Aim: To evaluates the efficacy of both amniotic membrane transplantation and mucous membrane graft with conformer in each group in fornix reconstruction in mild to moderate contracted socket.
Materials and Methods: This study included 20 patients (10-60years) with mild-moderated contracted socket, attending OPD, Department of Ophthalmology in tertiary care hospital.
Study Design: observational study for one year patients were randomly grouped as Group A include 10 patients who underwent fornix reconstruction with AMG with conformer and rest 10 patients in Group B who underwent MMG with conformer, these patients were followed up on post-operative 3rd month, 6th month and 9th to assess the pre-operative and post-operative central inferior fornix depth.
Results: 20 patients of contracted socket were included in this study and randomly 10 patients each were categorized into Group A and Group B.GROUP A: AMG with conformer- The mean pre-operative and post-operative central inferior fornix measured was 3.19 ± 0.28 mm and 7.09 ± 0.15mm respectively. Complete success in post-operative 9th month was in 8 cases (80%) while 2 cases (20%) had partial success. GROUP B: MMG with conformer- The mean pre-operative and post-operative central inferior fornix measured was 3.04 ± 0.24 mm and 6.94 ± 0.18mm respectively. Complete success in post-operative 9th month was in 7 cases (70%) while 3 cases (30%) had partial success .There were no graft rejections. p-value 0.0001 in each group which was statistically very significant.
Conclusion: AMG and MMG with a conformer is a simple and safe method for fornix reconstruction in mild to moderate contracted socket.
Keywords: Amniotic membrane graft, Fornix reconstruction, Mucous membrane graft, Prosthesis, Symblepharon.
