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Record W2994910370 · doi:10.1111/j.1755-3768.2019.8307

Nerve regeneration in liquid cornea patches

2019· article· en· W2994910370 on OpenAlexaff
May Griffith

Bibliographic record

VenueActa Ophthalmologica · 2019
Typearticle
Languageen
FieldMedicine
TopicCorneal Surgery and Treatments
Canadian institutionsUniversité de Montréal
Fundersnot available
KeywordsCorneaTransplantationRegeneration (biology)PerforationMedicineCorneal transplantationOphthalmologyCyanoacrylateCorneal epitheliumIntraocular pressureEconomic shortageCorneal perforationSurgeryMaterials scienceBiology

Abstract

fetched live from OpenAlex

Abstract In current clinical practice, corneas with perforations that are repaired by cyanoacrylate gluing and those with recurrent ulcerations are often treated by corneal grafting as the treatment to restore vision. However, there is a severe shortage of donor corneas worldwide. More importantly, when someone has a toothache and visits the dentist, the dentist removed the pathologic portions and fills the tooth. Corneal transplantation for a perforation or ulcer would be similar to extracting the tooth and replacing with an implant. Our objective was to develop a method for restoring pathologic corneas such as those with ulcers or perforations that avoids corneal transplantation. We have developed a Liquid Cornea Patch (LCP) that is based on a collagen‐like peptide conjugated to a polyethylene glycol backbone. The LCP is applied as a viscous liquid that polymerises in situ to form a hydrogel. We previously reported its efficacy in sealing large perforation in vitro (Samarawickrama et al. 2018). We also showed that the crosslinking agent used was non‐toxic to corneal epithelial and endothelial cells at doses used for hydrogel formation. Here, we report on a second‐generation patch which we successfully tested in vivo in rabbit and mini‐pig corneas. The LCP withstands bursting pressures up to 170 mm Hg. Although not as strong as cyanoacrylate glue, the bursting pressure is much higher than would be encountered in the human eye (where normal intraocular pressure is between 12 and 22 mm Hg). Over 12 months in mini‐pig corneas, the LCPs promoted regeneration of cornea tissue and nerves. We show that nerve in‐growth proceeded as per solid versions of collagen and collagen‐like peptide‐based implants.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.020
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.040
GPT teacher head0.285
Teacher spread0.245 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2019
Admission routes1
Has abstractyes

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