Review of keratoplasty using donor cornea obtained with a portable electric trephine.

Accession number;03A0150483
Title;Review of keratoplasty using donor cornea obtained with a portable electric trephine.
Author; KOMINE HIROSHI (Nagasakidai Daigakuin'ishiyakugakukenkyuka Gankagakushikakukagakka) KUMAGAMI TAKESHI (Nagasakidai Daigakuin'ishiyakugakukenkyuka Gankagakushikakukagakka) TANIGUCHI HIROYASU (Nagasakidai Daigakuin'ishiyakugakukenkyuka Gankagakushikakukagakka) AMEMIYA TSUGIO (Nagasakidai Daigakuin'ishiyakugakukenkyuka Gankagakushikakukagakka)
Journal Title;Japanese Journal of Clinical Ophthalmology
Journal Code:Z0515B
ISSN:0370-5579
VOL.57;NO.2;PAGE.173-176(2003)
Figure&Table&Reference;FIG.2, TBL.6, REF.12
Pub. Country;Japan
Language;Japanese
Abstract;We reviewed the outcome of penetrating keratoplasty using directly excised corneoscleral button from the donor eye in 14 cases. The excision was performed with a portable electric trephine, Micro-Keraton. The transplanted cornea remained transparent in 50%, slightly opaque in 21%, and opaque in 29%. The visual acuity improved in 57%, remained unchanged in 36%, and deteriorated in 7%. Graft rejection occurred in 21%. In another series of 10 cases, transplanted cornea from enucleated eyeball remained transparent in 30% and visual acuity improved in 60%. In a third series of 75 cases, transplanted cornea from preserved eyeball remained transparent in 42% and visual acuity improved in 42%. The findings show that the use of portable electric trephine can be recommended for penetrating keratoplasty whenever feasible. (author abst.)