Abstract
BACKGROUND/AIMS—The biochemical basis for the development of subepithelial opacity of the cornea after excimer laser keratectomy has yet to be fully defined. The aim of this study was to evaluate the alterations of glycosaminoglycans (GAGs) after excimer laser keratectomy. METHODS—Rabbit corneas were harvested on days 5, 10, 20, and 30 after excimer laser photoablation. The amount of main disaccharide units was determined by high performance liquid chromatography (HPLC). In addition, immunohistochemical studies were performed on corneal sections 20 days after the ablation. RESULTS—The concentrations of ΔDi-0S at 5 and 10 days were significantly lower than before the ablation. ΔDi-6S showed a significant increase 5 days after the ablation but ΔDi-4S did not show any significant change. There was a significant increase in ΔDi-HA at 20 and 30 days after ablation. In immunohistochemistry, the positive staining for ΔDi-6S and hyaluronic acid was observed in the subepithelial region. These immunohistochemical results were well correlated with the HPLC findings. CONCLUSIONS—The increase in chondroitin-6 sulphate and hyaluronic acid may be related to corneal subepithelial opacity after excimer laser keratectomy.
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Selected References
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- Anderson J. A., Binder P. S., Rock M. E., Vrabec M. P. Human excimer laser keratectomy. Immunohistochemical analysis of healing. Arch Ophthalmol. 1996 Jan;114(1):54–60. doi: 10.1001/archopht.1996.01100130050008. [DOI] [PubMed] [Google Scholar]
- Asari A., Miyauchi S., Miyazaki K., Hamai A., Horie K., Takahashi T., Sekiguchi T., Machida A., Kohno K., Uchiyama Y. Intra- and extracellular localization of hyaluronic acid and proteoglycan constituents (chondroitin sulfate, keratan sulfate, and protein core) in articular cartilage of rabbit tibia. J Histochem Cytochem. 1992 Nov;40(11):1693–1704. doi: 10.1177/40.11.1431058. [DOI] [PubMed] [Google Scholar]
- Dutt S., Steinert R. F., Raizman M. B., Puliafito C. A. One-year results of excimer laser photorefractive keratectomy for low to moderate myopia. Arch Ophthalmol. 1994 Nov;112(11):1427–1436. doi: 10.1001/archopht.1994.01090230041018. [DOI] [PubMed] [Google Scholar]
- Epstein D., Fagerholm P., Hamberg-Nyström H., Tengroth B. Twenty-four-month follow-up of excimer laser photorefractive keratectomy for myopia. Refractive and visual acuity results. Ophthalmology. 1994 Sep;101(9):1558–1564. doi: 10.1016/s0161-6420(94)31150-x. [DOI] [PubMed] [Google Scholar]
- Fitzsimmons T. D., Fagerholm P., Härfstrand A., Schenholm M. Hyaluronic acid in the rabbit cornea after excimer laser superficial keratectomy. Invest Ophthalmol Vis Sci. 1992 Oct;33(11):3011–3016. [PubMed] [Google Scholar]
- Fukatsu T., Sobue M., Nagasaka T., Ohiwa N., Fukata S., Nakashima N., Takeuchi J. Immunohistochemical localization of chondroitin sulphate and dermatan sulphate proteoglycans in tumour tissues. Br J Cancer. 1988 Jan;57(1):74–78. doi: 10.1038/bjc.1988.12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hanna K. D., Pouliquen Y., Waring G. O., 3rd, Savoldelli M., Cotter J., Morton K., Menasche M. Corneal stromal wound healing in rabbits after 193-nm excimer laser surface ablation. Arch Ophthalmol. 1989 Jun;107(6):895–901. doi: 10.1001/archopht.1989.01070010917041. [DOI] [PubMed] [Google Scholar]
- Hasty K. A., Smith G. N., Jr, Kang A. H. Studies on glycosaminoglycans of regenerating rabbit ear cartilage. Dev Biol. 1981 Aug;86(1):198–205. doi: 10.1016/0012-1606(81)90330-4. [DOI] [PubMed] [Google Scholar]
