Corneal keloids--a histopathological study.
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Biomedical subjects
Publications and source records attributed to J C Cadet.
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Clinical observation of corneal grafts often reveals subepithelial whitish opacities or membranes. To further understand the phenomenon, we undertook a histopathologic study of the changes in this region in failed human corneal grafts. Thinning and thickening of the epithelium, breaks in Bowman's membrane, and growth of subepithelial fibrous tissue were observed. Close association was found between the subepithelial fibrous growth, the breaks in Bowman's membrane, and stromal inflammation.
The continuous argon laser beam has been applied to the trabeculum at the anterior chamber angle of one eye of nine primates. The treatment was evaluated by light and scanning electron microscopy and constant rate infusion studies at different intervals following the laser treatment. This histological studies revealed coagulative necrosis, with trabeculotomies extending into Schlemm's canal in the immediate postoperative period. However, complete closure of the laser-induced trabeculotomies by healing was observed within 1 to 3 weeks following the treatment. Outflow facility data as measured by the perfusion studies revealed somewhat increased values of the treated eye during the early 2 weeks after laser treatment. On longer follow-up, no significant outflow differences were measured between the treated and untreated eyes.