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    Stem Cell Treatment Restores Vision

    Study Shows Damaged Corneas May Be Regenerated With Patients' Stem Cells
    By
    WebMD Health News
    Reviewed by Laura J. Martin, MD

    June 23, 2010 -- A regenerative treatment that uses stem cells taken from the patient's own eyes is helping some blind patients see again.

    Italian researchers report that the stem cell procedure resulted in successful corneal transplantation in three-fourths of patients with blindness in one or both eyes, caused in most patients by chemical or thermal burns.

    Vision was at least partially restored in patients who did not have major damage to other parts of the affected eye, says study researcher Graziella Pellegrini, PhD, of the University of Moderna's Center for Regenerative Medicine.

    Pellegrini and colleagues have performed corneal transplants in around 250 patients over the last decade using the stem cell technique, but it remains experimental and is not being done in the U.S.

    Their latest study is published in the New England Journal of Medicine. The findings were also reported last week in San Francisco at a meeting of the International Society for Stem Cell Research.

    "We followed the patients in this study for an average of three years and as long as a decade," she tells WebMD. "We have shown that the results can last for many years."

    Regeneration of Corneas

    The study included 112 patients with damaged corneas who received the stem cell treatment between 1998 and 2006.

    The procedure involved extracting healthy stem cells from the limbus, which is located between the colored and white part of the eye.

    Pellegrini says the procedure can be done even when only a tiny portion of the limbus remained undamaged.

    Stem cells taken from the biopsied limbus tissue grew into healthy corneal tissue in a little over two weeks, she says, and the healthy tissue was then grafted onto the damaged eye.

    When the procedure was successful, the damaged, opaque cornea became clear again and the eye looked normal.

    In all, 77% of patients had a successful first or second graft, while the procedure was considered a partial success or failure in 13% and 10% of cases, respectively.

    People with corneal damage from chemical and thermal burns often have symptoms including light sensitivity, itching, and pain. These symptoms went away or were much less severe in the successfully treated patients.

    Following successful transplant, about half of the patients had further surgeries to improve visual acuity and most showed at least some improvement in vision. One patient achieved normal vision with the stem cell grafting alone.

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