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Limbal Stem-Cell Therapy and Long-Term Corneal Regeneration
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Limbal Stem-Cell Therapy and Long-Term Corneal Regeneration
Limbal Stem-Cell Therapy and Long-Term Corneal Regeneration
Journal Article

Limbal Stem-Cell Therapy and Long-Term Corneal Regeneration

2010
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Overview
Corneal damage may become permanent if the supply of limbal stem cells is compromised. In this long-term follow-up study of 113 eyes treated with autologous transplantation of limbal stem-cell cultures, a transparent, renewing corneal epithelium was restored in 77% of eyes and remained stable over time. Corneal damage may become permanent if the supply of limbal stem cells is compromised. In this long-term follow-up study of 113 eyes treated with autologous transplantation of limbal stem-cell cultures, a transparent, renewing corneal epithelium was restored in 77% of eyes and remained stable over time. A clear cornea is essential to visual acuity and depends on stromal avascularity and epithelial integrity. 1 Corneal renewal and repair are mediated by stem cells of the limbus, the narrow zone between the cornea and the bulbar conjunctiva. 2 Ocular burns may destroy the limbus, causing limbal stem-cell deficiency. In such cases, the cornea acquires an epithelium through the invasion of bulbar conjunctival cells. This process leads to neovascularization, chronic inflammation, and stromal scarring, with corneal opacity and loss of vision. 3 Allogeneic corneal transplantation (keratoplasty) restores transparency temporarily, but eventually, the conjunctival cells begin to invade and resurface the cornea. The . . .