Two Cases of Whole Corneo-Limbal Transplantation.
10.3341/jkos.2011.52.10.1238
- Author:
Ja Young LEE
1
;
Mee Kum KIM
;
Won Ryang WEE
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine, Laboratory of Corneal Regenerative Medicine and Ocular Immunology, Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Seoul, Korea. kmk9@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Corneal melt;
Corneo-limbal transplantation;
Limbal transplantation failure;
Limbus;
Tectonic procedure
- MeSH:
Burns, Chemical;
Corneal Perforation;
Corneal Transplantation;
Eye;
Follow-Up Studies;
Freezing;
Humans;
Intraocular Pressure;
Keratoplasty, Penetrating;
Transplants;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2011;52(10):1238-1243
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report the clinical outcomes of total corneolimbal transplantation in two cases. CASE SUMMARY: One patient, who previously underwent three rounds of penetrating keratoplasty and limbal transplantation for uncontrollable peripheral and central corneal melting, received total corneolimbal transplantation. The other patient who underwent penetrating keratoplasty with limbal transplanation for a chemical burn and who did not experience corneal perforation also received total corneolimbal transplantation. During the average 19 months of follow-up, cyclophotocoagulation was performed to control high intraocular pressure in both patients. Both eyes were tectonically maintained without further corneal destruction despite poor visual acuity and rejection. CONCLUSIONS: Total corneolimbal transplantation may be an effective tectonic procedure for corneal melting. This procedure can be considered as another option for patients with corneal melting after failed limbal and corneal transplantation.
