Literature DB >> 27063528

Rate of riboflavin diffusion from intrastromal channels before corneal crosslinking.

Rebecca McQuaid1, Michael Mrochen2, Brian Vohnsen2.   

Abstract

PURPOSE: To determine the diffusion of riboflavin from intrastromal channels through the effective diffusion coefficients compared with traditional axial diffusion with epithelium on or off.
SETTING: Advanced Optical Imaging Laboratory, University College Dublin, and Wellington Eye Clinic, Sandyford, Dublin, Ireland.
DESIGN: Experimental study.
METHODS: The rate of diffusion in whole-mounted porcine eyes was monitored for a 30 minutes using an optical setup with a charge-coupled device camera and a bandpass filter (central wavelength 550 nm and 40 nm bandpass) to image the fluorescence under ultraviolet illumination (365 nm wavelength). For comparison, an isotropic corneal stroma with an annular channel was modeled numerically for different diffusion constants and boundary conditions.
RESULTS: Numerical and experimental results were compared, allowing determination of the effective diffusion coefficient for each case. Experimental results for 6 different riboflavin solutions were in all cases found to be higher than for the common crosslinking (CXL) riboflavin protocol, where the diffusion constant is D0 = 6.5 × 10(-5) mm(2)/sec. For the intrastromal channel, 2 isotonic solutions containing riboflavin 0.1% correlated with a diffusion constant of 5D0 = 32.5 × 10(-5) mm(2)/sec. Hypotonic solutions and transepithelium had a higher diffusion coefficient approaching 10D0 = 65.0 × 10(-5) mm(2)/sec, which is an order-of-magnitude increase compared with the typical diffusion coefficient found in standard CXL.
CONCLUSIONS: In this study, riboflavin had a faster stromal diffusion when injected into a corneal channel than when applied as drops to the anterior corneal surface. Further numerical modeling might allow optimization of the channel structure for any specific choice of riboflavin.
Copyright © 2016 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

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Year:  2016        PMID: 27063528     DOI: 10.1016/j.jcrs.2015.09.032

Source DB:  PubMed          Journal:  J Cataract Refract Surg        ISSN: 0886-3350            Impact factor:   3.351


  3 in total

1.  Anatomic Studies of the Miniature Swine Cornea.

Authors:  Sarag Abhari; Michael Eisenback; Henry J Kaplan; Eric Walters; Randall S Prather; Patrick A Scott
Journal:  Anat Rec (Hoboken)       Date:  2018-10-05       Impact factor: 2.064

2.  Corneal collagen crosslinking in patients treated with dextran versus isotonic hydroxypropyl methylcellulose (HPMC) riboflavin solution: a retrospective analysis.

Authors:  Patrick B Rapuano; Priya M Mathews; George J Florakis; Stephen L Trokel; Leejee H Suh
Journal:  Eye Vis (Lond)       Date:  2018-09-10

3.  Reaction-diffusion model as framework for understanding the role of riboflavin in "eye defence" formulations.

Authors:  Francesca Di Nezza; Ciro Caruso; Ciro Costagliola; Luigi Ambrosone
Journal:  RSC Adv       Date:  2020-04-16       Impact factor: 3.361

  3 in total

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