Establishing a Swine Model to Study Whole Eye Transplant Dynamic Preservation and Transplantation
Haïzam Oubari1, Lucile Cabanel2, Yanis Berkane3
1Center for Engineering in Medicine and Surgery, Massachusetts General Hospital, Harvard Medical School; Shriners Children's Boston; Plastic Surgery Research Laboratory, Department of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School; Department of Plastic, Reconstructive and Aesthetic Surgery, Hospices Civils de Lyon.
Whole Eye Transplant (WET) faces preservation challenges. Subnormothermic machine perfusion (SNMP) shows promise for preserving eye grafts, advancing transplantation techniques and offering hope for vision restoration.
Area of Science:
- Ophthalmology
- Transplantation Biology
- Regenerative Medicine
Background:
- Whole Eye Transplant (WET) offers potential for vision restoration after severe eye injury.
- Current ex vivo preservation methods, like static cold storage (SCS), are inadequate for WET due to rapid neural tissue degeneration.
- Effective ex vivo graft preservation is critical for successful WET outcomes.
Purpose of the Study:
- To evaluate subnormothermic machine perfusion (SNMP) as an improved ex vivo preservation method for Whole Eye Transplant (WET).
- To adapt and apply SNMP techniques to a swine WET model.
- To establish a detailed protocol for SNMP preservation of the eye for transplantation.
Main Methods:
- Application of subnormothermic machine perfusion (SNMP) to a swine eye model.
- Detailed description of the anatomical setup and preservation protocol for WET.
- Leveraging prior experience in translating SNMP for vascularized composite allotransplantation (VCA).
Main Results:
- Successful application of SNMP for ex vivo preservation of a swine WET.
- Demonstration of SNMP's potential to overcome limitations of static cold storage for eye grafts.
- Establishment of a viable protocol for optimizing WET preservation.
Conclusions:
- Subnormothermic machine perfusion (SNMP) is a promising technique for ex vivo Whole Eye Transplant (WET) preservation.
- SNMP offers advantages over static cold storage for maintaining graft viability.
- This study represents a significant advancement in WET preservation and transplantation strategies.
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