Chemical injury treated with autologous limbal epithelial stem cell transplantation and subconjunctival bevacizumab

Gian Maria Cavallini,1 Graziella Pellegrini,2 Veronica Volante,1 Pietro Ducange,1 Michele De Maria,1 Giulio Torlai,1 Caterina Benatti,1 Matteo Forlini1 1Institute of Ophthalmology, 2Centre for Regenerative Medicine “Stefano Ferrari”, University of Modena e Reggio Emilia, Modena...

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Autores principales: Cavallini GM, Pellegrini G, Volante V, Ducange P, De Maria M, Torlai G, Benatti C, Forlini M
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Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:9b2b493dad8b492d8f6537d9d43492052021-12-02T02:56:42ZChemical injury treated with autologous limbal epithelial stem cell transplantation and subconjunctival bevacizumab1177-5483https://doaj.org/article/9b2b493dad8b492d8f6537d9d43492052014-08-01T00:00:00Zhttp://www.dovepress.com/chemical-injury-treated-with-autologous-limbal-epithelial-stem-cell-tr-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Gian Maria Cavallini,1 Graziella Pellegrini,2 Veronica Volante,1 Pietro Ducange,1 Michele De Maria,1 Giulio Torlai,1 Caterina Benatti,1 Matteo Forlini1 1Institute of Ophthalmology, 2Centre for Regenerative Medicine “Stefano Ferrari”, University of Modena e Reggio Emilia, Modena, Italy Background: Limbal stem cell (LSC) deficiency leads to corneal opacity due to a conjunctivalization of the corneal surface. LSC transplantation, which can be followed by corneal keratoplasty, is an effective procedure to restore corneal transparency; however, a common cause of failure of this procedure is neovascularization (NV).Methods: A 59-year-old man with a 21-year history of a corneal chemical burn caused by phosphoric acid in his left eye was examined. He presented with unilateral total LSC deficiency with severe conjunctivalization and a corrected distance visual acuity that was limited to hand motion.Results: We reported the short-term in vivo efficacy of subconjunctival bevacizumab for progressive corneal NV in a patient with LSC deficiency that underwent LSC transplantation. Four months after autologous LSC transplantation and 1 month after the second subconjunctival bevacizumab injection, the patient’s corrected distance visual acuity was 1/10.Conclusion: Subconjunctival injection of bevacizumab can reduce the corneal NV, reducing conjunctival inflammation and supporting restoration of a stable ocular surface that is able to counteract graft failure, with no toxicity for the transplanted LSC. Keywords: stem cells, bevacizumab, limbal stem cell deficiency, transplantationCavallini GMPellegrini GVolante VDucange PDe Maria MTorlai GBenatti CForlini MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1671-1673 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Cavallini GM
Pellegrini G
Volante V
Ducange P
De Maria M
Torlai G
Benatti C
Forlini M
Chemical injury treated with autologous limbal epithelial stem cell transplantation and subconjunctival bevacizumab
description Gian Maria Cavallini,1 Graziella Pellegrini,2 Veronica Volante,1 Pietro Ducange,1 Michele De Maria,1 Giulio Torlai,1 Caterina Benatti,1 Matteo Forlini1 1Institute of Ophthalmology, 2Centre for Regenerative Medicine “Stefano Ferrari”, University of Modena e Reggio Emilia, Modena, Italy Background: Limbal stem cell (LSC) deficiency leads to corneal opacity due to a conjunctivalization of the corneal surface. LSC transplantation, which can be followed by corneal keratoplasty, is an effective procedure to restore corneal transparency; however, a common cause of failure of this procedure is neovascularization (NV).Methods: A 59-year-old man with a 21-year history of a corneal chemical burn caused by phosphoric acid in his left eye was examined. He presented with unilateral total LSC deficiency with severe conjunctivalization and a corrected distance visual acuity that was limited to hand motion.Results: We reported the short-term in vivo efficacy of subconjunctival bevacizumab for progressive corneal NV in a patient with LSC deficiency that underwent LSC transplantation. Four months after autologous LSC transplantation and 1 month after the second subconjunctival bevacizumab injection, the patient’s corrected distance visual acuity was 1/10.Conclusion: Subconjunctival injection of bevacizumab can reduce the corneal NV, reducing conjunctival inflammation and supporting restoration of a stable ocular surface that is able to counteract graft failure, with no toxicity for the transplanted LSC. Keywords: stem cells, bevacizumab, limbal stem cell deficiency, transplantation
format article
author Cavallini GM
Pellegrini G
Volante V
Ducange P
De Maria M
Torlai G
Benatti C
Forlini M
author_facet Cavallini GM
Pellegrini G
Volante V
Ducange P
De Maria M
Torlai G
Benatti C
Forlini M
author_sort Cavallini GM
title Chemical injury treated with autologous limbal epithelial stem cell transplantation and subconjunctival bevacizumab
title_short Chemical injury treated with autologous limbal epithelial stem cell transplantation and subconjunctival bevacizumab
title_full Chemical injury treated with autologous limbal epithelial stem cell transplantation and subconjunctival bevacizumab
title_fullStr Chemical injury treated with autologous limbal epithelial stem cell transplantation and subconjunctival bevacizumab
title_full_unstemmed Chemical injury treated with autologous limbal epithelial stem cell transplantation and subconjunctival bevacizumab
title_sort chemical injury treated with autologous limbal epithelial stem cell transplantation and subconjunctival bevacizumab
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/9b2b493dad8b492d8f6537d9d4349205
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