Two Cases of Whole Corneo-Limbal Transplantation.

Lee, Ja Young; Kim, Mee Kum; Wee, Won Ryang

doi:2011.52.10.1238

J Korean Ophthalmol Soc > Volume 52(10); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(10):1238-1243.
DOI: https://doi.org/10.3341/jkos.2011.52.10.1238 Published online October 15, 2011.

Two Cases of Whole Corneo-Limbal Transplantation.

Ja Young Lee, Mee Kum Kim, Won Ryang Wee

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@

윤부포함 전체 각막이식 2예

이자영⋅김미금⋅위원량

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.

Key Words: Corneal melt;Corneo-limbal transplantation;Limbal transplantation failure;Limbus;Tectonic procedure