BioEngineered Corneal Implants.

imhotep

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  • Mar 29, 2017
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    With corneal blindness affecting an estimated 12.7 million people worldwide, novel treatment approaches are required. Corneal transplantation is the current gold-standard treatment option for corneal blindness. When corneal transplants fail, prosthetic devices can be used in the most severe cases, but those cases are relatively rare. For the vast majority of corneal blindness, transplantation is the only option for regaining vision.

    Two people have pioneered a way to develop a bioengineered collagen implant using pig skin. One of them Neil Lagali is trained as an engineer in physics and optics, but for the past 20 years, doing research focusing on corneal diseases. and currently a Professor of Experimental Ophthalmology at Linköping University in Sweden.

    The other is Mehrdad Rafat, a biomedical engineer with a Ph.D. in Chemical & Biological Engineering from the University of Ottawa, Canada. who has more than 20 years of experience in Biomaterials and Tissue Engineering.

    They used collagen to create a bioengineered cornea, to mimic the natural cornea. Because there is no abundant and low-cost source of human collagen, they chose to use collagen sourced from pig skin. This collagen is abundant, inexpensive, highly purified and already used in FDA-approved medical products. Briefly, the purified collagen is rehydrated and crosslinked with a non-toxic chemical crosslinker that is water soluble and washes out of the implant. Its only effect is to bind the collagen fibers to strengthen the implant. Then, in a second step, the implant, to which a small amount of riboflavin (vitamin B2) was added, is exposed to UVA light, which photochemically binds the collagen fibers further to produce a robust implant, which is a hydrogel containing almost 88% water.

    When only one cornea is available for every 70 needed, and over half of the world’s population does not have access to donor corneas. This is a breakthrough.
     

    imhotep

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  • Mar 29, 2017
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    this might be a stupid question. cornea blindness and the white eye disease(cataracts)are both same or are they different ?
    Asking what you don't know doesn't make anyone stupid. Keratoconus is a condition that causes the cornea (the clear surface on the front of the eye) to gradually thin and bulge into a cone shape. This can cause myopia and astigmatism, resulting in blurry and distorted vision. There can be several risk factors like family history, unusual eye rubbing and certain medical conditions.
    In advanced keratoconus, when glasses or contact lenses no longer can improve the vision, a corneal transplant may be necessary. Corneal transplantation involves removing the diseased area of cornea and replacing it with a healthy, donor cornea.
    Collagen cross-linking is a newer treatment that slows or stops the progression of keratoconus. It involves using riboflavin (vitamin B12) drops and UV radiation on the cornea, to strengthen the collagen fibres in the cornea. Although cross-linking cannot restore lost vision due to keratoconus, it prevents future vision loss.

    OTOH Cataracts affect the eye lens. A cataract is a clouding of the normally clear lens of the eye.

    hey will any permanent cure for glaucoma be available in near future?
    Sadly in short term no, in the long term there could be some hope. Many researchers are working on this. All current treatments work on the basis of lowering the IOP. - medication, incisional surgery, and laser treatments. While these are effective for most patients, many continue to lose vision through damage to the optic nerve.
    If one day someone is successful of regenerating nerve cells then it will provide a pathway to a solution. The ultimate goal would be to actually be able to regenerate lost or damaged nervous tissue. Stem cells does play a role but it will be a long way off.
    ------ Post added on Aug 24, 2022 at 6:20 AM
     

    jamiezue

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  • Jul 28, 2008
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    -~උලක් උඩ-~
    Asking what you don't know doesn't make anyone stupid. Keratoconus is a condition that causes the cornea (the clear surface on the front of the eye) to gradually thin and bulge into a cone shape. This can cause myopia and astigmatism, resulting in blurry and distorted vision. There can be several risk factors like family history, unusual eye rubbing and certain medical conditions.
    In advanced keratoconus, when glasses or contact lenses no longer can improve the vision, a corneal transplant may be necessary. Corneal transplantation involves removing the diseased area of cornea and replacing it with a healthy, donor cornea.
    Collagen cross-linking is a newer treatment that slows or stops the progression of keratoconus. It involves using riboflavin (vitamin B12) drops and UV radiation on the cornea, to strengthen the collagen fibres in the cornea. Although cross-linking cannot restore lost vision due to keratoconus, it prevents future vision loss.

    OTOH Cataracts affect the eye lens. A cataract is a clouding of the normally clear lens of the eye.


    Sadly in short term no, in the long term there could be some hope. Many researchers are working on this. All current treatments work on the basis of lowering the IOP. - medication, incisional surgery, and laser treatments. While these are effective for most patients, many continue to lose vision through damage to the optic nerve.
    If one day someone is successful of regenerating nerve cells then it will provide a pathway to a solution. The ultimate goal would be to actually be able to regenerate lost or damaged nervous tissue. Stem cells does play a role but it will be a long way off.
    ------ Post added on Aug 24, 2022 at 6:20 AM
    because Im losing sight . Doctors only prescribe avatan eye drops and tests to confirm my vison . Nothing else. My sight is slightly lower than the last test I guess