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角膜缘干细胞缺乏症的诊断与治疗进展

Advances in the Diagnosis and Management of Limbal Stem Cell Deficiency.

作者信息

Kittipibul Thanachaporn, Dalin Chea Piseth, Masoudi Ali, Zheng Jie, Deng Sophie X

机构信息

Department of Ophthalmology, Center of Excellence for Cornea and Stem Cell Transplantation, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Department of Ophthalmology, Excellence Center for Cornea and Stem Cell Transplantation, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.

出版信息

Cornea. 2025 Apr 1;44(4):405-411. doi: 10.1097/ICO.0000000000003775. Epub 2024 Dec 19.

DOI:10.1097/ICO.0000000000003775
PMID:39729420
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11875906/
Abstract

This concise review focuses on the latest advancements in the diagnosis and management of limbal stem cell deficiency (LSCD). Ensuring the standard of care for individuals affected by LSCD involves the crucial task for physicians to meticulously and accurately diagnose the condition and determine its specific stage. A standardized diagnostic approach forms the foundation for formulating and delivering customized therapeutic interventions to maximize treatment outcomes for each patient. In this review, we introduce a systematic diagnostic algorithm to guide the assessment of LSCD. In addition, the current management algorithm and emerging therapies for LSCD are summarized.

摘要

本简要综述聚焦于角膜缘干细胞缺乏症(LSCD)诊断与管理的最新进展。确保为受LSCD影响的个体提供标准治疗,对医生而言是一项关键任务,即要细致且准确地诊断病情并确定其具体阶段。标准化的诊断方法是制定和提供定制化治疗干预措施的基础,以便为每位患者实现最佳治疗效果。在本综述中,我们引入一种系统性诊断算法以指导LSCD的评估。此外,还总结了LSCD当前的管理算法和新兴疗法。

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1
Advances in the Diagnosis and Management of Limbal Stem Cell Deficiency.角膜缘干细胞缺乏症的诊断与治疗进展
Cornea. 2025 Apr 1;44(4):405-411. doi: 10.1097/ICO.0000000000003775. Epub 2024 Dec 19.
2
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Contact Lens-induced Limbal Stem Cell Deficiency.隐形眼镜诱导的角膜缘干细胞缺乏症。
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Advances in Cell Transplantation Therapy for Limbal Stem Cell Deficiency.角膜缘干细胞缺陷的细胞移植治疗进展。
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Biology and medicine on ocular surface restoration: Advancements and limits of limbal stem cell deficiency treatments.眼表修复的生物学与医学:角膜缘干细胞缺乏症治疗的进展与局限
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本文引用的文献

1
Co-existence of Neurotrophic Keratopathy in Eyes With Limbal Stem Cell Deficiency.神经营养性角膜病变与角膜缘干细胞缺陷眼共存。
Am J Ophthalmol. 2024 Nov;267:249-256. doi: 10.1016/j.ajo.2024.06.022. Epub 2024 Jun 29.
2
Wnt activation as a potential therapeutic approach to treat partial limbal stem cell deficiency.Wnt 激活作为治疗部分角膜缘干细胞缺乏症的潜在治疗方法。
Sci Rep. 2023 Sep 21;13(1):15670. doi: 10.1038/s41598-023-42794-8.
3
Cultivated autologous limbal epithelial cell (CALEC) transplantation: Development of manufacturing process and clinical evaluation of feasibility and safety.培养自体角膜缘上皮细胞(CALEC)移植:制造工艺的开发和可行性及安全性的临床评估。
Sci Adv. 2023 Aug 18;9(33):eadg6470. doi: 10.1126/sciadv.adg6470.
4
Why Are Corneal Specialists Resistant to Treating Patients Who Have Severe Ocular Surface Disease With Limbal Stem Cell Deficiency?为什么角膜专家抗拒用角膜缘干细胞缺乏治疗严重眼表疾病的患者?
Cornea. 2023 Sep 1;42(9):1063-1068. doi: 10.1097/ICO.0000000000003322. Epub 2023 Jun 8.
5
Biomarkers of in vivo limbal stem cell function.活体角膜缘干细胞功能的生物标志物。
Ocul Surf. 2022 Jan;23:123-130. doi: 10.1016/j.jtos.2021.12.005. Epub 2021 Dec 10.
6
Regulation of Limbal Epithelial Stem Cells: Importance of the Niche.角膜缘上皮干细胞的调控:龛位的重要性。
Int J Mol Sci. 2021 Nov 5;22(21):11975. doi: 10.3390/ijms222111975.
7
Cytokeratin 13 Is a New Biomarker for the Diagnosis of Limbal Stem Cell Deficiency.细胞角蛋白 13 是诊断角膜缘干细胞缺陷的新生物标志物。
Cornea. 2022 Jul 1;41(7):867-873. doi: 10.1097/ICO.0000000000002903. Epub 2021 Nov 3.
8
Clinical outcomes and complications of fluid-filled scleral lens devices for the management of limbal stem cell deficiency.眼表干细胞缺乏症患者应用巩膜镜治疗的临床效果及并发症
Cont Lens Anterior Eye. 2023 Feb;46(1):101528. doi: 10.1016/j.clae.2021.101528. Epub 2021 Oct 30.
9
Human limbal epithelial stem cell regulation, bioengineering and function.人角膜缘上皮干细胞的调控、生物工程和功能。
Prog Retin Eye Res. 2021 Nov;85:100956. doi: 10.1016/j.preteyeres.2021.100956. Epub 2021 Mar 4.
10
Limbal stem cell diseases.角结膜干细胞疾病。
Exp Eye Res. 2021 Apr;205:108437. doi: 10.1016/j.exer.2021.108437. Epub 2021 Feb 8.