The microtrephine. A new diagnostic tool for obtaining corneal biopsies

Acta Ophthalmol (Copenh). 1994 Jun;72(3):384-7. doi: 10.1111/j.1755-3768.1994.tb02779.x.

Abstract

We have developed a new tool for obtaining biopsies of the cornea in a manner which is less traumatic than former biopsy techniques. The new instrument consists of a drill with an aperture of 160 microns which functions as a trephine and is powered at 30,000 rpm. The instrument contains a 120 microns mandrel to remove the samples. In order to monitor electrolyte contents in alkali burnt corneas, 32 rabbit eyes underwent an alkali burn of one cornea (1 n NaOH for 30 sec) followed by a sequence of microtrephinations at different times. A total of 81 microtrephinations were performed. Fifty samples were obtained. One corneal perforation occurred. Forty-four puncture sites were examined by means of histology. Forty-eight biopsies were examined in a scanning electron microscope and identified as punctures of corneal tissue by way of an energy dispersive X-ray analysis. Human corneas had been punctured with this device.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biopsy / instrumentation*
  • Burns, Chemical / pathology
  • Cornea / pathology*
  • Corneal Diseases / diagnosis*
  • Corneal Injuries
  • Electron Probe Microanalysis
  • Eye Burns / chemically induced
  • Eye Burns / pathology
  • Microscopy, Electron, Scanning
  • Rabbits
  • Sodium Hydroxide

Substances

  • Sodium Hydroxide