Evaluation of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury

Abdel Hamid El-Hofi, Hany Ahmed Helaly Department of Ophthalmology, Faculty of Medicine, Alexandria University, Alexandria, Egypt Purpose: To evaluate the outcome of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury.Patients and methods: This w...

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Autores principales:	El-Hofi AH, Helaly HA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	living related limbal stem cells transplantation chemical injury. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/a11aff58af904928b853a275f7742c15
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spelling	oai:doaj.org-article:a11aff58af904928b853a275f7742c152021-12-02T08:46:12ZEvaluation of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury1177-5483https://doaj.org/article/a11aff58af904928b853a275f7742c152019-02-01T00:00:00Zhttps://www.dovepress.com/evaluation-of-limbal-transplantation-in-eyes-with-bilateral-severe-ocu-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Abdel Hamid El-Hofi, Hany Ahmed Helaly Department of Ophthalmology, Faculty of Medicine, Alexandria University, Alexandria, Egypt Purpose: To evaluate the outcome of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury.Patients and methods: This was a retrospective case series that included 20 patients who had undergone living related limbal transplantation due to the presence of bilateral severe stem cell deficiency resulting from chemical injury. Medical records of the selected patients were reviewed. The following data were recorded and analyzed: gender; age at the time of the surgery; duration of follow-up; corrected distance visual acuity (CDVA); symptoms; intraocular pressure (IOP); any complications; postoperative treatment; and other surgical procedures needed.Results: The mean age of the included patients was 27.4±9.3 years. The causative agent was an alkali in 14 patients. Fifteen patients (75%) had a stable ocular surface (ie, complete corneal re-epithelization and resolution of postoperative inflammation) after the first limbal transplantation, while the other five patients (25%) needed regrafting. As regards the IOP; five patients (25%) needed Ahmed’s valve implantation to control the IOP. Other surgical procedures needed were penetrating keratoplasty (PKP) in three patients (15%), cataract surgery in six patients (30%), and lid surgery in one patient (5%).Conclusion: In conclusion, living related conjunctival limbal allograft transplantation, especially when combined with amniotic membrane transplantation, yielded good results in the management of cases with bilateral severe chemical eye injuries. Keywords: living related, limbal stem cells, transplantation, chemical injuryEl-Hofi AHHelaly HADove Medical Pressarticleliving relatedlimbal stem cellstransplantationchemical injury.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 383-390 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	living related limbal stem cells transplantation chemical injury. Ophthalmology RE1-994
spellingShingle	living related limbal stem cells transplantation chemical injury. Ophthalmology RE1-994 El-Hofi AH Helaly HA Evaluation of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury
description	Abdel Hamid El-Hofi, Hany Ahmed Helaly Department of Ophthalmology, Faculty of Medicine, Alexandria University, Alexandria, Egypt Purpose: To evaluate the outcome of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury.Patients and methods: This was a retrospective case series that included 20 patients who had undergone living related limbal transplantation due to the presence of bilateral severe stem cell deficiency resulting from chemical injury. Medical records of the selected patients were reviewed. The following data were recorded and analyzed: gender; age at the time of the surgery; duration of follow-up; corrected distance visual acuity (CDVA); symptoms; intraocular pressure (IOP); any complications; postoperative treatment; and other surgical procedures needed.Results: The mean age of the included patients was 27.4±9.3 years. The causative agent was an alkali in 14 patients. Fifteen patients (75%) had a stable ocular surface (ie, complete corneal re-epithelization and resolution of postoperative inflammation) after the first limbal transplantation, while the other five patients (25%) needed regrafting. As regards the IOP; five patients (25%) needed Ahmed’s valve implantation to control the IOP. Other surgical procedures needed were penetrating keratoplasty (PKP) in three patients (15%), cataract surgery in six patients (30%), and lid surgery in one patient (5%).Conclusion: In conclusion, living related conjunctival limbal allograft transplantation, especially when combined with amniotic membrane transplantation, yielded good results in the management of cases with bilateral severe chemical eye injuries. Keywords: living related, limbal stem cells, transplantation, chemical injury
format	article
author	El-Hofi AH Helaly HA
author_facet	El-Hofi AH Helaly HA
author_sort	El-Hofi AH
title	Evaluation of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury
title_short	Evaluation of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury
title_full	Evaluation of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury
title_fullStr	Evaluation of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury
title_full_unstemmed	Evaluation of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury
title_sort	evaluation of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/a11aff58af904928b853a275f7742c15
work_keys_str_mv	AT elhofiah evaluationoflimbaltransplantationineyeswithbilateralsevereocularsurfacedamagesecondarytochemicalinjury AT helalyha evaluationoflimbaltransplantationineyeswithbilateralsevereocularsurfacedamagesecondarytochemicalinjury
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Evaluation of limbal transplantation in eyes with bilateral severe ocular surface damage secondary to chemical injury

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