2000
DOI: 10.1097/00003226-200005000-00005
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Amniotic Membrane Transplantation or Conjunctival Limbal Autograft for Limbal Stem Cell Deficiency Induced by 5-fluorouracil in Glaucoma Surgeries

Abstract: Limbal stem cell deficiency can occur as a late complication for patients receiving 5-FU after glaucoma filtering surgeries. Partial limbal stem cell deficiency can be treated with amniotic membrane transplantation alone, whereas limbal transplantation must be considered as an alternative for total limbal stem cell deficiency to restore the corneal surface integrity and vision.

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Cited by 69 publications
(26 citation statements)
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“…Although corneal damage due to subconjunctival 5-FU therapy after unsuccessful glaucoma surgery is frequently reported [4], only a few papers have reported the occurrence of corneal epitheliopathy by systemic administration of 5-FU [5]. In contrast, LPI is a widely known adverse effect of systemic 5-FU therapy [6].…”
Section: To the Editormentioning
confidence: 99%
“…Although corneal damage due to subconjunctival 5-FU therapy after unsuccessful glaucoma surgery is frequently reported [4], only a few papers have reported the occurrence of corneal epitheliopathy by systemic administration of 5-FU [5]. In contrast, LPI is a widely known adverse effect of systemic 5-FU therapy [6].…”
Section: To the Editormentioning
confidence: 99%
“…To avoid such extensive surface reconstruction, there may be a tendency to create relatively smaller defects, which in some instances may even contribute to the increase of recurrences. Furthermore, large tissue removal and the accompanying inflammation secondary to adjunctive cryotherapy and/or other conventional therapies might result in a myriad of fearsome collateral damages, among them partial limbal stem cell deficiency,[72] compromised wound healing, scarring, granulation tissue formation, motility restriction, and partial or total limbal stem cell deficiency,[73] corneal pannus and scarring, symblepharon, pseudopterygium,[7475] cataract, uveitis, and retinal breaks. [66]…”
Section: Management Of Precancerous and Cancerous Ocular Surface Tumorsmentioning
confidence: 99%
“…Examples include topical 5-fluorouracil (FU), mitomycin C (MMC), generic form of nonsteroidal anti-inflammatory drugs (NSAID), aminoglycosides, and trimethoprim sulfate [24,75,76]. In some of these reports this may be related to either preservatives or to a patient selection bias, because patients with epithelial problems may have been more likely to receive prolonged topical drugs.…”
Section: Iatrogenic Factorsmentioning
confidence: 99%