Fitzgerald Malinda E C, Wildsoet Christine F, Reiner Anton
Department of Biology, Christian Brothers University, Memphis, TN, USA.
Exp Eye Res. 2002 May;74(5):561-70. doi: 10.1006/exer.2002.1142.
When form deprived, young chicks rapidly develop axial myopia, from which they recover if the treatment is ceased at a sufficiently early age. The increased axial growth of the eye is accompanied by choroidal thinning and decreased choroidal blood flow (ChBF). In contrast, during the early part of the recovery process, the choroid thickens, shifting the retina towards the new plane of focus. Little information is available about ChBF during recovery from myopia. Because of the possibility that choroidal thickening during recovery from myopia might be driven by an increase in ChBF, the temporal relationship of ChBF and choroidal thickness changes was examined during such recovery. White Leghorn chicks were form deprived from 3 days of age for 2-3 weeks using detachable plastic diffusers. Axial ocular dimensions, including choroidal thickness, were then measured by high frequency A-scan ultrasonography at various times after the diffusers were removed up to 240 hr. ChBF was measured transclerally immediately following the A-scan ultrasonography, using laser Doppler flowmetry. In the chicks measured immediately after diffuser removal, the vitreous chamber was 29.9% longer, the choroid was 6.4% thinner and ChBF was 13.7% less in the treated than in the non-treated control eyes. These changes are characteristic of myopic chick eyes and are reversible in young eyes. Thus, in chicks examined 7 hr after diffuser removal, the ChBF in recovering eyes was now greater than that in control eyes. This ChBF increase peaked about 19 hr after the diffusers were removed. The mean increase in ChBF in treated eyes for the 7-30 hr monitoring period was 187%, relative to control eyes. ChBF in the treated eyes gradually returned to the control level after this time. By contrast to the early, transient increase in ChBF, significant choroidal thickening was not observed in treated eyes until 30 hr after diffuser removal, and continued to increase relative to control eyes over the remainder of the monitoring period, reaching a final mean value of 182%. This study demonstrates, in chick eyes recovering from form deprivation myopia, large increases in ChBF that preceded increases in choroidal thickness and were also more transient than the latter. These results raise the possibility that the increase in ChBF may trigger or even drive the subsequent onset of choroidal expansion, perhaps by facilitating the filling of the choroidal lymphatic lacunae that are well developed in the avian eye.
当处于形觉剥夺状态时,幼雏会迅速发展为轴性近视,如果在足够早的年龄停止这种处理,它们可以恢复。眼轴的增长伴随着脉络膜变薄和脉络膜血流量(ChBF)减少。相比之下,在恢复过程的早期,脉络膜会增厚,使视网膜向新的聚焦平面移动。关于近视恢复过程中的脉络膜血流量的信息很少。由于近视恢复过程中脉络膜增厚可能是由脉络膜血流量增加所驱动,因此研究了近视恢复过程中脉络膜血流量和脉络膜厚度变化的时间关系。使用可拆卸的塑料扩散器,将白来航雏鸡从3日龄开始形觉剥夺2至3周。然后在移除扩散器后的不同时间(最长240小时),通过高频A扫描超声测量包括脉络膜厚度在内的眼轴尺寸。在A扫描超声测量后,立即使用激光多普勒血流仪经巩膜测量脉络膜血流量。在移除扩散器后立即测量的雏鸡中,与未处理的对照眼相比,处理眼的玻璃体腔长29.9%,脉络膜薄6.4%,脉络膜血流量少13.7%。这些变化是近视雏鸡眼睛的特征,并且在幼眼中是可逆的。因此,在移除扩散器7小时后检查的雏鸡中,恢复眼的脉络膜血流量现在高于对照眼。这种脉络膜血流量增加在移除扩散器后约19小时达到峰值。在7至30小时的监测期内,处理眼的脉络膜血流量相对于对照眼平均增加187%。此后,处理眼中的脉络膜血流量逐渐恢复到对照水平。与脉络膜血流量早期短暂增加形成对比的是,直到移除扩散器30小时后,处理眼中才观察到明显的脉络膜增厚,并且在监测期的其余时间相对于对照眼持续增加,最终平均值达到182%。这项研究表明,在从形觉剥夺性近视恢复的雏鸡眼中,脉络膜血流量大幅增加先于脉络膜厚度增加,并且比后者更短暂。这些结果增加了一种可能性,即脉络膜血流量增加可能触发甚至驱动随后的脉络膜扩张,也许是通过促进鸟类眼睛中发育良好的脉络膜淋巴腔隙的充盈。