PMID- 12474304 OWN - NLM STAT- MEDLINE DCOM- 20030225 LR - 20151008 IS - 0029-0203 (Print) IS - 0029-0203 (Linking) VI - 106 IP - 11 DP - 2002 Nov TI - [Transdifferentiation of conjunctival epithelium after ocular surface rehabilitation through deep lamellar sclerokeratoplasty]. PG - 714-20 AB - PURPOSE: The quality of the postoperative corneal epithelia of patients with severe ocular surface disorders, whose ocular surface had been reconstructed through deep lamellar sclerokeratoplasty (DLSKP) using allografts, was examined. PATIENTS AND METHODS: Six eyes with ocular surface disorders in 6 patients who had received DLSKP were observed for periods of 2 years or longer (average: 3 years and 10 months). The rehabilitated corneal epithelium cells of some of these patients were analyzed with impression cytology and fluorescence in situ hybridization (FISH) analysis methods. RESULTS: All 3 cases analyzed using the impression cytology method showed normal corneal epithelium cell forms. In the 2 cases analyzed also with the FISH analysis method, in which the hosts and donors were of the opposite gender, the cells were host-derived (99.3% and 98.8%). CONCLUSION: It is considered that rehabilitation of severe ocular surface disorders using allograft epithelial transplantation procedures, including DL-SKP, is eventually concluded by transdifferentiation of the conjunctival epithelium cells derived from the host. FAU - Goto, Shin AU - Goto S AD - Department of Ophthalmology, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, Japan. FAU - Sugata, Hirohisa AU - Sugata H FAU - Kozakai, Mamoru AU - Kozakai M LA - jpn PT - English Abstract PT - Journal Article PL - Japan TA - Nippon Ganka Gakkai Zasshi JT - Nippon Ganka Gakkai zasshi JID - 7505716 SB - IM MH - Adult MH - Conjunctiva/*cytology MH - Corneal Diseases/surgery MH - *Corneal Transplantation MH - Epithelial Cells/cytology MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Sclera/*transplantation MH - Transplantation, Homologous EDAT- 2002/12/12 04:00 MHDA- 2003/02/26 04:00 CRDT- 2002/12/12 04:00 PHST- 2002/12/12 04:00 [pubmed] PHST- 2003/02/26 04:00 [medline] PHST- 2002/12/12 04:00 [entrez] PST - ppublish SO - Nippon Ganka Gakkai Zasshi. 2002 Nov;106(11):714-20.