Fig. 5 Surgical procedure for conjuctival limbal autograft (CLAU). The conjunctivalized pannus is removed from the corneal surface by peritomy followed by superficial keratectomy with blunt dissection in the recipient eye (A). The cicatrix was removed from the subconjunctival space (B). This invariably results in the recession of the conjunctival edge to 3 to 5 mm from the limbus from the superior and inferior limbal regions (C). Two strips of limbal conjunctival free grafts, each spanning 6 to 7 mm limbal arc length, are removed by superficial lamellar keratectomy at 1 mm within the limbus (D) and by including 5 mm of adjacent conjunctiva. These two free grafts are transferred and secured to the recipient eye at the corresponding anatomic sites by interrupted 10-0 nylon sutures to the limbus and 8-0 vicryl sutures to the sclera. |