scholarly journals Water Soluble Tetrazolium Salt-11 as an Alternative to Riboflavin for Corneal Collagen Cross-linking for the Treatment of Keratoconus

Author(s):  
Adel Barbara ◽  
Ramez Barbara ◽  
Sajjad Abbas

ABSTRACT Corneal collagen cross-linking (CXL) is effective in halting progression of keratoconus, nevertheless, it is not without its drawbacks. Water soluble tetrazolium salt (WST) that generates superoxide and hydroxyl radicals following near-infrared (NIR) illumination result in a three-fold increase in corneal stiffness. This seems to be comparable to riboflavin/ultraviolet A (UVA)-mediated cross-linking. Moreover, WST is able to pene­trate faster and deep into the cornea while offering protection to endothelial cells and reducing corneal keratocyte loss in the posterior cornea. Early studies suggest good safety and efficacy profile when tested on rabbit eyes in vivo and ex vivo. How to cite this article Abbas S, Barbara R, Barbara A. Water Soluble Tetrazolium Salt-11 as an Alternative to Riboflavin for Corneal Collagen Cross-linking for the Treatment of Keratoconus. Int J Kerat Ect Cor Dis 2017;6(1):42-44.

2021 ◽  
Vol 11 (23) ◽  
pp. 11515
Author(s):  
Lennart Jütte ◽  
Gaurav Sharma ◽  
Dierk Fricke ◽  
Maximilian Franke ◽  
Merve Wollweber ◽  
...  

Corneal collagen cross-linking is an established procedure for the treatment of certain eye diseases which is applied to enhance the mechanical stability of such biotissue without deteriorating its functionality. However, being transparent, the optical analysis of the outcome of such treatments is cumbersome and relies on relatively expensive experimental equipment. We aim to apply the Mueller matrix polarimetry for the detection of photo-induced collagen cross-linking in transparent biotissue after treatment with riboflavin and UV irradiation. A simple Mueller matrix polarimetry setup could provide a fast and non-invasive analysis of transparent media to sensitively detect small photo-induced cross-linking effects in biotissue. We demonstrated the current capabilities of the approach on non-planar porcine cornea samples ex vivo. We reported the distinction between untreated and riboflavin-treated samples. The differences observed were correlated with the variation of certain Mueller matrix elements and parameters derived from the decomposition. The measurement data show variation in the cross-linked and non-cross-linked samples, although the effect of the UV treatment on the riboflavin-treated samples was not at the same level of significance yet and needs further investigation. The Mueller matrix measurement represents a promising approach for the detection of the effects of corneal collagen cross-linking. Further studies with a larger sample number are required to validate this approach. In the future, this could enable the reliable and non-invasive detection of photo-induced effects in biotissue and open the possibility for in vivo application, e.g., in eye disease treatment or the detection of scar collagen development.


2014 ◽  
Vol 55 (3) ◽  
pp. 1976 ◽  
Author(s):  
David Touboul ◽  
Jean-Luc Gennisson ◽  
Thu-Mai Nguyen ◽  
Antoine Robinet ◽  
Cynthia J. Roberts ◽  
...  

2017 ◽  
Vol 119 (3) ◽  
pp. 343-347 ◽  
Author(s):  
Mirko Manetti ◽  
Eleonora Favuzza ◽  
Eleonora Sgambati ◽  
Rita Mencucci ◽  
Mirca Marini

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Ying Wu ◽  
Lei Tian ◽  
Li-qiang Wang ◽  
Yi-fei Huang

This was a prospective controlled clinical trial. 48 myopia patients (96 eyes) were included in this study. After LASIK, accelerated corneal collagen cross-linking (ACXL) was used for myopia treatment. During 6-month follow-up, the results of LASIK-ACXL treatment were studied and compared to the LASIK-only procedure. The results showed that no statistically significant differences in UDVA, CDVA, MRSE,Kmean, pachymetry, or ECD were found between the two groups at the visit after 6 months of follow-up (allP>0.05). At 6 months postoperatively, 2 eyes lost one or more lines of visual acuity in the LASIK-ACXL group, whereas all LASIK-only treated eyes had a stable CDVA.In vivoconfocal microscopy showed a decrease of keratocyte density and appearance of honeycomb-like structures in the anterior residual stroma bed; the changes were similar but more pronounced following LASIK-only. None of the cases in both groups developed signs of significant keratitis, regression, or ectasia during the 6-month follow-up. LASIK-ACXL can effectively correct refractive error in patients with myopia, with no significant complications during 6-month follow-up, indicating stability and morphologic change similar to those with LASIK-only treatment.


