Doughnut-shaped amniotic membrane transplantation in pediatric simple limbal epithelial transplantation after ocular chemical injury

Children of any age are at high risk for ocular chemical injuries and the development of limbal stem cell deficiency with severe visual consequences. Surgical options for ocular surface reconstruction at the pediatric age tend to have lower success rates than their adult counterparts. Herein, we rep...

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Main Authors: Gustavo Ortiz-Morales, Reinaldo A. Moll-Auais, Julio C. Hernandez-Camarena, J. Homar Paez-Garza, Alejandro Rodriguez-Garcia
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:The Pan-American Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/pajo.pajo_79_24
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author Gustavo Ortiz-Morales
Reinaldo A. Moll-Auais
Julio C. Hernandez-Camarena
J. Homar Paez-Garza
Alejandro Rodriguez-Garcia
author_facet Gustavo Ortiz-Morales
Reinaldo A. Moll-Auais
Julio C. Hernandez-Camarena
J. Homar Paez-Garza
Alejandro Rodriguez-Garcia
author_sort Gustavo Ortiz-Morales
collection DOAJ
description Children of any age are at high risk for ocular chemical injuries and the development of limbal stem cell deficiency with severe visual consequences. Surgical options for ocular surface reconstruction at the pediatric age tend to have lower success rates than their adult counterparts. Herein, we report the results of a novel modification of the simple limbal stem cell epithelial transplantation using a doughnut-shaped amniotic membrane graft to avoid further visual axis obstruction during re-epithelization. Since younger children are a highly susceptible population suffering from chemical burns, with nearly half of them being at preschool (first months of life to 5 years) ages, such a technique may be more appropriate to reduce the time of visual obstruction and obtain faster visual rehabilitation.
format Article
id doaj-art-83a69b3f73df481382bd5f72b0b7b02b
institution OA Journals
issn 2666-4909
language English
publishDate 2024-11-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series The Pan-American Journal of Ophthalmology
spelling doaj-art-83a69b3f73df481382bd5f72b0b7b02b2025-08-20T02:37:42ZengWolters Kluwer Medknow PublicationsThe Pan-American Journal of Ophthalmology2666-49092024-11-016311211210.4103/pajo.pajo_79_24Doughnut-shaped amniotic membrane transplantation in pediatric simple limbal epithelial transplantation after ocular chemical injuryGustavo Ortiz-MoralesReinaldo A. Moll-AuaisJulio C. Hernandez-CamarenaJ. Homar Paez-GarzaAlejandro Rodriguez-GarciaChildren of any age are at high risk for ocular chemical injuries and the development of limbal stem cell deficiency with severe visual consequences. Surgical options for ocular surface reconstruction at the pediatric age tend to have lower success rates than their adult counterparts. Herein, we report the results of a novel modification of the simple limbal stem cell epithelial transplantation using a doughnut-shaped amniotic membrane graft to avoid further visual axis obstruction during re-epithelization. Since younger children are a highly susceptible population suffering from chemical burns, with nearly half of them being at preschool (first months of life to 5 years) ages, such a technique may be more appropriate to reduce the time of visual obstruction and obtain faster visual rehabilitation.https://journals.lww.com/10.4103/pajo.pajo_79_24amniotic membrane transplantationcorneaocular chemical injurypediatric agesimple limbal epithelial transplantation
spellingShingle Gustavo Ortiz-Morales
Reinaldo A. Moll-Auais
Julio C. Hernandez-Camarena
J. Homar Paez-Garza
Alejandro Rodriguez-Garcia
Doughnut-shaped amniotic membrane transplantation in pediatric simple limbal epithelial transplantation after ocular chemical injury
The Pan-American Journal of Ophthalmology
amniotic membrane transplantation
cornea
ocular chemical injury
pediatric age
simple limbal epithelial transplantation
title Doughnut-shaped amniotic membrane transplantation in pediatric simple limbal epithelial transplantation after ocular chemical injury
title_full Doughnut-shaped amniotic membrane transplantation in pediatric simple limbal epithelial transplantation after ocular chemical injury
title_fullStr Doughnut-shaped amniotic membrane transplantation in pediatric simple limbal epithelial transplantation after ocular chemical injury
title_full_unstemmed Doughnut-shaped amniotic membrane transplantation in pediatric simple limbal epithelial transplantation after ocular chemical injury
title_short Doughnut-shaped amniotic membrane transplantation in pediatric simple limbal epithelial transplantation after ocular chemical injury
title_sort doughnut shaped amniotic membrane transplantation in pediatric simple limbal epithelial transplantation after ocular chemical injury
topic amniotic membrane transplantation
cornea
ocular chemical injury
pediatric age
simple limbal epithelial transplantation
url https://journals.lww.com/10.4103/pajo.pajo_79_24
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