Estudio de dos pautas de inmunosupresión tras alotrasplante límbico
- I Rodríguez Agirretxe
- J Mendicute
- P Aldazábal
- N García Urquía
- J Durán de la Colina
ISSN: 0365-6691
Argitalpen urtea: 2003
Alea: 78
Zenbakia: 1
Orrialdeak: 29-34
Mota: Artikulua
Beste argitalpen batzuk: Archivos de la Sociedad Española de Oftalmologia
Laburpena
Purpose: Comparison of two immunosuppressive strategies after limbal allograft transplantation in an experimental model of ocular surface chemical burn. Methods: Twenty albino rabbits underwent corneal and limbal chemical burn with NaOH. One week later limbal transplantation was performed. Clinical assessments included measurements of epithelial defect, stromal opacity and neovascularization areas, using a computerized planimetry system 0, 7, 15, 30, 60 and 90 days after the chemical burn. Histologic examination was performed at 3 months, after sacrifice of the animals. Two immunosuppressive strategies were evaluated: topical cyclosporin A on constant dosage (group 1), and a combination of topical cyclosporin A and dexamethasone followed by a tapered dosage of topical cyclosporin A (group 2). Results: No statistical differences were observed between both groups regarding all of the variables 3 months after the chemical burn. Differences in the stromal opacity area were detected on day 7 (43.33 D.E. 4.84 vs 36.67 D.E. 3.88; p<0.01), day 15 (41.68 3 D.E..95 vs 33.6 D.E. 1.99; p<0.01), and day 30 (40.1 D.E. 5.45 vs 32.52 D.E. 7.33; p<0.05). As for the neovascularization area, differences were detected on day 7 (1.92 D.E. 0.48 vs 3.73 D.E. 1.18; p<0.01), day 15 (7.08 D.E. 1.54 vs 4.42 D.E. 1.68; p<0.01), and day 60 (4.9 D.E. 2.58 vs 9.65 D.E. 5.55; p<0.05). Conclusions: There are no long-term differences between both immunosuppressive strategies regarding all the studied variables.
Erreferentzia bibliografikoak
- Chen, JJ, Tseng, SC. (1990). Corneal epithelial wound healing in partial limbal deficiency. Invest Ophthalmol Vis Sci. 31. 1301-1314
- Huang, AJ, Tseng, SC. (1991). Corneal epithelial wound healing in the absence of limbal epithelium. Invest Ophthalmol Vis Sci. 32. 96-105
- Schermer, A, Galvin, S, Sun, TT. (1986). Differentiation-related expression of a major 64K corneal keratin in vivo and in culture suggests limbal location of corneal epithelial stem cells. J Cell Biol. 103. 49-62
- Kenyon, KR, Tseng, SC. (1989). Limbal autograft transplantation for ocular surface disorders. Ophthalmology. 96. 709-723
- Tsai, RJF, Tseng, SCG. (1994). Human allograft limbal transplantation for corneal surface reconstruction. Cornea. 13. 389-400
- Pfister, RR. (1994). Corneal stem cell disease: concepts, categorization and treatment by auto- and homotransplantation of limbal stem cells. CLAO J. 20. 64-72
- Mendicute, J, Aldazábal, P, Saornil, MA, Emparanza, J, Ostolaza, JI, Durán, JA. (1997). Diseño de un modelo experimental de causticación corneal con compromiso límbico (grado III, Thoft). Arch Soc Esp Oftalmol. 72. 49-58
- Ormerod, LD, Abelson, MB, Kenyon, KR. (1989). Standard models of corneal injury using alkali-immersed filter discs. Invest Ophthalmol Vis Sci. 30. 2148-2153
- Kenyon, KR, Rapoza, PA. (1995). Limbal allograft transplantation for ocular surface disorders. Ophthalmology. 102. 101-102
- Rao, SK, Rajagopal, R, Sitalakshmi, G, Padmanabhan, P. (1999). Limbal allografting from related live donors for corneal surface reconstruction. Ophthalmology. 106. 822-828
- Tsubota, K, Toda, I, Saito, H, Shinozaki, N, Shimazaki, J. (1995). Reconstruction of the corneal epithelium by limbal allograft transplantation for severe ocular surface disorders. Ophthalmology. 102. 1486-1496
- Tsai, RJF, Tseng, SCG. (1995). Effect of stromal inflammation on the outcome of limbal transplantation for corneal surface reconstruction. Cornea. 14. 439-449
- Rao, SK, Rajagopal, R, Sitalakshmi, G, Padmanabhan, P. (1999). Limbal autografting: comparision of results in the acute and chronic phases of ocular surface burns. Cornea. 18. 164-171
- Mendicute, J. (1995). El alotrasplante límbico en la regeneración de la superficie ocular tras causticación experimental en el ojo del conejo. Universidad del País Vasco. Bilbao.
- Tseng, SCG, Prabhasawat, P, Barton, K, Gray, T, Meller, D. (1998). Amniotic membrane transplantation with or without limbal allografts for corneal surface reconstruction in patients with limbal stem cell deficiency. Arch Ophthalmol. 116. 431-441
- Swift, GJ, Aggarwal, RK, Davis, GJ, Coster, DJ, Williams, KA. (1996). Survival of rabbit limbal stem cell allografts. Transplantation. 62. 568-574
- Tan, DTH, Ficker, LA, Buckley, RJ. (1996). Limbal transplantation. Ophthalmology. 103. 29-36
- Xu, KP, Wu, Y, Zhou, J, Zhang, X. (1999). Survival of rabbit limbal stem cell allografts after administration of cyclosporin A. Cornea. 18. 459-465