Effect of crosslinking with riboflavin and ultraviolet a (UVA) on the scleral tissue structure

Cover Page

Cite item

Abstract

Aim. To evaluate the effect of scleral crosslinking with riboflavin and ultraviolet A (UVA) on scleral tissue structure in vitro.

Material and methods. The study was performed on seven porcine cadaver eyes. Two parallel scleral strips were excised from each eyeball; one was subjected to the crosslinking procedure (instillation of 0.1% aqueous solution of riboflavin mononucleotide for 20 min followed by UV irradiation of 3 mW/cm2 for 30 min), and the other was used as control. Scleral structure was evaluated using light (Van Gieson’s stain) and electron microscopy. Special software was used to perform morphometric analysis of the microphotographs.

Results. As a result of crosslinking, the average packing density of collagen fibers increased by 8.2%, the intermediate space decreased by 5.2%, and the average diameter of collagen fibrils increased by 12%. There were no pathological changes in the scleral structures.

Conclusion. Obtained results confirm the efficacy of scleral crosslinking with riboflavin/UVA in forming additional crosslinks and the safety of the procedure for the scleral tissue.

About the authors

Mukharram M. Bikbov

Ufa Eye Research Institute

Author for correspondence.
Email: eye@anrb.ru

DMedSc, professor, director

Russian Federation, Ufa

Valentina K. Surkova

Ufa Eye Research Institute

Email: ufaeyenauka@mail.ru

DMedSc, professor, leading scientific researcher of the Department of the cornea and lens surgery

Russian Federation, Ufa

Emin L. Usubov

Ufa Eye Research Institute

Email: emines.us@inbox.ru

PhD, leading scientific researcher of the Department of the cornea and lens surgery

Russian Federation, Ufa

Nikolaj A. Nikitin

Ufa Eye Research Institute

Email: nic@ufanet.ru

PhD, leading scientific researcher of the Department of the cornea and lens surgery

Russian Federation, Ufa

Mikhail N. Astrelin

Ufa Eye Research Institute

Email: astrelin87@yandex.ru

scientific researcher of the Department of the cornea and lens surgery

Russian Federation, Ufa

References

  1. Бикбов М.М., Бикбова Г.М. Эктазии роговицы (патогенез, патоморфология, клиника, диагностика, лечение). – М.: Офтальмология, 2011. – 164 c., ил. [Bikbov MM, Bikbova GM. Jektazii rogovicy (patogenez, patomorfologija, klinika, diag nostika, lechenie). Moscow: Oftal’mologija; 2011. 164 p. (In Russ.)]
  2. Бикбов М.М., Бикбова Г.М., Суркова В.К., Зайнуллина Н.Б. Клинические результаты лечения кератоконуса методом трансэпителиального кросслинкинга роговичного коллагена // Офтальмология. – 2016. – Т. 13. – № 1. – С. 4–9. [Bikbov MM, Bikbova GM, Surkova VK, Zajnullina NB. Klinicheskie rezul’taty lechenija keratokonusa metodom transjepitelial’nogo krosslinkinga rogovichnogo kollagena. Oftal’mologija. 2016;13(1):4-9. (In Russ.)]
  3. Бикбов М.М., Суркова В.К., Усубов Э.Л., Астрелин М.Н. Кросс линкинг склеры с рибофлавином и ультрафиолетом А (UVA). Обзор литературы // Офтальмология. – 2015. – T. 12. – № 4. – С. 4–8. [Bikbov MM, Surkova VK, Usubov EL, Astrelin MN. Krosslinking sklery s riboflavinom i ul’trafioletom A (UVA). Obzor literatury. Oftal’mologija. 2015;12(4):4-8. (In Russ.)].
  4. Уикли Б. Электронная микроскопия для начинающих. Пер. с англ. – М: Мир, 1975. – 324 с. [Uikli B. Jelektronnaja mikroskopija dlja nachinajushhih. Moscow: Mir; 1975. 324 p. (In Russ.)]
  5. Bikbova G, Bikbov M. Transepithelial corneal collagen cross-linking by iontophoresis of riboflavin. Acta Ophthalmologica. 2014;92(1):30-34. doi: 10.1111/aos.12235.
  6. Bullimore MA, Jones LA, Moeschberger ML, et al. A retrospective study of myopia progression in adult contact lens wearers. Invest Ophthalmol Vis Sci. 2002;43(7):2110-2113.
  7. Choi S, Lee S-C, Lee H-J, Cheong Y, et al. Structural response of human corneal and scleral tissues to collagen cross-linking treatment with riboflavin and ultraviolet A light. Lasers Med. Sci. 2013;28(5):1289-1296. doi: 10.1007/s10103-012-1237-6.
  8. Jung G-B, Lee H-J, Kim J-H, et al. Effect of cross-linking with riboflavin and ultraviolet A on the chemical bonds and ultrastructure of human sclera. J Biomed Opt. 2011;16(12):125004. doi: 10.1117/1.3662458.
  9. Liu T-X, Wang Z. Collagen crosslinking of porcine sclera using genipin. Acta Ophthalmol. 2013;91(4):253-257. doi: 10.1111/aos.12172.
  10. Pan CW, Ramamurthy D, Saw SM. Worldwide prevalence and risk factors for myopia. Ophthalmic Physiol Opt. 2012;32(1):3-16. doi: 10.1111/j.1475-1313.2011.00884.x.
  11. Rada JAS, Shelton S, Norton TT. The sclera and myopia. Exp Eye Res. 2006;82(2):185-200. doi: 10.1016/j.exer.2005.08.009.
  12. Tanaka S, Eikenberry EF. Glycation induces expansion of the molecular packing of collagen. J Mol Biol. 1988;203(2):495-505. doi: 10.1016/0022-2836(88)90015-0.
  13. Wang M, Zhang F, Qian X, Zhao X. Regional Biomechanical properties of human sclera after cross-linking by riboflavin/ultraviolet A. J Refract Surg. 2012;28(10):723-728. doi: 10.3928/1081597X-20120921-08.
  14. Wollensak G, Iomdina E. Long-term biomechanical properties of rabbit sclera after collagen crosslinking using riboflavin and ultraviolet A (UVA). Acta Ophthalmol. 2009;87(2):193-198. doi: 10.1111/j.1755-3768.2008.01229.x.
  15. Wollensak G, Iomdina E, Dittert DD, et al. Cross-linking of scleral collagen in the rabbit using riboflavin and UVA. Acta Ophthalmol Scand. 2005;83(4):477-482. doi: 10.1111/j.1600-0420.2005.00447.x.
  16. Wollensak G, Spoerl E. Collagen crosslinking of human and porcine sclera. J Cataract Refract Surg. 2004;30(3):689-695. doi: 10.1016/j.jcrs.2003.11.032.
  17. Wollensak G, Spoerl E, Seiler T. Riboflavin/ultraviolet-a-induced collagen crosslinking for the treatment of keratoconus. Am J Ophthalmol. 2003;135(5):620-627. doi: 10.1016/S0002-9394(02)02220-1.
  18. Zhang Y, Zou C, Liu L, et al. Effect of irradiation time on riboflavin-ultraviolet-A collagen crosslinking in rabbit sclera. J Cataract Refract Surg. 2013;39(8):1184-1189. doi: 10.1016/j.jcrs.2013.02.055.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2017 Bikbov M.M., Surkova V.K., Usubov E.L., Nikitin N.A., Astrelin M.N.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies