Failed Epikeratophakia Graft

To the Editor. —I read with interest Dr Binder's article in the September 1985Archives, which reported a failed epikeratophakia graft.1There was, however, a major error in the clinical description of the case, in that lyophilized, not freshly prepared, human donor tissue, was used. None of the authors of the article was present at the time of surgery. In fact, I was the surgeon on the case and brought lyophilized tissue from Louisiana State University in New Orleans to Bluefield, WVa, to perform the procedure. None of the software to calculate the parameter for lathing epikeratophakia tissue was present in West Virginia, so the tissue could not have been lathed there. This observation is important, because we have also recently reported a case of a failed epikeratophakia graft.2In this case, the tissue was frozen. There were significant differences in the repopulation of the stroma by keratocytes, and