3种低温保存板层角膜移植材料的电镜观察

Electronic microscopic observation of cornea preserved at low temperature for lamellar keratoplasty

  • 摘要: 目的:评价低温保存板层角膜移植材料的效果。方法:将15只人尸角膜分三组保存2年:4℃甘油脱水法、角膜液氮冷冻法、全眼球液氮冷冻法。并做透射电镜观察。结果:第一组中,角膜胶原纤维排列紊乱、疏松,缺乏连续性,可见广纤维变性,纤维间可见极低电子密度灶。第二组中,角膜胶原纤维排列规则、连续,电子密度均匀,纤维间可见散在扩大的空隙,呈低电子密度灶。第三组中,角膜胶原纤维排列规则、连续,电子密度欠均匀,纤维间隙增大,可见弥漫的电子密度减低灶。结论:对一般治疗性板层角膜移植,可选用全眼球液氮冷冻法,因这种方法简便易行效果较好。

     

    Abstract: Objective: To evaluate the effects of corneal preservation for lamellar keratoplasty at low temperature. Methods: The corneas (15 human eyes) were preserved under three conditions: Group 1, preserved in glycerine at 4℃, group 2, cryopreserved at -196℃ and group 3 eyeball cryopreserved at -196℃. The ultrastructural changes of the corneas preserved for two years in each group were studied by transmisson electron microscopy.Results: The corneal collagen fibres in the first group were irregularly arranged, loosened and disconnected with difuse fibre degeneration. In the second group, the corneal collageng fibres were regularly arranged with normal electron density. Interfibral spaces were sporadicly dilated with lower electron density. In the third group, the electron density of corneal collagen fibres were uneven with dilated and low electron-densed interfibral spaces. Conclusion: The corneas cryopreserved at -196℃ are ideal materials for optical lamellar keratoplasty. For generally theraputical lamellar keratoplasty, eyeball cryopressrved at -196℃ is recommended, because this method is easy and effective.

     

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