A Comparative Study of Age-Related Level of Sclera Collagen Crosslinking in Patients with Different Stages of Primary Open Angle Glaucoma

Age-related levels of sclera collagen crosslinking have been studied in 75 patients aged 50-91 (averagely 69.9 ± 9.2 years) with various degrees of primary open angle glaucoma (POAG), whose sclera samples were obtained during deep nonpenetrating sclerectomy. The patients were divided into three age...

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Main Authors: E. N. Iomdina, L. L. Arutyunyan, N. Yu. Ignatieva
Format: Article
Language:Russian
Published: Real Time Ltd 2018-10-01
Series:Российский офтальмологический журнал
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Online Access:https://roj.igb.ru/jour/article/view/4
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author E. N. Iomdina
L. L. Arutyunyan
N. Yu. Ignatieva
author_facet E. N. Iomdina
L. L. Arutyunyan
N. Yu. Ignatieva
author_sort E. N. Iomdina
collection DOAJ
description Age-related levels of sclera collagen crosslinking have been studied in 75 patients aged 50-91 (averagely 69.9 ± 9.2 years) with various degrees of primary open angle glaucoma (POAG), whose sclera samples were obtained during deep nonpenetrating sclerectomy. The patients were divided into three age groups: 50-59 years (21 patients), 60-69 years (22 patients), and over 70 years (32 patients). 19 eyes of these patients had POAG stage I, 24 eyes had POAG stage II, and 32 eyes had stage III. To assess the level of collagen cross-linkage, sclera thermograms obtained by differential scanning calorimetry (Phoenix®, DSC 204, Netzsch, Germany) involving collagen denaturation temperature (Tm) and enthalpy value (∆Hm) measurements were analyzed. The level of collagen cross-linkage of glaucomatous sclera was found to increase with age and the stage of glaucomatous damage. However, the formation of excessive cross links associated with glaucomatous damage seems to play a more important role in damaging its structural and biomechanical properties than crosslinking of collagen complexes caused by natural aging, since the differences in values of thermomechanical parameters Tm and ∆Hm across different age groups (staying, respectively, within 0.8-1.0 оС and 0.3-2.1 J/g of dry residue) proved to be less substantial than the differences associated with the progression of glaucoma (varying, respectively, within 1.9-2.6 оС and 6.7-13.2 J/g of dry residue). The identified structural and biomechanical changes of the corneoscleral eye shell in patients with POAG do not fit into the pattern of natural aging processes; they are most probably based on the metabolic disorder of the connective tissue // Russian Ophthalmological Journal, 2016; 1: 19-26.
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spelling doaj-art-a2ad7d5d2e1f4013b666c7fb631990622025-08-20T03:40:11ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602018-10-0191192610.21516/2072-0076-2016-9-1-19-264A Comparative Study of Age-Related Level of Sclera Collagen Crosslinking in Patients with Different Stages of Primary Open Angle GlaucomaE. N. Iomdina0L. L. Arutyunyan1N. Yu. Ignatieva2Helmholtz Research Institute of Eye Diseases, Moscow, RussiaCenter “Vostok-Prozrenie” Moscow, RussiaLomonosov Moscow State University, RussiaAge-related levels of sclera collagen crosslinking have been studied in 75 patients aged 50-91 (averagely 69.9 ± 9.2 years) with various degrees of primary open angle glaucoma (POAG), whose sclera samples were obtained during deep nonpenetrating sclerectomy. The patients were divided into three age groups: 50-59 years (21 patients), 60-69 years (22 patients), and over 70 years (32 patients). 19 eyes of these patients had POAG stage I, 24 eyes had POAG stage II, and 32 eyes had stage III. To assess the level of collagen cross-linkage, sclera thermograms obtained by differential scanning calorimetry (Phoenix®, DSC 204, Netzsch, Germany) involving collagen denaturation temperature (Tm) and enthalpy value (∆Hm) measurements were analyzed. The level of collagen cross-linkage of glaucomatous sclera was found to increase with age and the stage of glaucomatous damage. However, the formation of excessive cross links associated with glaucomatous damage seems to play a more important role in damaging its structural and biomechanical properties than crosslinking of collagen complexes caused by natural aging, since the differences in values of thermomechanical parameters Tm and ∆Hm across different age groups (staying, respectively, within 0.8-1.0 оС and 0.3-2.1 J/g of dry residue) proved to be less substantial than the differences associated with the progression of glaucoma (varying, respectively, within 1.9-2.6 оС and 6.7-13.2 J/g of dry residue). The identified structural and biomechanical changes of the corneoscleral eye shell in patients with POAG do not fit into the pattern of natural aging processes; they are most probably based on the metabolic disorder of the connective tissue // Russian Ophthalmological Journal, 2016; 1: 19-26.https://roj.igb.ru/jour/article/view/4глаукомасклерастарениеколлагенпоперечные сшивкиglaucomascleraagingcollagencrosslinking
spellingShingle E. N. Iomdina
L. L. Arutyunyan
N. Yu. Ignatieva
A Comparative Study of Age-Related Level of Sclera Collagen Crosslinking in Patients with Different Stages of Primary Open Angle Glaucoma
Российский офтальмологический журнал
глаукома
склера
старение
коллаген
поперечные сшивки
glaucoma
sclera
aging
collagen
crosslinking
title A Comparative Study of Age-Related Level of Sclera Collagen Crosslinking in Patients with Different Stages of Primary Open Angle Glaucoma
title_full A Comparative Study of Age-Related Level of Sclera Collagen Crosslinking in Patients with Different Stages of Primary Open Angle Glaucoma
title_fullStr A Comparative Study of Age-Related Level of Sclera Collagen Crosslinking in Patients with Different Stages of Primary Open Angle Glaucoma
title_full_unstemmed A Comparative Study of Age-Related Level of Sclera Collagen Crosslinking in Patients with Different Stages of Primary Open Angle Glaucoma
title_short A Comparative Study of Age-Related Level of Sclera Collagen Crosslinking in Patients with Different Stages of Primary Open Angle Glaucoma
title_sort comparative study of age related level of sclera collagen crosslinking in patients with different stages of primary open angle glaucoma
topic глаукома
склера
старение
коллаген
поперечные сшивки
glaucoma
sclera
aging
collagen
crosslinking
url https://roj.igb.ru/jour/article/view/4
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