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September 1957

Surgical Treatment of Total XerophthalmiaTransplantation of the Parotid Duct to the Inferior Cul-de-Sac with Report of a Case

AMA Arch Ophthalmol. 1957;58(3):372-374. doi:10.1001/archopht.1957.00940010384009

Introduction  The use of parotid secretions as a continuous and satisfactory substitute for lacrimal secretions in total xerophthalmia was first advocated by Russian1-3 and Chinese workers.4-7 They have reported several hundred cases in which parotid duct transplantation to the inferior conjunctival cul-de-sac was performed successfully in total xerophthalmia. However, the literature contains little more than the fact that the transplantations were successful and beneficial, with no evaluation of the results.We8 have investigated the substitution of parotid secretions for lacrimal secretions by transplanting parotid ducts in dogs and observing these dogs over periods up to eight months. The parotid secretions were well tolerated by the eye and produced no untoward effects. The surgical approach was worked out on the human cadaver, and a surgical technique was devised.

Report of Case  A 24-year-old male Negro was admitted to the neurology service, Crile Veterans Administration Hospital, Cleveland, on Aug.