title: One donor cornea for 3 recipients: a new concept for corneal transplantation surgery.
abstract: OBJECTIVE
  To describe the use of a single donor corneal tissue in 3 patients with corneal pathologic conditions.
  
  
  METHODS
  A donor corneal tissue was divided into 3 parts using a microkeratome and a trephine. The anterior lamellar disc was transplanted into a patient with macular corneal dystrophy using the automated lamellar therapeutic keratoplasty technique. The posterior lamellar disc was transplanted into a patient with pseudophakic bullous keratopathy using the Descemet stripping automated endothelial keratoplasty technique. The peripheral corneoscleral rim was used for limbal stem cell transplantation in a child with limbal stem cell deficiency.
  
  
  RESULTS
  All surgical procedures were performed successfully. At 3 months, the best-corrected visual acuities achieved following automated lamellar therapeutic keratoplasty, Descemet stripping automated endothelial keratoplasty, and limbal stem cell transplantation were 20/60, 20/40, and 20/200, respectively.
  
  
  CONCLUSIONS
  The advent of customized component corneal transplantation techniques may allow the use of 1 donor cornea to treat multiple patients.
authors.affiliation: Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi. rvajpayee@gmail.com
authors.forename: Rasik B
authors.initials: RB
authors.lastname: Vajpayee
authors.forename: Namrata
authors.initials: N
authors.lastname: Sharma
authors.forename: Vishal
authors.initials: V
authors.lastname: Jhanji
authors.forename: Jeewan S
authors.initials: JS
authors.lastname: Titiyal
authors.forename: Radhika
authors.initials: R
authors.lastname: Tandon
mesh_terms: D000328:Adult; D017690:Cell Transplantation; D002675:Child, Preschool; D003315:Cornea; D003316:Corneal Diseases / Q000601:surgery*; D016039:Corneal Transplantation / Q000379:methods*; D004728:Endothelium, Corneal / Q000637:transplantation*; D006801:Humans; D016850:Limbus Corneae / Q000166:cytology; D008297:Male; D008875:Middle Aged; D033581:Stem Cell Transplantation; D014019:Tissue Donors