Allogenic Lenticular Implantation for Correction of Refractive Error and Ectasia: Narrative Review

Abstract Introduction Intrastromal lenticule implantation is a promising treatment option for corneal pathologies, from refractive error to ectasia. In this narrative review, we intend to feature up-to-date literature supporting the use of lenticular tissue, a compelling method that can be customize...

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Main Authors: Majid Moshirfar, Isabella M. Stoakes, Elayna G. Bruce, Amir Ali, Carter J. Payne, David Furhiman, Yasmyne C. Ronquillo, Phillip C. Hoopes
Format: Article
Language:English
Published: Adis, Springer Healthcare 2023-07-01
Series:Ophthalmology and Therapy
Subjects:
Online Access:https://doi.org/10.1007/s40123-023-00765-2
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author Majid Moshirfar
Isabella M. Stoakes
Elayna G. Bruce
Amir Ali
Carter J. Payne
David Furhiman
Yasmyne C. Ronquillo
Phillip C. Hoopes
author_facet Majid Moshirfar
Isabella M. Stoakes
Elayna G. Bruce
Amir Ali
Carter J. Payne
David Furhiman
Yasmyne C. Ronquillo
Phillip C. Hoopes
author_sort Majid Moshirfar
collection DOAJ
description Abstract Introduction Intrastromal lenticule implantation is a promising treatment option for corneal pathologies, from refractive error to ectasia. In this narrative review, we intend to feature up-to-date literature supporting the use of lenticular tissue, a compelling method that can be customized for a variety of applications, providing an additional source of donor tissue for treating corneal diseases. Methods We searched databases PubMed, Mendeley, and Scopus last accessed 10 May 2023, for literature on stromal lenticules and narrowed based on relevance. Review articles, animal studies, ex vivo studies, and book chapters were excluded, while assessable and relevant articles published in English were included. Results Storage methods from using fresh lenticules to dehydration have proven successful, with cryopreservation maintaining structure and cellular viability for up to 10 years. Successful use of lenticules for treatment of numerous pathologies including corneal ectasias, hyperopia, and presbyopia with additional insight into the treatment of corneal ulcers and perforations are highlighted in this narrative review. Conclusion Lenticular implantation is an innovative and advantageous treatment for various ocular pathologies, offering increased bioavailability, flexibility, and customization for patients. They can treat previously untreatable diseases and serve as a replacement for synthetic implants, with promising outcomes worldwide. Lenticular implantation has the potential to become a leading approach in ophthalmologic surgery. Further studies should aim to provide evidentiary support for a standardization of lenticule banking.
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spelling doaj.art-e842234b2cdb46b9b4793c4c9052d7142023-08-27T11:11:46ZengAdis, Springer HealthcareOphthalmology and Therapy2193-82452193-65282023-07-011252361237910.1007/s40123-023-00765-2Allogenic Lenticular Implantation for Correction of Refractive Error and Ectasia: Narrative ReviewMajid Moshirfar0Isabella M. Stoakes1Elayna G. Bruce2Amir Ali3Carter J. Payne4David Furhiman5Yasmyne C. Ronquillo6Phillip C. Hoopes7HDR Research Center, Hoopes VisionHDR Research Center, Hoopes VisionMcGovern Medical SchoolUniversity of Texas Medical Branch at GalvestonHDR Research Center, Hoopes VisionMcGovern Medical SchoolHDR Research Center, Hoopes VisionHDR Research Center, Hoopes VisionAbstract Introduction Intrastromal lenticule implantation is a promising treatment option for corneal pathologies, from refractive error to ectasia. In this narrative review, we intend to feature up-to-date literature supporting the use of lenticular tissue, a compelling method that can be customized for a variety of applications, providing an additional source of donor tissue for treating corneal diseases. Methods We searched databases PubMed, Mendeley, and Scopus last accessed 10 May 2023, for literature on stromal lenticules and narrowed based on relevance. Review articles, animal studies, ex vivo studies, and book chapters were excluded, while assessable and relevant articles published in English were included. Results Storage methods from using fresh lenticules to dehydration have proven successful, with cryopreservation maintaining structure and cellular viability for up to 10 years. Successful use of lenticules for treatment of numerous pathologies including corneal ectasias, hyperopia, and presbyopia with additional insight into the treatment of corneal ulcers and perforations are highlighted in this narrative review. Conclusion Lenticular implantation is an innovative and advantageous treatment for various ocular pathologies, offering increased bioavailability, flexibility, and customization for patients. They can treat previously untreatable diseases and serve as a replacement for synthetic implants, with promising outcomes worldwide. Lenticular implantation has the potential to become a leading approach in ophthalmologic surgery. Further studies should aim to provide evidentiary support for a standardization of lenticule banking.https://doi.org/10.1007/s40123-023-00765-2Allogenic lenticule implantationIntrastromal keratoplastyPEARLCAIRSALKNecklace lenticule
spellingShingle Majid Moshirfar
Isabella M. Stoakes
Elayna G. Bruce
Amir Ali
Carter J. Payne
David Furhiman
Yasmyne C. Ronquillo
Phillip C. Hoopes
Allogenic Lenticular Implantation for Correction of Refractive Error and Ectasia: Narrative Review
Ophthalmology and Therapy
Allogenic lenticule implantation
Intrastromal keratoplasty
PEARL
CAIRS
ALK
Necklace lenticule
title Allogenic Lenticular Implantation for Correction of Refractive Error and Ectasia: Narrative Review
title_full Allogenic Lenticular Implantation for Correction of Refractive Error and Ectasia: Narrative Review
title_fullStr Allogenic Lenticular Implantation for Correction of Refractive Error and Ectasia: Narrative Review
title_full_unstemmed Allogenic Lenticular Implantation for Correction of Refractive Error and Ectasia: Narrative Review
title_short Allogenic Lenticular Implantation for Correction of Refractive Error and Ectasia: Narrative Review
title_sort allogenic lenticular implantation for correction of refractive error and ectasia narrative review
topic Allogenic lenticule implantation
Intrastromal keratoplasty
PEARL
CAIRS
ALK
Necklace lenticule
url https://doi.org/10.1007/s40123-023-00765-2
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