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CORNEAL TRANSPLANTATION

CORNEAL TRANSPLANTATION Abstract The purpose of this paper is to present the evolutionary stages through which my work on corneal transplantation in cooperation with Dr. Sanford R. Gifford has passed. Certain technics have been modified and others discarded. At first an apron conjunctival flap was used, according to the Filatov1 technic. A review of the Russian and French literature reveals that Filatov has modified and changed his trephine operation2 several times and completely discarded his prophylactic spatula. The conjunctival flap was discarded because : Occasionally the edges of the transplant had a tendency to protrude. On one occasion the corneal disk completely slipped away from the corneal opening. Later a tattooing of the slightly staphylomatous scar yielded satisfactory results. A subsequent increase in tension might be produced by the connective tissue developing around the limbus after the dissection of the conjunctiva. In some cases there was so much conjunctival scar tissue that References 1. Filatov, V. P.: (a) Total Transplantation of Cornea , Sovet. vestnik oftal. 2:217, 1933 2. (b) La cornée de cadavre comme matériel de transplantation , Ann. d'ocul. 171:721, 1934 3. (c) Sobre la técnica de la operación de la transplantación parcial penetrante de la córnea , Arch. de oftal. hispano-am. 34:457, 1934 4. (d) New Trephine for Partial Transplantation of Cornea , Sovet. vestnik oftal. 4:12, 1934 5. (e) Use of Cornea from Cadaver as Transplantation Material , Sovet. vestnik oftal. 4:222, 1934 6. (f) Technic of Transplantation of Cornea; Filatov-Martsinkovskiy's Hermetic Trephine , Sovet. vestnik oftal. 8:159, 1936. 7. Wassermann, I.: On the Technique of Leucoma Exsection with New Modification of Trephine FM-III , Kiev, U. S. S. R. Academy of Sciences Press, 1938, p. 160. 8. Thomas, J. W. T.: Transplantation of the Cornea: A Preliminary Report of a Series of Experiments on Rabbits, Together with a Demonstration of Four Rabbits with Clear Corneal Grafts , Tr. Ophth. Soc. U. Kingdom 50:127, 1930 9. Successful Grafting of the Cornea in Rabbits , Lancet 1:335, 1931 10. Microscopic Appearances of Corneal Grafts , Brit. J. Ophth. 17:529, 1933Crossref 11. The Technique of Corneal Transplantation as Applied in a Series of Cases , Tr. Ophth. Soc. U. Kingdom 55:373, 1935 12. Experimental Heterogenous Corneal Grafts , Tr. Ophth. Soc. U. Kingdom 56:97, 1936 13. The Results of Corneal Transplantation , Brit. M. J. 1:114, 1937Crossref 14. Clinical Record and Histology of Two Successful Corneal Grafts in Man , Tr. Ophth. Soc. U. Kingdom 55:114, 1935 15. The Clinical and Microscopic Appearances of Experimental Grafts of Scleral Tissue on to Rabbits' Corneae , Tr. Ophth. Soc. U. Kingdom ( (pt. 1) ) 57:198, 1937. 16. Castroviejo, R.: (a) Keratoplasty , Am. J. Ophth. 15:825 and 905, 1932 17. Keratoplasty : Report of Seven Cases , Castroviejo Am. J. Ophth. 17:932, 1934 18. (b) Queratoplastia , in Concilium internationale ophthalmologicum , 1934, vol. 1, p. 78 19. (c) Keratoplasty , J. M. Soc. New Jersey 32:80, 1935 20. (d) Queratoplastia: Estudio clínico de catorce casos , Arch. de oftal. hispano-am. 35:404, 1935 21. (e) Keratoplasty , Tr. Am. Acad. Ophth. 40:418, 1935 22. (f) Modern Aspects of Corneal Transplantation, read before the Conference on Ophthalmology, American Academy of Ophthalmology and Otolaryngology, 1936 23. (g) Keratoplasty—Microscopic Study of Corneal Grafts , Tr. Am. Ophth. Soc. 35:355, 1937. 24. Welter, S. L.: An Experimental Study of Suitability of Preserved Cadaveric Corneas for Transplantation Purposes , Kiev, U. S. S. R. Academy of Sciences Press, 1938, p. 48. 25. Fuchs, E.: Zur Keratoplastik , Ztschr. f. Augenh. 5:1, 1901. 26. Duke-Elder, W. S.: Textbook of Ophthalmology , St. Louis, C. V. Mosby Company, 1933, vol. 1, p. 474. 27. Castroviejo, R.: New Method of Corneal Transplantation , Proc. Staff Meet., Mayo Clin. 6:417 ( (July 15) ) ; 669 (Nov. 11) 1931. 28. Elschnig, A.: Keratoplastik, cited by Kuhnt, H., in Elschnig, A.: Augenärzliche Operationslehre , Berlin, Julius Springer, 1922, p. 514. 29. Elschnig, A.: Keratoplasty , Arch. Ophth. 4:165 ( (Aug.) ) 1930.Crossref 30. Salzer, F.: Keratoplasty , Ztschr. f. Augenh. 3:124 and 516, 1900 31. Beiträge zur keratoplastik , Arch. f. Augenh. 65:214, 1910 32. Beiträge zur Keratoplastik: Implantation überlebender Lappen , Arch. f. Ophth. 105:469, 1921. 33. McArevey, J. B.: Corneal Transplantation in Aphakic Eye , Irish J. M. Sc. , (October) 1937, p. 635. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

CORNEAL TRANSPLANTATION

Archives of Ophthalmology , Volume 30 (1) – Jul 1, 1943

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References (32)

