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Limbal Stem Cell Versus Amniotic Membrane Transplantation for Ocular Surface Reconstruction Following Chemical Ocular Burns الخلايا الجذعية الحوفية مقابل زرع الغشاء السلوي في إعادة بناء سطح العين بعد الحروق الكيميائية
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Hany Abdel Hafiz Muhammad Bialy
Staff Zu Site
Abstract In Staff Site
Journal:
Enliven Archive Enliven Archive
Volume:
Keywords :
Limbal Stem Cell Versus Amniotic Membrane
Abstract:
Objective: To compare the effcacy, safety, and long term outcomes of both limbal stem cell and amniotic membrane transplantation; being employed for ocular surface reconstruction in cases (patients) with history of ocular chemical burns. Patients and Methods: 40 eyes of 40 consecutive patients with a diagnoses of partial limbal stem cell defciency secondary to chemical ocular burn were recruited from the outpatient clinic in Mansoura university, Ophthalmic center and were assigned randomly to two groups; each with 20 eyes of 20 patients. Both groups underwent superfcial keratectomy of the conjunctivalised corneal surface, followed by limbal stem cell transplantation and amniotic transplantation in group A, and amniotic membrane transplantation alone in group B. Patients were scheduled for follow-up within the period of one year. Results: At the end of the follow-up period, all the eyes exhibited a stable and intact corneal epithelial surface. In group A, the mean time for re-epithelialization was 16 ± 4.8 days, while in group B was 22 ± 14.1 days. The overall improvement in visual acuity was observed in 75 % and 60% of the cases in groups A and B respectively. Conclusions: Limbal stem cell transplantation is a safe and effective procedure for restoring the ocular surface integrity in eyes with partial limbal stem cell defciency secondary to chemical ocular burn. Amniotic membrane transplantation is also a safe and effective alternative. However, this study shows superiority of the combined use of limbal stem cell transplantation.
Author Related Publications
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Hany Abdel Hafiz Muhammad Bialy, "SUBCONJUNCTIVAL BEVACIZUMAB INJECTION VERSUS MITOMYCIN C APPLICATION AFTER PRIMARY PTERYGIUM SURGERY مقارنة حقن الملتحمة بعقار البيفاسيزوماب مقابل الاستخدام الموضعي لعقار الميتومايسين سي في جراحة الظفرة الاولية", DELTA JOURNAL OF OPHTHALMOLOGY, 2019
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Hany Abdel Hafiz Muhammad Bialy, "Topical Bromfenac combined with prednisolone versus topical prednisolone in the management of pseudophakic cystoid macular oedema مقارنة إستخدام قطرة البريدنيزولون مع وبدون قطرة البرومفيناك في علاج ارتشاحات الماقولةالكيسية التي تلي عمليات المياة البيضاء", Zagazig University Medical Journal, 2019
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Hany Abdel Hafiz Muhammad Bialy, "Anterior approach levator plication for congenital ptosis, absorpable versus non absorpable sutures طريقة طـى الرافعة الأماميـة لتدلـى الجفون الخلقية . الغرز القابلة للإمتصاص مقابل الغرز الغير قابلة للإمتصاص", European Journal of Ophthalmology, 2021
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