Biomedical subjects

Chun Chen Chen

Publications and source records attributed to Chun Chen Chen.

3 recordsLinked to original sources

PubMed2003

LASEK results.

Laser subepithelial keratomileusis (LASEK) has become a viable alternative to photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK) in selected patients. LASEK may decrease the complications associated with PRK, including postoperative pain and slow visual rehabilitation. In this article, the authors present the visual outcomes and complication rates of LASEK based on the retrospective case review of 101 consecutive patients (163 eyes) treated with LASEK surgery over the past 6 years. Seventy-eight percent of these eyes showed complete epithelial healing by day 3, and there were no incidents of recurrent erosions. As with LASIK, the achieved correction for LASEK was greater than the treatment dose (requiring undercorrection nomogram adjustments). Mean logMAR UCVA was 0.03 (20/20) at 1 year. LASEK seems to be a safe and effective option for patients who request refractive surgery.

Adult↗

PubMed2002

Corneal asphericity after hyperopic laser in situ keratomileusis.

PURPOSE: To analyze corneal asphericity after hyperopic laser in situ keratomileusis (LASIK) and its relationship to the clinical outcomes. SETTING: Corneal and Refractive Surgery Service, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA. METHODS: In a retrospective case series, 23 patients (33 eyes) with hyperopia or hyperopic astigmatism who had LASIK were evaluated. A computer program (Holladay Diagnostic Summary, EyeSys Laboratories) was used to analyze corneal asphericity (Q) before and after LASIK. Corneal asphericity was evaluated to determine the association with the postoperative refractive error, best spectacle-corrected visual acuity (BSCVA), uncorrected visual acuity (UCVA), achieved refractive correction, mean corneal power (K), refractive yield (achieved/attempted correction), and keratometric yield (change in keratometry/attempted correction). RESULTS: After hyperopic LASIK, all corneas exhibited increased negative central Q. The postoperative corneal radius of curvature, BSCVA, and refractive and keratometric yields were not significantly correlated with the preoperative Q values. The asphericity change, Delta Q, was highly correlated with the achieved correction (r = 0.747, P <.0001). The postoperative Q value correlated well with the preoperative value (r = 0.534, P <.05) and the achieved correction (r = 0.601, P <.05) but not with the Delta Q. Neither the postoperative Q nor the Delta Q was correlated with the spherical equivalent, K, BSCVA, or UCVA. CONCLUSIONS: Asphericity may be a useful quantitative descriptor of the corneal optical contour after hyperopic LASIK. Negative central Q increased after hyperopic LASIK, especially when greater degrees of refractive correction were attempted.

Adult↗

PubMed2002

Human corneal epithelial cell viability and morphology after dilute alcohol exposure.

PURPOSE: To determine the effect of dilute alcohol on human corneal epithelial cellular morphology and viability. Dilute alcohol is used for epithelial removal during photorefractive keratectomy (PRK) and laser subepithelial keratomileusis (LASEK). METHODS: Corneal epithelial sheets harvested from human eyes after alcohol application during PRK were examined by light and electron microscopy (specimens I-IV). In addition, tissue cultures of human epithelial sheets were monitored for epithelial migration and attachment (specimens V-VII). To determine the effect of dilute alcohol on epithelial cell viability, simian virus (SV)40-immortalized human corneal epithelial cells were exposed to dilute alcohol in distilled water (EtOH-H2O) or to keratinocyte serum-free medium (EtOH-KSFM) for incubation periods of 20 to 45 seconds and concentrations of 10% to 70%. Cell membrane permeability and intracellular esterase activity were analyzed by calcein-acetoxymethyl ester (AM)/ethidium homodimer assay. TdT-mediated dUTP nick-end labeling (TUNEL) assay was used to detect apoptotic cells at 0, 8,12, 24, and 72 hours. RESULTS: Electron microscopy showed varying degrees of basement membrane alterations after alcohol application, including disruptions, discontinuities, irregularities, and duplication (specimens I-IV). Cellular destruction and vacuolization of basal epithelial cells associated with absent basement membrane were also observed (specimen III). One of three cultured epithelial sheets showed attachment and outgrowth in the tissue culture until day 15 (specimen V). Twenty-second exposure of cultured immortalized human cells to various concentrations of EtOH-H2O showed significant reduction of viable cells when EtOH-H2O concentration exceeded 25% (P = 0.005). Increasing the duration of application of 20% EtOH-H2O beyond 30 seconds resulted in a significant reduction in viable cells (69.69% +/- 16.34% at 30 seconds compared with 2.14% +/- 2.29%, 10.45% +/- 7.11%, and 11.09% +/- 15.73% at 35, 40, and 45 seconds, respectively; P = 0.01). TUNEL assay of cultured human corneal epithelial cells exposed to 20% EtOH-H(2)O for 20 and 40 seconds showed maximal labeling at 24 hours (58.05% +/- 33.10%) and 8 hours (94.12% +/- 1.21%), respectively. Exposure to 20% EtOH-KSFM for 20 and 40 seconds resulted in substantially lower TUNEL positivity (3.51% +/- 0.20% at 24 hours and 7.11% +/- 0.49% at 8 hours). CONCLUSIONS: The viability and electron microscopic findings in the basement membrane zone showed significant variation after treatment of the epithelium in vivo with dilute alcohol. The application of dilute alcohol on the monolayer of cultured corneal epithelial cells resulted in increasing cell death in a dose- and time-dependent manner.

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