Compartilhar

Transplante autógeno de conjuntiva no tratamento de queimaduras oculares graves

Transplante autógeno de conjuntiva no tratamento de queimaduras oculares graves

Autores:

Mario José Carvalho,
Rita C. Moura,
Marcelo Cunha,
Mauro S. Q. Campos

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.57 no.3 São Paulo jun. 1994

http://dx.doi.org/10.5935/0004-2749.19940040

SUMMARY

Ten consecutive patients with severe unilateral ocular bum, chemical (8 patients) and thermal (2 patients) underwent limbal autograft transplantation. The surgical technique consisted on transplanting of free grafts of limbal tissue from the contralateral eye to the injured recipient eye. All the patients experienced improvement on visual acuity, regression of stromal neovascularization, no episodes of recurrent epithelial erosion or persistent epithelial defect. Limbal autograft transplantation appears to be effective as a treatment for severe ocular surface diseases related with chemical or thermal burns.

REFERÊNCIAS

1 WAGONER, M. S. & KENYON, K. - Chemical Injuries, In: Eye Trauma, SHINGLETON, B. J. (eds), p. 79, Mosby Year Book, St. Louis, 1991.
2 THOFT, R. A. - Conjuntival transplantation. Arch. Ophthalmol., 95: 1425-7, 1977.
3 SHAPIRO, M. S.; FRIEND, J.; THOFT, R. A. - Corneal reepitelialization from the conjuntiva. Invest. Ophthalmol. Vis. Sci., 21:135-42. 1981.
4 TSENG, S. C. G. & HIRST, L. W. - Goblet cell density and vascularization during conjunctival transdiferentiation. Invest. Ophthalmol. Vis. Sci., 25:1168-1176, 1984.
5 KINOSHITA, S.; KIORPES, T.; FRIEND, J. & THOFT, R. - Limbal epithelium in ocular surface wound healing. Invest. Ophthalmol. Vis. Sci., 23:73-80, 1982.
6 KENYON, K. & TSENG, S. - Limbal autograft transplantation for ocular surface disorders. Ophthalmology, 96:709-723, 1989.
7 WARRING, G. O. III.; ROTHA, M. & EKINS, M. B. - Clinical and pathological description of 17 cases of corneal intraepithelial neoplasia. Am. J. Ophthalmol., 97:547-59, 1984.
8 KRAMER, S. G. - Late numerical grading of alcali burns to determine keratoplasty prognosis. Trans. Am. Ophthalmol. Soc. 81:97-106, 1983.
9 HANNA, C. & O'BRIEN, J. E. - Cell production and migration in the epithelial layer of the cornea. Arch. Ophthalmol., 64:563-9. 1960.
10 CUNHA, M. & ALLEMAN, N. - Transplante autólogo de conjuntiva no tratamento de pterígio primário e recidivado. Arq. Bras. Oftalmol., 56:78-81, 1993.