Publisher
American Medical Association
Copyright
Copyright © 1943 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1943.00880190028002
Publisher site
See Article on Publisher Site

Abstract

Abstract The purpose of this paper is to present the evolutionary stages through which my work on corneal transplantation in cooperation with Dr. Sanford R. Gifford has passed. Certain technics have been modified and others discarded. At first an apron conjunctival flap was used, according to the Filatov1 technic. A review of the Russian and French literature reveals that Filatov has modified and changed his trephine operation2 several times and completely discarded his prophylactic spatula. The conjunctival flap was discarded because : Occasionally the edges of the transplant had a tendency to protrude. On one occasion the corneal disk completely slipped away from the corneal opening. Later a tattooing of the slightly staphylomatous scar yielded satisfactory results. A subsequent increase in tension might be produced by the connective tissue developing around the limbus after the dissection of the conjunctiva. In some cases there was so much conjunctival scar tissue that References 1. Filatov, V. P.: (a) Total Transplantation of Cornea , Sovet. vestnik oftal. 2:217, 1933 2. (b) La cornée de cadavre comme matériel de transplantation , Ann. d'ocul. 171:721, 1934 3. (c) Sobre la técnica de la operación de la transplantación parcial penetrante de la córnea , Arch. de oftal. hispano-am. 34:457, 1934 4. (d) New Trephine for Partial Transplantation of Cornea , Sovet. vestnik oftal. 4:12, 1934 5. (e) Use of Cornea from Cadaver as Transplantation Material , Sovet. vestnik oftal. 4:222, 1934 6. (f) Technic of Transplantation of Cornea; Filatov-Martsinkovskiy's Hermetic Trephine , Sovet. vestnik oftal. 8:159, 1936. 7. Wassermann, I.: On the Technique of Leucoma Exsection with New Modification of Trephine FM-III , Kiev, U. S. S. R. Academy of Sciences Press, 1938, p. 160. 8. Thomas, J. W. T.: Transplantation of the Cornea: A Preliminary Report of a Series of Experiments on Rabbits, Together with a Demonstration of Four Rabbits with Clear Corneal Grafts , Tr. Ophth. Soc. U. Kingdom 50:127, 1930 9. Successful Grafting of the Cornea in Rabbits , Lancet 1:335, 1931 10. Microscopic Appearances of Corneal Grafts , Brit. J. Ophth. 17:529, 1933Crossref 11. The Technique of Corneal Transplantation as Applied in a Series of Cases , Tr. Ophth. Soc. U. Kingdom 55:373, 1935 12. Experimental Heterogenous Corneal Grafts , Tr. Ophth. Soc. U. Kingdom 56:97, 1936 13. The Results of Corneal Transplantation , Brit. M. J. 1:114, 1937Crossref 14. Clinical Record and Histology of Two Successful Corneal Grafts in Man , Tr. Ophth. Soc. U. Kingdom 55:114, 1935 15. The Clinical and Microscopic Appearances of Experimental Grafts of Scleral Tissue on to Rabbits' Corneae , Tr. Ophth. Soc. U. Kingdom ( (pt. 1) ) 57:198, 1937. 16. Castroviejo, R.: (a) Keratoplasty , Am. J. Ophth. 15:825 and 905, 1932 17. Keratoplasty : Report of Seven Cases , Castroviejo Am. J. Ophth. 17:932, 1934 18. (b) Queratoplastia , in Concilium internationale ophthalmologicum , 1934, vol. 1, p. 78 19. (c) Keratoplasty , J. M. Soc. New Jersey 32:80, 1935 20. (d) Queratoplastia: Estudio clínico de catorce casos , Arch. de oftal. hispano-am. 35:404, 1935 21. (e) Keratoplasty , Tr. Am. Acad. Ophth. 40:418, 1935 22. (f) Modern Aspects of Corneal Transplantation, read before the Conference on Ophthalmology, American Academy of Ophthalmology and Otolaryngology, 1936 23. (g) Keratoplasty—Microscopic Study of Corneal Grafts , Tr. Am. Ophth. Soc. 35:355, 1937. 24. Welter, S. L.: An Experimental Study of Suitability of Preserved Cadaveric Corneas for Transplantation Purposes , Kiev, U. S. S. R. Academy of Sciences Press, 1938, p. 48. 25. Fuchs, E.: Zur Keratoplastik , Ztschr. f. Augenh. 5:1, 1901. 26. Duke-Elder, W. S.: Textbook of Ophthalmology , St. Louis, C. V. Mosby Company, 1933, vol. 1, p. 474. 27. Castroviejo, R.: New Method of Corneal Transplantation , Proc. Staff Meet., Mayo Clin. 6:417 ( (July 15) ) ; 669 (Nov. 11) 1931. 28. Elschnig, A.: Keratoplastik, cited by Kuhnt, H., in Elschnig, A.: Augenärzliche Operationslehre , Berlin, Julius Springer, 1922, p. 514. 29. Elschnig, A.: Keratoplasty , Arch. Ophth. 4:165 ( (Aug.) ) 1930.Crossref 30. Salzer, F.: Keratoplasty , Ztschr. f. Augenh. 3:124 and 516, 1900 31. Beiträge zur keratoplastik , Arch. f. Augenh. 65:214, 1910 32. Beiträge zur Keratoplastik: Implantation überlebender Lappen , Arch. f. Ophth. 105:469, 1921. 33. McArevey, J. B.: Corneal Transplantation in Aphakic Eye , Irish J. M. Sc. , (October) 1937, p. 635.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1943

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