Doughty Michael J, Bergmanson Jan P G
Department of Vision Sciences, Glasgow-Caledonian University, Glasgow, United Kingdom.
Clin Exp Optom. 2004 Mar;87(2):81-92. doi: 10.1111/j.1444-0938.2004.tb03153.x.
The aim of this investigation was to reassess the impact of the scleral rim on the swelling of the mammalian corneal stroma and to investigate the ultrastructural features of the scleral rim and corneal stromal tissues.
The epithelium and endothelium were removed from corneas excised from three-month-old female rabbits. The resulting preparations consisted of the corneal stroma plus a surrounding scleral rim, excised corneal stroma or a nine-millimetre button of central corneal stroma. These preparations were immersed in a 35 mM bicarbonate-buffered mixed salt solution (equilibrated with five per cent CO2-air, pH 7.54 at 37 degrees Centigrade for nine hours. Some sclero-corneal preparations were fixed for light or transmission electron microscopy.
The initial rate of swelling of corneal stromal buttons was greatest at 127 +/- 8 per cent per hour, less for complete stromal preparations (118 +/- 9 per cent per hour) and least for sclero-stromal preparations (76 +/- 12 per cent per hour). The swelling continued over three to nine hours but sclera preparations swelled up to 40 per cent with no further swelling. Light microscopy demonstrated that the sclero-corneal rim tissue limited the swelling of the posterior corneal stroma. TEM sections of the episclera and sclera indicate that most fibril bundles show a radial orientation to the cornea. There are marked anterio-posterior differences in the collagen fibrils of the scleral surround that are distinctly different from previous reports. Average fibril diameters were 62.8 +/- 7.9 nm in the episclera, 122.4 +/- 18.9 nm, 133.5 +/- 51.9 nm and 56.5 +/- 11.2 nm in the anterior, mid- and posterior scleral stroma, compared to an average fibril diameter of 33.5 +/- 3.5 nm for the posterior corneal stroma.
When there is a scleral rim in place, the swelling of the corneal stroma is substantially less than for isolated corneal stroma. The effect can be attributed to the absence of a cut-edge effect for the sclero-corneal stromal preparation but the unique and largely radial arrangement of the collagen fibrils in the scleral rim plays a part in limiting the swelling of the adjacent corneal stroma. The heterogeneous nature of this sclero-corneal interface requires further investigation to define the mechanism of the effect.
本研究的目的是重新评估巩膜缘对哺乳动物角膜基质肿胀的影响,并研究巩膜缘和角膜基质组织的超微结构特征。
从3个月大的雌性兔子眼中摘除角膜的上皮和内皮。所得标本包括角膜基质加周围的巩膜缘、切除的角膜基质或9毫米的中央角膜基质纽扣。将这些标本浸入35 mM碳酸氢盐缓冲混合盐溶液中(用5%二氧化碳-空气平衡,37摄氏度时pH值为7.54)9小时。一些巩膜-角膜标本固定后用于光学显微镜或透射电子显微镜检查。
角膜基质纽扣的初始肿胀速率最高,为每小时127±8%,完整基质标本较低(每小时118±9%),巩膜-基质标本最低(每小时76±12%)。肿胀持续3至9小时,但巩膜标本肿胀至40%后不再进一步肿胀。光学显微镜显示,巩膜-角膜缘组织限制了角膜后基质的肿胀。巩膜上层和巩膜的透射电镜切片表明,大多数纤维束呈放射状朝向角膜。巩膜周围胶原纤维存在明显的前后差异,这与先前的报道明显不同。巩膜上层的平均纤维直径为62.8±7.9纳米,巩膜前、中、后基质的平均纤维直径分别为122.4±18.9纳米、133.5±51.9纳米和56.5±11.2纳米,而角膜后基质的平均纤维直径为33.5±3.5纳米。
当存在巩膜缘时,角膜基质的肿胀明显小于孤立的角膜基质。这种效应可归因于巩膜-角膜基质标本不存在切缘效应,但巩膜缘中胶原纤维独特且主要呈放射状排列在限制相邻角膜基质肿胀中起作用。这种巩膜-角膜界面的异质性需要进一步研究以确定其作用机制。