Kawahara J, Nakamura R, Wakabayashi Y, Nakano E, Agawa T, Usui M
Department of Ophthalmology, Tokyo Medical College, Japan.
Jpn J Ophthalmol. 1990;34(4):450-62.
We measured anterior chamber O2 tension and intraocular pressure (IOP) in normal, untreated controls and in rabbits treated with transpupillary argon laser cyclophotocoagulation. Normal anterior chamber O2 tension was 35 +/- 6 mmHg in room air and increased slowly when the rabbits breathed 100% O2. Between 3 days and 6 weeks after cyclophotocoagulation, O2 tension dropped 54%. Between 12 and 19 weeks after cyclophotocoagulation, changes in O2 tension were not statistically significant compared with the control. Normal IOP was 12 +/- 1 mmHg. Between 3 days and 6 weeks after cyclophotocoagulation, changes in the IOP were not statistically significant compared with the control. Light microscopy showed laser damage to the capillaries in the ciliary body as well as to the ciliary epithelium, particularly between 3 days and 6 weeks after treatment. We conclude that anterior chamber O2 tension under normal conditions reflects at least uveal vascular delivery of O2 and that cyclophotocoagulation, by destroying the ciliary epithelium-capillary complex, causes a decrease of oxygenation of the aqueous humor in the anterior chamber.
我们测量了正常未治疗对照组以及经瞳孔氩激光睫状体光凝治疗的兔子的前房氧分压和眼压(IOP)。在室内空气中,正常前房氧分压为35±6 mmHg,当兔子呼吸100%氧气时,氧分压缓慢升高。在睫状体光凝术后3天至6周,氧分压下降了54%。在睫状体光凝术后12至19周,与对照组相比,氧分压的变化无统计学意义。正常眼压为12±1 mmHg。在睫状体光凝术后3天至6周,与对照组相比,眼压变化无统计学意义。光学显微镜检查显示,激光对睫状体中的毛细血管以及睫状体上皮造成了损伤,尤其是在治疗后3天至6周。我们得出结论,正常情况下前房氧分压至少反映了脉络膜血管的氧输送,并且睫状体光凝通过破坏睫状体上皮-毛细血管复合体,导致前房房水氧合作用降低。