Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0851184 (thinning)
 11,252 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A moderately severe thermal injury of the central cornea of 48 Dutch-belted rabbit eyes was produced with a carbon (CO2) laser. The lesions were photographed with a slit lamp (SL) camera immediately following the injury and at 1, 2, 4, 7, 14, 21, 30 and 60 days after the exposure. Lesion size, opaqueness, and depth were graded clinically by SL biomicroscopy at the same intervals. No significant differences were found (p less than or equal to 0.05) between groups of eyes treated with flurbiprofen (0.03%), prednisolone acetate (1%), and vehicle control four-times-a-day for three weeks following injury. Additionally, eyes were studied histopathologically at 3 and 60 days following injury by light and transmission electron microscopy, and clinically at 30 and 60 days by endothelial specular microscopy. Important clinical and histopathological findings included coagulative necrosis of the corneal epithelium, epithelial sloughing, fusion of stromal collagen, stromal edema and inflammatory cell infiltration, stromal scar formation, corneal thinning, endothelial hyperplasia and metaplasia, fibrinous anterior chamber reaction with hypopyon, and retrocorneal fibrous membrane formation.
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PMID:Laser induced thermal injury of rabbit cornea and treatment with anti-inflammatory agents. 400 71

The endothelial pump and evaporation components of corneal recovery were studied in the in vivo human cornea by inducing corneal swelling with the use of hypoxia and monitoring the subsequent decrease in corneal thickness. Corneal recovery follows a nonlinear time course with the rate of recovery decreasing as the cornea thins. Following 60 micron of induced edema, recovery with the eyes open required an average of 2.5 hr to reach baseline corneal thickness, while recovery with the eyes closed took an average of 4.0 hr to reach the normal physiologic corneal swelling (17 micron). Our analysis indicates that for open eye recovery from 60 micron of swelling, the endothelial pump provides 20%, while the osmotic thinning caused by tear evaporation contributes 80% of recovery. During recovery, the rate of water evaporation from the anterior corneal surface remained relatively steady at 2.5 microliter/cm2 X hr. Comparison of measured vs calculated recovery rates during recovery with the eyes closed suggests that the endothelial pump functions at one speed and that the "pump-leak" theory of corneal hydration control is applicable for the human cornea.
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PMID:In vivo assessment of mechanisms controlling corneal hydration. 400 95

Hydrogel keratophakia is a new form of lamellar refractive surgery which, in theory, can deal with almost all forms of refractive error. We examined the histopathological effects of several types of hydrogel materials on the cornea of non-human primates. With the exception of one type of hydrogel material, which was associated with endothelial cell degeneration, only minor histopathologic changes were seen up to a maximum of one year of observation, including thinning of the epithelium and decreased population of stromal keratocytes. These changes did not correlate with any clinical abnormalities. Additional extensive preclinical testing and eventual human clinical trials will determine the safety and efficacy of this procedure.
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PMID:Pathology of corneal hydrogel alloplastic implants. 405 90

Ocular rosacea was diagnosed in 6.3% of a cornea/external disease referral practice where more than half of the patients referred are for corneal surgery. The most common signs and symptoms are also common to many patients in the general practice of ophthalmology, i.e., foreign body sensation, burning, superficial punctate erosions, chalazia and blepharitis. Less common but dangerous to the vision was corneal thinning, vascularization and infiltrates. Three new associated symptoms were described. These were map dot subepithelial opacities, recurrent erosions and moderately severe foreign body sensation, pain or burning with minimal associated signs. Oral tetracycline 250 mg q.i.d. resulted in improvement in almost all patients from 4 to 17 days after initiation of therapy. Although most of the patients have been able to taper and stop therapy, those with foreign body sensation, burning and pain have had recurrences of their symptoms with all attempts at stopping therapy.
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PMID:Ocular rosacea. 622 68

