Clinical results of non-Descemet stripping endothelial keratoplasty.

AIM: To investigate the impact of non-Descemet stripping endothelial keratoplasty (non-DSEK) on graft rejection rate, and its overall procedural effectiveness in patients. METHODS: Non-DSEK was performed on 65 eyes of 64 patients, and the procedural outcomes, including rejection episodes, failure and dislocation of the grafts, best corrected visual acuity (BCVA), endothelial cell density (ECD), and other complications, were analyzed retrospectively. RESULTS: Of the 65 eyes, 63 recovered from bullous keratopathy with a clear cornea. The mean follow-up time was 26.4mo (range, 6-84mo). The mean BCVA improved from 1.70 logMAR preoperatively to 0.54 logMAR at 3mo, 0.46 logMAR at 6mo, and 0.37 logMAR at 1y after surgery. The postoperative donor ECD of the 25 patients who successfully underwent specular microscopic examination was 1918±534 cells/mm2 (range, 637 to 3056 cells/mm2), and the mean endothelial cell loss was 41.9% at 24mo postoperatively. One eye developed secondary glaucoma and required regrafting via penetrating keratoplasty (PKP). Another eye had postoperative graft failure due to rejection at 26mo. Postoperative graft dislocation occurred in eight eyes. All of the eight dislocated grafts were reattached using air reinjection. CONCLUSION: Immunological graft rejection of the donor graft rarely occurs in non-DSEK. Therefore, non-DSEK is a safe, concise, and effective alternative to restore corneal decompensation when the Descemet membrane is disease-free.

Synthesis of cubic Ia-3d mesoporous silica in anionic surfactant templating system with the aid of acetate.

Mesoporous silica with three-dimensional (3D) bicontinuous cubic Ia-3d structure and fascinating caterpillar-like morphology was synthesized by using anionic surfactant N-lauroylsarcosine sodium (Sar-Na) as the template and 3-amionpropyltrimethoxysilane (APS) as the co-structure-directing agent (CSDA) with the aid of acetate. A phase transformation from high interfacial curvature 2D hexagonal to low interfacial curvature 3D cubic Ia-3d occurred in the presence of a proper amount of acetate. Other species of salts (excluding acetate) had the ability to induce the caterpillar-like morphology, but failed to induce the cubic Ia-3d mesostructure. Furthermore, [3-(2-aminoethyl)-aminopropyl]trimethoxysilane (DAPS) was also used as the CSDA to synthesize Ia-3d mesostructured silica under the aid of sodium acetate. After extraction of the anionic surfactants, amino and di-amine functionalized 3D bicontinuous cubic Ia-3d mesoporous silicas were obtained and used as supports to immobilize Pd nanoparticles for supported catalysts. The catalytic activity of the catalysts was tested by catalytic hydrogenation of allyl alcohol.

Polyelectrolyte-surfactant complex as a template for the synthesis of zeolites with intracrystalline mesopores.

Mesoporous zeolite silicalite-1 and Al-ZSM-5 with intracrystalline mesopores were synthesized with polyelectrolyte-surfactant complex as the template. Complex colloids were first formed by self-assembly of the anionic polymer poly(acrylic acid) (PAA) and the cationic surfactant cetyltrimethylammonium bromide (CTAB) in basic solution. During the synthesis procedure, upon the addition of the silica source, microporous template (tetrapropylammonium hydroxide), and NaCl, these PAA/CTA complex colloids underwent dissociation and gave rise to the formation of hollow silica spheres with mesoporous shells templated by CTAB micelles and PAA domains as the core. Under hydrothermal treatment, the hollow silica spheres gradually merged together to form larger particles with the PAA domains embedded as the space occupant, which acted as a template for intracrystalline mesopores during the crystallization of the zeolite framework. Amphiphilic organosilane was used to enhance the connection between the PAA domain and the silica phase during the synthesis. After calcination, single crystal-like zeolite particles with intracrystalline mesopores of about 5-20 nm were obtained, as characterized by X-ray diffraction, scanning electron microscopy, transmission electron microscopy, and N(2) adsorption measurements. With the addition of an aluminum source in the synthesis, mesoporous zeolite Al-ZSM-5 with intracrystalline mesopores was also synthesized, and enhanced catalytic property was observed with mesoporous Al-ZSM-5 in acetalization of cyclohexanone with methanol.

[Non-Descemet stripping automated endothelial keratoplasty for graft failure after penetrating keratoplasty].

OBJECTIVE: To report clinical results of non-Descemet stripping automated endothelial keratoplasty (nDSAEK) to treat graft failure after penetrating keratoplasty. METHODS: It was a retrospective case series study. Five cases of grafts failure after penetrating keratoplasty (PKP) were enrolled in this study. All patients had a cloudy and swollen grafts, which thicker than 620 µm, and had foreign body sensation, vision decrease. Of this 5 cases, 4 of them are pseudophakic eye, 1 is aphakic eye. One patient had previous vitrectomy, and 3 of them had one time history of PKP, 2 of them had twice PKP treatment. All cases were treated by nDSAEK, the nDSAEK grafts were prepared as a 200 µm thickness and 8.00 to 8.75 mm in diameter by using hand or femtosecond laser assisted methods. The graft was inserted by forceps or suture pulling method through a 5.00 mm scleral tunel incision. RESULTS: One graft dislocated at 1day postoperation, and was reattached by rebuble. All grafts keep clear during 8 - 28 months follow up period, and no immune rejection episodes were noted. The endothelial density were 865 to 2410/mm(2). Postoperative best corrected vision (pBCVA) are better or equal to previous BCVA after pkp. CONCLUSION: nDSAEK appears a good alternative surgical method for patients of grafts failure after pkp, especially for high risk patients of immune rejection.

