J Korean Ophthalmol Soc.  2009 Mar;50(3):471-476. 10.3341/jkos.2009.50.3.471.

Various Treatments Using Invaluable Donor Cornea

• Kim ST
• Lee YC
• Heo J
• Yang SW
• Koh JW

• KMID: 2111261
• DOI: http://doi.org/10.3341/jkos.2009.50.3.471

Abstract

PURPOSE: To report cases of transplanting a donor's 2 corneas to 5 patients suffering from several corneal diseases.
CASE SUMMARY
Two corneas were donated from a 66-year-old donor, who suffered from brain damage due to asphyxia, one hour after being pronounced dead by doctors. Two penetrating keratoplasties and 3 partial lamellar keratoplasties were performed for patients with corneal opacity, corneal ulcer and corneal perforation. After the procedure all grafts were stable.
CONCLUSIONS
Under the present circumstances of decreasing donations of corneas after death and the increasing demand for keratoplasty in Korea, the mutual cooperation among hospitals to treat more than one patient using one donated cornea is a method the authors believe can alleviate this situation.

Keyword

Corneal disease; Corneal transplantation; Donor cornea

MeSH Terms

Aged
Asphyxia
Brain
Cornea
Corneal Diseases
Corneal Opacity
Corneal Perforation
Corneal Transplantation
Corneal Ulcer
Humans
Keratoplasty, Penetrating
Korea
Stress, Psychological
Tissue Donors
Transplants

Figure

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  Figure 1. (A) Corneal opacity with stromal neovascularization was seen before penetrating keratoplasty by slit lamp examination. (B) Four months after a penetrating keratoplasty, graft tissue was clear and had no rejection sign.

• 

  Figure 2. (A) Opaque and bullous cornea with neovascularization is seen by slit lamp examination. (B) One year after a penetrating keratoplasty, graft tissue was clear and had no rejection sign.

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  Figure 3. (A) Aqueous leakage developed due to loose suture knots. (B) Loose sutures were removed and Histoacryl® glue was applied. (C) After a Histoacryl® glue removal, a partial superficial lamellar keratoplasty was performed. (D) Six months later, graft tissue was stable and central cornea was clear to see 20/20.

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  Figure 4. (A) After a trauma of chestnuts bur, multiple dot-like white opacities were seen. Leakage was seen at 3 o'clock. (B) Forteen days after a partial superficial lamellar keratoplasty, graft tissue and anterior chamber was stable and no more leakage was seen.

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  Figure 5. (A) The corneal perforation with iris incarceration was seen. (B) A partial superficial lamellar keratoplasty was performed. (C) Six months later, graft was well-epithelialized and in a stable state, but some localized fibro-vascular pannus developed.

Reference

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