| Clinical Outcomes of Penetrating Keratoplasty and Limbal Transplantation from the Same Versus Different Donor Graft. |
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Mee Kum Kim, Jae Lim Lee, Won Ryang Wee, Jin Hak Lee |
1Department of Ophthalmology, Seoul Municipal Boramae Hospital, Korea.
2Department of Ophthalmology, Chungnam National University College of Medicine, Korea.
3Department of Ophthalmology, Seoul National University College of Medicine, Korea. wrwee@snu.ac.kr
4Seoul Artificial Eye Center, Clinical Research Center, Korea. |
| 같거나 다른 공여이식편으로 전층각막이식 및 각막윤부이식 수술 후 임상 결과 |
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김미금 ( Mee Kum Kim ) , 이재림 ( Jae Lim Lee ) , 위원량 ( Won Ryang Wee ) , 이진학 ( Jin Hak Lee ) |
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| Abstract |
PURPOSE
To evaluate the difference of the central graft rejection after penetrating keratoplasty and limbal allograft transplantation from different donors vs from the same donor. MATERIAL and METHODS: Three patients diagnosed with chemical burn and one with Stevens-Johnson syndrome were included. Three patients underwent penetrating keratoplasty and limbal allograft transplantation from different donors and one underwent the same operation from the same donor. Mean follow-up was 13 months. Visual acuity, re-epithelization and endothelial rejection were examined. RESULTS: Re-epithelization occurred within 3 to 14 days (mean 8.7 days) in three eyes with chemical burn. Visual acuities ranged from light perception to 20/100. Endothelial rejection developed in the eye transplanted from the same donor. Re-epithelization failed in the eye with Stevens-Johnson syndrome even though limbal graft transplantation and cultivated limbal epithelium transplantation were performed repeatedly. CONCLUSIONS: Corneal endothelial rejection seemed to decrease after penetrating keratoplasty and limbal allograft transplantation from different donors. |
| Key Words:
Limbal allograft transplantation;Penetrating keratoplasty;Different donors;Same donors;Endothelial rejection |
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