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Corneoscleral autotransplant.
J M Lustbader1, J Barraquer, W R Green
1Wilmer Ophthalmological Institute, Johns Hopkins Hospital, Baltimore, MD 21205.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|July 1, 1988
Summary
This study details a corneoscleral autotransplant maintained for 18 years, showing excellent vision. The research highlights the long-term structural and functional characteristics of this ocular tissue graft.
Area of Science:
- Ophthalmology
- Corneal Transplantation
- Ocular Anatomy
Background:
- Corneoscleral autotransplants are a surgical option for certain ocular conditions.
- Long-term outcomes and clinicopathologic features require detailed investigation.
Observation:
- A corneoscleral autotransplant was examined 18 years after implantation.
- Histopathological analysis revealed the presence of donor and recipient trabecular meshwork.
- Uveal melanocyte overgrowth was observed on the donor trabecular meshwork.
Findings:
- The graft maintained excellent visual acuity over 18 years.
- A hypocellular donor trabecular meshwork was noted.
- A cyclodialysis cleft was present, suggesting an alternative aqueous humor outflow pathway.
Implications:
- Corneoscleral autotransplants can provide long-term visual function.
- Understanding graft morphology aids in predicting long-term outcomes.
- The presence of a cyclodialysis cleft indicates potential alterations in aqueous dynamics.