The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Limbal stem cell deficiency

Photo by Professor Chua Chung Nen

This 50 year-old woman with cleft palate was born with recurrent red eyes. Over the years she had consulted many ophthalmologists who treated her eyes for conjunctivitis without improvement. Examination showed limbal stem cell failure with corneal neovacularization and calcification. Attempt to halt and reverse the changes in the right cornea with amniotic membrane was unsuccessful. The right cornea developed plaque of calcification under the amniotic membrane three months after the surgery. The left cornea had a small plaque of calcification and also corneal neovascularization.

 

Right corneal neovascularization and calcification.

 

Left limbal stem cell deficiency with calcification.

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