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Isolation of Intact Eyeball to Obtain Integral Ocular Surface Tissue for Histological Examination and Immunohistochemistry
Published on: October 20, 2019
[Apoptosis and the ocular surface]
F Brignole1, O Auzerie, C Baudouin
1Laboratoire de Toxicologie, Faculté de Pharmacie, Université Paris V, France.
Abstract:
Apoptosis, or programmed cell death, is an active phenomenon that plays a major role in most mechanisms of regulation, differentiation and wound healing. Mostly studied in the retina, apoptosis is also extensively involved in the anterior segment, especially the ocular surface. Apoptosis of keratocytes is a rapid phenomenon following excimer refractive surgery. Any epithelial aggression stimulates a series of mechanisms leading to death of deep keratocytes. The role of epithelial cell mediators may explain the superiority of LASIK compared to PRK in terms of functional rehabilitation. Conjunctiva is also a major site in which inflammation and apoptosis are combined. Proinflammatory cytokines may both amplify immune reactions and stimulate epithelial apoptosis, which is most likely to result in elimination of injured tissues. Toxic drugs also play a major role and iatrogenic apoptosis should be avoided as much as possible, especially by eliminating preservatives from eyedrops, most of which use both proinflammatory and proapoptotic agents.
Insights
Apoptosis, or programmed cell death, is crucial for ocular surface regulation and healing. Understanding its role in conditions like refractive surgery and toxic drug effects can improve patient outcomes.
Area of Science:
- Ophthalmology
- Cell Biology
- Molecular Biology
Context:
- Apoptosis, or programmed cell death, is a fundamental biological process.
- While extensively studied in the retina, apoptosis significantly impacts the anterior segment and ocular surface.
- Keratocyte apoptosis is a rapid event post-excimer refractive surgery, with epithelial damage triggering deep keratocyte death.
Purpose:
- To explore the role of apoptosis in the anterior segment of the eye.
- To investigate the mechanisms underlying keratocyte apoptosis after refractive surgery.
- To understand the interplay between inflammation and apoptosis in ocular surface conditions.
Summary:
- Epithelial aggression post-refractive surgery initiates mechanisms leading to deep keratocyte apoptosis.
- Mediators from epithelial cells may explain LASIK's superior functional rehabilitation over PRK.
- Inflammation and apoptosis are intertwined in the conjunctiva, with proinflammatory cytokines amplifying immune responses and stimulating epithelial apoptosis.
- Toxic drugs can induce iatrogenic apoptosis, highlighting the need to avoid preservatives in ophthalmic preparations due to their proinflammatory and proapoptotic properties.
Impact:
- Understanding these apoptotic pathways can lead to improved surgical techniques and patient recovery.
- Identifying proapoptotic and proinflammatory agents in eye drops can help in developing safer formulations.
- This research contributes to managing ocular surface pathologies and improving visual rehabilitation post-surgery.
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