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培养并冷冻保存的人角膜移植物术后厚度及内皮细胞密度

Post-operative thickness and endothelial cell density in cultivated, cryopreserved human corneal grafts.

作者信息

Ehlers N, Sperling S, Olsen T

出版信息

Acta Ophthalmol (Copenh). 1982 Dec;60(6):935-44. doi: 10.1111/j.1755-3768.1982.tb00624.x.

DOI:10.1111/j.1755-3768.1982.tb00624.x
PMID:6763443
Abstract

Seventeen corneas obtained 2-72 h post mortem, from donors aged 17-78 years, were cultivated for 24 h, cryopreserved, thawed, cultivated for another 24 h and grafted. One year post-operatively 12 of the 17 grafts were clear. In 10 of these 12 cases the visual acuity was greater than or equal to 0.33. One primary graft failure occurred, while 4 primarily clear grafts became cloudy due to glaucoma (2), phthisis bulbi (1) and herpetic reinfection (1). One year after the transplantations the central thickness of the clear grafts was 0.51 mm, and the endothelial cell density was 1028 cells/mm2, corresponding to 32% of the cell density before cryopreservation. This endothelial cell loss was not correlated to donor age or to the time between the death of the donor and the primary cultivation.

摘要

从17至78岁供体获取的17只角膜在死后2至72小时内采集,培养24小时,冷冻保存,解冻,再培养24小时后进行移植。术后一年,17只移植角膜中有12只保持透明。在这12例中,10例视力大于或等于0.33。发生了1例原发性移植失败,而4只原发性透明的移植角膜因青光眼(2例)、眼球痨(1例)和疱疹再感染(1例)而变得混浊。移植一年后,透明移植角膜的中央厚度为0.51毫米,内皮细胞密度为1028个细胞/平方毫米,相当于冷冻保存前细胞密度的32%。这种内皮细胞损失与供体年龄或供体死亡与初次培养之间的时间无关。

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引用本文的文献

1
Efficacy of Emergency Penetrating Keratoplasty with Cryopreserved Human Donor Corneas.冷冻保存人供体角膜用于急诊穿透性角膜移植术的疗效
Ophthalmol Ther. 2024 Apr;13(4):979-994. doi: 10.1007/s40123-024-00889-z. Epub 2024 Feb 12.
2
Latent endothelial cell damage after experimental corneal cryopreservation.实验性角膜冷冻保存后的潜在内皮细胞损伤
Graefes Arch Clin Exp Ophthalmol. 1993 Sep;231(9):529-32. doi: 10.1007/BF00921118.
3
Cryopreservation of rabbit corneas: assessment by microscopy and transplantation.兔角膜的冷冻保存:通过显微镜检查和移植进行评估。
Br J Ophthalmol. 1986 Oct;70(10):751-60. doi: 10.1136/bjo.70.10.751.
4
Effect of donor cornea preservation in tissue culture and in McCarey-Kaufmann medium on corneal graft rejection and visual acuity.组织培养及麦卡雷-考夫曼培养基中供体角膜保存对角膜移植排斥反应和视力的影响。
Doc Ophthalmol. 1991;78(3-4):273-8. doi: 10.1007/BF00165691.