2020 ◽  
Vol 23 (5) ◽  
pp. 840-848
Author(s):  
Ashley E. Zibura ◽  
Megan A. Cullen ◽  
Haley Rutledge ◽  
Laura Lassalle ◽  
Jacklyn H. Salmon ◽  
...  

2021 ◽  
Vol 10 (5) ◽  
pp. 11
Author(s):  
Yirui Zhu ◽  
Peter S. Reinach ◽  
Chaoxiang Ge ◽  
Yun Li ◽  
Biao Wu ◽  
...  

2018 ◽  
Vol 60 (2) ◽  
pp. 100-108
Author(s):  
Almutez M. Gharaibeh ◽  
Virginia Saez ◽  
Nerea Garcia ◽  
Laurent Bataille ◽  
Jorge L. Alió

2015 ◽  
Vol 35 (suppl_1) ◽  
Author(s):  
Foued Maafi ◽  
Baoqiang Li ◽  
Catherine Gebhard ◽  
Mathieu Brodeur ◽  
Louis Villeneuve ◽  
...  

Introduction and Objective: The possible benefits of high-density lipoproteins (HDL) against atherosclerosis have been largely attributed to its major protein component, apolipoprotein A-I (apoA-I). However, apoA-I can be degraded by diverse processes, including proteases localized in atherosclerotic plaques, which could reduce the effectiveness of HDL-based therapies. Here we describe the development of a new bioactivatable near-infrared apoA-I-Cy5.5 fluorescent probe and its initial use in the assessment of proteolytic activities that degrade apoA-I in vitro, in vivo and ex vivo. Methods and Results: Fluorescence emission of our probe is quenched by saturation of Cy5.5 fluorophore molecules on the full-length apoA-I protein. In vitro proteolysis of the apoA-I probe showed up to 11-fold increase of near-infrared fluorescence (n=5, P ≤ 0.05). Using this apoA-I-Cy5.5 probe, we were able to quantify proteolytic activities from a wide range of proteases targeting serine (chymase), cysteine (cathepsin S) and metalloproteases (MMP-12). Also, we detected activation of the apoA-I-Cy5.5 probe on aortic cryosections from Ldlr-/--Tg for human apoB atherosclerotic (ATX) mice using an in situ zymography assay and observed that broad-spectrum protease inhibitors protect the probe from protease activities, as shown by decreased fluorescence compared to conditions without protease inhibitors (-54%, n= 6 per group, P ≤ 0.001). In vivo, using a combined Fluorescence Molecular Tomography-Magnetic Resonance imaging system, the injected probe exhibited a trend for increased fluorescence in the aorta when infused in ATX mice compared to C57BL/6J wild-type mice. Ex vivo imaging of these aortas showed a 10-fold increase of fluorescence in ATX (n=5) mice compared to CTL (n=3) mice (P ≤ 0.05). Conclusion: Given the potential importance of HDL functionality in the assessment of cardiovascular risk, this novel protease-activatable apoA-I probe may help to improve HDL-based therapies through better characterization of the alterations of functionality of apoA-I or lipid-poor HDL particles in different pathophysiological settings.


2014 ◽  
Vol 55 (4) ◽  
pp. 2731 ◽  
Author(s):  
Alejandro Arboleda ◽  
Laura Kowalczuk ◽  
Michèle Savoldelli ◽  
Christophe Klein ◽  
Sophia Ladraa ◽  
...  

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