Li J, Xie L, Dong X
Institute of Ophthalmology & Eye Hospital, Shandong Academy of Medical Sciences, Qingdao.
Zhonghua Yan Ke Za Zhi. 1996 May;32(3):233-6.
The study was designed to investigate the corneal changes at various times after epikeratophakia performed on rabbit cornea.
The process of epithelial repair, or interlayer healing, the changes of endothelial cells and Langerhans cells (LC) in corneal epithelium were observed at different intervals after surgery by using histochemistry technique.
The epithelial repair of the graft was completed by 4-12 postoperative days. The repopulation of keratocytes was seen firstly at peripheral and superior part of the lenticule at 7-14 postoperative days and completed to normal by postoperative 2 months. No changes were observed in the endothelial cells. The proliferation of LC was observed in the limbal epithelium at day 3, reached the peak by day 14 and recovered to normal at month 2 postoperatively.
Epikeratophakia is available and safe, The proliferation of LC might result from wound healing not from immune rejection.
本研究旨在观察兔角膜表层镜片术术后不同时间角膜的变化。
采用组织化学技术,在术后不同时间观察植片上皮修复过程(即层间愈合)、角膜内皮细胞及角膜上皮内朗格汉斯细胞(LC)的变化。
术后4 - 12天植片上皮修复完成。术后7 - 14天,首先在透镜周边及上部观察到角膜基质细胞的重新聚集,术后2个月恢复正常。内皮细胞未见变化。术后第3天在角膜缘上皮观察到LC增殖,第14天达到高峰,术后2个月恢复正常。
表层镜片术可行且安全,LC增殖可能是伤口愈合所致,而非免疫排斥反应。