Fig. 12 Clinical cases of keratolimbal allograft transplant (KLAL) with amniotic membrane transplantation with or without corneal transplantation. This case of Stevens-Johnson syndrome (A) received punctal occlusion and autologous serum drops, and KLAL and amniotic membrane transplantation (B). Amniotic membrane became clear and no corneal transplant was needed (C). This eye with chemical burn and band keratopathy (D) also received punctal occlusion and autologous serum drops, and KLAL and amniotic membrane transplantation (E). However, corneal transplantation with extracapsular cataract extraction (ECCE) and intraocular lens (IOL) was needed to restore a clear cornea and vision because of deep corneal scar and edema and cataract (F). This eye with chemical burn presenting with persistent corneal epithelial defect and symblepharon in the upper fornix (marked by a white star, G) first received fornix reconstruction by amniotic membrane transplantation (AMT) and intraoperative 0.04% Mitomycin C and KLAL (H). However, corneal transplantation with ECCE and IOL was needed to restore a clear cornea and vision because of deep corneal scar and edema and cataract (I). All patients were under systemic immunosuppression using regimens listed in Table 2. |