Lal Ikeda, Panchal Bhavik Uttam, Basu Sayan, Sangwan Virender S
Cornea and Anterior Segment Service, LV Prasad Eye Institute, Kallam Anji Reddy Campus, L V Prasad Marg, Banjara Hills, Hyderabad, Andhra Pradesh, India.
BMJ Case Rep. 2013 May 22;2013:bcr2013009247. doi: 10.1136/bcr-2013-009247.
A 20-year-old man from Bangladesh suffered accidental alkali injury to his right eye in May 2010 leading to total limbal stem cell deficiency. An amniotic membrane graft was performed 5 days after the accident and the patient presented to our institute 6 months later. On ocular examination, his best corrected visual acuity (BCVA) was 20/50 with a 360° pannus at the periphery and central area was spared but had stromal scarring. He underwent simple limbal epithelial transplantation (SLET) taking a limbal biopsy from his left eye and was prescribed steroid and antibiotic eye drops postoperatively as per the standard regimen. At 2 year follow-up, the patient's ocular surface is stable with improvement in BCVA to 20/25 post-SLET.
一名来自孟加拉国的20岁男子于2010年5月右眼意外受到碱性物质损伤，导致全角膜缘干细胞缺乏。事故发生5天后进行了羊膜移植，6个月后患者前来我院就诊。眼部检查时，其最佳矫正视力（BCVA）为20/50，周边有360°血管翳，中央区域未受累但有基质瘢痕形成。他接受了简单的角膜缘上皮移植（SLET），取自左眼的角膜缘活检组织，术后按照标准方案给予类固醇和抗生素眼药水。在2年的随访中，患者的眼表稳定，SLET术后BCVA提高到20/25。
