Cleary P E, Ryan S J
Am J Ophthalmol. 1979 Aug;88(2):212-20. doi: 10.1016/0002-9394(79)90468-9.
We developed an experimental model for a posterior penetrating eye injury that resulted in traction retinal detachment in 21 rhesus monkey eyes. The standard injury was an incision through the pars plana with vitreous prolapse and incarceration; the wound was then carefully closed with microsurgical techniques. At one to two weeks after injury, detachment of the posterior vitreous occurred and detachment of the retina occurred between seven and 11 weeks. The development of retinal detachment was related to traction on the peripheral retina over the vitreous base; and to the contraction of epiretinal membranes on the peripheral and equatorial retina. Our study supports clinical observations on the importance of blood in the vitreous in the development of vitreous traction and traction retinal detachment after a posterior penetrating injury.
我们建立了一种后段穿透性眼外伤的实验模型,该模型导致21只恒河猴眼发生牵引性视网膜脱离。标准损伤是经睫状体平坦部切口并伴有玻璃体脱出和嵌顿;然后用显微外科技术仔细缝合伤口。损伤后1至2周,发生玻璃体后脱离,视网膜脱离发生在7至11周之间。视网膜脱离的发生与玻璃体基底部上方周边视网膜的牵引以及周边和赤道部视网膜上视网膜前膜的收缩有关。我们的研究支持了关于玻璃体中的血液在后部穿透性损伤后玻璃体牵引和牵引性视网膜脱离发展中的重要性的临床观察。