—We thank Dr Davidorf for suggesting the use of homologous fascial grafts in patients with exposed buckles. We agree that this is a viable alternative to autogenous fascial grafts; however, it would still not be our first choice of material. Crawford,1 who had much experience with both banked and autogenous fascia, preferred autogenous fascia because of the variability of the banked tissues in vivo. Banked fascia is also not always available in the community.It is also important to recognize that with even the remotest chance of acquiring viral conditions from homologous tissues, most patients would prefer autogenous grafts. The obtaining of autogenous fascial grafts is easy and quick and it has limited complications. We believe that the additional effort is well worthwhile.
Dresner SC, Boyer DS, Feinfield RE. Homologous vs Autogenous Fascial Grafts for Scleral Buckling-Reply. Arch Ophthalmol. 1991;109(12):1639. doi:10.1001/archopht.1991.01080120017013
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