A year on, world's first whole eye and face transplant recipient's new eye shows some response to light

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JAMA / Ceradini, D.J., et al.
JAMA / Ceradini, D.J., et al.

US  scientists say the transplanted eye of the world's first whole eye and face transplant recipient is responding to light, although the recipient himself can't see it. The team tested the response of his retina - the light-sensitive 'screen' at the back of the eye - to light, finding there is some retinal function.  Although the patient can't see through his new eye, the experts say its pressure is normal and blood flow is good. They say this is the first successful whole eye transplant without rejection by the body, a promising step towards being able to restore sight.  The 46-year-old transplant recipient suffered  a high voltage electrical injury in 2021, resulting in the loss of his left eye and eyelid, nose, lips, and facial tissue. Initial surgical reconstruction left him struggling to eat and breathe comfortably, issues the face transplant, which was also not rejected by his body, has helped to address.

Media release

From: JAMA

Combined Whole Eye and Face Transplant

About The Study: This is the first report of whole eye transplant combined with facial transplant, demonstrating allograft survival including rejection-free graft survival and electroretinographic measurements indicating retinal response to light stimuli. These data highlight the potential for clinical allotransplantation for globe loss. The successful revascularization of the transplanted eye achieved in this study may serve as a step towards the goal of globe transplant for restoration of vision.

Quote from corresponding author Eduardo D. Rodriguez, MD, DDS:

“The study reveals clinical outcomes from the past year following the world’s first whole-eye and partial-face transplant, highlighting promising initial results, and establishing a foundation for future advancements.

“While the recipient has not regained vision, the transplanted eye has maintained normal pressure, good blood flow, and some remaining structure and functions in the retina. Many experts did not think we would even be here, but we’ve successfully transplanted and maintained an eye without immune rejection.

“Now, the next challenge is understanding how to restore sight. I look forward to continuing this research in collaboration across academia to accelerate these discoveries with unique tools and the best therapies.”

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JAMA
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Organisation/s: Hansjörg Wyss Department of Plastic Surgery, USA
Funder: This study was supported by New York University Langone Health (institutional support and funding) and the NYU Grossman School of Medicine.Magnetic resonance imaging tractography studies were supported by R01EB028774 from the National Institutes of Health (Drs Filipiak and Baete).
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