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Treatment of corneal chemical alkali burns with a crosslinked thiolated hyaluronic acid film
Authors:Gina L. Griffith  Barbara Wirostko  Hee-Kyoung Lee  Lauren E. Cornell  Jennifer S. McDaniel  David O. Zamora  Anthony J. Johnson
Affiliation:1. Department of Sensory Trauma, United States Army Institute of Surgical Research, San Antonio, TX 78234, United States;2. Jade Therapeutics, Inc. (Wholly Owned Subsidiary of EyeGate Pharmaceuticals, Inc.), 391 Chipeta Way, Salt Lake City, UT 84108, United States;3. University of Utah, Moran Eye Center, Salt Lake City, UT 84108, United States
Abstract:

Purpose

The study objective was to test the utilization of a crosslinked, thiolated hyaluronic acid (CMHA-S) film for treating corneal chemical burns.

Methods

Burns 5.5 mm in diameter were created on 10 anesthetized, male New Zealand white rabbits by placing a 1N NaOH soaked circular filter paper onto the cornea for 30 s. Wounds were immediately rinsed with balanced salt solution (BSS). CMHA-S films were placed in the left inferior fornix of five injured and five uninjured animals. Five animals received no treatment. At 0 h, 48 h, 96 h, and on day 14 post chemical burn creation, eyes were evaluated by white light imaging, fluorescein staining, and optical coherence tomography (OCT). Corneal histology was performed using H&E and Masson's Trichrome stains.

Results

Image analysis indicated biocompatible CMHA-S treatment resulted in significant decreases in the areas of corneal opacity at 48 h, 96 h, and on day 14 postoperatively. A significant increase in re-epithelialization was seen 14 days post injury. CMHA-S treated corneas showed significantly less edema than untreated burns. No pathological differences were observed in corneal histological samples as a result of CMHA-S treatment.

Conclusions

CMHA-S films facilitate re-epithelialization and decrease the area of corneal opacity in our corneal alkali burn rabbit model.
Keywords:ANOVA  analysis of variance  ARVO  The Association for Research in Vision and Ophthalmology  CMHA-S  crosslinked carboxymethylated thiolated hyaluronic acid  CRADA  cooperative research and development agreement  BSS  balanced salt solution  HA  hyaluronic acid  H&E  hematoxylin and eosin  HOA  high order aberration  LASEK  laser-assisted subepithelial keratomileusis  MRMC  medical research and materiel command  NZW  New Zealand White  OCT  optical coherence tomography  ORISE  Oak Ridge Institute for Science and Education  PAD  program area directorate  PBS  phosphate buffered saline  PEGDA  polyethylene (glycol) diacrylate  SEM  standard error of the mean  Hyaluronic acid  Polymer  Corneal wound healing  Epithelium
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