HUMAN ALLOGRAFT LIMBAL TRANSPLANTATION FOR CORNEAL SURFACE RECONSTRUCTION

Citation
Rjf. Tsai et Scg. Tseng, HUMAN ALLOGRAFT LIMBAL TRANSPLANTATION FOR CORNEAL SURFACE RECONSTRUCTION, Cornea, 13(5), 1994, pp. 389-400
Citations number
NO
Categorie Soggetti
Ophthalmology
Journal title
CorneaACNP
ISSN journal
02773740
Volume
13
Issue
5
Year of publication
1994
Pages
389 - 400
Database
ISI
SICI code
0277-3740(1994)13:5<389:HALTFC>2.0.ZU;2-Y
Abstract
Limbal allograft transplantation was performed consecutively in 16 eye s with thermal or chemical bums (n = 5), Terrien's degeneration (n = 2 ), congenital sclerocornea (n = 1), Stevens-Johnson syndrome (n = 1), and chronic keratoconjunctivitis (n = 7), by transplanting randomly se lected cadaver limbocorneal grafts to the recipient eye that had recei ved superficial lamellar keratectomy to remove fibrovascular pannus. O ral cyclosporine A was administered immediately for 2.9 +/- 1.3 months . During 18.5 +/- 5.4 months of follow-up, the results showed improved visual acuity in 13 eyes (81.3%) and rapid (within 1 week) surface he aling in 10 eyes (62.5%). Donor limbal tissue developed engorged and t ortuous blood vessels in 12 eyes within 1-2 months, but these regresse d within 3 months after surgery. No acute graft failure or allograft r ejection could be identified. Twelve eyes (75%) showed total regressio n of vascularization and four eyes had decreased vascularization. Thes e preliminary results indicate that limbal allograft transplantation m ay be able to reconstruct a corneal surface that has undergone bilater al diffuse destruction, including the loss of limbal epithelial stem c ells.