Clinical outcome of autologous cultivated limbal epithelium transplantation

Virender S. Sangwan*, Himanshu P. Matalia, Geeta K. Vemuganti, Anees Fatima, Ghazala Ifthekar, Shashi Singh, Rishita Nutheti, Gullapalli N. Rao

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

139 Scopus citations

Abstract

Purpose: To report the clinical outcome of autologous cultivated limbal epithelial transplantation. Methods: Eighty-six patients' records and their clinical photographs were reviewed for demographics, primary etiology, type of limbal transplantation, ocular surface stability, visual acuity, final outcome, and possible factors affecting outcome and complications. Results: Eighty-eight eyes of 86 patients with limbal stem cell deficiency (LSCD) underwent autologous cultivated limbal epithelium transplantation between March 2001 and May 2003, with a mean follow-up of 18.3 months. The etiology of LSCD was alkali burns in 64% patients. Sixty-one eyes had total LSCD. Thirty-two of the 88 eyes had undergone amniotic membrane transplantation and 10 eyes had previously undergone limbal transplantation with unfavorable outcome. Nineteen eyes underwent penetrating keratoplasty, of which 11 grafts survived at the final follow-up. Finally, 57 eyes (73.1%, 95% CI: 63.3-82.9) had a successful outcome with a stable ocular surface without conjunctivalization, 21 eyes (26.9%, 95%CI: 17.1-36.7) were considered failures, and 10 patients were lost to follow-up. Conclusion: LSCD can be successfully treated by autologous cultivated limbal epithelium transplantation in majority of the cases.

Original languageEnglish (US)
Pages (from-to)29-34
Number of pages6
JournalIndian journal of ophthalmology
Volume54
Issue number1
DOIs
StatePublished - Mar 2006

Keywords

  • Cultivated autologous limbal epithelium transplantation
  • Limbal stem cell deficiency

ASJC Scopus subject areas

  • Ophthalmology

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