Limbus autograft

The limbus autograft requires a good quality corneal reepithelialization for 75-100% patients and the constitution of a barrier preventing the neovascular cicatricial phenomena of conjunctival origin [18, 21, 22]. The date of intervention from the date of bum is a subject of argument. Most authors consider that it is better to wait several months for the inflammatory reaction to decrease. However, some authors recommend an earlier intervention, before the development of complications due to the LSC deficit [16, 23]. 

An auto-TK coupled with a limbus autograft may exceptionally be practiced as illustrated in Figs. 8.1-8.4. 

Fig. 8.4 Left eye. One month postsurgery. Clear right cornea sutured with 16 separated stitches of 10/0 nylon. 360° limbus autograft taken from right eye and sutured with 8 separated stitches of 10/0 nylon on the cornea and with 8 separated stitches of 8/0 vicryl on the conjunctiva...

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