Abstract
Amniotic membrane transplantation (AMT) is considered a substantial treatment option in the management of ocular surface disorders. However, several inherent drawbacks still remain. The present study devised a novel implantable composite biomaterial of fibrin glue-double layer Amniotic membrane (AM) and evaluated the biomechanical properties and effects on corneal surface reconstruction in alkali-burned rabbit model. Biomechanic parameters were calculated by an electronic universal testing machine. Corneal alkali burning was done in the right eyes of thirty rabbits, which were randomized into three groups of ten animals each. The eyes in group 1 underwent fibrin glue-double layer AMT, the eyes in group 2 underwent ordinary single layer AMT, and the eyes in group 3 (control group) did not undergo any surgical procedure. Healing of corneal epithelial defect, extent of corneal vascularization and corneal clarity were assessed and compared at two time points. One month after surgery, animals were killed and the eyes were processed for histopathology. The fibrin glue-double layer AM composites had more ideal biomechanical properties. In fibrin glue-double layer AM group, the rate of epithelial healing, vascularization inhibition and corneal clarity was significantly better than the other two groups. Novel fibrin glue-double layer AMT with corneal alkali burns is more effective and useful for ocular surface reconstruction and has great potential applications.
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van Herendael B, Oberti C, Brosens I. Microanatomy of the human amniotic membranes. A light microscopic, transmission, and scanning electron microscopic study. Am J Obstet Gynecol. 1978;131(8):872–80.
Wolbank S, Hildner F, Redl H, van Griensven M, Gabriel C, Hennerbichler S. Impact of human amniotic membrane preparation on release of angiogenic factors. J Tissue Eng Regen Med. 2009;3:651–4.
Solomon A, Meller D, Prabhasawat P, John T, Espana EM, Steuhl KP, et al. Amniotic membrane grafts for nontraumatic corneal perforations, descemetoceles, and deep ulcers. Ophthalmology. 2002;109:694–703.
Kim JC, Tseng SC. Transplantation of preserved human amniotic membrane for surface reconstruction in severely damaged rabbit corneas. Cornea. 1995;14:473–84.
Solomon A, Espana EM, Tseng SC. Amniotic membrane transplantation for reconstruction of the conjunctival fornices. Ophthalmology. 2003;110:93–100.
Kheirkhah A, Johnson DA, Paranjpe DR, Raju VK, Casas V, Tseng SC. Temporary sutureless amniotic membrane patch for acute alkaline burns. Arch Ophthalmol. 2008;126(8):1059–66.
Kee C, Hwang JM. Amniotic membrane graft for late-onset glaucoma filtering leaks. Am J Ophthalmol. 2002;133:834–5.
Iakimenko SA, Buznyk OI, Rymgayllo-Jankowska B. Amniotic membrane transplantation in treatment of persistent corneal ulceration after severe chemical and thermal eye injuries. Eur J Ophthalmol. 2013;23(4):496–503.
Nubile M, Dua HS, Lanzini TE, Carpineto P, Ciancaglini M, Toto L, et al. Amniotic membrane transplantation for the management of corneal epithelial defects: an in vivo confocal microscopic study. Br J Ophthalmol. 2008;92(1):54–60.
Kheirkhah A, Casas V, Raju VK, Tseng SC. Sutureless amniotic membrane transplantation for partial limbal stem cell deficiency. Am J Ophthalmol. 2008;145(5):787–94.
Mohammadi AA, Johari HG, Eskandari S. Effect of amniotic membrane on graft take in extremity burns. Burns. 2013;39(6):1137–41.
Tamhane A, Vajpayee RB, Biswas NR, Pandey RM, Sharma N, Titiyal JS, et al. Evaluation of amniotic membrane transplantation as an adjunct to medical therapy as compared with medical therapy alone in acute ocular burns. Ophthalmology. 2005;112:1963–9.
Mahdy RA, Wagieh MM. Safety and efficacy of fibrin glue versus vicryl sutures in recurrent pterygium with amniotic membrane grafting. Ophthalmic Res. 2012;47(1):23–6.
Kheirkhah A, Ghaffari R, Kaghazkanani R, Hashemi H, Behrouz MJ, Raju VK. A combined approach of amniotic membrane and oral mucosa transplantation for fornix reconstruction in severe symblepharon. Cornea. 2013;32(2):155–60.
Gatzioufas Z, Sauter M, Hasenfus A, Smola S, Seitz B. In vivo analysis of stromal integration of multilayer amniotic membrane transplantation in corneal ulcers. Am J Ophthalmol. 2012;153(2):379.
Grau AE, Durán JA. Treatment of a large corneal perforation with a multilayer of amniotic membrane and TachoSil. Cornea. 2012;31(1):98–100.
Shi W, Chen M, Xie L. Amniotic membrane transplantation combined with antiviral and steroid therapy for herpes necrotizing stromal keratitis. Ophthalmology. 2007;114(8):1476–81.
Sonoda Y, Streilein JW. Orthotopic corneal transplantation in mice-evidence that the immunogenetic rules of rejection do not apply. Transplantation. 1992;54:694–704.
