Effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular burns

AIM: To investigate the effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular surface repair time, repair rate and complications in patients with ocular burns. <p>METHODS: The clinical data of each 61 cases(61 eyes)of patients with ocul...

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Main Authors: Guo-Ning Ye, Peng-Fei Tian, Min Zhang, Su-Yun Yang
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2018-10-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2018/10/201810032.pdf
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author Guo-Ning Ye
Peng-Fei Tian
Min Zhang
Su-Yun Yang
author_facet Guo-Ning Ye
Peng-Fei Tian
Min Zhang
Su-Yun Yang
author_sort Guo-Ning Ye
collection DOAJ
description AIM: To investigate the effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular surface repair time, repair rate and complications in patients with ocular burns. <p>METHODS: The clinical data of each 61 cases(61 eyes)of patients with ocular burns who were treated by limbal stem cell autograft transplantation(control group)or amniotic membrane transplantation combined with limbal stem cell autograft transplantation(observation group)were retrospectively analyzed. The postoperative ocular surface repair rate, repair time, and visual acuity and complications(symblepharon, corneal neovascularization, and keratohelcosis)at 12wk after operation were recorded in the two groups, and the levels of cytokines \〖vascular endothelial growth factor(VEGF), transforming growth factor-β1(TGF-β1), insulin-like growth factor-1(IGF-1)\〗 were compared between the two groups before operation and at 2wk after operation. <p>RESULTS: The postoperative ocular surface repair rate in observation group was higher than that in control group(<i>P</i><0.05)while the repair time was less than that in control group(<i>P</i><0.05). At 12wk after operation, the visual acuity in observation group was significantly better than that in control group(<i>P</i><0.05), and the total incidence rate of postoperative complications in observation group was significantly lower than that in control group(<i>P</i><0.05). At 2wk after operation, the levels of serum VEGF, TGF-β1 and IGF-1 in the two groups were significantly higher than those before operation(<i>P</i><0.05), and the levels in control group were higher than those in observation group(<i>P</i><0.05). <p>CONCLUSION: Amniotic membrane transplantation combined with limbal stem cell autograft transplantation has significant treatment effects on patients with ocular burns, and it can promote ocular surface repair, improve postoperative visual acuity, and can also regulate corneal neovascularization, and it also has positive significance in reducing the risk of postoperative complications.
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spelling doaj.art-43bd5bfa21b64ab8b710c6c02ce2f7982022-12-21T18:20:49ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232018-10-0118101886188910.3980/j.issn.1672-5123.2018.10.32Effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular burnsGuo-Ning Ye0Peng-Fei Tian1Min Zhang2Su-Yun Yang3Department of Ophthalmology, Zhejiang Quhua Hospital, Quzhou 324000, Zhejiang Province, ChinaDepartment of Ophthalmology, Zhejiang Quhua Hospital, Quzhou 324000, Zhejiang Province, ChinaDepartment of Ophthalmology, Zhejiang Quhua Hospital, Quzhou 324000, Zhejiang Province, ChinaDepartment of Ophthalmology, Zhejiang Quhua Hospital, Quzhou 324000, Zhejiang Province, ChinaAIM: To investigate the effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular surface repair time, repair rate and complications in patients with ocular burns. <p>METHODS: The clinical data of each 61 cases(61 eyes)of patients with ocular burns who were treated by limbal stem cell autograft transplantation(control group)or amniotic membrane transplantation combined with limbal stem cell autograft transplantation(observation group)were retrospectively analyzed. The postoperative ocular surface repair rate, repair time, and visual acuity and complications(symblepharon, corneal neovascularization, and keratohelcosis)at 12wk after operation were recorded in the two groups, and the levels of cytokines \〖vascular endothelial growth factor(VEGF), transforming growth factor-β1(TGF-β1), insulin-like growth factor-1(IGF-1)\〗 were compared between the two groups before operation and at 2wk after operation. <p>RESULTS: The postoperative ocular surface repair rate in observation group was higher than that in control group(<i>P</i><0.05)while the repair time was less than that in control group(<i>P</i><0.05). At 12wk after operation, the visual acuity in observation group was significantly better than that in control group(<i>P</i><0.05), and the total incidence rate of postoperative complications in observation group was significantly lower than that in control group(<i>P</i><0.05). At 2wk after operation, the levels of serum VEGF, TGF-β1 and IGF-1 in the two groups were significantly higher than those before operation(<i>P</i><0.05), and the levels in control group were higher than those in observation group(<i>P</i><0.05). <p>CONCLUSION: Amniotic membrane transplantation combined with limbal stem cell autograft transplantation has significant treatment effects on patients with ocular burns, and it can promote ocular surface repair, improve postoperative visual acuity, and can also regulate corneal neovascularization, and it also has positive significance in reducing the risk of postoperative complications.http://ies.ijo.cn/cn_publish/2018/10/201810032.pdfocular burnsamniotic membrane transplantationlimbal stem cell autograft transplantationocular surface repairneovascularizationneovascularization
spellingShingle Guo-Ning Ye
Peng-Fei Tian
Min Zhang
Su-Yun Yang
Effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular burns
Guoji Yanke Zazhi
ocular burns
amniotic membrane transplantation
limbal stem cell autograft transplantation
ocular surface repair
neovascularization
neovascularization
title Effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular burns
title_full Effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular burns
title_fullStr Effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular burns
title_full_unstemmed Effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular burns
title_short Effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular burns
title_sort effects of amniotic membrane transplantation combined with limbal stem cell autograft transplantation on ocular burns
topic ocular burns
amniotic membrane transplantation
limbal stem cell autograft transplantation
ocular surface repair
neovascularization
neovascularization
url http://ies.ijo.cn/cn_publish/2018/10/201810032.pdf
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AT minzhang effectsofamnioticmembranetransplantationcombinedwithlimbalstemcellautografttransplantationonocularburns
AT suyunyang effectsofamnioticmembranetransplantationcombinedwithlimbalstemcellautografttransplantationonocularburns