Journal List > J Korean Ophthalmol Soc > v.55(1) > 1009737

Jeong, Lee, and Park: The Effect of RGP Lens and Reverse Geometry Lens on Redistribution of Corneal Epithelial Cell in Rabbit

Abstract

Purpose

To investigate the migration and redistribution of rabbit corneal epithelial cells when wearing reverse geometry lens (RGL) or rigid gas permeable lens (RGP).

Methods

In 30 rabbits, the right eyes were fitted with either RGL or RGP and the left eyes were untreated to serve as controls. The rabbits were sacrificed at 1, 3, 7, 10 and 14 days after lens fitting. The central and peripheral corneal thick-nesses were measured by microscope and the ratio of right to left corneal thickness was calculated to evaluate the characteristics of change over time. By using the molecular probe 7-nitrobenz-2-ox-1,3-diazolylphallacidin (NBD phallacidin), the samples were examined with light microscope to determine the migration and redistribution of epithelial cells in the rabbit cornea.

Results

No consistent changes in the thickness of both central and peripheral corneal epithelium were found. The corneal epithelial cells of both eyes with RGL and RGP reacted positively to NBD phallacidin. The fluorescence was most increased at day 3 of sacrifice in RGL cases and at day 7 in RGP cases, and then decreased in both cases. The corneal epithelium of eyes with RGL exhibited marked increase in the intensity of fluorescence compared to the eyes with RGP.

Conclusions

The corneal epithelium with RGL showed the strongest intensity of NBD phallacidin fluorescence. This result suggests that wearing RGL may induce the migration and redistribution of corneal epithelial cells.

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Figure 1.
Hematoxylin and eosin (H&E) staining of the central cornea (A) and peripheral cornea (B, C) in reverse geometry lens-wearing rabbit at 10 days (A, B: ×100; C: ×200).
jkos-55-110f1.tif
Figure 2.
Thickness ratio of each measurement to control in RGL group and RGP group. (A) Central epithelium. (B) Central stroma. (C) Peripheral epithelium. (D) Peripheral stroma.
jkos-55-110f2.tif
Figure 3.
A positive NBD phallacidin fluorescence of the corneal epithelial cells in each group according to the day of sacrifice after lens fitting. The rabbit in group A was fitted with reverse geometry lens (RGL) and the rabbit in group B was fitted with rigid gas permeable lens (RGP). The photographs show marked increase of NBD phallacidin fluorescence in the corneal epithelial cells in the eyes fitted with RGL. The most increased fluorescence is observed in eyes with RGL at day 3 (arrows). A, B = group; Number = the day of sacrifice.
jkos-55-110f3.tif
Table 1.
Characteristics of the reverse geometry lens and the rigid gas permeable lens
  DK value* DK/L Center thickness (mm) Water absorption (%) Diameter (mm)
RGP lens 64 64 0.1 <1.10 10.0
RGL 140 70 0.2 4.9 10.0

* Oxygen permeability coefficient (cm/sec) · (mL O2 / mL · mm Hg) · 10-11

Oxygen transmissibility coefficient (cm/mL O2) · (sec · mL · mm Hg) · 10-9.

Table 2.
Thickness of epithelium and stroma of central and peripheral cornea fitted with reverse geometry lens
D-N Right/Left Thickness (μm)
Central epithelium Peripheral epithelium Central stroma Peripheral stroma
1-1 R 27.5 31.5 386 404
  L 30.5 32.0 391 365.5
1-2 R 29.5 46 445 409
  L 36 39 349.5 329
1-3 R 29.5 42 400.5 444
  L 40.5 37.5 350.5 399.5
3-1 R 36.5 41 371 329.5
  L 36.5 37 309.5 342.5
3-2 R 39 19 329 324
  L 35 44 336 362
3-3 R 37.5 43.5 391 381
  L 41 43.5 347 341
7-1 R 29 49 322.5 251
  L 31 43.5 352.5 351
7-2 R 55 42.5 366 358.5
  L 24 37.5 454 426
10-1 R 34 29.5 363.5 353.5
  L 19.5 30.5 402.5 394
10-2 R 25.5 34.5 304 300.5
  L 39.5 23.5 407 308.5
14-2 R 49 36.5 386 322.5
  L 29.5 30.5 334.5 332.5

D-N = the day of sacrifice - the number of rabbit.

Table 3.
Thickness of the epithelium and stroma of the central and peripheral cornea fitted with rigid gas permeable lenses
D-N Right/Left Thickness (μm)
Central epithelium Peripheral epithelium Central stroma Peripheral stroma
1-1 R 37 34.5 323.5 311.5
L 37 26 384.5 326.5
3-1 R 41 62 322 336
L 36 49 332 309
3-2 R 47 47.5 348.5 350.5
L 46 47 407 348.5
7-1 R 41 50.5 367 394
L 32 38.5 401 462
7-2 R 34 35.5 507 362
L 47 45.5 498.5 401.5
7-3 R 30.5 36 296.5 297
L 34 39 394.5 400.5
14-1 R 51 37 412.5 399
L 34 31 296 321.5
14-2 R 74 59 424.5 442.5
L 39.5 37.5 309 329
14-3 R 55.5 28 362 565.5
L 28 56 408.5 537

D-N = the day of sacrifice - the number of rabbit.

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