How the cornea heals - Cornea-specific repair mechanisms affecting surgical outcomes

被引:184
作者
Fini, ME [1 ]
Stramer, BM [1 ]
机构
[1] Univ Miami, Miller Sch Med, Bascom Palmer Eye Inst, Miami, FL 33136 USA
关键词
epithelial-mesenchymal interaction; fibrosis; matrix metalloproteinase; TGF-beta; wound healing;
D O I
10.1097/01.ico.0000178743.06340.2c
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
In mammals, penetrating injuries typically heal by deposition of fibrotic "repair tissue" that fills and seals wounds but does not restore normal function. Excessive deposition of fibrotic repair tissue can lead to pathologies involving excessive scarring and contracture. In the cornea, fibrotic repair presents special challenges affecting both clarity and shape of the cornea. With the increasing popularity of surgical techniques that alter corneal refractive errors, understanding of cornea repair mechanisms has acquired new significance. The cornea has unique anatomic, cellular, molecular, and functional features that lead to important mechanistic differences in the process of repair in comparison with what occurs in skin and other organs. Moreover, corneal function calls for special outcomes. This review addresses these features from the viewpoint of the authors' research on factors of importance to understanding and improving surgical outcomes.
引用
收藏
页码:S2 / S11
页数:10
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