목적: 두개의 기증각막을 이용하여 다양한 종류의 각막질환을 앓고 있는 다섯 명의 환자에게 전층 각막이식술 및 부분 표층각막이식술을 시행하여 성공적으로 치료하였기에 이에 보고하고자 한다. 증례요약: 질식으로 인한 심한 뇌 손상 후 혼수상태에 빠진 환자의 각막 2개를 기증 받아 각막혼탁, 각막궤양, 각막천공으로 시력이 저하된 환자 2명에게 전층 각막이식술을 그리고 3명의 환자에게 부분 표층각막이식술을 시행하였다. 술 후 이식된 각막 편은 5예에서 모두 안정적으로 관찰되었다. 결론: 각막질환으로 각막이식술이 필요하나 기증 각막이 부족한 현재의 상황에서 한 개의 기증각막을 이용하여 다수의 환자를 치료하는 것이 부족한 각막기증을 극복하기 위한 한 방법이라고 생각된다.

Purpose: To report cases of transplanting a donor’s 2 corneas to 5 patients suffering from several corneal diseases. Case summary: Two corneas were donated from a 66-year-old donor, who suffered from brain damage due to asphyxia, one hour after being pronounced dead by doctors. Two penetrating keratoplasties and 3 partial lamellar keratoplasties were performed for patients with corneal opacity, corneal ulcer and corneal perforation. After the procedure all grafts were stable. Conclusions: Under the present circumstances of decreasing donations of corneas after death and the increasing demand for keratoplasty in Korea, the mutual cooperation among hospitals to treat more than one patient using one donated cornea is a method the authors believe can alleviate this situation.

Purpose: To report cases of transplanting a donor’s 2 corneas to 5 patients suffering from several corneal diseases. Case summary: Two corneas were donated from a 66-year-old donor, who suffered from brain damage due to asphyxia, one hour after being pronounced dead by doctors. Two penetrating keratoplasties and 3 partial lamellar keratoplasties were performed for patients with corneal opacity, corneal ulcer and corneal perforation. After the procedure all grafts were stable. Conclusions: Under the present circumstances of decreasing donations of corneas after death and the increasing demand for keratoplasty in Korea, the mutual cooperation among hospitals to treat more than one patient using one donated cornea is a method the authors believe can alleviate this situation.