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Evaluation and ultrastructural changes of amniotic membrane fragility after UVA/riboflavin cross-linking and its effects on biodegradation.
Zhang, Chenming; Du, Tingting; Mu, Guoying; Wang, Jia; Gao, Xin; Long, Fumin; Wang, Qiaoling.
Afiliación
  • Zhang C; Jinan Second People's Hospital.
  • Du T; Jinan Second People's Hospital.
  • Mu G; Shandong Provincial Hospital, Jinan.
  • Wang J; Shandong Provincial Hospital, Jinan.
  • Gao X; Aier Eye Hospital Group, LiaochengAier Eye Hospital, Liaocheng.
  • Long F; Jinan Second People's Hospital.
  • Wang Q; People's Hospital of Taierzhuang District, Zaozhuang, China.
Medicine (Baltimore) ; 99(20): e20091, 2020 May.
Article en En | MEDLINE | ID: mdl-32443319
This study aims to evaluate the changes of fragility and ultrastructure of amniotic membrane after cross-linking by UVA/riboflavin.Forty-nine fresh amniotic membranes were randomly divided into 3 groups. Eighteen were in group A (CX group) and immersed in 0.1% riboflavin solution for 10 min for UVA/riboflavin cross-linking. Sixteen were in group B (B2 group), soaked for 10 min with 0.1% riboflavin. After soaking, membranes in group A and B were transferred into corneal preservation solution. Fifteen pieces were in group C, directly into corneal preservation solution. The biomechanical and ultrastructural changes of the amniotic tissue before and after cross-linking were examined (CX group = 13, B2 group = 11, C group = 15). The amniotic membrane tissue of group A (n = 5) and B (n = 5) was transplanted into 16 eyes of the rabbits, respectively, and the dissolution time of the amniotic membrane tissue was investigated.After cross-linking, compared with the control group, the elastic modulus of the low-stress area of the amniotic membrane (Elow) was higher, while the elastic modulus of the high-stress area of the amniotic membrane (Ehigh) was lower, with no significant difference in the tensile strength. Also, the collagen fibers showed coarse and bamboo-like changes. In group A, amniotic membranes began to dissolve 4 weeks after conjunctiva transplantation, and all amniotic membranes were dissolved and absorbed 6 weeks after conjunctiva transplantation. In group B, some amniotic membrane tissues were still visible 6 weeks after conjunctiva transplantation.This study suggested that after amniotic membrane cross-linking, the brittleness was increased, the hardness was enhanced, and the morphology of the collagen fiber was changed. The cross-linked amniotic membrane showed resistance to tissue dissolution.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Riboflavina / Trasplante / Rayos Ultravioleta / Reactivos de Enlaces Cruzados / Amnios Tipo de estudio: Clinical_trials Límite: Animals / Humans Idioma: En Revista: Medicine (Baltimore) Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Riboflavina / Trasplante / Rayos Ultravioleta / Reactivos de Enlaces Cruzados / Amnios Tipo de estudio: Clinical_trials Límite: Animals / Humans Idioma: En Revista: Medicine (Baltimore) Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos