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October 1965

Preparation of Full-Thickness, Preserved Corneal Grafts

Author Affiliations

Richmond, Va
From the Old Dominion Eye Bank & Research, Inc.

Arch Ophthalmol. 1965;74(4):525-526. doi:10.1001/archopht.1965.00970040527015

One of the more exciting of the newer techniques in keratoplasty consists of using full-thickness grafts, either preserved or fresh, inside a lamellar bed prepared in the recipient's cornea. This method has been advocated for cases of Fuchs' endothelial-epithelial dystrophy, but may also be used successfully, in our opinion, for all cases of severe corneal edema and vascularization of any etiology as well as in cases of descemetoceles with threatening perforation. The rationale behind this method consists of offering a reinforced barrier to the spreading edema of endothelial origin. Our own experience with this type of keratoplasty is limited to the use of corneas preserved according to the method of King and Mc-Tigue.

Conventional lamellar grafts of preserved material are fashioned easily by the use of a Furness cornea holding clamp. The preparation of a full-thickness, preserved graft offers, however, some technical difficulties if one wants to avoid damage to

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