Figure 10.
Schematic drawing on the hypothesis of corneal endothelial would healing process after CEC scraping or DM stripping injury. After CEC scraping injury, central corneal endothelial cells were removed and the underneath Descemet’s membrane (DM) was exposed at day 0. Seven days after the injury, CECs in the peripheral cornea migrated into the wounding area. These cells exhibited endothelial mesenchymal transition. At day 14, the wounding area was resurfaced by the migrating cells, and these cells regained endothelial phenotype through mesenchymal endothelial transition. After DM stripping injury, central corneal endothelial cells were also removed and the central corneal stroma (ST) was exposed at day 0. Seven days after the injury, few CECs in the peripheral cornea migrated into the wounding area. On the other hand, some keratocytes were activated and changed into myofibroblastic phenotype (red nuclei cells). At day 14, the wounding area was resurfaced by two types of cells, one from migrated endothelial cells, while the other from keratocytes. These cells partially regained endothelial cell phenotype.