ABSTRACT
PURPOSE: The purpose of this study was to assess whether omission of dextran from corneal organ culture medium alters the outcome of Descemet membrane endothelial keratoplasty. METHODS: Participation in this single-center, multisurgeon, prospective, randomized, comparative clinical trial was offered to patients scheduled for Descemet membrane endothelial keratoplasty between April 2020 and May 2022. Patients received grafts from corneas deswollen in organ culture medium-containing 6% dextran T-500 or from corneas that were not deswollen. Corrected distance visual acuity (CDVA), graft detachment, central corneal thickness (CCT), and corneal endothelial cell counts were measured at different time points up to 12 months postoperatively. RESULTS: Grafts stored with dextran were transplanted in 92 patients, and grafts stored without dextran were transplanted in 102 patients. Mean donor age and endothelial cell counts did not differ significantly between both groups. Mean (±SD) postmortem time in hours was 23.9 ± 11.8 in grafts that were deswollen and 28.2 ± 13.8 in grafts that were not deswollen (P = 0.02). The groups did not show any significant difference at baseline regarding sex, CDVA, or CCT. In the group with dextran, patients had a mean age of 72.5 ± 9.9 years versus 69.5 ± 8.7 in the group without dextran (P = 0.03). CDVA improved and CCT decreased significantly in both groups. No differences were detected between the groups regarding CDVA, CCT, endothelial cell counts, or rebubbling rates. CONCLUSIONS: This study did not detect any evidence that the omission of dextran from organ culture medium negatively affects the outcomes of Descemet membrane endothelial keratoplasty.
ABSTRACT
Temperature treatment of magnetic Mn-Zn ferrites with the composition Mn0.6Zn0.2Fe2.2O4 up to 1100 °C results in a tremendous enhancement of the saturation magnetization by more than 60%. Employing a robust combined Rietveld refinement of powder X-ray and neutron diffraction (PXRD and NPD) data, it is revealed how a reordering of the cations takes place during the annealing step, the extent of which depends on the annealing temperature. While Zn(II) exclusively occupies tetrahedral sites throughout the whole temperature range, as the annealing temperature increases up to 700 °C, the Mn(II) cation distribution shifts from 80(7)% of the total Mn content occupying the octahedral sites (partly inverse spinel) to Mn only being present on the tetrahedral sites (normal spinel). Above 700 °C, pronounced crystallite growth is observed, followed by an increase of the saturation magnetization. Complementary techniques such as energy dispersive X-ray spectroscopy (EDS) and transmission electron microscopy (TEM) confirm an even cation distribution and the particle growth with annealing temperature. The structural changes caused by annealing of spinel ferrites directly alter the magnetic properties of the materials, thus serving as an easy handle for enhancing their magnetic properties.
