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.