Summary:
Transplantation of the cornea is often the only possible treatment of many
ophthalmological diseases and injuries. The quality of the donor cornea determines
in a major way the success of transplantation and therefore the demands on
its quality must be high.
Objective: Assess how the vitality of the endothelium changes in relation to the
time which elapsed since the donor´s death after storage of the cornea in the
medium (death/preservation time, DPT). If the vitality of the endothelium is poor,
the oedema of the cornea persists at room temperature.
Methods:The endothelium of the donor cornea was examined before transplantation
under a specularmicroscope Bio Optics (USA). According to DPT the corneae
were divided into three groups:
lst group - 22 corneae where DPT is shorter than 5 hours
2nd group - 33 corneae where DPT is 6-10 hours
3rd group - 46 corneae where DPT was longer than 10 hours
Results:In the first group the corneae got rid of the oedema after 20 minutes at
room temperature and endothelial cells could be observed in detail. In the second group the corneae got rid of the oedema after 20 minutes but there were rare
oedematous sites where the endothelial function was not adequate. In the third
group even after long time at room temperature the cornea did not get rid of the
oedema, and on examination it was very difficult to find a group of endothelial
cells for evaluation.
Conclusion: Corneae from group 1 have a totally vital endothelium, in the second
group there are sites on the cornea where the vitality of the endothelium is already
impaired, in the third group the vitality of the entire endothelium is impaired.For
transplantation corneae with aDPTshorter than 10 hours are suitable.With aDPT
longer than 10 hours they are less suitable or unsuitable for transplantation.
Key words:
keratoplasty, death/preservation time, corneal endothelium, specular
microscope
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