6533b82cfe1ef96bd1290196

RESEARCH PRODUCT

Histological and ultrastructural study of corneal tunnel incisions using diamond and steel keratomes

H. Burkhard DickFelix K. JacobiRainer M. Bohle

subject

Human cadaverWound HealingMaterials scienceDiamondCataract ExtractionAnatomyengineering.materialSensory SystemsCorneabody regionsOphthalmologymedicine.anatomical_structureCadaverCorneaCadaverMicroscopy Electron ScanningUltrastructuremedicineengineeringHumansSurgerySurgical incisionBiomedical engineering

description

Abstract Purpose: To study the morphology of corneal tunnel incisions using diamond and steel keratomes. Setting: Department of Ophthalmology, University of Giessen, Germany. Methods: Corneal tunnel incisions were performed in six human cadaver eyes using three types of diamond keratomes and a steel keratome. The incision profile and morphology were evaluated and compared using light and scanning electron microscopy. Results: The steel keratome caused more disruption of corneal stromal tissue, while the diamond keratomes produced a more regular, smoother incision. The dissecting incision resulted in a smoother surface of cut stromal tissue than the stab incision. Conclusions: The high quality of corneal tunnel incisions produced with diamond keratomes is the result of their exceptional sharpness, which may have a beneficial effect on wound healing.

https://doi.org/10.1016/s0886-3350(98)80291-5