Kuszak J R, Sivak J G, Herbert K L, Scheib S, Garner W, Graff G
The Departments of Pathology and Ophthalmology, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL, USA.
Exp Eye Res. 2000 Sep;71(3):267-81. doi: 10.1006/exer.2000.0877.
This study was conducted first, to characterize structural changes in rabbit lenses after vitrectomy; and second, to assess whether such changes correlate with a quantifiable compromise in optical function. Unilateral, partial vitrectomies were performed on 2.5 month old Dutch Belted rabbits (n = 64). Age matched non-operated rabbits (n = 32) were used as controls. Lenses were analysed by correlative structural (light, scanning electron microscopic and three-dimensional computer-assisted drawings) and optical (low power helium-neon laser scan) analysis at 1.5, 3, 6 and 12 months post-surgery (n = 16 lenses from operated animals and n = 8 lenses from non-operated controls at each time point). Results demonstrate that in rabbits lens growth, or fiber formation, is compromised after vitrectomy. From 1.5 to 12 months after surgery, lenses had progressively more crooked posterior line sutures with sub-branches of increasing size and number in successive growth shells. Quantification of lens optical quality specifically along and/or between these atypical suture branches and sub-branches revealed a significant increase in focal length variability (sharpness of focus) after vitrectomy. A peripheral zone of fibers with abnormal posterior ends was produced surrounding the pre-surgical lens mass. This additional zone of aberrant fibers was associated with a quantifiable degradation in lens optics. Studies on the prevention of post-vitrectomy lens changes in this rabbit model may yield useful information applicable to the human condition.
本研究首先旨在描述玻璃体切除术后兔晶状体的结构变化;其次旨在评估这些变化是否与光学功能的可量化损害相关。对2.5月龄的荷兰带兔(n = 64)进行单侧部分玻璃体切除术。将年龄匹配的未手术兔(n = 32)用作对照。在术后1.5、3、6和12个月通过相关结构分析(光学显微镜、扫描电子显微镜和三维计算机辅助绘图)和光学分析(低功率氦氖激光扫描)对晶状体进行分析(每个时间点来自手术动物的16个晶状体和来自未手术对照的8个晶状体)。结果表明,在兔中,玻璃体切除术后晶状体生长或纤维形成受到损害。术后1.5至12个月,晶状体后缝线逐渐变得更加弯曲,在连续生长层中,子分支的大小和数量不断增加。对晶状体光学质量沿这些非典型缝线分支和子分支之间及/或具体进行量化显示,玻璃体切除术后焦距变异性(焦点清晰度)显著增加。围绕手术前晶状体团块产生了一个后端异常的周边纤维区。这个额外的异常纤维区与晶状体光学性能的可量化下降有关。在这个兔模型中预防玻璃体切除术后晶状体变化的研究可能会产生适用于人类情况的有用信息。