Homologous vs Autogenous Fascial Grafts for Scleral Buckling

To the Editor.  —Dresner et al¹ describe a technique for dealing with exposed buckling elements in patients having had previous retinal surgery. They recommend using autogenous fascia grafts.I would like to point out that homologous fascia grafts would be just as useful and would eliminate the need to subject the patient to a second procedure. At the Ohio State University, Columbus, we have used homologous fascia lata strips for more than 30 years in retinal and plastic surgery.² The fascia is harvested from postmortem donors and frozen in antibiotic solution. The fascia may be stored from months to years without apparent degradation of the integrity of the collagen structure. Neither infection nor host rejection has been encountered.I commend the authors on describing a technique to correct exposed buckling elements, thus eliminating the need to remove the hardware. I suggest that instead of using autogenous fascia they