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- ItemAcesso aberto (Open Access)Efeito do mel e do soro autólogo na cicatrização do epitélio corneano em coelhos(Conselho Brasileiro de Oftalmologia, 2005-06-01) Malavazzi, Gustavo Ricci [UNIFESP]; Lake, Jonathan Clive; Dantas, Paulo Elias Correa; Universidade Federal de São Paulo (UNIFESP); Irmandade da Santa Casa de Misericórdia de São Paulo Departamento de Oftalmologia Seção de Córnea e Doenças ExternasPURPOSE: To evaluate the efficacy of pure honey and 20% autologous serum and BSS® in corneal epithelial healing in rabbits after 48 hours. METHODS: All solutions were applied after an epithelial removal of 13-millimeters diameter area. Areas of epithelial healing were studied at 12, 24 and 48 hours. The eyes were treated every four hours during 2 days. All treated eyes were assigned to a control group (contralateral eye) treated with a balanced saline solution. RESULTS: All studied groups were not significantly differents. In group one, the eyes treated with honey and the control were similar (p<0.87). In the second group the eyes treated with autologos serum and the control presented no difference in the mean score (p<0.072). CONCLUSION: Corneal epithelial healing in rabbits did not show improvement after application of either honey or autologous serum. It was possible to stabilish that the autologous serum treated eyes were clinicaly better than the control group but without statistical significance.
- ItemAcesso aberto (Open Access)Microscopia confocal in vivo nos depósitos corneanos por amiodarona(Conselho Brasileiro de Oftalmologia, 2007-02-01) Victor, Gustavo; Alves, Milton Ruiz; Nosé, Walton [UNIFESP]; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP); Universidade Metropolitana de SantosPURPOSE: To describe in vivo confocal microscopy findings in patients with different stages of amiodarone-induced keratopathy, and correlate biomicroscopy stages with confocal stages. METHODS: Twenty eyes of 10 patients (6 men and 4 women), who receive treatment with amiodarone were selected for the study with confocal microscopy (MC). RESULTS: The average age was 58 ± 6.2 years (50-66 years) and time of use of the drug was 6 ± 3.2 years (2-11 years). All patients have best correct visual acuity ³ 20/40. There were two patients in stage 1, 4 patients in stage 2 and 4 in stage 3 of induced keratopathy. All corneas presented brilliant intracellular inclusions with high reflectivity in the basal epithelium layer. Patients in stage 2 and 3 have all corneal layers affected. There are thinning and increase of tortuosity of corneal nerves in patients in stage 2 and 3. The endothelial count was 2,524 ± 150,3 cell/mm². CONCLUSION: The basal epithelium was most affected in any of the keratopathy stages. In stage 1 patients only the superficial and basal epithelium are affected, while patients in stages 2 and 3 have all corneal layers affected. With the advance of keratophaty the corneal nerves became thinner and tortuous.
- ItemSomente MetadadadosModelo estrutural e ultra-estrutural do epitélio da mucosa da concha nasal inferior em pacientes com rinite alérgica Modelo estrutural e ultra-estrutural do epitélio da mucosa da concha nasal inferior em pacientes com rinite alérgica(Universidade Federal de São Paulo (UNIFESP), 1994) Dolci, Jose Eduardo Lutaif [UNIFESP]; Granato, Lídio [UNIFESP]
- ItemAcesso aberto (Open Access)Serosal patch of the gastroesophageal junction: an experimental study in dogs(Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, 1998-07-01) Mendelssonh, Paulo; Magalhães, Albino; Goldenberg, Saul [UNIFESP]; University of Brasilia; Universidade Federal de São Paulo (UNIFESP)Thirty two dogs were operated on in order to evaluate the mucosal regeneration of the serosal patch at the gastroesophageal junction. The operation began with a cardiotomy involving one centimeter of the esophagus and two centimeters of the stomach, originating an elliptical serosal surface three centimeters long and one centimeter large. turned to the digestive lumen. The animals were divided into four groups of eight dogs each and named: 1, 2, 3 and 4; they were sacrificed after one, two, four and eight weeks respectively. The results were evaluated by post-operative clinical aspects, macro and microscopic analysis. Post-operative morbidity was low, without signs of digestive tract obstruction. Macroscopically, the patch area at the first week became an ulcerated lesion, with a necrotic bottom; at the second and fourth weeks there was a progressive reduction of the ulcer, from its boundaries to the center, until the complete healing at the eighth week. Microscopically, the serous membrane disappeared early and it was replaced by inflamatory cells and severe neovascular formation, which fitted as a bed to the epithelial proliferation. The neo-epithelization occurred from the periphery to the center of the lesion. At the esophagus this process was completed within two weeks, with multiple layers of cells; at the stomach, within four weeks, with an unicellular epithelium. The corium, showing an inflamatory reaction at the first week, with fibrinoid necrosis and polimorphonuclear cells, changed to a fibroblastic proliferation with mononuclar cells at the second and fourth weeks and, finally, to fibrosis at the eighth week. In the animals sacrificed lately there was regeneration of the smooth muscle layer of the esophagus. At electronic microscopy, the neo-epithelium of the esophagus had all the layer which constitute the normal esophageal epithelium.