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LETTER TO THE EDITOR
Year : 2020  |  Volume : 68  |  Issue : 7  |  Page : 1506

Response to comments on: Using corneal graft from keratoconic donor for lamellar and penetrating keratoplasties


Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Fondation Asile Des Aveugles, Lausanne, Switzerland

Date of Web Publication25-Jun-2020

Correspondence Address:
Dr. George D Kymionis
Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Fondation Asile Des Aveugles, 15 Avenue de France, 1002, Lausanne
Switzerland
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_514_20

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How to cite this article:
Kymionis GD, Grentzelos MA. Response to comments on: Using corneal graft from keratoconic donor for lamellar and penetrating keratoplasties. Indian J Ophthalmol 2020;68:1506

How to cite this URL:
Kymionis GD, Grentzelos MA. Response to comments on: Using corneal graft from keratoconic donor for lamellar and penetrating keratoplasties. Indian J Ophthalmol [serial online] 2020 [cited 2020 Jul 10];68:1506. Available from: http://www.ijo.in/text.asp?2020/68/7/1506/287565



Dear Editor,

We would like to respond to the comments of this letter, although we believe that it is not actually relevant to the topic of our article regarding the use of two corneal grafts from a keratoconic donor for lamellar and penetrating keratoplasties.[1] As reported in our article, keratoconic corneas could be potential candidates for corneal transplantation in specific situations, such as during periods of local tissue shortage in patients with poor visual potential or in emergency penetrating keratoplasty (PKP).[1] On the contrary, the authors of the letter reported cases of performing corneal cross-linking (CXL) on corneal grafts which do not derive from a keratoconic donor. In a similar way, we have also reported the use of cross-linked corneal grafts for the tectonic reconstruction of the anterior ocular segment for the management of scleral and conjunctival melting.[2] Nevertheless, we agree that CXL could be similarly performed to a keratoconic donor cornea in order to increase its strength and biomechanical stability prior to its use in emergency PKP or another exigent situation.[3]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Kymionis GD, Tabibian D, Voulgari N, Fabro F, Grentzelos MA. Using corneal graft from keratoconic donor for lamellar and penetrating keratoplasties. Indian J Ophthalmol 2020;68:226-9.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Kymionis GD, Plaka AD, Diakonis VF, Grentzelos MA, Kontadakis GA, Mersinoglou AC, et al. Cross-linking as an adjuvant treatment for tectonic corneal lamellar graft preparation. Open Ophthalmol J 2013;7:79-81.  Back to cited text no. 2
    
3.
Agarwal M, Natarajan R. Comments on: Using corneal graft from keratoconic donor for lamellar and penetrating keratoplasties. Indian J Ophthalmol 2020;68:1505-6.  Back to cited text no. 3
  [Full text]  




 

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