Busch E M, Gorgels T G, van Norren D
Department of Ophthalmology, Helmholtz Institute, Utrecht Academic Hospital, The Netherlands.
Vision Res. 1999 Apr;39(7):1233-47. doi: 10.1016/s0042-6989(98)00233-8.
Two spectral types of retinal light damage were induced in pigmented rats by irradiating small retinal patches at either 380 or 470 nm. The temporal sequence of changes in the retina was followed for up to 2 months by funduscopy and histology. For both damage types, fundus changes were best visible after 3 days. Histology showed that 380 nm specifically damaged photoreceptor cells, particularly the rods. All cell compartments of the rods, including the nucleus were affected already after 3 h. In the next days, damaged rods degenerated. At high doses (2.5 x the funduscopic threshold dose) all rods in the irradiated area were lost, resulting in a local photoreceptor lesion, which was still present at 2 months after the irradiation. At 470 nm, damage occurred both in the photoreceptor layer and in the pigment epithelium. Acute changes, at 1 h after irradiation, consisted mainly of damaged mitochondria in these layers. Next, the pigment epithelium showed swelling, an altered melanin distribution and, at high doses (2.5 x threshold), interruptions of the monolayer. Degeneration of photoreceptor cells was initially limited to a few scattered cells, but 3 days after high doses focal areas of massive degeneration were seen. At late stages, the cells of the pigment epithelium recovered and the photoreceptor layer showed a loss of cells. The results show that the spectral damage types are distinct in the early phases, indicating that different mechanisms are involved. Yet, the end effect of both damage types after exposure at doses up to 2.5 x the funduscopic threshold is remarkably similar and consists of local photoreceptor lesions.
通过在380或470纳米波长下照射色素沉着大鼠的小视网膜区域,诱导出了两种光谱类型的视网膜光损伤。通过眼底镜检查和组织学方法,对视网膜变化的时间序列进行了长达2个月的跟踪观察。对于这两种损伤类型,眼底变化在3天后最为明显。组织学检查表明,380纳米波长的光特别损伤光感受器细胞,尤其是视杆细胞。照射3小时后,视杆细胞的所有细胞成分,包括细胞核,都受到了影响。在接下来的几天里,受损的视杆细胞发生退化。高剂量(眼底镜检查阈值剂量的2.5倍)照射后,照射区域内的所有视杆细胞都消失了,导致局部光感受器损伤,在照射后2个月时仍然存在。在470纳米波长下,光感受器层和色素上皮都受到了损伤。照射后1小时的急性变化主要包括这些层中线粒体的损伤。接下来,色素上皮出现肿胀,黑色素分布改变,高剂量(阈值的2.5倍)照射后,单层结构出现中断。光感受器细胞的退化最初仅限于少数散在的细胞,但高剂量照射3天后,可见大片退化的局部区域。在后期,色素上皮细胞恢复,光感受器层出现细胞丢失。结果表明,这两种光谱损伤类型在早期阶段是不同的,表明涉及不同的机制。然而,在高达眼底镜检查阈值剂量2.5倍的剂量下照射后,两种损伤类型的最终效果非常相似,都表现为局部光感受器损伤。