Polydioxanone Membrane for Guided Conjunctival Tissue Reconstruction: An Experimental Model in Rabbits.

IF 2.6 3区 医学 Q2 OPHTHALMOLOGY
Daniel Diniz da Gama, Gabriela Martines, Moacyr Rigueiro, Matheus Cruz, Paulo Schor
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引用次数: 0

Abstract

Purpose: To evaluate the clinical and histopathological performance of polydioxanone (PDO) membranes in conjunctival reconstruction compared with amniotic membrane (AM), assessing epithelialization, inflammation, and tissue integration in a rabbit model.

Methods: Fifteen New Zealand white rabbits underwent conjunctival resection, with each eye receiving either a PDO or AM graft. Animals were euthanized at 7, 14, 21, and 28 days. Clinical and histopathological evaluation included epithelialization, inflammation, fibrosis, granulation tissue, and graft retention.

Results: Both membranes supported conjunctival healing, with no statistically significant differences in epithelialization, inflammation, fibrosis, presence of granulation tissue, or graft remnants. PDO provided structured handling, whereas AM was more delicate but surgically challenging. Histopathology revealed similar inflammatory and regenerative responses, confirming PDO biocompatibility.

Conclusions: The PDO membrane is a viable synthetic alternative to AM for conjunctival reconstruction. Despite minor differences in handling and degradation, PDO exhibited comparable efficacy. Further human studies are needed to validate its application.

Translational relevance: These findings support the potential use of PDO membranes in ocular surface reconstruction, particularly in settings where AM availability is limited. The use of PDO could expand treatment options for conjunctival defects and enhance surgical outcomes in ophthalmology.

聚二氧环酮膜用于兔结膜组织重建的实验模型。
目的:评价聚二氧环酮(PDO)膜与羊膜(AM)膜在兔结膜重建中的临床和组织病理学表现,评估兔结膜模型的上皮化、炎症和组织整合。方法:对15只新西兰大白兔进行结膜切除术,每只眼分别接受PDO或AM移植。分别在第7、14、21和28天对动物实施安乐死。临床和组织病理学评估包括上皮化、炎症、纤维化、肉芽组织和移植物潴留。结果:两种膜都支持结膜愈合,在上皮化、炎症、纤维化、肉芽组织的存在或移植物残留物方面没有统计学上的显著差异。PDO提供了结构化的处理,而AM更精细,但在手术上具有挑战性。组织病理学显示类似的炎症和再生反应,证实了PDO的生物相容性。结论:PDO膜是一种可行的替代AM用于结膜重建的人工合成膜。尽管在处理和降解方面存在微小差异,但PDO表现出相当的功效。需要进一步的人体研究来验证其应用。翻译相关性:这些发现支持PDO膜在眼表重建中的潜在应用,特别是在AM可用性有限的情况下。使用PDO可以扩大结膜缺损的治疗选择,提高眼科手术效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Translational Vision Science & Technology
Translational Vision Science & Technology Engineering-Biomedical Engineering
CiteScore
5.70
自引率
3.30%
发文量
346
审稿时长
25 weeks
期刊介绍: Translational Vision Science & Technology (TVST), an official journal of the Association for Research in Vision and Ophthalmology (ARVO), an international organization whose purpose is to advance research worldwide into understanding the visual system and preventing, treating and curing its disorders, is an online, open access, peer-reviewed journal emphasizing multidisciplinary research that bridges the gap between basic research and clinical care. A highly qualified and diverse group of Associate Editors and Editorial Board Members is led by Editor-in-Chief Marco Zarbin, MD, PhD, FARVO. The journal covers a broad spectrum of work, including but not limited to: Applications of stem cell technology for regenerative medicine, Development of new animal models of human diseases, Tissue bioengineering, Chemical engineering to improve virus-based gene delivery, Nanotechnology for drug delivery, Design and synthesis of artificial extracellular matrices, Development of a true microsurgical operating environment, Refining data analysis algorithms to improve in vivo imaging technology, Results of Phase 1 clinical trials, Reverse translational ("bedside to bench") research. TVST seeks manuscripts from scientists and clinicians with diverse backgrounds ranging from basic chemistry to ophthalmic surgery that will advance or change the way we understand and/or treat vision-threatening diseases. TVST encourages the use of color, multimedia, hyperlinks, program code and other digital enhancements.
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