PURPOSE:
To investigate the short-term
efficacy of topical
immunosuppressive agents on the
survival of cultivated allo-conjunctival equivalents.
METHODS:
Twenty-five
eyes of
New Zealand white rabbits were included. Temporal conjunctivae were trephined to a diameter of 7.5 mm, and then cultured allo-conjunctival
epithelial cells on
amniotic membrane were transplanted onto them. Various
immunosuppressants including
steroid,
cyclosporine, and
rapamycin were applied topically four times a day for a week. Epithelial defects and
graft edema were graded daily. Numbers of inflammatory
cells were measured in H&E. PKH26 and
cytokeratin 4 and 7 were immunostained.
RESULTS:
Earlier epithelialization was observed in 1%
steroid-treated
eyes and defects persisted significantly in 0.5% CsA applied
eyes. In
histology, PKH26 positive
cells considered as
donor cells were only found in 1%
steroid or 0.01%
rapamycin applied
eyes. 1%
steroid- or 0.01%
rapamycin-applied
eyes both showed positive
staining for
keratin-4 and -7. Inflammatory
cells were less found in 1%
steroid or 0.01%
rapamycin treated
eyes.
CONCLUSIONS:
Topical
steroid or
rapamycin can help to suppress acute
inflammation and enhance the acute
survival of transplanted conjunctival
cells.