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October 1949

CORNEAL TRANSPLANTATION IN CASES OF APHAKIA AND ECTOPIA OF THE LENSSelection of Cases; Technic of Operations Outlined; Report of New Instruments

Author Affiliations

From the Department of Surgery, Division of Ophthalmology, Western Reserve University School of Medicine and the University Hospitals of Cleveland.

Arch Ophthalmol. 1949;42(4):389-401. doi:10.1001/archopht.1949.00900050397004

THE PURPOSE of this article is to discuss the problem of corneal transplantation in cases of aphakia and displacement of the lens and to present a new technic and instruments for carrying out this type of operation in such cases.

Corneal transplantation has long been recognized as a highly successful procedure in properly selected cases; but there have been definite contraindications to this operation, and until recently the condition of aphakia has been considered unfavorable for operation (Rycroft and Somerset,1 McArevey,2 Filatov,3 Elschnig,4 Castroviejo5).

APHAKIA  It is now known that corneal grafts heal and remain transparent in aphakic eyes. Cases of aphakia are by no means the most favorable, but, owing to improved technics, a reasonably good chance of a successful corneal transplantation is offered in these cases.In cases in which both corneal leukoma and cataract are present and it has been determined beforehand

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