“…Apoptosis was the main mechanism of keratocyte death in the present study, as previously described in pigs, rabbits, cats, dogs, and humans. 28,29,38,39 When compared with cellular necrosis, this active process of cell destruction characterized by chromatin aggregation and lack of inflammation or damage to the neighboring tissue could reduce the collagen fibril disruption and induce less damage to the donor tissue. 40 The cryopreservation process induces the death of epithelial cells, keratocytes, and endothelial cells, reducing corneal transparency after keratoplasty, especially in perforated corneas.…”