Enzyme-Assisted Vitrectomy With Bacterial Collagenase: Time Course and Toxicity Studies

Louise Cope Moorhead, Hsuan H. Chu, Charles A. Garcia

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Electron microscopic analysis of intravitreal strands produced by the injection of autogenous fibroblasts showed thin, immature collagen after two weeks and the mature banded variety after four weeks. With the use of this intravitreal strand model, it was found that highly purified bacterial collagenase caused extensive digestion of scar tissue after incubation periods of 10, 15, and 30 minutes. There was no morphologic damage to cicatricial cellular elements or to the inner limiting membrane of the retina. A 45-minute exposure of retinas previously injured by photocoagulation to collagenase also did not result in morphologic evidence of damage. The use of collagenase as an adjunct to vitrectomy in cases of extreme vitreal scarring or retinal traction may decrease the complication rate of a procedure that is still extremely hazardous.

Original languageEnglish (US)
Pages (from-to)265-274
Number of pages10
JournalArchives of Ophthalmology
Volume101
Issue number2
DOIs
StatePublished - Feb 1983
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology

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