We have examined the collagens synthesized by cultures of normal human corneal stromal cells. Radioactively labeled products, accumulated in the culture medium during a 24-h labeling period, were treated with pepsin and analyzed by SDS-polyacrylamide gel electrophoresis. The cell layer collagen was characterized by 2.6 M and 4.4 M salt fractionation at neutral pH. CM-cellulose column chromatography, SDS-gel electrophoresis, and cyanogen bromide peptide mapping. Type I alpha 1 and alpha 2 chains were the predominant components in both the cell layer and the medium fractions of normal human stromal cultures; type III collagen was found mostly in the culture medium; and type V collagen was associated with the cell layer. Immunofluorescent techniques used to visualize collagen deposition in the cell layer confirmed the presence of these collagen types. Keratoconus is a disease characterized by thinning and scarring of the central cornea. Stromal cells grown from keratoconus corneas produced similar types of collagen (types I, III, and V) as normal human controls. Cells from keratoconus patients, however, contained more type V collagen in the cell layer than did normal cells. The difference was seen only in the 4.4 M salt precipitates. Since type V collagen is one component of cell surfaces, the primary defect in cultures from keratoconus corneas could involve cell membrane and cell surface components.
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PMID:Identification of collagens synthesized by cultures of normal human corneal and keratoconus stromal cells. 633 47

The major histopathologic changes seen in the eyes of patients undergoing bone marrow transplantation involve the conjunctiva, cornea, choroid, and lacrimal gland. The major finding in the conjunctiva is keratinization. The major findings in the cornea are epithelial thinning and keratinization. Keratinization of the conjunctiva and cornea is associated with graft-v-host disease (GVHD) and may be either a primary manifestation of GVHD or be secondary to the "dry eye" syndrome that develops in patients with GVHD. Corneal epithelial thinning is probably secondary to the chemotherapy used in the preparative regimen. An unusual histiocytelike infiltrate is present in the choroid and appears to be associated with GVHD. In acute GVHD, lacrimal gland stasis occurs and is the probable cause of the dry eyes seen in these patients.
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PMID:The eye in bone marrow transplantation. II. Histopathology. 634 Jun 49

Human donor corneas were used for penetrating keratoplasty in one eye of each of 12 rhesus monkeys. In six animals, a 9.5-mm cornea was sutured into a 9.0-mm recipient bed by means of interrupted 10-0 nylon sutures. Six other animals received a 6.5-mm cornea in a 6.0-mm bed. Biomicroscopy, pachymetry, and specular microscopy revealed two distinct healing patterns. Of the six eyes receiving the smaller grafts, five showed prompt, stable clearing and thinning of the grafts with endothelial cell densities ranging from 850 to 1600 cells/mm2 Two of the six animals receiving larger grafts developed fibrinous reactions in the immediate postoperative period, and the grafts never cleared. Three showed a satisfactory early course, but after 10-16 days, developed endothelial keratic precipitates, anterior chamber reaction, and progressive graft edema. The sixth graft remained technically satisfactory 1 year later. This study indicates that the application of small human donor grafts in monkey eyes can provide a useful, clinical model for the future exploration of the response of human corneal transplants to materials such as epidermal growth factor and for the study of surgical manipulation of postkeratoplasty astigmatism.
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PMID:A primate model of human corneal transplantation. 638 73

Corneal buttons were obtained from four young adults with advanced keratoconus following perforating keratoplasty. The corneal buttons were incubated in organ culture media containing 3H-proline. Autoradiographs of corneal sections showed that the incorporation of the radioisotope was significantly higher in all layers of the kerotoconic corneas than that found in the normal controls, indicating an increased protein biosynthesis in the former. It is suggested that in spite of the found increased synthetic activity, slow destruction and thinning of the cornea in keratoconus might occur as the result of inadequate compensation for tissue loss due to increased collagenolytic activity in the disease.
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PMID:In vitro incorporation of proline into keratoconic human corneas. 649 Mar 29

A case of vernal keratoconjunctivitis is presented with a similar clinical presentation and disease type identified in each of two fraternal twins. The unique findings of superior stromal infiltrates and corneal marginal thinning are discussed.
Cornea
PMID:Vernal keratoconjunctivitis: new corneal findings in fraternal twins. 657 93

Terrien's marginal degeneration (TMD) is a bilateral and progressive corneal disorder that causes corneal thinning, furrowing, neovascularization and high degrees of corneal astigmatism. Possible sequellae include ectasia and perforation of the affected corneal region. An asymptomatic patient presented to our clinic manifesting all of the classical signs of TMD except the high degree of corneal astigmatism. Excellent visual acuity was attained with the latest spectacle prescription.
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PMID:Terrien's marginal degeneration. 660 24


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