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Ocular surface disease in a child managed with maternal allograft

Sunayana Bhat, Dilon Noronha

Purpose: To report a novel approach for the management of a recurrent and bilateral nasal and temporal pterygium in a child.

Case report: A 11-year-old presented with a recurrent pterygium in his left eye for which he had undergone left eye pterygium excision+conjunctival limbal autograft (CLAG) elsewhere six months ago.

Ocular examination revealed visual acuity of 6/6 in both eyes. Anterior segment revealed signs of conjunctivalization superiorly and inferiorly bilaterally, Conjunctiva encroachment over the cornea at 3 and 9’O clock and absence of clear palisades of Vogt.

A Simple Limbal Epithelial Transplantation (SLET) was performed under general anaesthesia. At 6 months follow up, graft was healthy and was well taken up and showed no signs of recurrence.

Conclusion: Living related conjunctival allograft in combination with amniotic membrane transplantation can be a simple yet effective alternative in treating ocular surface disorder.