Nakamura Takahiro, Kinoshita Shigeru
Research Center for Regenerative Medicine, Doshisha University.
Nihon Rinsho. 2008 May;66(5):955-60.
The cornea is the avascular, transparent, and main optical element of the eye consisting primarily of 3 layers: the corneal epithelium, stroma, and endothelium. It is believed that corneal epithelial stem cells exist in the basal cell layer of the limbal region. In cases of corneal epithelial stem cell deficiency, corneal epithelial replacement using a tissue engineering technique holds great promise for ocular surface reconstruction. Autologous cultivated corneal epithelial sheets are the safest and most reliable treatment, however, they are not useful for treating bilaterally affected ocular surface disorders. In order to treat these bilateral cases, we must choose either an allogeneic cultivated corneal epithelial sheet or an autologous cultivated oral mucosal epithelial sheet.
角膜是眼睛的无血管、透明的主要光学元件,主要由三层组成:角膜上皮、基质和内皮。据信角膜上皮干细胞存在于角膜缘区域的基底细胞层中。在角膜上皮干细胞缺乏的情况下,使用组织工程技术进行角膜上皮替代对眼表重建具有很大的前景。自体培养的角膜上皮片是最安全、最可靠的治疗方法,然而,它们对治疗双侧受累的眼表疾病并无用处。为了治疗这些双侧病例,我们必须选择异体培养的角膜上皮片或自体培养的口腔黏膜上皮片。