Le Nihouannen D, Saffarzadeh A, Aguado E, Goyenvalle E, Gauthier O, Moreau F, et al. Osteogenic properties of calcium phosphate ceramics and fibrin glue based composites. J Mater Sci Mater Med. 2007;18(2):225–35.
Kaufman HE, Insler MS, Ibrahim-Elzembely HA, Kaufman SC. Human fibrin tissue adhesive for sutureless lamellar keratoplasty and scleral patch adhesion. Ophthalmology. 2003;110:2168–72.
Yang MB, Melia M, Lambert SR, Chiang MF, Simpson JL, Buffenn AN. Fibrin glue for closure of conjunctival incision in strabismus surgery: a report by the american academy of ophthalmology. Ophthalmology. 2013;120(9):1935–41.
Nassiri N, Pandya HK, Djalilian AR. Limbal allograft transplantation using fibrin glue. Arch Ophthalmol. 2011;129(2):218–22.
Martinez-de-la-Casa JM, Rayward O, Saenz-Frances F, Mendez C, Bueso ES, Garcia-Feijoo J. Use of a fibrin adhesive for conjunctival closure in trabeculectomy. Acta Ophthalmol. 2013;91(5):425–8.
Sinha R, Shekhar H, Gantyala SP, Titiyal JS. Haptic placement of posterior chamber intraocular lens in fibrin glue-assisted intrascleral fixation. J Cataract Refract Surg. 2013;39(11):1779–80.
Matsuda H, Smelser GK. Epithelium and stroma in alkali-burned corneas. Arch Ophthalmol. 1973;89:396–401.
Ormerod LD, Abelson MB, Kenyon KR. Standard models of corneal injury using alkali-immersed filter discs. Invest Ophthalmol Vis Sci. 1989;30:2148–53.
Yamada J, Dana MR, Sotozono C, Kinoshita S. Local suppression of IL-1 by receptor antagonist in the rat model of corneal alkali injury. Exp Eye Res. 2003;76(2):161–7.
Ha HS, Song KY, Kim JC. Ultrastructural analysis of in vivo expanded corneal epitheliumon amniotic membrane. Korean Med Sci. 2006;21:544–9.
Wagoner MD. Chemical injuries of the eye: current concepts in pathophysiology and therapy. Surv Ophthalmol. 1997;41:275–313.
Liu T, Zhai H, Xu Y, Dong Y, Sun Y, Zang X, et al. Amniotic membrane traps and induces apoptosis of inflammatory cells in ocular surface chemical burn. Mol Vis. 2012;18:2137–46.
Kubo M, Sonoda Y, Muramatsu R, Usui M. Immunogenicity of human amniotic membrane in experimental xenotransplantation. Invest Ophthalmol Vis Sci. 2001;42(7):1539–46.
Woo HM, Kim MS, Kweon OK, Kim DY, Nam TC, Kim JH. Effects of amniotic membrane on epithelial wound healing and stromal remodelling after excimer laser keratectomy in rabbit cornea. Br J Ophthalmol. 2001;85(3):345–9.
Baum J. Thygeson lecture. Amniotic membrane transplantation: why is it effective? Cornea. 2002;21(4):339–41.
Suri K, Kosker M, Raber IM, Hammersmith KM, Nagra PK, Ayres BD, et al. Sutureless amniotic membrane ProKera for ocular surface disorders: short-term results. Eye Contact Lens. 2013;39(5):341–7.
Pirouzian A, Ly H, Holz H, Sudesh RS, Chuck RS. Fibrin-glue assisted multilayered amniotic membrane transplantation in surgical management of pediatric corneal limbal dermoid: a novel approach. Graefes Arch Clin Exp Ophthalmol. 2011;249(2):261–5.
Szurman P, Warga M, Grisanti S, Roters S, Rohrbach JM, Aisenbrey S, et al. Sutureless amniotic membrane fixation using fibrin glue for ocular surface reconstruction in a rabbit model. Cornea. 2006;25(4):460–6.
Duchesne B, Tahi H, Galand A. Use of human fibrin glue and amniotic membrane transplant in corneal perforation. Cornea. 2001;29:230–2.
Kim JS, Kim JC, Na BK, Jeong JM, Song CY. Amniotic membrane patching promotes healing and inhibits proteinase activity on wound healing following acute corneal alkali burn. Exp Eye Res. 2000;70:329–37.
Dua HS, Azuara-Blanco A. Amniotic membrane transplantation. Br J Ophthalmol. 1999;83:748–52.
Acknowledgments
This study was supported by Grants from the Chongqing Science and Technology Committee (CSTC, 2008AC0086) and the First Affiliated Hospital of Chongqing Medical University (YXJJ2009-09). The authors thank Wenjun Zhou for providing technical assistance.
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Jie Zhang and Mingming Cai are common first author and contributed equally to this work.
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Cai, M., Zhang, J., Guan, L. et al. Novel implantable composite biomaterial by fibrin glue and amniotic membrane for ocular surface reconstruction. J Mater Sci: Mater Med 26, 149 (2015). https://doi.org/10.1007/s10856-015-5491-6
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DOI: https://doi.org/10.1007/s10856-015-5491-6