Review Article

Limbal Stem Cell Deficiency: Current Treatment Options and Emerging Therapies

Table 1

Aetiology of LSCD.

Primary causesReference

Aniridia[67, 71, 72]
Multiple endocrine deficiency[9, 67]
Epidermal dysplasia
 Ectrodactyly-ectodermal-dysplasia-clefting syndrome[73]
Congenital erythrokeratodermia[74]
Dyskeratosis congenita[75, 76]

Secondary causes

Thermal or chemical burns[67, 77]
Contact lens wear[67, 78]
Inflammatory eye disease:
 Stevens-Johnson syndrome, toxic epidermal necrolysis [67]
 Ocular cicatricial pemphigoid[79]
 Chronic limbitis: autoimmune disease, extensive microbiological infection, atopic conjunctivitis[80]
Neurotrophic keratitis[80]
Extensive limbal cryotherapy, radiation, or surgery [81]
Bullous keratopathy[82]
Topical antimetabolites (5-FU, Mitomycin C) [83, 84]
Systemic chemotherapy (Hydroxyurea)[85]

5-FU: 5-fluorouracil.