Record number:
248
Adverse Occurrence type:
MPHO Type:
Alerting signals, symptoms, evidence of occurrence:
Pathologic examination of the remaining donor limbal tissue revealed metastasis of tumor to the limbal vessels. Before the second corneal transplantation, the surrounding tissue of the recipient bed was excised and sent for histopathologic examination. No tumor transmission was noted surrounding the recipient bed. The second graft remained clear and the patient remained cancer free after regular examination for over a year.
Demonstration of imputability or root cause:
A patient with limbal dermoid received corneal transplant from a donor who died of cholangiocarcinoma.
Imputability grade:
3 Definite/Certain/Proven
Groups audience:
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Case report
Deceased donor
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