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The management of corneal graft rejection

Descriptions of corneal disease and suggested treatments have been documented since the ancient civilisations of Egypt and Greece. However, in these cultures corneal surgery was limited to various types of superficial keratectomy. The idea of corneal grafting was suggested relatively recently3,4• Gu...

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Main Author: Hill, John Clifford
Format: Thesis
Language:English
Published: Department of Medicine 2025
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access_status_str Open Access
author Hill, John Clifford
author_browse Hill, John Clifford
author_facet Hill, John Clifford
author_sort Hill, John Clifford
collection Thesis
description Descriptions of corneal disease and suggested treatments have been documented since the ancient civilisations of Egypt and Greece. However, in these cultures corneal surgery was limited to various types of superficial keratectomy. The idea of corneal grafting was suggested relatively recently3,4• Guillaume Pellier de 22 Quengsy5, a Frenchman, suggested in 1789 the complete replacement of the opaque cornea using a thin glass disc the size of the cornea and set in a silver rim. He suggested that it could be stitched in with cotton threads and designed instruments for the operation although he never performed the procedure himself. This idea was really the forerunner of the modem keratoprothesis. At the end of the 18th and beginning of the 19th century there was a stimulus for corneal grafting as a result of blindness from diseases such as smallpox, venereal disease, and trachoma brought back by soldiers in the Napoleonic wars. It is uncertain who first suggested the replacement of damaged corneas with living tissue, but the credit is usually attributed to Franz Reisinger6 who also coined the term 11 keratoplasty11 • Reisinger confined his work to rabbits and chickens but most grafts failed either from opacification or sepsis. His work, however, did stimulate debate over the feasibility of keratoplasty, but many were extremely sceptical including one of Berlin's great surgeons of the time, Dieffenbach. He wrote in 18312 that Reisinger's idea of keratoplasty was 11 ••• certainly one of the most audacious fantasies, and it would be the highest reward of surgery if this operation succeeded 11 •
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provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2025
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spelling oai:open.uct.ac.za:11427/41444 The management of corneal graft rejection Hill, John Clifford Medicine Descriptions of corneal disease and suggested treatments have been documented since the ancient civilisations of Egypt and Greece. However, in these cultures corneal surgery was limited to various types of superficial keratectomy. The idea of corneal grafting was suggested relatively recently3,4• Guillaume Pellier de 22 Quengsy5, a Frenchman, suggested in 1789 the complete replacement of the opaque cornea using a thin glass disc the size of the cornea and set in a silver rim. He suggested that it could be stitched in with cotton threads and designed instruments for the operation although he never performed the procedure himself. This idea was really the forerunner of the modem keratoprothesis. At the end of the 18th and beginning of the 19th century there was a stimulus for corneal grafting as a result of blindness from diseases such as smallpox, venereal disease, and trachoma brought back by soldiers in the Napoleonic wars. It is uncertain who first suggested the replacement of damaged corneas with living tissue, but the credit is usually attributed to Franz Reisinger6 who also coined the term 11 keratoplasty11 • Reisinger confined his work to rabbits and chickens but most grafts failed either from opacification or sepsis. His work, however, did stimulate debate over the feasibility of keratoplasty, but many were extremely sceptical including one of Berlin's great surgeons of the time, Dieffenbach. He wrote in 18312 that Reisinger's idea of keratoplasty was 11 ••• certainly one of the most audacious fantasies, and it would be the highest reward of surgery if this operation succeeded 11 • 2025-05-27T13:05:43Z 2025-05-27T13:05:43Z 1994 2024-08-20T13:32:53Z Thesis / Dissertation Doctoral PhD http://hdl.handle.net/11427/41444 eng application/pdf Department of Medicine Faculty of Health Sciences
spellingShingle Medicine
Hill, John Clifford
The management of corneal graft rejection
thesis_degree_str Doctoral
title The management of corneal graft rejection
title_full The management of corneal graft rejection
title_fullStr The management of corneal graft rejection
title_full_unstemmed The management of corneal graft rejection
title_short The management of corneal graft rejection
title_sort management of corneal graft rejection
topic Medicine
url http://hdl.handle.net/11427/41444
work_keys_str_mv AT hilljohnclifford themanagementofcornealgraftrejection
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