Cm. Debacker et al., A comparative study of bovine pericardium (Periguard) and homologous sclera as lower eyelid spacer graft analogs in New Zealand white rabbits, OPHTHAL PL, 16(2), 2000, pp. 156-161
Purpose: To compare bovine pericardium (Periguard; Bio-Vascular, Inc., St.
Paul, MN, U.S.A.) and homologous sclera as spacer graft analogs in a rabbit
model.
Methods: A nonrandomized experimental animal study was conducted. Elliptica
l subconjunctival implants were placed in one lower eyelid each of 10 rabbi
ts. Five rabbits received homologous sclera implants, and five received bov
ine pericardium implants. The rabbits were killed 7 weeks later, and the lo
wer eyelids were examined clinically and histopathologically.
Results: Rabbit eyelids implanted with Periguard had a more marked inflamma
tory reaction and more significant collagen lamellar disruption than eyelid
s implanted with homologous sclera, although clinically they appeared quite
similar.
Conclusions: Although bovine pericardium elicited a more intense inflammato
ry response at the histopathologic level, both implants were similarly tole
rated at the clinical level. These findings are consistent with animal and
human investigations of bovine pericardium in other parts of the body, and
warrant further studies into its potential use in the human eyelid.