Document Detail


HLA-compatible donor cornea for prevention of allograft reaction.
MedLine Citation:
PMID:  1083165     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our series comprises 80 penetrating grafts. Of the recipient corneas 36 were vascularized. Of the donor corneas 48 were fresh and 32 were cryopreserved. As prophylaxis, we gave topical and systemic prednisolone, combined, in heavily vascularized cases, with azathioprine. Corneal donor-recipient pairs were divided into three groups according to HLA histocompatibility. In Group I (0-1 mismatch) the rate of allograft reaction was 1 in 27, in Group II (2-4 mismatches) it was 4 in 19, and in the untyped Group III 9 in 34. Even when the prognosis was poor, a well-matched donor cornea (Group I) greatly improved the chances of success; when the corneal bed was vascularized, the well-matched donor corneas had a failure rate of 1 in 13, whereas in untyped pairs it was 7 in 18. The importance of possible presensitization is discussed.
Authors:
S Vannas; K Karjalainen; P Ruusuvaara; A Tiilikainen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie. Albrecht von Graefe's archive for clinical and experimental ophthalmology     Volume:  198     ISSN:  0065-6100     ISO Abbreviation:  Albrecht Von Graefes Arch Klin Exp Ophthalmol     Publication Date:  1976 Mar 
Date Detail:
Created Date:  1976-06-02     Completed Date:  1976-06-02     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0044637     Medline TA:  Albrecht Von Graefes Arch Klin Exp Ophthalmol     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  217-22     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Female
HLA Antigens / analysis
Histocompatibility Testing*
Humans
Male
Middle Aged
Refrigeration
Tissue Donors
Tissue Preservation
Transplantation, Homologous
Chemical
Reg. No./Substance:
0/HLA Antigens

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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