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Surgery


of cultivated limbal epithelium which can then be used to treat both eyes. Not only is surgical technique of both limbal biopsy and transplantation simple and sutureless, our technique of limbal cultivation is also rapid and completely avoids the use of animal derived products in cell culture. Over the last decade, significant advances in the reliability of cultivation


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2. Tsubota K, Satake Y, Kaido M, et al., Treatment of severe ocular-surface disorders with corneal epithelial stem-cell transplantation, N Engl J Med, 1999;340(22):1697–1703.


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techniques and reporting of the excellent long-term outcomes of clinical transplantation have established CLET as the preferred surgical technique for the treatment of LSCD, wherever appropriate laboratory facilities exist. Further refinement and popularization of this technique may eventually lead to elimination of needless corneal blindness due to LSCD. n


the treatment of stem cell deficiency, Ophthalmology, 2001;108(1):126–33.


10. Solomon A, Ellies P, Anderson DF, et al., Long-term outcome of keratolimbal allograft with or without penetrating keratoplasty for total limbal stem cell deficiency, Ophthalmology, 2002;109(6):1159–66.


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15. Meller D, Pires RT, Tseng SC, Ex vivo preservation and expansion of human limbal epithelial stem cells on amniotic membrane cultures, Br J Ophthalmol, 2002;86(4):463–71.


16. Koizumi N, Cooper LJ, Fullwood NJ, et al., An evaluation of cultivated corneal limbal epithelial cells, using cell-suspension culture, Invest Ophthalmol Vis Sci, 2002;43(7):2114–21.


17. Sangwan VS, Vemuganti GK, Iftekhar G, et al., Use of autologous cultured limbal and conjunctival epithelium in a patient with severe bilateral ocular surface disease induced by acid injury: a


case report of unique application, Cornea, 2003;22(5):478–81.


18. Sangwan VS, Matalia HP, Vemuganti GK, et al., Early results of penetrating keratoplasty after cultivated limbal epithelium transplantation, Arch Ophthalmol, 2005;123(3):334–40.


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20. Fatima A, Sangwan VS, Iftekhar G, et al., Technique of cultivating limbal derived corneal epithelium on human amniotic membrane for clinical transplantation, J Postgrad Med, 2006;52(4):257–61.


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