Posters

How can a superior limbic keratoconjunctivitis be treated if it is unresponsive to medical treatment?

Poster Details

First Author: I.Garzo Garcia SPAIN

Co Author(s):    F. Costales Mier   L. Monje Fernandez   M. Cuesta Lasso   J. Sanchez Canizal   C. Plaza Laguardia   N. Spagnoli Santa Cruz     

Abstract Details

Purpose:

To describe a surgical approach by reinforcing adhesion between the conjunctiva and the sclera for correcting the poor adhesion between the conjunctiva and the sclera in eyes with superior superior limbic keratoconjunctivitis (SLK)

Setting:

Hospital León

Methods:

A clinical case report. We report a 78 year old woman asymmetrically affected by SLK received medical treatment (artificial tears, topical corticosteroids and autologous serum) without success. We decided to resect the superior bulbar conjunctiva and the underlying Tenon's capsule in her most affected eye. An additional amniotic membrane graft was implanted in the resected area

Results:

One year after the surgical procedure the patient was asymptomatic

Conclusions:

SLK is an uncommon entity characterized by inflammation of the superior palpebral and bulbar conjunctive, keratinization of the superior limbus and corneal and conjunctival filaments. It may be associated with other diseases, however its precise etiology is unknown. Among the suggested hypothesis the mechanical theory seems to be the most attractive. Conjunctival resection with amniotic membrane graft could be a safe and effective surgical procedure in SLK refractory to medical treatment

Financial Disclosure:

None