Professional Documents
Culture Documents
STORAGE
DR.REKHA.
Lions Eye hospital
BANGALORE
IMPORTANCE OF STORAGE
SUCCESS OF PENENTRATING
KERATOPLASTY
DEPEND UPON CORNEAL
ENDOTHELIAL INTEGRITY.
CORNEAL STORAGE SYSTEM
AIM
To maintain the endothelial viability &
integrity.
Prevent corneal autolysis during storage
Long term corneal storage.
HISTORY
First corneal preservation.
INTERMEDIATE-14days- 4deg.C(wks)
K-Sol, Dexsol,OptisolGS,Procell, Eusol-C
LONG(months)
EuropeanOrgan culture-120days(37deg.C)
Eurosol-31deg.C-28days(New)
Cryoprev.-Unlimited-(-80degC)
MOIST CHAMBER METHOD
Filatov &Castroviejo.
Whole globe is stored in a sterile jar.
Jar has saline Humidification.
Temp of 4degrees C.
Popular untill 1970.
Simple & in- expensive.
Grafting on emergency basis.
McCAREY&KUFMAN
STORAGE
Corneo-scleral excision is necessary&
immersed with endothelial side up.
Contains
Tc199,dextran-40 1%, PH7.0-7.5,Osmolality
295=355 & gentamycin sulphate75-150
micro gm/ml ,HEPES as buffer.
Phenol red as indicator.
Scheduling of surgery
STORAGE MEDIA
K-SOL: Tc 199,MEM&Earles media,
HEPES,Gentamicin,Chondroitin
sulphate2.5% .
1988 proprionibacteria contamination
DEXTRAN
Polysaccharide,negatively charged.
Prevents tissue swelling.
Used alone does not provide sufficient tissue
stability & viability for extended storage.
COMMON FEATURES
OF MEDIA
CHONDROTIN SULFATE
Polysaccharide,negatively charged
Endothelial integrity&acts as a osmotic
agent.Superior to dextran.Longer storage
time ENRICHED
Various salts,aminoacids essential &non-
essential,vit.,phosphates &antioxidents to
enhance cell & tissue viability & health during
storage.
COMMON MEDIA FEATURES
ATP precursors--> Provide energy for
pumping function.
Anti-Oxidents--->Neutralize metabolic
waste,maintain DNS synthesis
Vitamins-->Provides additional nutritional
cell supplements.
Sodium Piruvate&Glucose--> Energy supply
Colour Phenol Red-->Visual aid for pH
indication.
CHECK MEDIA
The cornea which is stored in
MKmedia,Dexol,optisolGS.Thefollowing
parameters to be checked before using
Intact seal,Expiry date,Turbity, Colour (rose
red) ,precipitates & FB.
COLOUR CHANGE INDICATES
Yellow-- Bacterial contamination.
Red--- Unacceptable Ph.
Cloudy-- Contamination
Ph COLOUR REFERENCE
CHART
7.00
7.25
7.50
contimanation
PROCELL
MEM,1.35%chondrotin sulphate,1mM
sodium pyruvate1mM,Non-essential
aminoacids,Antioxidants,Dextran40,
Humen insulin10mic.g/ml & Human
epidermal growth factor(hEGF10ng/ml) to
improve long term endothelial survival after
PKP .(experiments have not proved it, opth1994 feb101(2)252-9 LassJH et all)
ORGAN CULTURE
1936,by Archer & Trevor-Roper.
Being used since1974.
Refrigeration not required.
Complicated,expensive & well trained
microbiologist.
EUROPEAN ORGAN CULTURE
31-37deg.C, EMEM, MEM, IMDM ,
HEPES, NaHCO3,Peni,Strep,Ampo-B,
BOVINE SERUM 2-10ML,Dextran4-10%
ORGAN CULTURE
contents
Eagles media,Earles salt with out L-
glutamine,L-glutamine1%final
conc.,Decomlemented calf serum10%final
conc.Penicilllin 100units/ml,,
Gentamicin100microgram/ml.
AmphotericianB 0.25% microgram/ml.
TISSUE CULTURE MEDIA
EUROSOL
New
Duration of storage 28days.
Temp 31deg.C.
Better then the European culture media.
Maintains intact endothelium, epithelium
& Keratocyte.
ORGAN CULTURE
ADVANTAGES:Endothelial integrity
120days,Epithelial integrity35days,Culture
report prior to transplantation,stored at
4deg,centi.
HYPOTHERMIC (CS+Hyperkalaemic)
Storage 2wks,epithelial not well preserved,not
used
ORGAN CULTURE
At one time predominating in Europe
Organ culture storage-4wks
CRYOPRESERVATION
Not used, tissure strored for emergency use
FUTURE
Improve endothelial cell layer viability
&compact stroma.
Maintain Keratocyte viability.
Reduce corneal autolysis during storage.
Thin cornea in spite of long time storage.
No contamenation
Easy to use & transport
Inexpensive.
Thank you