[Clinical and immunological studies on transplantation of total cornea with circular lamellar sclera].
OBJECTIVE
To observe the clinical results of total cornea with circular lamellar sclera transplantation (CST) and study its immunological mechanisms by animal experiments.


METHODS
109 patients with corneal transplantation were retrospectively analyzed, and according to the methods of operation they were divided into groups to compare their rate of rejection and the time of occurrence of corneal neovascularization. The methods of grouping and operation in animal experiments were similar to that in the clinical practice.


RESULTS
The time of occurrence of neovascularization and rejection of CST were later than that in the total corneal transplantation (TCT), and the postoperative rate of rejection at 3 to 6 months was obviously increased in comparison with that in the partial penetrating keratoplasty (PKP).


CONCLUSIONS
CST is an important method for rebuilding ocular anterior segment, and the donor limbus is active in the immunological of rejection.
Yang
C
C
Department of Ophthalmology, Second Affiliated Hospital, Qingdao Medical College, Qingdao 266042.
Jiang
G
G
Sun
L
L
D000328:Adult; D000818:Animals; D003316:Corneal Diseases / Q000276:immunology / Q000601:surgery*; D016510:Corneal Neovascularization; D016039:Corneal Transplantation / Q000276:immunology*; D005260:Female; D006084:Graft Rejection; D006801:Humans; D016850:Limbus Corneae / Q000601:surgery*; D008297:Male; D011817:Rabbits; D012189:Retrospective Studies