[Histology and function of the cryopreserved corneal endothelium].

J F Weekers, J Deuse, A G Gajidos-Preuss
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Abstract

This work consists of a histological study of cryopreserved corneal endothelium before and after perfusion, and of measurements of the corneal thickness during perfusion. 1) Histoligical study: a) After 7 hours of perfusion, the endothelium of fresh corneas is unchanged. b) The preserving solutions used for freezing do not modify the histological structure of the endothelium. c) All the freezing and thawing processes described in this paper substantially alter the histological structure of the endothelium. Latent alterations are revealed during perfusion. 2) Pachymetric study: a) In the experimental conditions described, the fresh corneas keep their normal thickness for 7 hours of perfusion. b) The preserving solutions do not modify this property. c) After freezing and thawing the thickness of the perfused cornea increases rapidly. The thickness of the perfused cornea appears more slowly under the following conditions: 33 to 66 p. 100 of serum in the preserving solution, volume less than 1 ml; eutectic point between - 4 and - 6 degrees C; the duration of the plateau less than 4 min. speed of freezing after the plateau about 5 degrees C/min.

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低温保存角膜内皮的组织学和功能。
本研究包括对冷冻保存的角膜内皮灌注前后的组织学研究,以及对灌注过程中角膜厚度的测量。1)组织学研究:a)灌注7小时后,新鲜角膜内皮细胞无变化。b)用于冷冻的保存液不会改变内皮细胞的组织结构。c)本文所述的所有冻融过程都实质上改变了内皮细胞的组织结构。灌注时可发现潜在的改变。2)厚测研究:a)在上述实验条件下,新鲜角膜在灌注7小时后保持正常厚度。b)保存溶液不改变这一性质。c)经冻融后灌注角膜的厚度迅速增加。在以下条件下,灌注角膜的厚度出现较慢:保存液中血清含量为33 ~ 66p . 100,体积小于1ml;共晶点在- 4 ~ - 6℃之间;高原持续时间小于4分钟,高原后冻结速度约5℃/min。
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