The purpose of the study is to explore whether femtosecond laser-assisted corneal epithelial allograft from living-related donor is more effective than limbal conjunctival allograft from living-related donor for ocular surface reconstruction in patients with limbal stem cell deficiency (LSCD).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
A living-related donor's epithelial flap, equal in area to the recipient's diseased cornea bed, will be created using femtosecond laser technology. This corneal epithelial allograft is then ready for transplantation on the recipient's disease eye, following removal of the recipient's scarred and diseased epithelium.
A 3- to 5- clock hour limbal-conjunctival allograft will be obtained from the living-related eye. This is then ready for transplantation on the recipient's disease eye following removal of the recipient's scarred and diseased epithelium.
A commercial femtosecond laser to create a particular shaped graft for transplantation
Zhongshan Ophthalmic Center, Sun Yat-sen Univerisity
Guangzhou, Guangdong, China
Restoration of corneal surface in the recipient
Restoration of a completely epithelized, stable, and avascular corneal surface in the recipient
Time frame: 1 year
Restoration of corneal surface in the donor
Restoration of a completely epithelized, stable, and avascular corneal surface in the donor
Time frame: 1 year
Uncorrected and best-corrected visual acuity of recipients and donors
To assess changes of uncorrected and best-corrected visual acuity using ETDRS chart.
Time frame: 1 year
Corneal power, astigmatism and aberration of recipients and donors
To measure changes of corneal power, astigmatism and aberration using autorefractor keratometer and wavefront aberrometer respectively.
Time frame: 1 year
Corneal sensation of recipients and donors
To measure corneal sensation using Cochet-Bonnet esthesiometer.
Time frame: 1 year
Corneal thickness of recipients and donors
To measure corneal thickness using Anterior Segment Optical Coherence Tomograph (AS-OCT).
Time frame: 1 year
Density of stromal nerve and stromal keratocytes of recipients and donors
To measure density of stromal nerve and stromal keratocytes using in vivo confocal microscopy
Time frame: 1 year
Reconstruction of limbal palisades of Vogt of recipients
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A diamond knife to create a particular shaped limbal graft for transplantation
To assess reconstruction of limbal palisades of Vogt using in vivo confocal microscopy.
Time frame: 1 year
Corneal graft rejection of recipients
To assess corneal graft rejection using slit-lamp microscopy.
Time frame: 1 year
Corneal haze of recipients and donors
To assessing corneal haze using in vivo confocal microscopy
Time frame: 1 year