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International

                                                                         Journal of Bioprinting



                                        REVIEW ARTICLE
                                        Advances in tissue engineering and 3D

                                        bioprinting for corneal regeneration



                                        Tamás Monostori 1,2,3 , Diána Szűcs 1,2,3 , Borbála Lovászi 1,2,3 , Lajos Kemény , and
                                                                                                     3,4
                                        Zoltán Veréb 1,3*
                                        1 Regenerative  Medicine and Cellular  Pharmacology  Laboratory (HECRIN),  Department of
                                        Dermatology and Allergology, Faculty of Albert Szent-Györgyi Medical School, University of Szeged,
                                        Szeged, Hungary
                                        2 Doctoral School of Clinical Medicine, University of Szeged, Szeged, Hungary
                                        3
                                        Centre of Excellence for Interdisciplinary Research, Development and Innovation, University of
                                        Szeged, Szeged, Hungary
                                        4 Hungarian Centre of Excellence for Molecular Medicine-USz Skin Research Group, University of
                                        Szeged, Szeged, Hungary




                                        Abstract

                                        Blindness  resulting  from corneal  damage  affects millions  of  people  worldwide.
                                        The scarcity of corneal donors adds a layer of complexity to patient treatment.
                                        Consequently, exploring artificial cornea substitutes has become imperative in the
                                        realm  of  clinical  research.  Scientific  advancements  have  ushered  in  a  plethora  of
                                        innovative solutions, including keratoprostheses or decellularized cornea scaffolds.
                                        The  development of  three-dimensional (3D) printing  has further expanded  the
                                        horizons of research in this field, delving into the feasibility of bioprinted corneas
                                        and yielding numerous promising outcomes. However, the manufacturing of corneal
                                        products via 3D printing poses a substantial challenge, demanding a meticulous
            *Corresponding author:
            Zoltán Veréb                selection of materials and techniques to ensure the transparency and preservation of
            (vereb.zoltan@med.u-szeged.hu)  the optical and mechanical properties of the artificial cornea. In the review, we present
            Citation: Monostori T, Szűcs D,   the artificial cornea substitutes. Additionally, we aim to provide a concise overview of
            Lovászi B, Kemény L, Veréb Z.   the 3D printing techniques and materials applicable to corneal bioprinting.
            Advances in tissue engineering
            and 3D bioprinting for corneal
            regeneration. Int J Bioprint.   Keywords: Cornea; Blindness; Artificial cornea; 3D printing; Stem cells
            2024;10(2):1669
            doi: 10.36922/ijb.1669
            Received: August 23, 2023
            Accepted: October 31, 2023
            Published Online: January 16, 2024 1. Introduction
            Copyright: © 2024 Author(s).   Corneal blindness constitutes a significant global health challenge, with multifaceted
            This is an Open Access article   etiologies including infections, scarring, and corneal dystrophy. Corneal transplants are
            distributed under the terms of the
            Creative Commons Attribution   undertaken for various reasons, with bullous keratopathy emerging as the predominant
            License, permitting distribution,   indication in developed countries, while infections and scarring are more prevalent
            and reproduction in any medium,   causes in developing countries. 1
            provided the original work is
            properly cited.                As per the World Health Organization (WHO), the global population of blind
            Publisher’s Note: AccScience   individuals stands at 45 million, a figure that may escalate rapidly given the rise in life
            Publishing remains neutral with   expectancy.  A study conducted in the United Kingdom between 2008 and 2011 revealed
                                                 2
            regard to jurisdictional claims in   a breakdown of corneal transplant indications, with keratoconus accounting for 27.4%,
            published maps and institutional
            affiliations.               Fuchs’ dystrophy for 25.8%, cataract-caused endothelial dysfunction for 21%, infections

            Volume 10 Issue 2 (2024)                       107                                doi: 10.36922/ijb.1669
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