Limbal stem cell deficiency secondary to vitrectomy in the context of an autoimmune polyendocrine syndrome type

We describe a case of iatrogenic limbal stem cell insufficiency related to vitrectomy in a patient with autoimmune polyendocrine syndrome, a risk factor for this presentation. We propose that surgical trauma near the limbus and damage to the corneal sub-basal nerve plexus during vitrectomy may result in the development of limbal stem cell deficiency in a predisposed eye, as postulated in this patient with an APS.

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Publication Details

Journal
American Journal of Ophthalmology Case Reports
Published
2025-09-02
DOI
https://doi.org/10.1016/j.ajoc.2025.102421
Primary Topic
Adrenal Hormones and Disorders
Type
article
Field-Weighted Citation Impact
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article

Limbal stem cell deficiency secondary to vitrectomy in the context of an autoimmune polyendocrine syndrome type

A. March, Jordan J. Huang, Francesc March de Ribot, Jaime D. Martinez et al.
American Journal of Ophthalmology Case Reports
Adrenal Hormones and Disorders
article

Limbal stem cell deficiency secondary to vitrectomy in the context of an autoimmune polyendocrine syndrome type

A. March, Jordan J. Huang, Francesc March de Ribot, Jaime D. Martinez, Joshua M. Huang, J. Pérez
article en

Abstract

We describe a case of iatrogenic limbal stem cell insufficiency related to vitrectomy in a patient with autoimmune polyendocrine syndrome, a risk factor for this presentation. We propose that surgical trauma near the limbus and damage to the corneal sub-basal nerve plexus during vitrectomy may result in the development of limbal stem cell deficiency in a predisposed eye, as postulated in this patient with an APS.

American Journal of Ophthalmology Case ReportsVol. 40
University of Miami (US), University of Ottawa (CA), University of Alberta (CA), Universitat de Girona (ES), Ottawa Hospital (CA), Corporació Sanitària Parc Taulí (ES), Hospital de Sabadell (ES), Institute of Research and Innovation Parc Tauli (ES), University of Otago (NZ)
Openalex Percentile: Top 68%
Adrenal Hormones and Disorders
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Limbal stem cell deficiency secondary to vitrectomy in the context of an autoimmune polyendocrine syndrome type — A. March, Jordan J. Huang, et al. · American Journal of Ophthalmology Case Reports (2025) | TGRS Research Map | TGRS