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医学视角:黄斑变性(AMD)与未来人类视力

Medical perspective: macular degeneration (AMD) and human sight in the future.

作者信息

Vojniković Bozo

出版信息

Coll Antropol. 2010 Apr;34 Suppl 2:1-3.

Abstract

The author concisely presents the results of his 30-year investigations about the harmful influence of the higher sun radiation on the eyes. The investigations were carried out among the population of the Island of Rab, situated in the northern part of the Adriatic sea. This geographical region has been characterized by higher doses of the global sun radiation compared with the remaining part of the Republic of Croatia, and partly with the rest of the Mediterranean. The author proved it by his own measurements of UV-B, UV-A and the global sun radiation. The number of the diseased from the macular degeneration (AMD), cataract and precancerous pterygium has been significantly increased in those inhabitants being more exposed to the sun radiation. Investigating the retinal threshold, of the macula and peripherally--meridian thresholds, even the children more exposed to the sun radiation without protection, are established to have the increased excitation threshold of the retina, making later the basis and risk factor for the earlier AMD development. The author also points out that the periphery of retina and the macula are damaged in AMD. Later stages of macular degeneration transfer to the clinical form of the optic nerve atrophy. The author pathohistologically proved that the whole retina has been degeneratively involved in AMD, not only the photoreceptors and the retinal pigment. Therefore, the author pleads for the idea of children protection from the higher sun radiation to become a national problem of each country, and the coordination must be with the World Health Organization (WHO).

摘要

作者简要介绍了其30年关于高剂量太阳辐射对眼睛有害影响的调查结果。这些调查是在位于亚得里亚海北部的拉布岛居民中进行的。与克罗地亚共和国其他地区以及部分地中海其他地区相比,该地理区域的全球太阳辐射剂量更高。作者通过自己对UV - B、UV - A和全球太阳辐射的测量证实了这一点。在那些更多暴露于太阳辐射的居民中,黄斑变性(AMD)、白内障和癌前翼状胬肉的患病数量显著增加。在研究黄斑和周边子午线的视网膜阈值时,甚至发现那些未受保护、更多暴露于太阳辐射的儿童,其视网膜的兴奋阈值升高,这成为了日后AMD早期发展的基础和风险因素。作者还指出,在AMD中视网膜周边和黄斑会受损。黄斑变性的后期会转变为视神经萎缩的临床形式。作者通过病理组织学证明,在AMD中整个视网膜都发生了退行性病变,不仅是光感受器和视网膜色素。因此,作者呼吁将儿童免受高剂量太阳辐射的保护问题成为每个国家的国家问题,并且必须与世界卫生组织(WHO)进行协调。

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