Changes in Collagen Orientation and Distribution in Keratoconus Corneas

To map the collagen orientation and relative distribution of collagen fibrillar mass in keratoconus corneal buttons. Structural analysis was performed by obtaining synchrotron x-ray scattering patterns across the samples at 0.25-mm intervals. The patterns were analyzed to produce two-dimensional map...

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Veröffentlicht in:Investigative ophthalmology & visual science 2005-06, Vol.46 (6), p.1948-1956
Hauptverfasser: Meek, Keith M, Tuft, Stephen J, Huang, Yifei, Gill, Paulvinder S, Hayes, Sally, Newton, Richard H, Bron, Anthony J
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container_end_page 1956
container_issue 6
container_start_page 1948
container_title Investigative ophthalmology & visual science
container_volume 46
creator Meek, Keith M
Tuft, Stephen J
Huang, Yifei
Gill, Paulvinder S
Hayes, Sally
Newton, Richard H
Bron, Anthony J
description To map the collagen orientation and relative distribution of collagen fibrillar mass in keratoconus corneal buttons. Structural analysis was performed by obtaining synchrotron x-ray scattering patterns across the samples at 0.25-mm intervals. The patterns were analyzed to produce two-dimensional maps of the orientation of the lamellae and of the distribution of total and preferentially aligned lamellae. Compared with normal corneas, in keratoconus the gross organization of the stromal lamellae was dramatically changed, and the collagen fibrillar mass was unevenly distributed, particularly around the presumed apex of the cone. The development of keratoconus involves a high degree of inter- and probably intralamellar displacement and slippage that leads to thinning of the central cornea and associated changes in corneal curvature. This slippage may be promoted by a loss of cohesive forces and mechanical failure in regions where lamellae bifurcate.
doi_str_mv 10.1167/iovs.04-1253
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Collagen - chemistry
Collagen - metabolism
Corneal Stroma - chemistry
Corneal Stroma - metabolism
Corneal Stroma - ultrastructure
Diseases of cornea, anterior segment and sclera
Humans
Keratoconus - metabolism
Keratoconus - pathology
Male
Medical sciences
Middle Aged
Ophthalmology
X-Ray Diffraction
title Changes in Collagen Orientation and Distribution in Keratoconus Corneas
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