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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
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SCImago Journal & Country Rank
3/2011
vol. 113
 
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abstract:
Original paper

Culture morphology of the autologous cultivated corneal epithelium

Dariusz Dobrowolski
1, 2
,
Edward Wylęgała
1
,
Bogusława Orzechowska-Wylęgała
3
,
Bogumił Wowra
1
,
Anna Bielecka
4
,
Ewa Obuchowicz
4
,
Andrzej Małecki
4
,
Bożena Gabryel
4

  1. Department of Ophthalmology, District Railway Hospital, Katowice, Poland
  2. Department of Ophthalmology, St. Barbara Hospital, Sosnowiec, Poland
  3. Department of Maxillo-Facial Surgery, Clinical Hospital, Silesian Medical University, Katowice, Poland
  4. Department of Pharmacology, Silesian Medical University, Katowice, Poland
Klinika Oczna 2011, 113 (3): 249-253
Online publish date: 2011/10/01
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Introduction
Purpose: Ocular surgery based on cultivated corneal epithelium has become a very promising procedure eligible to restore the ocular surface. Analysis of morphologic features and the phenotype of cultivated epithelial cells determines their quality and eligibility of transplantation.

Material and methods
Corneal epithelial cultures were carried out in 25 patients suffering from limbal deficiency after chemical or thermal burns. Fellow healthy eyes were the source of limbal epithelium for the culture. Limbal cells from a 2 mm2 biopsy were seeded on an amniotic membrane after enzymatic pretreatment. Cultures were carried in standard conditions in a supplemented DMEM HAM/F12 medium in the presence of 3T3 fibroblasts. Light microscopy was used to analyze the regularity of the cultivated epithelial layer, histologic examination was used to establish number of epithelial layers, and immunohistochemistry for epithelial and proliferation markers was applied to confirm cell origin and proliferative potential. Staining for cytokeratin 3, 12, 19, connexin 43, and protein p63 was performed.

Results
In 25 donors, 27 cultures of the epithelium were performed. In 2 cases, plates were contaminated. Both cultures were repeated. In 84% of the cultures, regular stratified growth of the epithelium with complete covering of amniotic membrane was observed. In 16% of cultures, growth was not regular, showing differences in the number of cell layers. Staining for cytokeratin 3/12 confirmed the corneal origin of cultivated epithelia. The number of epithelial layers ranged from 3 to 9; the average was 5.3 ± 1.9 layers.

Conclusions
Cultures of limbal epithelial cells are a valuable source of tissue for restoration of the corneal epithelium.

keywords:

Cultivated corneal epithelium, epithelial morphology

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