Abstract

Limbal stem cell deficiency (LSCD) is a complex ocular condition with difficulty in corneal epithelialization, persistent ep ithelial defects, corneal neovascularization, and corneal conjunctivalization. The reason underlying this condition could be either primary or secondary. Chemical and thermal burns, Stevens-Johnson syndrome, ocular cicatricial pemphigoid, trauma, aniridia, ectodermal dysplasia, and iatrogenic mechanism are in the etiologic scope of the disease. Management of LSCD remains a controversial issue of ophthalmology. There are several treatment alternatives regarding the mechanism of the disease. These options include surface reconstruction with amniotic membrane, autologous and allogeneic limbal stem cell (SC) transplantation, and keratoplasty. There has not been a consensus on the choice of the treatment procedure, although more recently, cultivated SC transplantation has been shown to be a promising treatment modality in the management of LSCD. This review aims to give the readers up-to-date information on LSCD.

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