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氩激光照射兔眼——前列腺素E2水平的变化

Argon laser irradiation of rabbits' eyes-changes in prostaglandin E2 levels.

作者信息

Naveh N, Peer J, Bartov E, Weissman C

机构信息

Maurice and Gabriela Goldschleger Eye Institute, Chaim Sheba Medical Center, Tel Aviv University Sackler Faculty of Medicine, Tel Hashomer, Israel.

出版信息

Prostaglandins. 1991 Feb;41(2):143-55. doi: 10.1016/0090-6980(91)90027-d.

Abstract

Laser irradiation of the eye is a widely used therapeutic measure in various ocular disorders. We investigated in laser-treated rabbits' eyes the changes in prostaglandin E2 (PGE2) levels of the tissue affected by the laser (the retina/choroid) and of its adjacent vitreous over a two-week period. The parameters studied were; PGE2 in vitro production by the retina/choroid, as well as PGE2 and protein levels in the vitreous, the latter indicative of a break in the blood retinal barrier (BRB). The effect of noncoherent light exposure used for illumination, and that of the mechanical manipulation involved (sham exposure) were also studied. Following laser exposure vitreal PGE2 levels were increased two-fold above baseline (days three and 14), whereas light exposure resulted in a single peak. PGE2 in vitro production by the retina/choroid in the laser-exposed group was elevated throughout the observation period, peaking twice (days 3 and 14), in the light-exposed group the enhanced production was evident during a shorter period, whereas in the sham group it remained unchanged from baseline. An elevation in vitreal protein levels to above baseline levels occurred in both the laser- and, to a lesser degree, in the noncoherent light-exposed groups, but not in the sham group. Our study demonstrated an enhanced PGE2 in vitro production by retina/choroid of laser-exposed eyes, which might be attributable to the additive effect of the laser induced trauma, and the noncoherent light photochemical changes; the clinical significance of the recurrent increase in vitreal PGE2 levels in laser-treated eyes might be related to its anti-inflammatory properties.

摘要

激光照射眼睛是治疗多种眼部疾病的一种广泛应用的治疗手段。我们对接受激光治疗的兔眼进行了研究,观察了受激光影响的组织(视网膜/脉络膜)及其相邻玻璃体中前列腺素E2(PGE2)水平在两周内的变化。研究的参数包括:视网膜/脉络膜体外产生的PGE2,以及玻璃体中的PGE2和蛋白质水平,后者表明血视网膜屏障(BRB)的破坏。还研究了用于照明的非相干光照射的影响以及所涉及的机械操作(假照射)的影响。激光照射后,玻璃体中PGE2水平比基线升高了两倍(第3天和第14天),而非相干光照射导致单个峰值。激光照射组中视网膜/脉络膜体外产生的PGE2在整个观察期内均升高,出现两次峰值(第3天和第14天),非相干光照射组中产生增强在较短时间内明显,而假照射组中则与基线相比保持不变。激光照射组和非相干光照射组(程度较轻)的玻璃体蛋白质水平均升高至基线水平以上,但假照射组未升高。我们的研究表明,激光照射眼的视网膜/脉络膜体外产生的PGE2增强,这可能归因于激光诱导的创伤和非相干光光化学变化的叠加效应;激光治疗眼中玻璃体PGE2水平反复升高的临床意义可能与其抗炎特性有关。

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