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交联前后薄猪眼角膜的紫外线 A 吸收分析。

Ultraviolet-A absorbance analysis in thin porcine corneas pre-and post-crosslinking.

机构信息

Department of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Research & Development Department, Opto Eletronica S.A., São Paulo, SP, Brazil.

出版信息

Arq Bras Oftalmol. 2024 Mar 4;87(2):e20220273. doi: 10.5935/0004-2749.2022-0273. eCollection 2024.

DOI:10.5935/0004-2749.2022-0273
PMID:38451681
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11620171/
Abstract

PURPOSE

To determine the absorbance coefficient of the thin porcine cornea to ultraviolet-A radiation (365 nm) submitted for crosslinking.

METHODS

This in vitro, benchtop experiment using cadaver tissue study analyzed 12 porcine corneal lamellas, which were obtained using a microkeratome after mechanical de-epithelization and separated into three thickness groups: 180, 300, and 360 μm. The corneal thickness values were measured by anterior-segment optical coherence tomography. All lamellas had ultraviolet-A (365 nm) absorbance measured with a 96-well plate spectrophotometer using an ultraviolet transparent microplate before riboflavin instillation and preand post-crosslinking according to the Dresden protocol.

RESULTS

The ultraviolet absorbance profiles of the 180, 300, and 360 μm groups were obtained as α-coefficients of 12.85, 76.55, and 120.27, respectively. A theoretical formula was calculated though a statistical analysis that demonstrated the correlation between stromal lamellar thickness and ultraviolet absorbance.

CONCLUSIONS

Corneal thickness and ultraviolet-A spectral absorbance of corneal lamellas showed linear correlation. These findings can potentially contribute to the optimization of ultraviolet-A application during crosslinking, making the treatment of corneas with thickness <400 μm safe and personalized energy delivery for each corneal thickness.

摘要

目的

确定用于交联的薄猪眼角膜对紫外线-A 辐射(365nm)的吸收系数。

方法

本体外台式实验使用尸体组织研究分析了 12 个猪眼角膜瓣,这些瓣在机械去上皮化后使用微型角膜刀获得,并分为 3 个厚度组:180、300 和 360μm。角膜厚度值通过眼前节光学相干断层扫描测量。所有瓣均使用 96 孔板分光光度计测量紫外线-A(365nm)吸收,在滴入核黄素之前和根据德累斯顿方案进行交联之前使用紫外线透明微孔板进行测量。

结果

获得了 180、300 和 360μm 组的紫外线吸收曲线,其α系数分别为 12.85、76.55 和 120.27。通过统计分析计算出一个理论公式,表明基质瓣厚度与紫外线吸收之间存在相关性。

结论

角膜瓣的角膜厚度和紫外线-A 光谱吸收呈线性相关。这些发现可能有助于优化交联过程中的紫外线-A 应用,使厚度<400μm 的角膜的治疗安全,并为每个角膜厚度个性化地提供能量传递。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08e3/11620171/f849d3566f8b/abo-87-02-e2022-0273-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08e3/11620171/f849d3566f8b/abo-87-02-e2022-0273-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08e3/11620171/f849d3566f8b/abo-87-02-e2022-0273-g01.jpg

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本文引用的文献

1
Individualized Corneal Cross-linking With Riboflavin and UV-A in Ultrathin Corneas: The Sub400 Protocol.超薄角膜中核黄素与紫外线A的个体化角膜交联:Sub400方案
Am J Ophthalmol. 2021 Apr;224:133-142. doi: 10.1016/j.ajo.2020.12.011. Epub 2021 Jan 30.
2
Current concepts in crosslinking thin corneas.交联薄角膜的现代概念。
Indian J Ophthalmol. 2019 Jan;67(1):8-15. doi: 10.4103/ijo.IJO_1403_18.
3
Corneal Cross-Linking: Current USA Status: Report From the Cornea Society.角膜交联:美国现状:来自角膜协会的报告
Cornea. 2018 Oct;37(10):1218-1225. doi: 10.1097/ICO.0000000000001707.
4
Biomechanical stiffening: Slow low-irradiance corneal crosslinking versus the standard Dresden protocol.生物力学增强:低剂量辐照角膜交联术与标准德累斯顿方案的比较。
J Cataract Refract Surg. 2017 Jul;43(7):975-979. doi: 10.1016/j.jcrs.2017.04.041.
5
Tailored stromal expansion with a refractive lenticule for crosslinking the ultrathin cornea.采用屈光性透镜进行个性化基质扩张以交联超薄角膜。
J Cataract Refract Surg. 2015 May;41(5):918-23. doi: 10.1016/j.jcrs.2015.04.007. Epub 2015 May 5.
6
Stromal demarcation line induced by corneal cross-linking in eyes with keratoconus and nonkeratoconic asymmetric topography.圆锥角膜和非圆锥角膜不对称形态眼中角膜交联诱导的基质分界线
Cornea. 2015 Feb;34(2):199-203. doi: 10.1097/ICO.0000000000000305.
7
Contact lens-assisted collagen cross-linking (CACXL): A new technique for cross-linking thin corneas.接触镜辅助胶原交联术(CACXL):一种交联薄角膜的新技术。
J Refract Surg. 2014 Jun;30(6):366-72. doi: 10.3928/1081597X-20140523-01.
8
Corneal collagen cross-linking with riboflavin and ultraviolet a irradiation for keratoconus: long-term results.角膜胶原交联联合核黄素和紫外线 A 照射治疗圆锥角膜:长期疗效。
Ophthalmology. 2013 Aug;120(8):1515-20. doi: 10.1016/j.ophtha.2013.01.012. Epub 2013 Apr 12.
9
Persistent corneal edema after collagen cross-linking for keratoconus.圆锥角膜交联术后持续性角膜水肿。
Am J Ophthalmol. 2012 Dec;154(6):922-926.e1. doi: 10.1016/j.ajo.2012.06.005. Epub 2012 Sep 7.
10
Transepithelial corneal collagen crosslinking: bilateral study.经上皮角膜胶原交联:双侧研究。
J Cataract Refract Surg. 2012 Feb;38(2):283-91. doi: 10.1016/j.jcrs.2011.08.030. Epub 2011 Nov 21.