Abstract
This study compared the outcome of 31 corneal transplants performed with locally acquired tissue (group 1) with the outcome of 95 cases performed with tissue that had been obtained in the United States and grafted in Israel (group 1). The mean follow-up time was 796 ± 523 (SD) days for group 1 and 815 ± 510 days for group 2. Donor age and gender, recipient age and gender, graft size, and length of follow-up were similar. Time from preservation to transplantation was longer for group 2 (8.8 ± 2.29 days) compared to group 1 (3.13 ± 2.38 days). Graft clarity was similar between the two groups at 1 year (79% vs 71%) and at the last follow-up visit (57% vs 62%). Visual acuity, intraocular pressure, and incidence of complications such as rejection (32% vs 38%), failure (35% vs 28%), secondary glaucoma (35% vs 43%), corneal ulcer (13% vs 6%), and regrafts (13% vs 7%) showed no significant difference between the groups. Air transport of corneal tissue, including loss of time attributable to travel and handling, did not compromise corneal transplantation success rate.—Michael D. Wagoner
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