Q. What is the risk of simple limbal epithelial transplant surgery?

Answered by
Dr. Priyanka Agarwal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 14, 2017

Hello doctor,

I am a 27 year old male. One year ago, there was a chemical injury to my right eye caused by cement. An amnio graft surgery was done immediately following the injury. Recently, a slit lamp examination, post-dilated examination, and a fundus examination were conducted, and my right eye was diagnosed as 'total LSCD s/p chemical injury' and I was suggested a simple limbal epithelial transplant. Now, is there any possibility to get back my vision in the right eye? Is there a risk to the left eye by doing this transplant? Kindly explain.

#

Hello,

Welcome to iclinq.com.

I read your query and understood your concern.

  • Chemical injury damages the cornea and the vision is also compromised. You had an amniotic membrane transplant in the past, which is a good procedure. Now, if you have been diagnosed with limbal stem cell deficiency and a simple limbal epithelial transplant has been suggested, then the chances of decompensation of the cornea are less. Secondly, if your retina is alright, your vision should be back grossly.
  • The important thing is your vision status, post the chemical injury and after the AMG (amnio graft) implant. If it was greater than 6/60, it should improve now by one or two lines. Moreover, it also depends on how much of the cornea is involved and how deeply. My guess is, if they are doing an epithelial transplant of the limbal area, then the rest of the cornea is spared.
  • Your vision should improve, but will never be as normal as the other eye. The post-operative period is very important as there are high chances of graft rejection. Do attach your images and the prescription to help assess the prognosis.

Revert with more information to an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist

Thank you doctor,

I am attaching the report. My doctor said that in this procedure, the tissue will be taken from my left eye and transplanted into the right. Kindly clarify if I have understood it correctly. Also, are there any risks to my left eye during or post this procedure?

#

Hello,

I have gone through the images (attachment removed to protect patient identity).

  • It is good that yours donor eye will be yours, as there is a high chance of a rejection otherwise.
  • Your cornea is already compromised, as it has developed a symblepharon. There is total vascularisation. So, there is a low chance for significant vision improvement. The procedure is being done to prevent total blindness.
  • There will be no effect on the other eye. The only important thing is to keep it well lubricated.
  • And there is optic nerve with high ratio. So, keep your intraocular pressure under control.

Follow up visit is mandatory . Be regular.

For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist


Was this answer helpful?

 | 

Related Questions:
Suggest ayurvedic treatment for vision problems and fibrocystic mastopathy.

 I am currently on Enalapril, Aspirin, Lutein Complex (for eyes), Isotine Eye Drop, and urea and blood test are normal ... To improve your vision, I suggest you take Phyllanthus niruri (gale of the wind) and Aegle ma...   Read full

What are the toxic substances we handle every day? How do they affect our health?

.. hazardous chemicals that irritate the skin and cause eczema. Some individuals who are prone to allergy, also get contact dermatitis. They also cause damage to the mucosal lining of the gastrointestinal tract when they are ingested. Detergents cont...   Read full

I had phenyl and suffering from throat inflammation. Please help.

.. will have some complications of the chemical substance you have drunk. Mucosa of upper gastrointestinal and respiratory tract is more sensible to react against chemicals than the stomach. Also, you have protected your stomach somehow by using All...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


How can we prevent tooth decay and say about the toxic things we touch everyday?

Query: Hi doctor, How can we prevent tooth decay? Please explain about the toxic things that we use every day and say a few words regarding healing tonics.  Read Full »

Please list a few things that are toxic to humans.

Query: Hi doctor, Please list a few things that are toxic to humans. Please explain.  Read Full »

What is causing vision problems in both the eyes?

Query: Hi doctor, I have attached the scan reports of my aunt. She is 54 years old, diabetic, and hypertensive. She is on medication to control sugar and BP. She had an eye surgery before one year for some nerve problem in one of her eyes. The reason given by the ophthalmologist was diabetes. Now, her comp...  Read Full »

Also Read


Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»
I am suffering from dry and scaly scalp. Is that scalp psoriasis?
Hello doctor, I am suffering from dry, scaly patches on the scalp for the last six to eight months. Since childhood, I h...  Read more»
Birth Control Methods - Facts, and Types
Devices or treatments done to prevent unwanted pregnancy are called birth control methods.In this article, I am going to...  Read more»

Ask your health query to a doctor online?

Ask an Eye Care Ophthalmologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.