Autolimbal grafting in penetrating ocular injuries with limbal involvement

Background: A penetrating ocular injury with limbal involvement leads to limbal stem cell deficiency and poor corneal regeneration. Purpose: To assess treatment outcomes of primary surgical repair (PSR) involving autolimbal grafting versus conventional PSR in penetrating ocular injuries with limb...

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Main Author: N.I. Bondar
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2017-08-01
Series:Journal of Ophthalmology
Subjects:
Online Access:https://www.ozhurnal.com/en/archive/2017/4/5-fulltext
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author N.I. Bondar
author_facet N.I. Bondar
author_sort N.I. Bondar
collection DOAJ
description Background: A penetrating ocular injury with limbal involvement leads to limbal stem cell deficiency and poor corneal regeneration. Purpose: To assess treatment outcomes of primary surgical repair (PSR) involving autolimbal grafting versus conventional PSR in penetrating ocular injuries with limbal involvement. Materials and Methods: Patients were retrospectively divided into two groups comparable in age, type of trauma and time from injury to admittance. Group 1 comprised 26 patients (26 eyes) who had PSR with autolimbal grafting, while Group 2 (the control group) comprised 24 patients (24 eyes) who had conventional PSR for penetrating ocular injuries with limbal involvement. Wound margin state, scar formation period, regression of inflammatory response, and presence of vascularized scar were used as outcome measures. Results: After treatment, the number of eyes with visual acuity of 0.1 or better was 19 (73.08%; including 12 eyes (46.2±6.5%) with visual acuity of 0.7 to 0.9) in Group 1 versus 5 (20.8±6.6%) in the control group. Conclusion: The proposed technique of PSR with autolimbal grafting for penetrating injuries with limbal involvement demonstrated advanced correction for wound margin adaptation and resulted in faster wound regeneration.
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spelling doaj.art-ab85bed12ca645f8a048f265f67438772024-01-11T11:51:30ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402017-08-014273010.31288/oftalmolzh201742730Autolimbal grafting in penetrating ocular injuries with limbal involvementN.I. Bondar0Medical Eye Center, University Clinic, Odessa National Medical UniversityBackground: A penetrating ocular injury with limbal involvement leads to limbal stem cell deficiency and poor corneal regeneration. Purpose: To assess treatment outcomes of primary surgical repair (PSR) involving autolimbal grafting versus conventional PSR in penetrating ocular injuries with limbal involvement. Materials and Methods: Patients were retrospectively divided into two groups comparable in age, type of trauma and time from injury to admittance. Group 1 comprised 26 patients (26 eyes) who had PSR with autolimbal grafting, while Group 2 (the control group) comprised 24 patients (24 eyes) who had conventional PSR for penetrating ocular injuries with limbal involvement. Wound margin state, scar formation period, regression of inflammatory response, and presence of vascularized scar were used as outcome measures. Results: After treatment, the number of eyes with visual acuity of 0.1 or better was 19 (73.08%; including 12 eyes (46.2±6.5%) with visual acuity of 0.7 to 0.9) in Group 1 versus 5 (20.8±6.6%) in the control group. Conclusion: The proposed technique of PSR with autolimbal grafting for penetrating injuries with limbal involvement demonstrated advanced correction for wound margin adaptation and resulted in faster wound regeneration.https://www.ozhurnal.com/en/archive/2017/4/5-fulltextpenetrating ocular injuriesstem cellsautolimbal grafting
spellingShingle N.I. Bondar
Autolimbal grafting in penetrating ocular injuries with limbal involvement
Journal of Ophthalmology
penetrating ocular injuries
stem cells
autolimbal grafting
title Autolimbal grafting in penetrating ocular injuries with limbal involvement
title_full Autolimbal grafting in penetrating ocular injuries with limbal involvement
title_fullStr Autolimbal grafting in penetrating ocular injuries with limbal involvement
title_full_unstemmed Autolimbal grafting in penetrating ocular injuries with limbal involvement
title_short Autolimbal grafting in penetrating ocular injuries with limbal involvement
title_sort autolimbal grafting in penetrating ocular injuries with limbal involvement
topic penetrating ocular injuries
stem cells
autolimbal grafting
url https://www.ozhurnal.com/en/archive/2017/4/5-fulltext
work_keys_str_mv AT nibondar autolimbalgraftinginpenetratingocularinjurieswithlimbalinvolvement