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July 1943


Author Affiliations

From the Department of Ophthalmology, Northwestern University Medical School, with the cooperation of Dr. Sanford R. Gifford, and the Department of Ophthalmology, Wesley Memorial Hospital.

Arch Ophthalmol. 1943;30(1):14-24. doi:10.1001/archopht.1943.00880190028002

The purpose of this paper is to present the evolutionary stages through which my work on corneal transplantation in cooperation with Dr. Sanford R. Gifford has passed. Certain technics have been modified and others discarded.

At first an apron conjunctival flap was used, according to the Filatov1 technic. A review of the Russian and French literature reveals that Filatov has modified and changed his trephine operation2 several times and completely discarded his prophylactic spatula.

The conjunctival flap was discarded because :

  1. Occasionally the edges of the transplant had a tendency to protrude.

  2. On one occasion the corneal disk completely slipped away from the corneal opening. Later a tattooing of the slightly staphylomatous scar yielded satisfactory results.

  3. A subsequent increase in tension might be produced by the connective tissue developing around the limbus after the dissection of the conjunctiva.

  4. In some cases there was so much conjunctival scar tissue that

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