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Simultaneous keratolimbal autograft and penetrating autokeratoplasty: a single-stage procedure to restore monocular vision of a blind patient with limbal stem cell deficiency

Poster Details

First Author: M.Amro LEBANON

Co Author(s):    E. Jarade   A. Haydar                 

Abstract Details

Purpose:

To describe the technique of simultaneous keratolimbal autograft and penetrating autokeratoplasty to restore monocular vision of a blind patient with limbal stem cell deficiency( LSCD).

Setting:

Beirut Eye and ENT Specialist Hospital, Beirut, Lebanon

Methods:

A patient with acquired monocular vision due to loss of the left eye (LE) owing to LSCD post-blast injury, presented with acute loss of vision in the right eye (RE) due to central retinal artery occlusion (CRAO). Simultaneous keratolimbal autograft and penetrating autokeratoplasty were performed in attempt to restore his vision in the LE.

Results:

Postoperatively, the anterior chamber was well formed along with mild graft edema on day 1. Topo-guided sutures removal was started at 4-month. The graft maintained clear transparency at 1-year follow-up, and the best corrected visual acuity (BCVA) improved from hand movement (HM) near face to 20/50.

Conclusions:

Keratolimbal autograft and penetrating autokeratoplasty, as a one-stage procedure, proofed to be effective in restoring monocular vision in LSCD patient.

Financial Disclosure:

NONE

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