Corneal Lenticule Allotransplantation After Femtosecond Laser Small Incision Lenticule Extraction in Rabbits. 2017

Jing Zhao, and Yang Shen, and Mi Tian, and Ling Sun, and Yu Zhao, and Xiaoyu Zhang, and Xingtao Zhou
Key Laboratory of Myopia, Ministry of Health, Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China.

OBJECTIVE To investigate the feasibility of allotransplanting extracted lenticules after femtosecond laser-assisted small incision lenticule extraction (SMILE) in rabbits and the subsequent healing process. METHODS Fourteen New Zealand white rabbits were divided evenly into 2 groups. The rabbits in group A received SMILE procedures with a -6.00 D correction. The lenticules from group A were immediately inserted into a femtosecond laser-created corneal stromal pocket in group B. After surgery, the anterior segment was assessed in vivo by slit-lamp microscopy, corneal topography, optical coherence tomography, and confocal microscopy. All eyes were enucleated for hematoxylin-eosin staining and transmission electron microscopy after the animals were killed. RESULTS At postoperative day 1, there was moderate corneal edema in the implanted lenticule stroma. At 6 months, the lenticules were integrated with the surrounding tissue, and the boundary could not be identified through slit-lamp microscopy; regenerated branches of the corneal nerves were thicker than at postoperative month 1 as observed through confocal microscopy. The central corneal thickness increased by 58.75 ± 21.58 μm. The lenticules were gradually integrated with the surrounding tissue, and their density was similar to the adjacent tissue according to optical coherence tomography; however, a clear boundary between the lenticule and surrounding tissue was detectable using light microscopy and transmission electron microscopy, revealing disordered fibers and decreased keratocytes in implanted lenticules. CONCLUSIONS In this model it is feasible and safe to allotransplant extracted corneal lenticules after SMILE. Healing of implanted lenticules after SMILE is stable at postoperative 6 months, but collagen fiber rearrangement requires further investigation.

UI MeSH Term Description Entries
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D011817 Rabbits A burrowing plant-eating mammal with hind limbs that are longer than its fore limbs. It belongs to the family Leporidae of the order Lagomorpha, and in contrast to hares, possesses 22 instead of 24 pairs of chromosomes. Belgian Hare,New Zealand Rabbit,New Zealand Rabbits,New Zealand White Rabbit,Rabbit,Rabbit, Domestic,Chinchilla Rabbits,NZW Rabbits,New Zealand White Rabbits,Oryctolagus cuniculus,Chinchilla Rabbit,Domestic Rabbit,Domestic Rabbits,Hare, Belgian,NZW Rabbit,Rabbit, Chinchilla,Rabbit, NZW,Rabbit, New Zealand,Rabbits, Chinchilla,Rabbits, Domestic,Rabbits, NZW,Rabbits, New Zealand,Zealand Rabbit, New,Zealand Rabbits, New,cuniculus, Oryctolagus
D003319 Corneal Stroma The lamellated connective tissue constituting the thickest layer of the cornea between the Bowman and Descemet membranes. Corneal Stromas,Stroma, Corneal,Stromas, Corneal
D004195 Disease Models, Animal Naturally-occurring or experimentally-induced animal diseases with pathological processes analogous to human diseases. Animal Disease Model,Animal Disease Models,Disease Model, Animal
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D014184 Transplantation, Homologous Transplantation between individuals of the same species. Usually refers to genetically disparate individuals in contradistinction to isogeneic transplantation for genetically identical individuals. Transplantation, Allogeneic,Allogeneic Grafting,Allogeneic Transplantation,Allografting,Homografting,Homologous Transplantation,Grafting, Allogeneic
D014945 Wound Healing Restoration of integrity to traumatized tissue. Healing, Wound,Healings, Wound,Wound Healings
D016039 Corneal Transplantation Partial or total replacement of the CORNEA from one human or animal to another. Grafting, Corneal,Keratoplasty,Keratoplasty, Lamellar,Transplantation, Corneal,Cornea Transplantation,Transplantation, Cornea,Cornea Transplantations,Corneal Grafting,Corneal Graftings,Corneal Transplantations,Graftings, Corneal,Keratoplasties,Keratoplasties, Lamellar,Lamellar Keratoplasties,Lamellar Keratoplasty,Transplantations, Cornea,Transplantations, Corneal
D046529 Microscopy, Electron, Transmission Electron microscopy in which the ELECTRONS or their reaction products that pass down through the specimen are imaged below the plane of the specimen. Electron Diffraction Microscopy,Electron Microscopy, Transmission,Microscopy, Electron Diffraction,Transmission Electron Microscopy,Diffraction Microscopy, Electron,Microscopy, Transmission Electron
D048988 Corneal Surgery, Laser Surgical techniques on the CORNEA employing LASERS, especially for reshaping the CORNEA to correct REFRACTIVE ERRORS. Keratectomy, Laser,Laser Corneal Surgery,Laser Keratectomy,Photokeratectomy,Corneal Surgeries, Laser,Keratectomies, Laser,Laser Corneal Surgeries,Laser Keratectomies,Photokeratectomies,Surgeries, Laser Corneal,Surgery, Laser Corneal

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