By Hosam Ibrahim El Sheha MD
    Pediatric Ophth/Strabismus

    PURPOSE: To describe the surgical technique of amniotic membrane transplantation (AMT) over the medial rectus muscle (MRM) in a case of ocular motility restriction after multiple pterygium surgery. METHODS: The surgical procedure involved the excision of epibulbar fibrovascular tissue to the bare sclera and recession of conjunctiva to the fornix while clearing adhesions around MRM. Sutureless AMT with fibrin glue was used to cover the muscle, to line the fornix, and to cover bare sclera. RESULTS: Postoperatively, the patient recovered a smooth and stable ocular surface, deep fornix, and full ocular motility without recurrence. CONCLUSIONS: AMT should be considered in prevention and treatment of ocular motility restriction after pterygium surgery.