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Article
August 1971

Simplified Technique for Free-Hand Corneal Grafting in Traumatic Cases

Author Affiliations

Chicago
From the Department of Ophthalmology, University of Chicago, Chicago.

Arch Ophthalmol. 1971;86(2):182-185. doi:10.1001/archopht.1971.01000010184011
Abstract

SUBSTANTIAL loss of corneal tissue following penetrating trauma is best treated by immediate closure of the defect with donor corneal material. Although such injuries are uncommon, they constitute emergencies which generally necessitate the use of preserved corneal tissue.1-3 Customarily, the surgeon cuts the graft free-hand to the size of the defect and then transfers it to the recipient and sutures it in place. Alternatively, he may attempt trephination of a circular area around the corneal defect,3-5 but with an open globe, this is difficult and hazardous at best. In either case, unless the graft closes the defect tightly, reformation of the anterior chamber and the ultimate survival of the eye are compromised.

The present paper describes a simple technique for fitting the donor cornea to the recipient defect in situ; it assures a reliable closure without the need for technically difficult measurements or estimates.

Technique  The edges

References
1.
Payrau MP:  Indications des cornees it des scleres conservees . Bull Soc Franc Ophtal 62:77-91, 1962.
2.
McPherson SD, Morrison HM:  The use of corneas from frozen whole eyes—for emergency keratoplasty . Amer J Ophthal 53:917-922, 1962.
3.
Castroviejo R: Atlas of Keratectomy and Keratoplasty . Philadelphia, WB Saunders, 1966, p 94.
4.
Leigh AG:  Some aspects of therapeutic keratoplasty . Arch Ophtal 27:823-830, 1967.
5.
Topalis CL:  Experiences with corneal grafting , in King JH, McTigue JW (eds): The Cornea World Congress . Washington, Butterworths, 1965, p 422.
6.
King JH Jr:  Keratoplasty-experimental studies with corneas preserved by dehydration . Trans Amer Ophthal Soc 54:567, 1956.
7.
Paton D, Martinez M:  Corneal tissue preservation for penetrating keratoplasty . Int Surg 49:428-435, 1968.
8.
Kaufman HE, Escapini H, Capella JA, et al:  Living preserved corneal tissue for penetrating keratoplasty . Arch Ophthal 76:471-476, 1966.Article
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