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Abstract #6253 Published in IGR 2-2

Conjunctival epithelium expression of HLA-DR in glaucoma patients and its influence on the outcome of filtration surgery.

Ihan A; Cvenkel B
British Journal of Ophthalmology 2000; 84: 648-650


AIMS: To analyse the expression of HLA-DR on conjunctival epithelial cells in patients with glaucoma taking topical antiglaucoma therapy. METHODS: Ten patients taking no topical medication and 30 patients with uncontrolled glaucoma taking medical therapy participated in the study. The specimens were obtained by impression cytology preoperatively, three and six months after filtration surgery. The expression of HLA-DR on T lymphocytes and epithelial cells was analysed by flow cytometry. RESULTS: A significant increase in HLA-DR on epithelial cells was found preoperatively in patients with glaucoma. A significant increased expression of HLA-DR on epithelial cells was detected three and six months after surgery. CONCLUSIONS: The increased expression of HLA-DR on conjunctival epithelial cells still present six months after surgery indicates the increased ability of epithelial cells to induce immune inflammation with subsequent fibrosis.

Dr. A. Ihan, Medical Faculty, Institute of Microbiology, Ljubljana, Slovenia


Classification:

12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)



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