Amniotic membrane transplantation: structural and biological properties, tissue preparation, application and clinical indications.

Abstract

The amniotic membrane is a single epithelial layer of the placenta. It has anti-inflammatory, anti-scarring, anti-angiogenic and possibly bactericidal properties. The basement membrane of the amniotic membrane acts as a substrate to encourage healing and re-epithelialisation. It has been used in many ocular surface diseases including persistent epithelial defects (corneal or conjunctival), chemical or thermal burns, limbal stem cell deficiency, cicatrising conjunctivitis, ocular graft versus host disease, microbial keratitis, corneal perforation, bullous keratopathy, dry eye disease, corneal haze following refractive surgery and cross-linking, band keratopathy, ocular surface neoplasia, pterygium surgery, and ligneous conjunctivitis. This review provides an up-to-date overview of amniotic membrane transplantation including the structural and biological properties, preparation and application, clinical indications, and commercially available products.

• Authors: Francis W B Sanders, Jinhai Huang, Jorge L Alió Del Barrio, Samer Hamada, Colm McAlinden
• Journal: Eye (London, England) (Eye (Lond)) (Oct 24 2023) ISSN: 1476-5454 [Electronic] England
• PMID: 37875701 (Publication Type: Journal Article, Review)
• Copyright: © 2023. The Author(s), under exclusive licence to The Royal College of Ophthalmologists.