Use of Human Amniotic Membrane for Eye Care in Nigeria: Cornea And Anterior Segment

PY Jiya; ER Abah; SK Ameen; C Galadima; UU Iheanacho

Authors

PY Jiya Department of Cornea and Anterior Segment, National Eye Centre, Kaduna
ER Abah Department of Ophthalmology, A.B.U Teaching Hospital, Shika-Zaria
SK Ameen Department of Oculoplasty, National Eye Centre, Kaduna
C Galadima Department of Cornea and Anterior Segment, National Eye Centre, Kaduna
UU Iheanacho Department of Cornea and Anterior Segment, National Eye Centre, Kaduna

Abstract

Introduction: Davis in 1910 was the first to report the use of fetal membrane as surgical material in skin transplantation1 . Donor is screened serologically for potentially communicable diseases including human immunodeficiency virus, hepatitis B and C viruses and syphilis 6 months before and after processing. Human amniotic membrane (HAM) is widely used in various surgical specialties2, 3 There are few reports of its use from Nigeria in the management of Pterygium4 and treatment of deep corneal ulcer5,6. The aim of the study is to determine the use of HAM by ophthalmologists in Nigeria, evaluate barrier to its use and possible ways of overcoming such.

Methods: A cross sectional descriptive study using structured self-administered questionnaire to consenting Ophthalmologist who attended 2016 Ophthalmological Society of Nigeria Annual Scientific Conference held in Port Harcourt. Segments of the questionnaire included bio-data, the use and challenges in the use of AM. The data was analyzed using SPSS version 23.0 statistical package.

References

Davis JW. Skin transplantation with a review of 550 cases at the Johns Hopkins Hospital. Johns Hopkins Med J 1910; 15: 307.

Rahman I, Said DG, Maharajan VS, Dua HS. Amniotic membrane in ophthalmology: indications and limitations. Eye (2009) 23, 1954–1961.

Dua HS, Gomes JA, King AJ, Maharajan VS. The amniotic membrane in ophthalmology. Surv Ophthalmol 2004; 49: 51–77.

Okoye O, Oqueqo NC, Chuka-Okosa CM, Chanta M. Short term results of pterygium surgery with adjunctive amniotic membrane graft. Niger J Clin Pract 2013 Jul-Sep; 16(3): 356-9.

Waziri-Erameh JA, Omoti AE, Uduose AU. Fresh non-preserved human amniotic membrane transplantation in the treatment of deep corneal ulcers in a developing country (Nigeria): Case report on initial experience. Niger J Clin Pract 2010; 13:94-97.

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