Wilson C A, Khawly J A, Hatchell D L, Machemer R
Durham Veterans Administration Medical Center, NC.
Graefes Arch Clin Exp Ophthalmol. 1991;229(6):568-73. doi: 10.1007/BF00203323.
We developed a reproducible model of traction retinal detachment (TRD) in the cat eye by creating a serous retinal detachment and then injecting 2.5 x 10(5) kitten dermal fibroblasts into the vitreous cavity at the site of a retinal wound. Serous detachments were produced by exposing an area of retina to focused light after intravenous injection of rose bengal (a photosensitizing dye). TRD developed rapidly within the first 2 weeks after fibroblast injection, accompanied by the formation of vitreoretinal strands and, to a lesser degree, epiretinal and/or subretinal proliferation. Histopathology demonstrated fibroblasts within the vitreous or along the posterior hyaloid face. Focal deposits of fibroblasts were occasionally found on the inner surface of the retina and/or in the subretinal space. Fibroblast proliferation was confirmed by uptake of radiolabeled thymidine. Deposition of collagen was noted at as early as 3 days after fibroblast injection. Neovascularization was not observed. Control eyes that did not receive fibroblasts showed resolution of serous detachment without retinal traction. In all eyes, retinal degeneration and thinning were seen in the area of previous photodynamic treatment. In this model of TRD, anteroposterior traction (due to vitreous strands) predominates, as is observed in experimental posterior penetrating ocular injury induced by intravitreal blood injection, which also results in vitreous strand formation. Our model, however, enables clinical assessment of TRD in the cat without the media opacification produced by vitreous blood.
我们通过制造浆液性视网膜脱离,然后在视网膜伤口部位向玻璃体腔注射2.5×10⁵只小猫的真皮成纤维细胞,建立了一种可重复的猫眼牵引性视网膜脱离(TRD)模型。在静脉注射孟加拉玫瑰红(一种光敏染料)后,通过将视网膜区域暴露于聚焦光来产生浆液性脱离。在注射成纤维细胞后的头2周内,TRD迅速发展,伴有玻璃体视网膜条索的形成,以及程度较轻的视网膜前和/或视网膜下增殖。组织病理学显示玻璃体或后玻璃体表面有纤维母细胞。偶尔在视网膜内表面和/或视网膜下间隙发现局灶性纤维母细胞沉积。通过摄取放射性标记的胸苷证实了纤维母细胞的增殖。早在注射成纤维细胞后3天就注意到有胶原蛋白沉积。未观察到新生血管形成。未接受成纤维细胞的对照眼浆液性脱离消退,无视网膜牵引。在所有眼中,在先前光动力治疗的区域均可见视网膜变性和变薄。在这个TRD模型中,前后牵引(由于玻璃体条索)占主导,这与玻璃体腔内注射血液引起的实验性后部穿透性眼外伤中观察到的情况相同,后者也会导致玻璃体条索形成。然而,我们的模型能够在猫眼上对TRD进行临床评估,而不会出现玻璃体出血导致的介质混浊。