Open AccessLimbal Allograft Transplantation Using Fibrin Glue
Author(s) -
Nariman Nassiri,
Hemang K. Pandya,
Ali R. Djalilian
Publication year - 2011
Publication title -
archives of ophthalmology
Language(s) - Uncategorized
Resource type - Journals
eISSN - 1538-3601
pISSN - 0003-9950
DOI - 10.1001/archophthalmol.2010.370
Subject(s) - fibrin glue , medicine , cadaveric spasm , surgery , transplantation , fibrin , ophthalmology , glue , materials science , immunology , composite material
Limbal transplantation is now widely accepted as the treatment of advanced limbal stem cell deficiency. Herein, we describe a technique for harvesting thin limbal grafts from cadaveric corneoscleral rims and a sutureless method to secure the grafts to the recipient eye using fibrin glue. We report the results of fibrin glue-assisted keratolimbal allograft in 19 eyes of 16 patients, with the outcome measures being ocular surface stability, visual acuity, and postoperative complications. The results indicate that limbal allograft transplantation can be performed safely and successfully using only fibrin glue to secure the grafts. This can potentially improve surgical efficiency and patient comfort postoperatively.