Autori: Paolo G. Limoli, Sergio Z. Scalinci, Enzo M. Vingolo

The guidelines for visual rehabilitation prepared by the Low Vision Academy are a set of systematically developed recommendations, based on continuously updated and official information, put together so that any rehabilitative treatment for the visually impaired is appropriate and of a high standard. They are a starting point for aligning behaviour and modus operandi within different organisations (both private and public) in the ophthalmology and rehabilitation field. The majority are not mandatory procedures and are therefore called protocols, codes or procedures. Therefore the choice of certain diagnostic, instrumental, clinical, rehabilitative and organisational procedures are only recommendations. Eventual variations to these guidelines due to the logistics of each rehabilitation clinic are considered acceptable as long as the rehabilitation objectives have been met.

Autori: L. Mele MD, M.G. Iorio MD, D. Capobianco MD, M. Bifani MD

Purpose and materials: The aim of the present work is to report our experience in transplantation of limbal stem cells grafting in a 26 years old patient with a history of alkali burn in his left eye.

Method: After demonstrating of a limbal stem cells deficiency in the patient, a portion of tissue from his right eye sclera-corneal ring was collected and placed in culture medium for the multiplication of stem cells. It was subsequently carried out the grafting of the magnified tissue in his left eye. Patient was submitted to a follow-up at 6 and 10 months and then to the practice of penetrating keratoplasty.

Results: Six months after treatment the flap appeared transparent and the suture present and tight.

Conclusions: Limbal transplantation represents a new and efficient therapeutic solution. In the case of a severe limbal deficiency the only stem cells graft is not sufficient to restore the corneal transparency, so we recommend to perform subsequently a penetrating keratoplasty.

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Il Dott. Paolo Limoli presenta il Congresso Low Vision Academy 2016

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