Amniotic Membrane Transplantation for Congenital Distichiasis

To evaluate the use of amniotic membrane transplantation (AMT) for management of congenital distichiasis.

This interventional case series was performed on 16 eyelids of 5 patients with congenital distichiasis treated with posterior lamella resection and AMT.

All patients were men aged 2 to 42 years. Mean follow up was 17 months (6-29 months). Post-operative symptoms of dry eye were controlled by medical treatment in all patients. Misdirected eyelashes recurred in 3 eyelids (18.8%) outside the AMT area and in 2 eyelids within the AMT area which were treated by gentle laser epilation.

AMT is a useful option in management of distichiasis with a low rate of complications and acceptable eyelid contour.