External Eye Resurfacing through Conjunctival-limbal-corneal Allograft: A Surgical Technique

We are describing a new surgical approach in the management of advanced ocular surface cicatrization through a single procedure conjunctival-limbal-corneal allograft in which the external eye is resurfaced; it involves a lamellar corneolimbal keratoplasty, 360° limbal stem cell transfer (on a “bipedicle” conjunctival-corneal carrier), and conjunctival tissue transplantation - all in a single continuous sheet but with two edges for suturing: donor corneal-limbal edge to recipient’s scleral-limbal edge (avoiding overlying stem cell element of the donor tissue) and donor’s and recipient’s conjunctival edges; fornices would be reconstructed if needed.