ABSTRACT
Objective To investigate the expression of interleukin-34 (IL-34) after corneal transplantation in rats and its mechanisms of action in immune rejection.Methods SD rats were used as donors and Wistar rats as the recipients to establish corneal transplantation experimental models.Together 60 Wistar rats were randomly divided into 3 groups according to the random number table methods,and rats in B group was transplantated with autologous cornea,while C and D groups received allogeneic corneal transplantation.Another 10 rats were collected as normal controls (A group).After B,C group was treated with postoperative Tarivid eye drops,D group was treated with TobraDex eye drops postoperatively.The survival rate of corneal grafts and survival analysis were evaluated in the 10 rats from the 4 groups,and then the corneal grafts were taken from the rest of rats at the fourteenth day after the operation for hstopathological,immunohistochemical and RT-PCR examinations.Results Survival analysis showed that immune rejection did not occur in A and B group,and the mean survival time (MST) was (26.00 ± 0.97) days in D group,which was much higher than that in group C[(10 ± 1.55) days] (P ＜0.001).HE staining showed that there was obvious inflammatory cell infiltration and neovascularization in the corneal tissue of C group,and there were only a few inflammatory cells and neovascularization in D group.Immunohistochemistry showed that IL-34 protein expression in C group (0.089 4 ± 0.005 6) was significantly higher than that of A group (0.037 7 ± 0.002 3),B group (0.068 4 ±0.004 4) and group D (0.044 5 ± 0.004 5) (F =145.21,P ＜ 0.01),and its expression was mainly located in the epithelial and stromal layer.RT-PCR showed that the expression levels of IL-34,IL-1β,IL-17A,TNF-α mRNA in corneal tissue of C group were significantly higher than those in A,B and D group (all P ＜ 0.05).Conclusion IL-34 may involve in the rejection after corneal transplantation in rats,and TobraDex eye drops can delay the rejection by inhibiting the expression of IL-34 and related signaling pathways.
ABSTRACT
<p><b>OBJECTIVE</b>To test the feasibility of correcting conjunctival sac narrowing following orbital implantation using polyester fiber heart patches instead of the skin autograft.</p><p><b>METHODS</b>Twelve patients of conjunctival sac narrowing after orbital implantation (including 3 with orbital implant exposure) admitted in Nanfang Hospital between 2012 and 2016 received surgical correction of the conjunctival sac using polyester fiber heart patches. During the surgery, the central conjunctival sac was opened, the exposed area was covered with suitable polyester fiber heart patches, and the palpebral margin was sutured.</p><p><b>RESULTS</b>Three months after the operation, 10 patients showed improved appearance after implantation of the prosthetic eye. Two patients received a second operation to remove the patches due to graft rejection and infections and skin autograft was implanted for reconstruction of the conjunctival sac.</p><p><b>CONCLUSION</b>Polyester fiber heart patches are ideal materials for repairing Conjunctival sac narrowing and orbital implant exposure, but this approach is not suitable in cases of severe narrowing or occlusion of the conjunctival sac.</p>