Hagenah M, Lenk C, Winter R, Draeger J, Böhnke M
Universitäts-Augenklinik Hamburg.
Ophthalmologe. 1992 Dec;89(6):510-3.
It is recommended by the Eye Bank Association of American that the post-mortem time of donor tissue stored in intermediate storage should not exceed 6 h. In an experimental study we investigated the impact of post-mortem time on the storage of corneas kept in McCarey-Kaufman medium. Eyeballs of freshly slaughtered pigs were kept in moist chamber storage at 4 degrees C for 0, 6, 12, 24, and 48 h. Subsequently, corneal-scleral rims were dissected and stored in MK-Medium for 2 days at 4 degrees C. The corneas were stored in organ culture for another 2 days at 31 degrees C in MEM medium containing 10% fetal calf serum. A control group consisted of corneas that had been stored in organ culture for 2 days. Morphometric analysis revealed no significant changes in endothelial cell density compared to control corneas after up to 24 h of moist chamber storage prior to storage in MK medium. A significant decrease in endothelial cell density could only be detected in corneas that had been kept in moist chamber storage for 48 h before MK medium storage. We conclude that the recommendation that only donor corneas with short post-mortem times be used may exclude large amounts of potentially feasible tissue for penetrating keratoplasty.
美国眼库协会建议,中间储存的供体组织的死后时间不应超过6小时。在一项实验研究中,我们调查了死后时间对保存在麦卡里 - 考夫曼培养基中的角膜储存的影响。刚宰杀的猪眼球在4℃的湿盒中储存0、6、12、24和48小时。随后,将角膜 - 巩膜缘解剖并在4℃的MK培养基中储存2天。角膜在含有10%胎牛血清的MEM培养基中于31℃的器官培养中再储存2天。一个对照组由在器官培养中储存2天的角膜组成。形态计量分析显示,在储存于MK培养基之前,湿盒储存长达24小时后,与对照角膜相比,内皮细胞密度没有显著变化。只有在MK培养基储存前在湿盒中储存48小时的角膜中才能检测到内皮细胞密度的显著降低。我们得出结论,仅使用死后时间短的供体角膜的建议可能会排除大量潜在可行的穿透性角膜移植组织。