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Outcome of cataract surgery following simple limbal epithelial transplantation for lime injury-induced limbal stem cell deficiency
BMJ Case Reports (2015)
  • Ashik Mohamed
  • Dhanyasree Nair
  • Virender S Sangwan
Abstract
A 19-year-old woman presented to us after being diagnosed elsewhere with right eye total limbal stem cell deficiency resulting from a lime burn. She was advised to undergo limbal stem cell transplantation, but failed to immediately do so. Two years later, she underwent cultivated limbal epithelial transplantation (CLET). As she had severe loss of vision with persisting conjunctival nodule and symblepharon 2 years following surgery, an impression of failed CLET was formed. Subsequently, simple limbal epithelial transplantation (SLET) was performed. Nine months later, she developed a cataract in her right eye; the cataract was extracted and posterior chamber intraocular lens implanted. The unaided visual acuity improved from light perception at presentation to 20/60 at 1-week postoperatively. At 5 months follow-up, the patient continued to maintain 20/60 visual acuity in her right eye. This case describes the outcome of cataract surgery following SLET, emphasising the need to perform cataract surgery in complicated cataracts for a better visual prognosis.
Disciplines
Publication Date
December 23, 2015
DOI
10.1136/bcr-2015-212613
Citation Information
Ashik Mohamed, Dhanyasree Nair and Virender S Sangwan. "Outcome of cataract surgery following simple limbal epithelial transplantation for lime injury-induced limbal stem cell deficiency" BMJ Case Reports (2015)
Available at: http://works.bepress.com/ashikmohamed/21/