Corneal Epithelial Removal with a Newly Designed Epithelial Brush

This study aimed to evaluate and compare the effectiveness of a newly developed epithelial removal brush with conventional methods in a rabbit model of corneal epithelial defects. The corneal epithelia of thirty-seven rabbits were removed by three different methods including blades (blade group), ne...

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Main Authors: Ho Seok Chung, Seung Hwan Moon, Soon-Suk Kang, Minseop Kim, Hun Lee, Hungwon Tchah, Jae Yong Kim
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2021/4668056
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author Ho Seok Chung
Seung Hwan Moon
Soon-Suk Kang
Minseop Kim
Hun Lee
Hungwon Tchah
Jae Yong Kim
author_facet Ho Seok Chung
Seung Hwan Moon
Soon-Suk Kang
Minseop Kim
Hun Lee
Hungwon Tchah
Jae Yong Kim
author_sort Ho Seok Chung
collection DOAJ
description This study aimed to evaluate and compare the effectiveness of a newly developed epithelial removal brush with conventional methods in a rabbit model of corneal epithelial defects. The corneal epithelia of thirty-seven rabbits were removed by three different methods including blades (blade group), newly developed epithelial brushes (Ocu group), and conventional rotating brushes (Amo group). The defect area was measured with light microscopy immediately and at 4, 18, 24, and 50 hours after removal. Corneas were obtained immediately and at 24 and 50 hours and subjected to hematoxylin and eosin (H&E) and immunofluorescence staining using proliferating cell nuclear antigen (PCNA) and phosphorylated heat shock protein 27 (pHSP27) antibodies. The residual stromal surface was observed by scanning electron microscopy (SEM). In the Ocu group, epithelia were significantly recovered at 18, 24, and 50 hours compared with immediately after removal, and in the blade and Amo groups, epithelia were significantly recovered only at 50 hours after epithelial removal. The expression levels of PCNA and pHSP27 did not differ among three groups. There was significantly more inflammatory cell infiltration in the blade group than in the other groups. SEM showed a more regular and uniform residual stromal surface in the Ocu group than in the other groups. The newly developed epithelial brush showed better polishing ability and led to earlier significant epithelial recovery and a more regular and uniform stromal surface than conventional methods in this rabbit model of epithelial defects. Accumulation of clinical data is expected to expand the scope of application of new brushes for laser surface ablation.
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spelling doaj-art-51ae0954cfc74803a4144fda336b93ce2025-02-03T01:07:10ZengWileyJournal of Ophthalmology2090-00582021-01-01202110.1155/2021/4668056Corneal Epithelial Removal with a Newly Designed Epithelial BrushHo Seok Chung0Seung Hwan Moon1Soon-Suk Kang2Minseop Kim3Hun Lee4Hungwon Tchah5Jae Yong Kim6Department of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyCheonan Seoul Eye CenterDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyThis study aimed to evaluate and compare the effectiveness of a newly developed epithelial removal brush with conventional methods in a rabbit model of corneal epithelial defects. The corneal epithelia of thirty-seven rabbits were removed by three different methods including blades (blade group), newly developed epithelial brushes (Ocu group), and conventional rotating brushes (Amo group). The defect area was measured with light microscopy immediately and at 4, 18, 24, and 50 hours after removal. Corneas were obtained immediately and at 24 and 50 hours and subjected to hematoxylin and eosin (H&E) and immunofluorescence staining using proliferating cell nuclear antigen (PCNA) and phosphorylated heat shock protein 27 (pHSP27) antibodies. The residual stromal surface was observed by scanning electron microscopy (SEM). In the Ocu group, epithelia were significantly recovered at 18, 24, and 50 hours compared with immediately after removal, and in the blade and Amo groups, epithelia were significantly recovered only at 50 hours after epithelial removal. The expression levels of PCNA and pHSP27 did not differ among three groups. There was significantly more inflammatory cell infiltration in the blade group than in the other groups. SEM showed a more regular and uniform residual stromal surface in the Ocu group than in the other groups. The newly developed epithelial brush showed better polishing ability and led to earlier significant epithelial recovery and a more regular and uniform stromal surface than conventional methods in this rabbit model of epithelial defects. Accumulation of clinical data is expected to expand the scope of application of new brushes for laser surface ablation.http://dx.doi.org/10.1155/2021/4668056
spellingShingle Ho Seok Chung
Seung Hwan Moon
Soon-Suk Kang
Minseop Kim
Hun Lee
Hungwon Tchah
Jae Yong Kim
Corneal Epithelial Removal with a Newly Designed Epithelial Brush
Journal of Ophthalmology
title Corneal Epithelial Removal with a Newly Designed Epithelial Brush
title_full Corneal Epithelial Removal with a Newly Designed Epithelial Brush
title_fullStr Corneal Epithelial Removal with a Newly Designed Epithelial Brush
title_full_unstemmed Corneal Epithelial Removal with a Newly Designed Epithelial Brush
title_short Corneal Epithelial Removal with a Newly Designed Epithelial Brush
title_sort corneal epithelial removal with a newly designed epithelial brush
url http://dx.doi.org/10.1155/2021/4668056
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AT seunghwanmoon cornealepithelialremovalwithanewlydesignedepithelialbrush
AT soonsukkang cornealepithelialremovalwithanewlydesignedepithelialbrush
AT minseopkim cornealepithelialremovalwithanewlydesignedepithelialbrush
AT hunlee cornealepithelialremovalwithanewlydesignedepithelialbrush
AT hungwontchah cornealepithelialremovalwithanewlydesignedepithelialbrush
AT jaeyongkim cornealepithelialremovalwithanewlydesignedepithelialbrush