Rabbit corneas denuded of their endothelium were coated with bovine corneal endothelial cells (from steers) previously maintained in tissue culture for short (20 generations) or prolonged (200 generations) periods. When grafted back into female rabbits, the corneal buttons remained clear and showed no edema. In contrast, denuded corneas coated with bovine keratocytes and grafted into rabbits became opaque and edematous within 7 da s and remained so thereafter. Bovine corneal endothelial cells of the grafted corneas, which had remained clear for over 100 days, proliferated actively when put back into tissue culture. The corneal endothelial cells of the graft had a chromosome number of 2n = 60. The sex chromosomes were characteristic of the male (XY). The chromosome number of the endothelium of the recipient rabbit was 2n = 44 with sex chromosomes characteristic of the female (XX). Results of the karyotype analysis show that there was no invasion of the corneal button by the recipient endothelium and, conversely, no invasion of the recipient endothelium by the endothelium on the corneal button. These results demonstrate that cultured corneal endothelial cells remain functional in vitro and can replace a damaged or nonfunctional endothelium in vivo. The cornea owes its transparency to its uniform structure, avascularity, and deturgescence. The relative dehydration of the corneal tissue is determined primarily by the active transport pump of the corneal endothelium. The ability of most corneal endothelia to repair themselves in vivo is severely limited by their lack of proliferative capacity (1, 2). Although small endothelial wounds can be repaired through the process of endomitosis and cell enlargement (3) (5). The cells were maintained on gelatinized dishes in Dulbecco's modified Eagle's medium supplemented with 10% calf serum, 5% dextran, 50 ,ug of gentamycin per ml, and 2.5 .g of Fungizone per ml. Fibroblast growth factor (100 ng/ml) was added every other day (5, 6). The cultures were passaged every week with a split ratio of 1:64. The morphological and biochemical characteristics of these cultures have been described (5-10). Cultures of bovine corneal keratocytes were established as described (7).Coating of Denuded Descemet's Membrane of Rabbit Cornea with Bovine Corneal Endothelial Cells or Keratocytes. Female Dutch rabbits were used throughout this study. The procedure is summarized in Fig. 1. After being anesthetized, the animal was sacrificed and the eye was enucleated. The cornea and a rim of sclera were then excised. The cornea was placed in a petri dish so that the endothelial layer faced upward. A cotton swab was used to sweep the surface of the cornea (6). [Control studies with an alizarin red staining technique have shown that the entire endothelial cell layer is removed and that no damage is done to Descemet's membrane (6,9).] A corneal button was cut with an 1 -mm trephine and placed in a Teflon container fashioned to fit the contour of the cornea. Concurrently with the dissection and pr...