DR. ADITI JHUNJHUNWALA

DR.RAM KUMAR JAISWAL, DR. RAMYASH SINGH YADAV

Abstract

OBJECTIVE –To assess the outcome of SLET in patients with limbal stem cell deficiency and to see the reversal of features of LSCD. MATERIALS AND METHODS –This was a prospective observational study on 21 eyes of 19 patients with limbal stem cell deficiency and neovascularization who underwent autologous and cadaveric SLET. OBSERVATION –Out of 19 patients in our study 6 had chemical burns, 2 thermal burn, 2 Steven Johnson syndrome, 8 recurrent pterygium and 1 contact lens overuse with neovascularization. At the mean follow-up period of 6 months, 14 of the 21 eyes maintained a successful outcome in terms of stable epithelium. In 63.6% of cases, BCVA improved to 5/60 or better. Significant improvement was seen in grade of corneal conjunctivalisation (3 to 0), vascularization (2 to 0) and opacification (2 to 1). CONCLUSION –SLET is single-stage and less expensive effective treatment for unilateral limbal stem cell deficiency.