Yamada K, Takahashi K, Ohkuma H, Itagaki T, Nishimura T, Yamagishi K, Tomoda T, Uyama M
Department of Ophthalmology, Kansai Medical University, Moriguchi, Japan.
Nippon Ganka Gakkai Zasshi. 1992 Feb;96(2):169-79.
The author treated experimentally produced choroidal neovascularization (ChNV) with mild dye laser photocoagulation (PHC). We treated these ChNVs with 590 nm wavelength, 200 microns spot size, 0.2 second duration and 50 mW of power. Eleven eyes of nine rhesus monkeys were used. Then these ChNVs were examined clinically and histopathologically at 24 hours, 2 weeks and a month after therapeutic PHC. Small ChNVs, less than 1/3 disc diameter healed successfully and histopathologically most of them were coagulated and disappeared. A few poorly developed ChNVs remained, but were well enveloped by the proliferating retinal pigment epithelial (RPE) cells. On the other hand, ChNVs of more than 1/3 disc diameter did not respond to weak PHC, grew actively over a month, and were not completely surrounded by proliferating RPE cells. These results suggest that by mild PHC, small ChNVs may be treatable, however, in large ChNVs, mild PHC may rather accelerate their activity.
作者用温和的染料激光光凝术(PHC)治疗实验性诱导产生的脉络膜新生血管(ChNV)。我们采用波长590纳米、光斑大小200微米、持续时间0.2秒、功率50毫瓦的条件对这些ChNV进行治疗。使用了9只恒河猴的11只眼睛。然后在治疗性PHC后的24小时、2周和1个月对这些ChNV进行临床和组织病理学检查。直径小于1/3视盘的小ChNV成功愈合,组织病理学检查显示其中大部分发生凝固并消失。少数发育不良的ChNV仍然存在,但被增生的视网膜色素上皮(RPE)细胞很好地包裹。另一方面,直径超过1/3视盘的ChNV对弱PHC无反应,在一个月内积极生长,并且没有被增生的RPE细胞完全包围。这些结果表明,通过温和的PHC,小ChNV可能是可治疗的,然而,对于大ChNV,温和的PHC可能反而会加速其活性。