[Homologous lamellar central limbokeratoplasty in severe limbal stem cell deficiency].

PURPOSE: It is the purpose of this case report to present a new surgical technique for treatment of severe limbal stem cell deficiency.

CASE REPORT: In a 42-year-old female patient with conjunctivalization of the cornea in congenital aniridia a homologous lamellar central limbokeratoplasty was performed. Postoperatively systemic Ciclosporin A was administered in order to prevent the transplanted limbal stem cells from immunological destruction. During the follow-up period of 16 months no immune reaction against the transplanted limbal stem cells could be observed. Visual acuity was ameliorated considerably.

CONCLUSIONS

Homologous lamellar central limbokeratoplasty is a promising surgical procedure in selected patients with severe limbal stem cell deficiency having less complications compared with penetrating central limbokeratoplasty.