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Changes in corneal Langerhans cell density during the first few hours of contact lens wear.pdf
Contact Lens and Anterior Eye 39 (2016) 307–310
Contents lists available at ScienceDirect
Contact Lens and Anterior Eye
journal homepage: /locate/clae
Changes in corneal Langerhans cell density during the ?rst few hours of contact lens wear
Yahya Alzahrani, Nicola Pritchard, Nathan Efron*
Institute of Health and Biomedical Innovation, and School of Optometry and Vision Science, Queensland University of Technology, Kelvin Grove, Australia
ARTICLE INFO
Article history: Received 7 November 2015 Received in revised form 28 January 2016 Accepted 15 February 2016
Keywords: Contact lens Cornea Langerhans cells Laser scanning confocal microscopy
ABSTRACT
Purpose: To determine the impact of contact lens wear on Langerhans cell density (LCD) in the central cornea over an 8 h period. Methods: Ten participants wore a hydrogel lens in one eye (the experimental eye) for 8 h. The contralateral non-lens-wearing eye served as a control. The central cornea of each eye was examined at the level of the subbasal nerve plexus using a laser scanning corneal confocal microscope, at baseline (prior to lens wear), then every 2 h for 8 h. Results: At baseline, LCD was 18 ? 19 and 20 ? 19 cells/mm2 in the experimental and control eyes, respectively. In the experimental eye, LCD increased to 36 ? 32 cells/mm2 after 2 h and then decreased gradually to 30 ? 31 cells/mm2 after 6 h. LCD was greater in the experimental eye than the control eye at the 2, 4, 6 and 8 h time points (p 0.05). LCD remained constant in the control eye throughout the 8 h experiment. Conclusions: LCD increases two-fold within the ?rst 2 h of lens wear, indicating a rapid, sub-clinical in?ammatory response to uncomplicated lens wear.
? 2016 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.
1. Introduction
Langerhans cells constitute a major component of the ocular surface defence system. The appearance of these cells in the cornea has been described in the literature since the earliest microsc
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