Amniotic membrane in ophthalmology: properties, preparation, storage and indications for grafting—a review View Full Text


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Article Info

DATE

2017-03-02

AUTHORS

Katerina Jirsova, Gary L. A. Jones

ABSTRACT

The use of amniotic membrane in ophthalmic surgery and other surgical procedures in the fields of dermatology, plastic surgery, genitourinary medicine and otolaryngology is on the increase. Furthermore, amniotic membrane and its epithelial and mesenchymal cells have broad use in regenerative medicine and hold great promise in anticancer treatment. Amniotic membrane is a rich source of biologically active factors and as such, promotes healing and acts as an effective material for wound dressing. Amniotic membrane supports epithelialization and exhibits anti-fibrotic, anti-inflammatory, anti-angiogenic and anti-microbial features. Placentas utilised in the preparation of amniotic membrane are retrieved from donors undergoing elective caesarean section. Maternal blood must undergo serological screening at the time of donation and, in the absence of advanced diagnostic testing techniques, 6 months postpartum in order to cover the time window for the potential transmission of communicable diseases. Amniotic membrane is prepared by blunt dissection under strict aseptic conditions, then is typically transferred onto a nitrocellulose paper carrier, usually with the epithelial side up, and cut into multiple pieces of different dimensions. Amniotic membrane can be stored under various conditions, most often cryopreserved in glycerol or dimethyl sulfoxide or their mixture with culture medium or buffers. Other preservation methods include lyophilisation and air-drying. In ophthalmology, amniotic membrane is increasingly used for ocular surface reconstruction, including the treatment of persistent epithelial defects and non-healing corneal ulcers, corneal perforations and descemetoceles, bullous keratopathy, as well as corneal disorders with associated limbal stem cell deficiency, pterygium, conjunctival reconstruction, corneoscleral melts and perforations, and glaucoma surgeries. More... »

PAGES

193-204

References to SciGraph publications

  • 2006-04-13. Comparison of intact and denuded amniotic membrane as a substrate for cell-suspension culture of human limbal epithelial cells in GRAEFE'S ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
  • 2009-08-20. Comparison of cryopreserved and air-dried human amniotic membrane for ophthalmologic applications in GRAEFE'S ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
  • 2009-01-23. Amniotic membrane in ophthalmology: indications and limitations in EYE
  • 2016-07-18. Optimizing amniotic membrane tissue banking protocols for ophthalmic use in CELL AND TISSUE BANKING
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  • 2015-07-11. Amniotic membranes in ophthalmology: long term data on transplantation outcomes in CELL AND TISSUE BANKING
  • 2013-10-14. Human amniotic epithelial cells can differentiate into granulosa cells and restore folliculogenesis in a mouse model of chemotherapy-induced premature ovarian failure in STEM CELL RESEARCH & THERAPY
  • 2001-09. Further evaluation of amniotic membrane banking for transplantation in ocular surface diseases in CELL AND TISSUE BANKING
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  • 2014-02-16. A skin substitute based on human amniotic membrane in CELL AND TISSUE BANKING
  • 2012-05-18. Amniotic membrane: from structure and functions to clinical applications in CELL AND TISSUE RESEARCH
  • 2011-06-18. The effects of different preservation processes on the total protein and growth factor content in a new biological product developed from human amniotic membrane in CELL AND TISSUE BANKING
  • 2004-03. The Influence of Different Preservation and Sterilisation Steps on the Histological Properties of Amnion Allografts — Light and Scanning Electron Microscopic Studies in CELL AND TISSUE BANKING
  • 2004-06. Evaluation of Lyophilised, Gamma-Irradiated Amnion as a Biological Dressing in CELL AND TISSUE BANKING
  • 2000-01. Cryopreserved human amniotic membrane for ocular surface reconstruction in GRAEFE'S ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
  • 2015-12-09. Comparison of structural changes in skin and amnion tissue grafts for transplantation induced by gamma and electron beam irradiation for sterilization in CELL AND TISSUE BANKING
  • 1982-01. Expression of HLA antigens, β2-microglobulin and enzymes by human amniotic epithelial cells in NATURE
  • 2003-06. Properties of Air Dried Radiation Processed Amniotic Membranes under Different Storage Conditions in CELL AND TISSUE BANKING
  • 2016-04-12. Cytokine expression and ultrastructural alterations in fresh-frozen, freeze-dried and γ-irradiated human amniotic membranes in CELL AND TISSUE BANKING
  • Identifiers

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    41 schema:description The use of amniotic membrane in ophthalmic surgery and other surgical procedures in the fields of dermatology, plastic surgery, genitourinary medicine and otolaryngology is on the increase. Furthermore, amniotic membrane and its epithelial and mesenchymal cells have broad use in regenerative medicine and hold great promise in anticancer treatment. Amniotic membrane is a rich source of biologically active factors and as such, promotes healing and acts as an effective material for wound dressing. Amniotic membrane supports epithelialization and exhibits anti-fibrotic, anti-inflammatory, anti-angiogenic and anti-microbial features. Placentas utilised in the preparation of amniotic membrane are retrieved from donors undergoing elective caesarean section. Maternal blood must undergo serological screening at the time of donation and, in the absence of advanced diagnostic testing techniques, 6 months postpartum in order to cover the time window for the potential transmission of communicable diseases. Amniotic membrane is prepared by blunt dissection under strict aseptic conditions, then is typically transferred onto a nitrocellulose paper carrier, usually with the epithelial side up, and cut into multiple pieces of different dimensions. Amniotic membrane can be stored under various conditions, most often cryopreserved in glycerol or dimethyl sulfoxide or their mixture with culture medium or buffers. Other preservation methods include lyophilisation and air-drying. In ophthalmology, amniotic membrane is increasingly used for ocular surface reconstruction, including the treatment of persistent epithelial defects and non-healing corneal ulcers, corneal perforations and descemetoceles, bullous keratopathy, as well as corneal disorders with associated limbal stem cell deficiency, pterygium, conjunctival reconstruction, corneoscleral melts and perforations, and glaucoma surgeries.
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