Zarfoss Mitzi K, Breaux Carrie B, Whiteley Herbert E, Hamor Ralph E, Flaws Jodi A, Labelle Philippe, Dubielzig Richard R
Resident in Comparative Ophthalmology, University of Illinois, College of Veterinary Medicine, Small Animal Clinic, 1008 W. Hazelwood Drive, Urbana, IL 61802, USA.
Vet Ophthalmol. 2010 Jan;13(1):4-13. doi: 10.1111/j.1463-5224.2009.00739.x.
Pathologic intraocular neovascularization is a key component of many canine ophthalmic diseases such as uveitis, retinal detachment, intraocular neoplasms, and corneal perforation. The purpose of this study was to evaluate the structure of pre-iridal fibrovascular membranes (PIFMs) associated with several different disease processes and to identify specific factors associated with their development in the canine eye.
This study examined 36 enucleated canine eyes with the diagnosis of PIFM and one of the following: lens-induced uveitis, retinal detachment, iridociliary adenoma, corneal perforation, severe hyphema, or vitreal gliovascular membranes (canine ocular gliovascular syndrome, COGS). Three histologic stains and six immunohistochemical stains were performed in all 36 PIFM eyes and four histologically normal eyes, including: hematoxylin and eosin, alcian blue periodic acid schiff (PAS), Masson's trichrome, platelet endothelial cell adhesion molecule-1 (CD31), smooth muscle actin, vimentin, laminin, vascular endothelial growth factor (VEGF), and cyclooxygenase-2 (COX-2).
Pre-iridal fibrovascular membrane extracellular matrix staining was consistent with collagen and mucins in all cases and positive for laminin in most cases. All PIFMs contained CD31-positive vessels and predominantly lymphoplasmacytic inflammation. Both PIFM vessels and spindle cells were positive for laminin, vimentin, smooth muscle actin, VEGF, and COX-2. Secondary intraocular pathology and immunohistochemical staining of other intraocular structures are also reported.
Pre-iridal fibrovascular membrane morphology and immunohistochemical characteristics were similar across six canine disease processes, suggesting analogous pathophysiologic mechanisms. COX-2 and VEGF were identified using immunohistochemistry and may play a role in PIFM development.
病理性眼内新生血管形成是许多犬眼科疾病的关键组成部分,如葡萄膜炎、视网膜脱离、眼内肿瘤和角膜穿孔。本研究的目的是评估与几种不同疾病过程相关的虹膜前纤维血管膜(PIFM)的结构,并确定与它们在犬眼中发育相关的特定因素。
本研究检查了36只诊断为PIFM且伴有以下情况之一的摘除犬眼:晶状体诱导性葡萄膜炎、视网膜脱离、虹膜睫状体腺瘤、角膜穿孔、严重前房积血或玻璃体胶质血管膜(犬眼胶质血管综合征,COGS)。对所有36只PIFM眼和4只组织学正常的眼睛进行了三种组织学染色和六种免疫组织化学染色,包括:苏木精和伊红、阿尔辛蓝过碘酸希夫(PAS)、马松三色染色、血小板内皮细胞粘附分子-1(CD31)、平滑肌肌动蛋白、波形蛋白、层粘连蛋白、血管内皮生长因子(VEGF)和环氧化酶-2(COX-2)。
在所有病例中,虹膜前纤维血管膜细胞外基质染色与胶原蛋白和粘蛋白一致,在大多数病例中层粘连蛋白呈阳性。所有PIFM均含有CD31阳性血管,主要为淋巴细胞浆细胞性炎症。PIFM血管和梭形细胞的层粘连蛋白、波形蛋白、平滑肌肌动蛋白、VEGF和COX-2均呈阳性。还报告了继发性眼内病理和其他眼内结构的免疫组织化学染色情况。
在六种犬病过程中,虹膜前纤维血管膜的形态和免疫组织化学特征相似,提示存在类似的病理生理机制。通过免疫组织化学鉴定出COX-2和VEGF,它们可能在PIFM的发育中起作用。