Cultivated oral mucosal epithelial transplantation (COMET) andpenetrating keratoplasty in long-standing severe ocular surface injury
- Author:
Ing Hong Lim
;
Rohanah Alias
;
Thiageswari Umapathy
;
Amir Samsudin
- Publication Type:Journal Article
- From:
The Medical Journal of Malaysia
2019;74(5):433-435
- CountryMalaysia
- Language:English
-
Abstract:
Ocular chemical injury is a true ophthalmic emergency
requiring immediate medical intervention. Damages can be
devastating and potentially resulting in blindness, corneal
perforation and phthisis bulbi. We describe here a
successful treatment outcome in a patient who sustained
Roper-Hall Grade 4 injury to both eyes. Patient received
medical therapy followed by serial ocular surgeries with
eventual visual recovery in one eye from counting finger to
6/15 after a decade. In conclusion, after maximum medical
therapy, a carefully planned serial surgeries of cultivated
oral mucosal epithelial transplantation (COMET) and PK has
proven beneficial for this patient with advanced limbal stem
cell deficiency (LSCD).
