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Table 1 AM results in patients with moderate to severe DED:

From: Cost utility analysis of cryopreserved amniotic membrane versus topical cyclosporine for the treatment of moderate to severe dry eye syndrome

Study

Ref

Study design

Number patients

Outcomes

Cheng AMS, et al. Ocul. Surg. 2016

[10]

Retrospective review of 15 eyes in patients with moderate to severe dry eye disease and refractory to maximal medical treatment. Demographics: 2 males/8 females; age: 68.7 ± 16.2 years

10

Patients symptom free at 4 months. However after 4 months, symptoms recurred including itchy eye, blurred vision, burning sensation, dryness

John T, et al. Jr. Ophthal. 2017

[11]

Randomized controlled trial 17 patients—CAM (9) or conventional maximal treatment (8)—with moderate to severe dry eye disease. Demographics: 4 males/13 females; age: 67.8 ± 8.9 years; all presenting with moderate to severe DED grades 2–4

17

Patients in CAM group—symptoms improved dramatically after 3 months with adjunctive topical meds as needed. Control group symptoms remained the same with maximal medical treatment

McDonald MB, et al. Clin. Ophthal. 2018

[12]

Retrospective review of 97 eyes in patients with severe dry eye disease refractory to maximal medical treatment. Demographics: 12 male/69 female; all with severe DED; 86% manifested with superficial punctate keratitis

84

Patients ocular surface stable after 3 months with continued use of conventional treatments including artificial tears (96%); Restasis (57%) and steroids (32%)

Morkin MI, et al. Ocul. Surf. 2018

[13]

Retrospective cases series of 9 patients with DED and acute neuropathic corneal pain. Demographics: 1 male/8 females; age: 58.8 ± 4.3 years

9

During follow up of 9.3 ± 0.8 months, pain severity improved significantly. As well, only 2 out of the 9 patients required re-implantation due to pain recurrence