Keratolimbal autograft transplantation as a possible new treatment of Lisch epithelial corneal dystrophy
Arch Soc Esp Oftalmol. 2016 Jul;91(7):333-6.
doi: 10.1016/j.oftal.2016.01.029.
Epub 2016 Feb 28.
[Article in
English,
Spanish]
Affiliations
- 1 Servicio de Oftalmología, Hospital La Mancha Centro, Alcázar de San Juan, Ciudad Real, España.
- 2 Servicio de Oftalmología, Hospital La Mancha Centro, Alcázar de San Juan, Ciudad Real, España. Electronic address: Dimeva23@hotmail.com.
- 3 Servicio de Oftalmología, Hospital de la Línea de la Concepción, La Línea de la Concepción, Cádiz, España.
- 4 Jefatura de Servicio de Oftalmología, Hospital La Mancha Centro, Alcázar de San Juan, Ciudad Real, España.
Abstract
Case report:
The case concerns 64-year-old woman with visual acuity of 20/40 in the right eye. Slit-lamp examination revealed a grey, feathery corneal opacification with intraepithelial microcysts compatible with Lisch epithelial corneal dystrophy (LECD). It was treated with epithelial debridements, contact lenses and mitomycin C, but the opacification recurred within months. The removal of limbus sector and autologous limbal transplantation (KLAT) were used successfully without recurrence.
Conclusions:
After removal of damaged limbus, KLAT should be considered as a treatment option for asymmetric LECD when other treatments have failed.
Keywords:
Corneal dystrophy; Distrofia corneal; Distrofia de Lisch; Keratolimbal autograft transplantation; Lisch dystrophy; Trasplante autólogo de limbo.
Copyright © 2016 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Contact Lenses
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Corneal Dystrophies, Hereditary / drug therapy
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Corneal Dystrophies, Hereditary / surgery*
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Corneal Transplantation / methods*
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Debridement
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Female
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Humans
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Limbus Corneae / surgery
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Middle Aged
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Mitomycin / therapeutic use
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Recurrence
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Transplantation, Autologous
Supplementary concepts
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Corneal Dystrophy, Lisch Epithelial