Synthesis of hydrothermally stable, hierarchically mesoporous aluminosilicate Al-SBA-1 and their catalytic properties.

Hydrothermally stable mesoporous aluminosilicates Al-SBA-1 with hierarchical pore structure have been successfully synthesized under alkaline condition at 120 °C by employing organic mesomorphous complexes of polyelectrolyte (poly(acrylic acid) (PAA)) and cationic surfactant (hexadecyl pyridinium chloride (CPC)) as template. The Si/Al ratio could be as high as 5 and the incorporation of Al into the silica framework did not disturb the well-ordered cubic Pm ̅3n mesostructure. Meanwhile, the incorporation of Al could greatly increase the specific surface area and pore volume of the samples. The Al-SBA-1 materials exhibited a high hydrothermal stability and remained stable even after being treated in boiling water for 10 days. The catalytic activity of the Al-SBA-1 materials was investigated by employing the Friedel-Crafts alkylation of toluene with benzyl alcohol as a model reaction and they exhibited excellent catalytic property due to the incorporated acid sites and the hierarchically mesoporous structure.

Facile fabrication of noble metal nanoparticles encapsulated in hollow silica with radially oriented mesopores: multiple roles of the N-lauroylsarcosine sodium surfactant.

A facile one-pot method was reported to fabricate noble metal nanoparticles encapsulated in silica hollow nanospheres with radially oriented mesopores, and the anionic amino acid surfactant, N-lauroylsarcosine sodium, played multiple roles: reducing agent, stabilizer, emulsion droplets and mesopore template.

Porous lanthanide oxides via a precursor method: morphology control through competitive interaction of lanthanide cations with oxalate anions and amino acids.

Porous lanthanide oxides were fabricated by a precursor-thermolysis method. The precursors were synthesized by a hydrothermal reaction with lanthanide (La, Ce, Pr and Nd) salts, sodium oxalate and asparagine (or glutamine). Under hydrothermal conditions asparagine and glutamine exhibited greatly different complexation abilities with lanthanide cations. The competitive interactions of lanthanide cations with oxalate anions and asparagine (or glutamine) gave rise to the formation of precursors with different structures and morphologies. ESI-MS detection further confirmed the different complexation abilities of asparagine or glutamine with lanthanide cations at the molecular level. Variation of oxalate anion concentration or the pH value of the reaction solution could tune the morphology of the products. After calcination, porous lanthanide oxides were obtained with the morphologies of their corresponding precursors. Our work suggests that the complexation ability of organic molecules with metal cations could be a crucial factor for morphological control of the precursors. Moreover, considering the diversity of organic additives and metal salts, other metal oxides with complex composition and morphology could be fabricated via this organic molecule-modified precursor method.

Fabrication of lanthanide oxide microspheres and hollow spheres by thermolysis of pre-molding lanthanide coordination compounds.

A series of lanthanide oxide microspheres and hollow spheres have been fabricated by thermolysis of corresponding lanthanide coordination compounds formed via bottom-up self-assembly.

Effect of alcohol on morphology and mesostructure control of anionic-surfactant-templated mesoporous silica (AMS).

In the synthesis of anionic-surfactant-templated mesoporous silica (AMS), the effects of alcohols have been investigated for the first time. Without the addition of extra alcohols, spherical mesoporous silica with radially oriented mesopores could be obtained through the anionic surfactant templating route. By using alcohols with different carbon chain length such as ethanol, n-butanol, hexanol and 1-octanol as the additives, different morphologies and mesostructures of mesoporous silica were obtained. It was found that both the types and concentrations of alcohols in the synthesis solution could tune the morphologies and mesostructures of the AMS, giving rise to the formation of hexagonal mesoporous discs and particles with novel multi-layered inner structure. In general alcohol with appropriate carbon chain length such as n-butanol and hexanol could act as the co-surfactant in the synthesis of mesoporous silica templated by anionic surfactant.

Anionic surfactant-templated mesoporous silica (AMS) nano-spheres with radially oriented mesopores.

Mesoporous silica nano-spheres with pore size larger than 3 nm were synthesized using an anionic surfactant as the template. These nano-spheres possess centrosymmetric radial mesopores (emanating from the spherical center to the exterior surface) and form stable suspension. The spherical size and mesostructure can be finely tuned by changing the pH value of the synthetic system in the range of 8.8 to 6.4. In addition, when the pH value was decreased to 5.8, instead of spheres, anisotropic morphologies such as elliptical, peanutlike and trifurcate particles were obtained, exhibiting core/shell structure due to the different orientations of the mesopores in the core and the shell of the particles. It is proposed that the evolution of the morphologies and mesostructures of the products templated by anionic surfactants strongly depend on the pH value of the synthetic system.