
{"id":40756,"date":"2023-02-25T12:58:46","date_gmt":"2023-02-25T11:58:46","guid":{"rendered":"https:\/\/www.btitrainingcenter.com\/recovery-of-corneal-innervation-after-treatment-in-dry-eye-disease-a-confocal-microscopy-study\/"},"modified":"2025-07-21T15:31:33","modified_gmt":"2025-07-21T14:31:33","slug":"recovery-of-corneal-innervation-after-treatment-in-dry-eye-disease-a-confocal-microscopy-study","status":"publish","type":"post","link":"https:\/\/www.btitrainingcenter.com\/de\/recovery-of-corneal-innervation-after-treatment-in-dry-eye-disease-a-confocal-microscopy-study\/","title":{"rendered":"Recovery of Corneal Innervation after Treatment in Dry Eye Disease: A Confocal Microscopy Study"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row content_text_aligment=&#8221;left&#8221; row_background_lines=&#8221;no&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"title\">Abstract<\/h3>\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\">Purpose:\u00a0<\/strong> To analyze the changes in corneal innervation by means of in vivo corneal confocal microscopy (IVCM) in patients diagnosed with Evaporative (EDE) and Aqueous Deficient Dry Eye (ADDE) and treated with a standard treatment for Dry Eye Disease (DED) in combination with Plasma Rich in Growth Factors (PRGF).<\/p>\n<p><strong class=\"sub-title\">Methods: <\/strong> Eighty-three patients diagnosed with DED were enrolled in this study and included in the EDE or ADDE subtype. The primary variables analyzed were the length, density and number of nerve branches, and the secondary variables were those related to the quantity and stability of the tear film and the subjective response of the patients measured with psychometric questionnaires.<\/p>\n<p><strong class=\"sub-title\">Results:\u00a0<\/strong> The combined treatment therapy with PRGF outperforms the standard treatment therapy in terms of subbasal nerve plexus regeneration, significantly increasing length, number of branches and nerve density, as well as significantly improving the stability of the tear film (p &lt; 0.05 for all of them), and the most significant changes were located in the ADDE subtype.<\/p>\n<p><strong class=\"sub-title\">Conclusions:\u00a0<\/strong> The corneal reinnervation process responds in a different way depending on the treatment prescribed and the subtype of dry eye disease. In vivo confocal microscopy is presented as a powerful technique in the diagnosis and management of neurosensory abnormalities in DED.<\/div>\n<\/div>\n<\/div>\n<p><strong class=\"sub-title\">Keywords:\u00a0<\/strong>corneal confocal microscopy; corneal nerves; dry eye disease.[\/vc_column_text][vc_empty_space][vc_column_text]<\/p>\n<h3>Figures<\/h3>\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row content_placement=&#8221;middle&#8221; content_text_aligment=&#8221;center&#8221;][vc_column]<div class=\"qodef-image-gallery qodef-grid-list qodef-disable-bottom-space  qodef-ig-grid-type qodef-four-columns qodef-tiny-space  qodef-image-behavior-lightbox\">\n\t<div class=\"qodef-ig-inner qodef-outer-space\">\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/jcm-12-01841-g001.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-212]\" title=\"&lt;strong&gt;Figure 1&lt;\/strong&gt; Examples IVCM image analysis using ACCMetrics\u00a9 software. (A\u2013C) show an image from a healthy cornea. (D\u2013F) show the analysis process in the cornea of a DED patient. Note the differences in nerve fiber number and thickness between healthy (A) and DED (D) raw images (as obtained directly from the microscope). ACCMetrics\u00a9 software detects nerve fibers (traces marked in green in (B,E) automatically and segregates traces in primary axons (red), first branches (blue) and the points of branching (green dots) in the analyzed images for quantification((C,F). Arrowheads in (D\u2013F) show one dendritic cell in DED patient images.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/jcm-12-01841-g001-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/jcm-12-01841-g002.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-212]\" title=\"&lt;strong&gt;Figure 2&lt;\/strong&gt; Corneal nerve quantification and morphological alterations Evaporative Dry Eye subtypes according to groups of treatment. Asterisks (*) in the graphs indicate statistical differences between groups (p &lt; 0.05).\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/jcm-12-01841-g002-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/jcm-12-01841-g003.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-212]\" title=\"&lt;strong&gt;Figure 3&lt;\/strong&gt; Tear film and psychometric questionnaires for Evaporative Dry Eye Subtype. Asterisks (*) in the graphs indicate statistical differences between groups (p &lt; 0.05).\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/jcm-12-01841-g003-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/jcm-12-01841-g004.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-212]\" title=\"&lt;strong&gt;Figure 4&lt;\/strong&gt; Corneal nerve quantification and morphological alterations ADDE subtype according to groups of treatment. Asterisks (*) in the graphs indicate statistical differences between groups (p &lt; 0.05).\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/jcm-12-01841-g004-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/jcm-12-01841-g005.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-212]\" title=\"&lt;strong&gt;Figure 5&lt;\/strong&gt; Tear film and psychometric questionnaires for Aqueous Deficient Dry Eye. Asterisks (*) in the graphs indicate statistical differences between groups (p &lt; 0.05).\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/jcm-12-01841-g005-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column]<a itemprop=\"url\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/29-jcm-12-01841-v3.pdf\" target=\"_blank\"  class=\"qodef-btn qodef-btn-medium qodef-btn-solid btnWebRosa2\"  >\n    <span class=\"qodef-btn-text\">Artikel herunterladen<\/span>\n    <\/a>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p><\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p><strong>J Clin Med. 2023 Feb 25;12(5):1841.<\/strong><br \/>\nTo analyze the changes in corneal innervation by means of in vivo corneal confocal microscopy (IVCM) in patients diagnosed with Evaporative (EDE) and Aqueous Deficient Dry Eye (ADDE) and treated with a standard treatment for Dry Eye Disease (DED) in combination with Plasma Rich in Growth Factors (PRGF).<\/p>\n","protected":false},"author":2002,"featured_media":40701,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[156],"tags":[],"class_list":["post-40756","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-regenerative-medizin"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/posts\/40756","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/users\/2002"}],"replies":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/comments?post=40756"}],"version-history":[{"count":1,"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/posts\/40756\/revisions"}],"predecessor-version":[{"id":40757,"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/posts\/40756\/revisions\/40757"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/media\/40701"}],"wp:attachment":[{"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/media?parent=40756"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/categories?post=40756"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/de\/wp-json\/wp\/v2\/tags?post=40756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}