aspectos clínicos e imunopatológicos da ceratoplastia com membrana amniótica xenógena fresca e conservada em glicerina: estudo experimental em coelhos clinical and immunopatho logical aspects of keratoplasty with fresh and preserved in glycerin xenogenous amniotic membrane: experimental study in rabbits

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ID: 190590
2006
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Abstract
Avaliaram-se, por meio da análise clínica, histopatologia e imunoistoquímica, os efeitos da aplicação da membrana amniótica xenógena fresca e conservada em glicerina, sobre os mecanismos imunológicos da superfície ocular. Para tal, utilizaram-se 40 coelhos, distribuídos em dois grupos experimentais, os quais foram avaliados por 21 dias. A avaliação clínica revelou que a membrana amniótica xenógena conservada em glicerina estimulou uma resposta inflamatória aguda maior que a membrana aplicada fresca. A análise histopatológica indicou que ambas se comportaram de forma semelhante a partir da primeira semana de pós-operatório, apresentando as alterações clássicas da resposta inflamatória da córnea, com o predomínio de infiltrado do tipo polimorfonuclear. A análise imunoistoquímica indicou que, ainda aos 21 dias, a resposta imune local é inespecífica, permitindo concluir que a resposta imune específica na córnea é tardia e que a córnea é um sítio privilegiado para aplicação de enxertos com características imunológicas diferentes, visto que não houve o estímulo para o desenvolvimento de uma resposta mais específica nos grupos avaliados durante toda a execução do experimento.
The dynamics of the inflammatory response and the mechanism involved in the healing process of cornea treated by keratoplasty, applying fresh and glycerin preserved xenogenous amniotic membranes as method to cover experimental ulcers were studied using 40 rabbits. The animals were allotted into two groups and evaluated during 21 days. The eyes were evaluated by histopathological study and immunohistochemical reaction. The clinical evaluation showed that the xenogenous amniotic membrane preserved in glycerin stimulated a greater acute inflammatory response than the one caused by fresh membrane. The histopathological analysis indicated that both membranes reacted in a very similar way from the first week post-surgery, presenting the classical alterations of the inflammatory response on the cornea. The immunohistochemical technique indicated that in no moment of the observation, the local immunologic response was specific. It was concluded that the specific immunologic response on the cornea took place later and that is a privileged site to use grafts with different immunological characteristics, once there was not a stimulus to the development of a more specific response in none of the evaluated groups throughout the experiment.
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Authors ;R.L. Sampaio;J.J.T. Ranzani;V. Rodrigues Júnior;M.S. Stacciarini;E.M. Braga;C. Borrezzi
Journal Environmental research
Year 2006
DOI
10.1590/S0102-09352006000600016
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352006000600016
Keywords
rabbit cornea amniotic membrane keratoplastyanimal culture

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