Experimental-Morphological Study of Several Types of Fibrillar Structured Drainages for Glaucoma Surgery

Purpose: based on the results of an experimental study in vivo, to determine the optimal type of fibrillar structured drainages for glaucoma surgery.Material and methods. An experimental morphological study was performed on 32 rabbits of the chinchilla breed, which were divided into 4 groups of 8 an...

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Main Authors: N. S. Khodjaev, M. N. Kolomeytsev, A. V. Sidorova, V. V. Molchanov, N. G. Sedush, T. H. Tenchurin
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2018-07-01
Series:Oftalʹmologiâ
Subjects:
Online Access:https://www.ophthalmojournal.com/opht/article/view/651
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author N. S. Khodjaev
M. N. Kolomeytsev
A. V. Sidorova
V. V. Molchanov
N. G. Sedush
T. H. Tenchurin
author_facet N. S. Khodjaev
M. N. Kolomeytsev
A. V. Sidorova
V. V. Molchanov
N. G. Sedush
T. H. Tenchurin
author_sort N. S. Khodjaev
collection DOAJ
description Purpose: based on the results of an experimental study in vivo, to determine the optimal type of fibrillar structured drainages for glaucoma surgery.Material and methods. An experimental morphological study was performed on 32 rabbits of the chinchilla breed, which were divided into 4 groups of 8 animals each. The rabbits were implanted with fibrillar structured drains from polyurethane, polyethylene terephthalate, polyamide, polylactide. In the postoperative period, a postoperative inflammatory reaction was assessed. After removing the animals from the experiment, the eyes were subjected to morphological examination.Results. In rabbits with drainage from polyurethane, a mild congested hyperemia was noted in visual evaluation compared with the pair eye during the entire follow-up period. The eye reaction to the operation was regarded as a 1st degree. In more distant terms, there was a proliferation of subconjunctival tissue in the projection of the operation zone. In histological examination, the implant was represented by thin fibrous structures throughout the volume of drainage, a uniform distribution of macrophages, lymphocytes, among the fibers. In rabbits with drainage from polyethylene terephthalate, the reaction of the eyeball to the implantation of the polymeric material corresponded to the 0 degree. When a histological study was carried out along the periphery of the drainage, a thin capsule was formed. In rabbits with drainage from polyamide, the reaction of the eyeball corresponded to 1 degree. Histological examination showed that the fibrous structure of drainage was practically not determined, an abundance of cellular elements was observed throughout the drainage: macrophages and multinucleate giants predominated, fibroblasts, fibroblasts, lymphocytes, and newly formed connective tissue fibers between the drainage fibers were present. When analyzing the results obtained during the implantation of the matrix from the polylactide, the reaction of the eyeball corresponded to the 0 degree. Histological examination showed the preservation of fibrous structure of drainage, a moderate accumulation of macrophages was determined between the fibers, single giants, single lymphocytes were present.The conclusion. Fibrillar structured drains based on polylactide due to a stable highly porous structure, high biocompatibility and biodegradability create favorable conditions for transport of aqueous humor and formation of outflow pathways.
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spelling doaj.art-2a047edbff3748ba9eea2b7c830e127a2024-10-17T16:11:56ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452018-07-01152S21121910.18008/1816-5095-2018-2S-211-219436Experimental-Morphological Study of Several Types of Fibrillar Structured Drainages for Glaucoma SurgeryN. S. Khodjaev0M. N. Kolomeytsev1A. V. Sidorova2V. V. Molchanov3N. G. Sedush4T. H. Tenchurin5The S. Fyodorov Eye Microsurgery Federal State InstitutionThe S. Fyodorov Eye Microsurgery Federal State InstitutionThe S. Fyodorov Eye Microsurgery Federal State InstitutionSmolensk Regional Institute of PathologyNational Research Centre “Kurchatov Institute”National Research Centre “Kurchatov Institute”Purpose: based on the results of an experimental study in vivo, to determine the optimal type of fibrillar structured drainages for glaucoma surgery.Material and methods. An experimental morphological study was performed on 32 rabbits of the chinchilla breed, which were divided into 4 groups of 8 animals each. The rabbits were implanted with fibrillar structured drains from polyurethane, polyethylene terephthalate, polyamide, polylactide. In the postoperative period, a postoperative inflammatory reaction was assessed. After removing the animals from the experiment, the eyes were subjected to morphological examination.Results. In rabbits with drainage from polyurethane, a mild congested hyperemia was noted in visual evaluation compared with the pair eye during the entire follow-up period. The eye reaction to the operation was regarded as a 1st degree. In more distant terms, there was a proliferation of subconjunctival tissue in the projection of the operation zone. In histological examination, the implant was represented by thin fibrous structures throughout the volume of drainage, a uniform distribution of macrophages, lymphocytes, among the fibers. In rabbits with drainage from polyethylene terephthalate, the reaction of the eyeball to the implantation of the polymeric material corresponded to the 0 degree. When a histological study was carried out along the periphery of the drainage, a thin capsule was formed. In rabbits with drainage from polyamide, the reaction of the eyeball corresponded to 1 degree. Histological examination showed that the fibrous structure of drainage was practically not determined, an abundance of cellular elements was observed throughout the drainage: macrophages and multinucleate giants predominated, fibroblasts, fibroblasts, lymphocytes, and newly formed connective tissue fibers between the drainage fibers were present. When analyzing the results obtained during the implantation of the matrix from the polylactide, the reaction of the eyeball corresponded to the 0 degree. Histological examination showed the preservation of fibrous structure of drainage, a moderate accumulation of macrophages was determined between the fibers, single giants, single lymphocytes were present.The conclusion. Fibrillar structured drains based on polylactide due to a stable highly porous structure, high biocompatibility and biodegradability create favorable conditions for transport of aqueous humor and formation of outflow pathways.https://www.ophthalmojournal.com/opht/article/view/651glaucomasetonsfibrillar structured drainagenonwoven materialsscaffoldsmatrixes
spellingShingle N. S. Khodjaev
M. N. Kolomeytsev
A. V. Sidorova
V. V. Molchanov
N. G. Sedush
T. H. Tenchurin
Experimental-Morphological Study of Several Types of Fibrillar Structured Drainages for Glaucoma Surgery
Oftalʹmologiâ
glaucoma
setons
fibrillar structured drainage
nonwoven materials
scaffolds
matrixes
title Experimental-Morphological Study of Several Types of Fibrillar Structured Drainages for Glaucoma Surgery
title_full Experimental-Morphological Study of Several Types of Fibrillar Structured Drainages for Glaucoma Surgery
title_fullStr Experimental-Morphological Study of Several Types of Fibrillar Structured Drainages for Glaucoma Surgery
title_full_unstemmed Experimental-Morphological Study of Several Types of Fibrillar Structured Drainages for Glaucoma Surgery
title_short Experimental-Morphological Study of Several Types of Fibrillar Structured Drainages for Glaucoma Surgery
title_sort experimental morphological study of several types of fibrillar structured drainages for glaucoma surgery
topic glaucoma
setons
fibrillar structured drainage
nonwoven materials
scaffolds
matrixes
url https://www.ophthalmojournal.com/opht/article/view/651
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