surgery and the suitable prosthesis was made. Results Three months after surgery,12 eyes of degree Ⅰ conjunctival sac constriction were all cured.In degree Ⅱ conjunctival sac constriction,15 eyes were cured and 3 eyes were improved.No exposure,secondary infection or symblepharon were occurred in 30 eyes with completed treatment,and these patients were satisfied with the good motility and the cosmetic results. Conclusions Amniotic membrane transplantation for reconstruction of conjunctival sac combined with orbital implant implantation is safe and effective in orbital sunken combined with degree Ⅰ or degree Ⅱ conjunctival constriction.