Amniotic membrane graft and conjunctival flap

In a patient with bilateral corneal melting with near perforation, an amniotic membrane transplant & conjunctival flap is an effective and conservative approach. A conjunctival peritemy with relaxing incisions is made. Next amniotic membrane is placed on a bed of Tisseal glue in several layers (Morshirfar pancaking) and subsequently sutured with 10-0 vicryl to ensure adherance. Next, the conjunctival flap is advanced and sutured onto the cornea with 10-0 Nylon and the knots are burried. Lastly, two large amniotic membranes are glued over to help with comfort and healing and a bandage contact lens is placed. At the end of the video you see the ipsilateral eye in which a perforation from corneal melting required a sclerocorneal patch.