A series of corneal transplants in trachomatous patients with vascularized corneas is reported. All of the patients were American Indians. Special attention was paid to cicatricial entropion, deficient tear production, and corticosteroid titration. If modern technique is available and careful follow-up is possible, a surgical trial in advanced corneal trachoma is justified in all but obviously hopeless cases.
Biswell R. Keratoplasty and Trachoma in the Southwestern American Indian. Arch Ophthalmol. 1969;81(6):791-796. doi:10.1001/archopht.1969.00990010793007