Clinical outcome of autologous cultivated limbal epithelium transplantation.
Indian J Ophthalmol
;
2006 Mar; 54(1): 29-34
Article
in English
| IMSEAR
| ID: sea-69781
ABSTRACT
PURPOSE:
To report the clinical outcome of autologous cultivated limbal epithelial transplantation.METHODS:
Eighty-six patients' records and their clinical photographs were reviewed for demographics, primary etiology, type of limbal transplantation, ocular surface stability, visual acuity, final outcome and possible factors affecting outcome and complications.RESULTS:
Eighty-eight eyes of 86 patients with limbal stem cell deficiency (LSCD) underwent autologous cultivated limbal epithelium transplantation between March 2001 and May 2003, with a mean follow-up of 18.3 months. The etiology of LSCD was alkali burns in 64% patients. Sixty-one eyes had total LSCD. Thirty-two of the 88 eyes had undergone amniotic membrane transplantation and 10 eyes had previously undergone limbal transplantation with unfavorable outcome. Nineteen eyes underwent penetrating keratoplasty, of which 11 grafts survived at the final follow-up. Finally, 57 eyes (73.1%, 95% CI 63.3-82.9) had a successful outcome with a stable ocular surface without conjunctivalization, 21 eyes (26.9%, 95%CI 17.1-36.7) were considered failures and 10 patients were lost to follow-up.CONCLUSION:
LSCD can be successfully treated by autologous cultivated limbal epithelium transplantation in majority of the cases.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Stem Cells
/
Transplantation, Autologous
/
Female
/
Humans
/
Male
/
Visual Acuity
/
Cells, Cultured
/
Child
/
Child, Preschool
/
Retrospective Studies
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Indian J Ophthalmol
Year:
2006
Type:
Article
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