Ahmed Bhutto I, Amemiya T
Department of Ophthalmology & Visual Sciences, Nagasaki University School of Medicine, Nagasaki, Japan.
Curr Eye Res. 2001 Oct;23(4):240-7. doi: 10.1076/ceyr.23.4.240.5450.
The purpose of the present study is to determine the specific morphological changes in choroidal vasculature due to hypercholesterolemia.
The choroidal vessels of rats with inherited hypercholesterolemia (RICO) were examined by the corrosion cast technique and electron microscopy.
In 18-month-old RICO rats, corrosion casts and scanning electron microscopy showed severe tortuosity, caliber irregularity and generalized dilatation of the large choroidal arteries and veins. The branch arterioles and draining venules were also tortuous and dilated. The ampullae of the vortex veins were wide, but no arteriovenous anastomoses, crossing defects or obstruction were seen. However, there were many venular collateral channels and venulo-venular anastomoses. The choriocapillaries appeared normal. Transmission electron microscopy of the choroidal vessels showed hypertrophy of smooth muscle cells and irregular thickening of the basement membrane. The RPE and Bruch's membrane were intact.
These findings indicate that the choroidal vascular changes are probably related to hypercholesterolemia. The results of the present study will be useful in the interpretation of the changes seen in hypertensive, diabetic and aged choroids.
本研究旨在确定高胆固醇血症引起的脉络膜血管的特定形态学变化。
采用腐蚀铸型技术和电子显微镜检查遗传性高胆固醇血症大鼠(RICO)的脉络膜血管。
在18月龄的RICO大鼠中,腐蚀铸型和扫描电子显微镜显示,脉络膜大的动脉和静脉严重迂曲、管径不规则且普遍扩张。分支小动脉和引流小静脉也迂曲和扩张。涡静脉壶腹增宽,但未见动静脉吻合、交叉缺陷或阻塞。然而,有许多静脉侧支通道和静脉-静脉吻合。脉络膜毛细血管外观正常。脉络膜血管的透射电子显微镜显示平滑肌细胞肥大和基底膜不规则增厚。视网膜色素上皮和布鲁赫膜完整。
这些发现表明脉络膜血管变化可能与高胆固醇血症有关。本研究结果将有助于解释高血压、糖尿病和老年脉络膜中所见的变化。