Br J Ophthalmol 2001;85:345-349
( March )
Effects of amniotic membrane on epithelial wound healing and
stromal remodelling after excimer laser keratectomy in rabbit cornea
H-M Woob, M S Kima, O-K Kweonb, D-Y Kimb, T-C Namb, J H Kima
a Department of
Ophthalmology, Kangnam St Mary's Hospital, The Catholic University of
Korea, College of Medicine, Seoul, Korea, b College of Veterinary Medicine, Seoul
National University, Suwon, Korea
Correspondence to: Dr M S Kim
mskim{at}cmc.cuk.ac.kr
Accepted for publication 10 July 2000
AIMS
To investigate if
the amniotic membrane (AM) promotes epithelial migration while
inhibiting stromal remodelling associated with corneal haze after
excimer laser keratectomy.
METHODS
A wound
150 µm in depth and 6.0 mm in diameter was produced in 40 rabbits
using an excimer laser. One eye was randomly chosen to be covered by
the AM while the other eye served as a control. Epithelial wound
healing was evaluated, together with any morphological changes of the
anterior stroma connected with corneal haze. These morphological
changes were histopathologically analysed using dichlortriazinyl
aminofluorescein (DTAF), Masson trichrome staining, and an image analyser.
RESULTS
The AM group
had a short latent phase followed by fast epithelial healing (p<0.001)
during the early wound healing period and a significant decrease in the
inflammatory response, together with a smaller change in the number of
keratocytes than the control group. The mean thickness of the
regenerated stroma was significantly thinner in the AM group than in
the control group at 8 weeks (p<0.0001). The AM group had a more
regular architecture of regenerated stromal lamella at 8 weeks and
significantly less haze after 4 weeks than the control group (p<0.05).
CONCLUSION
Use of the
AM as a dressing on a corneal wound created by excimer laser surgery,
in which severe haze is expected, may induce rapid epithelial healing
with less inflammatory response. The AM may inhibit the irregular
synthesis of stromal collagen that is associated with corneal haze.
© 2001 by British Journal of Ophthalmology