title: Simultaneous Keratolimbal Autograft and Penetrating Autokeratoplasty: A Single-Stage Procedure to Restore Monocular Vision of a Blind Patient With Limbal Stem Cell Deficiency.
abstract: OBJECTIVE
  To describe the technique of simultaneous keratolimbal autograft and penetrating autokeratoplasty to restore monocular vision of a blind patient with limbal stem cell deficiency (LSCD).
  
  
  METHODS
  A patient with acquired monocular vision due to loss of the left eye owing to LSCD postblast injury presented with acute loss of vision in the right eye due to central retinal artery occlusion. Simultaneous keratolimbal autograft and penetrating autokeratoplasty were performed in attempt to restore his vision in the left eye.
  
  
  RESULTS
  Postoperatively, the anterior chamber was well formed along with mild graft edema on day 1. Topo-guided suture removal was started at 4 months. The graft maintained clear transparency at 1-year follow-up, and the best-corrected visual acuity improved from hand movement to 20/50.
  
  
  CONCLUSIONS
  Keratolimbal autograft and penetrating autokeratoplasty, as a one-stage procedure, proved to be effective in restoring monocular vision in a patient with LSCD.
authors.affiliation: *Mediclinic Dubai Mall, Dubai, United Arab Emirates; †Beirut Eye and ENT Specialist Hospital, Beirut, Lebanon; ‡Department of Ophthalmology, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon; §Lebanese American University, Gilbert and Rose-Mary Chagoury School of Medicine, Byblos, Lebanon; and ¶Department of Ophthalmology, Erasmus Hospital, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Elias
authors.initials: E
authors.lastname: Jarade
authors.forename: Mazen
authors.initials: M
authors.lastname: Amro
authors.forename: Ali A
authors.initials: AA
authors.lastname: Haydar
authors.forename: Adib
authors.initials: A
authors.lastname: Hemade
mesh_terms: D064592:Autografts; D001766:Blindness / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D015948:Keratoplasty, Penetrating; D016850:Limbus Corneae / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D033581:Stem Cell Transplantation; D013234:Stem Cells / Q000473:pathology*; D015349:Vision, Monocular / Q000502:physiology*; D014792:Visual Acuity / Q000502:physiology