Any ophthalmologist interested in corneal transplant surgery will find this issue of the International Ophthalmology Clinics on corneal surgery interesting in several ways. First, there is an excellent historical review of the corneal transplant operation. The authors, working in India, where there is a greater degree of blindness from corneal disease than in any other country in the world, have a chapter on the causes of corneal blindness in their country. Understandably, simple corneal opacity including trachomatous corneal disease constitutes 50% of the abnormalities in patients referred for corneal surgery. Unlike the population of graft candidates in this country, transplants for corneal dystrophy and keratoconus made up only 5% of the total grafts performed, while transplants for bullous keratopathy were even less.
The chapter on corneal physiology, unfortunately, is weak, containing numerous errors that are stated as apparent facts. One example is The capacity of the cornea to maintain itself