- Hersh P. S., Stulting R. D., Steinert R. F., Waring G. O., 3rd, Thompson K. P., O'Connell M., Doney K., Schein O. D. Results of phase III excimer laser photorefractive keratectomy for myopia. The Summit PRK Study Group. Ophthalmology. 1997 Oct;104(10):1535–1553. doi: 10.1016/s0161-6420(97)30073-6. [DOI] [PubMed] [Google Scholar]
- Loewenstein A., Lipshitz I., Varssano D., Lazar M. Complications of excimer laser photorefractive keratectomy for myopia. J Cataract Refract Surg. 1997 Oct;23(8):1174–1176. doi: 10.1016/s0886-3350(97)80311-2. [DOI] [PubMed] [Google Scholar]
- Maguen E., Salz J. J., Nesburn A. B., Warren C., Macy J. I., Papaioannou T., Hofbauer J., Berlin M. S. Results of excimer laser photorefractive keratectomy for the correction of myopia. Ophthalmology. 1994 Sep;101(9):1548–1557. doi: 10.1016/s0161-6420(94)31137-7. [DOI] [PubMed] [Google Scholar]
- Malley D. S., Steinert R. F., Puliafito C. A., Dobi E. T. Immunofluorescence study of corneal wound healing after excimer laser anterior keratectomy in the monkey eye. Arch Ophthalmol. 1990 Sep;108(9):1316–1322. doi: 10.1001/archopht.1990.01070110132037. [DOI] [PubMed] [Google Scholar]
- Nakayasu K., Gotoh T., Ishikawa T., Kanai A. [Glycosaminoglycans in subepithelial opacity after excimer laser keratectomy]. Nippon Ganka Gakkai Zasshi. 1996 May;100(5):350–357. [PubMed] [Google Scholar]
- Oya T., Obata H., Miyata K., Tsuru T., Sawa M., Miyauchi S. [Quantitative analysis of glycosaminoglycans in tear fluids during corneal epithelial wound healing in rabbits]. Nippon Ganka Gakkai Zasshi. 1994 Nov;98(11):1049–1055. [PubMed] [Google Scholar]
- Rawe I. M., Zabel R. W., Tuft S. J., Chen V., Meek K. M. A morphological study of rabbit corneas after laser keratectomy. Eye (Lond) 1992;6(Pt 6):637–642. doi: 10.1038/eye.1992.137. [DOI] [PubMed] [Google Scholar]
- Scott J. E., Bosworth T. R. A comparative biochemical and ultrastructural study of proteoglycan-collagen interactions in corneal stroma. Functional and metabolic implications. Biochem J. 1990 Sep 1;270(2):491–497. doi: 10.1042/bj2700491. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Scott J. E., Cummings C., Greiling H., Stuhlsatz H. W., Gregory J. D., Damle S. P. Examination of corneal proteoglycans and glycosaminoglycans by rotary shadowing and electron microscopy. Int J Biol Macromol. 1990 Jun;12(3):180–184. doi: 10.1016/0141-8130(90)90029-a. [DOI] [PubMed] [Google Scholar]
- Scott J. E. Morphometry of cupromeronic blue-stained proteoglycan molecules in animal corneas, versus that of purified proteoglycans stained in vitro, implies that tertiary structures contribute to corneal ultrastructure. J Anat. 1992 Feb;180(Pt 1):155–164. [PMC free article] [PubMed] [Google Scholar]
- Scott J. E. Proteoglycan: collagen interactions and corneal ultrastructure. Biochem Soc Trans. 1991 Nov;19(4):877–881. doi: 10.1042/bst0190877. [DOI] [PubMed] [Google Scholar]
- Seiler T., Holschbach A., Derse M., Jean B., Genth U. Complications of myopic photorefractive keratectomy with the excimer laser. Ophthalmology. 1994 Jan;101(1):153–160. doi: 10.1016/s0161-6420(94)31371-6. [DOI] [PubMed] [Google Scholar]
- Sher N. A., Hardten D. R., Fundingsland B., DeMarchi J., Carpel E., Doughman D. J., Lane S. S., Ostrov C., Eiferman R., Frantz J. M. 193-nm excimer photorefractive keratectomy in high myopia. Ophthalmology. 1994 Sep;101(9):1575–1582. doi: 10.1016/s0161-6420(94)31135-3. [DOI] [PubMed] [Google Scholar]
- Toyoda H., Motoki K., Tanikawa M., Shinomiya K., Akiyama H., Imanari T. Determination of human urinary hyaluronic acid, chondroitin sulphate and dermatan sulphate as their unsaturated disaccharides by high-performance liquid chromatography. J Chromatogr. 1991 Apr 19;565(1-2):141–148. doi: 10.1016/0378-4347(91)80378-p. [DOI] [PubMed] [Google Scholar]