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August 1964

Homografts of Preserved Sclera in Retinal Detachment Surgery

Author Affiliations

From the Department of Ophthalmology, Indiana University School of Medicine.

Arch Ophthalmol. 1964;72(2):212-218. doi:10.1001/archopht.1964.00970020212012

An accidental perforation of necrotic sclera, choroid, and retina with a depressor during a reoperation for retinal detachment, and my frustrations during its repair by the usual methods, led to the use of preserved human scleral homografts for patching similar scleral defects and later extending their indications to less desperate situations.

To date, this material has been used in 37 operations on 35 selected eyes.

It is the purpose of this paper to report on and to encourage the further selected use of preserved eye-bank sclera for homografts in scleral surgery.

Background  Various materials have been used for scleral repair and reinforcement. These substances have met with varying degrees of success, and most are well known: cartilage, conjunctiva, mucous membrane, fascia lata, synthetic materials, and sclera.The homotransplantation of human sclera is a fairly recent innovation, and although it has not had general acceptance nor widespread use, the donor material

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