Purpose: To develop a model for analyzing the immune response after xenogen
ic human fetal retinal pigment epithtelium (HFRPE) transplantation. Materia
ls ann methods: Purl sheets of HFRPE cells were isolated and attached to po
ly (DL-lactide-co-glycolide) polymer films and HFRPE spheroids were formed.
The spheroids were transplanted into the subretinal space of New Zealand a
lbino rabbits and were observed for 5 months. Bare polymer films were trans
planted into the subretinal space of Dutch Belted pigmented rabbits, servin
g as control. Results: The polymer film was bioegraded within 3 weeks in th
e subretinal space. No signs of inflammation in the retina or choroid were
observed. The WI;RPE spheroids were easily transplanted into the subretinal
space. The immune response was followed with ophthalmoscopy. Light microsc
opy indicated a localized immune response in the transplanted area in which
the retina and the choroid were infiltrated with immune cells. This infilt
ration was denser in the choroid. Conclusions: HFRPE spheroid transplantati
on may be utilized as a model for studying the xenogenic immune response af
ter HFRPE transplantation. This model may also have applications in evaluat
ing the role of immune suppressive agents in preventing rejection after HFR
PE transplantation.