Post Operative Care for Corneal Indications Following AMT

Postoperative care varies depending on the clinical setting in which the AMT has been performed. Medications such as medication usually includes 1% prednisolone acetate four times a day and 0.3% ofloxacin three times a day are typically prescribed.

The corneal epithelialization can be assessed by fluorescein staining and the intraocular pressure can be monitored by Tonopen without removing PROKERA™ or AMNIOGRAFT®.

When used as a temporary graft, the membrane does cut down the light transmission, leading to a blurry vision.

If the membrane dissolves within one week, it usually indicates that there is still unwanted exposure, such as lagophthalmos.

If the membrane stays longer than one week, the healing coincides with the membrane dissolution, e.g., 1-2 weeks in general. Upon complete healing, ProKera™ or AmnioGraft® can be easily removed from the ocular surface under a slit-lamp microscope with forceps (video).

Ofloxacin is then stopped and prednisolone eye drop is tapered off at a weekly schedule. A high DK contact lens is applied for one to two weeks before 10-O nylon suture holding the permanent graft is removed. Afterwards, one should continue watching for SPK returning to the area. If so, a Night and Day Focus lens or a permanent small tarsorrhphay is needed.

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