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[染料激光光凝治疗实验性视网膜下新生血管形成。1. 愈合过程的组织病理学发现]

[Dye laser photocoagulation treatment for experimental subretinal neovascularization. 1. Histopathological findings of healing process].

作者信息

Takahashi K, Itagaki T, Yamagishi K, Ohkuma H, Nishimura T, Uyama M

机构信息

Department of Ophthalmology, Kansai Medical University, Osaka, Japan.

出版信息

Nippon Ganka Gakkai Zasshi. 1990 Sep;94(9):799-809.

PMID:2248165
Abstract

To clarify the healing process of subretinal neovascularization (SRN) histopathologically following laser photocoagulation treatment, we performed laser photocoagulation for experimental SRNs produced in rhesus monkey eyes. To produce long-lasting SRNs, 0.5M 1-ornithine hydrochloride solution was injected intravitreously 2 weeks after photocoagulation. These SRNs were treated a 590nm dye laser, and examined clinically and histopathologically at 24 hours, 2 weeks, 3 months. Histopathologically, new vessels in the subretinal space were coagulated intensely and disappeared during the course of healed lesion. In these lesions, the retinal pigment epithelial cells proliferated in the subretinal space after the disappearance of the SRNs and covered the scar tissue. In strongly coagulated lesions, glial cells were related to the formation of scar tissue. These results showed that closure of new vessels was necessary for the healing of SRNs by photocoagulation and proliferation of the retinal pigment epithelial cells and glial cells occurred during their healing process.

摘要

为从组织病理学角度阐明激光光凝治疗后视网膜下新生血管(SRN)的愈合过程,我们对恒河猴眼睛中产生的实验性SRN进行了激光光凝。为产生持久的SRN,在光凝后2周经玻璃体注射0.5M 1 - 盐酸鸟氨酸溶液。这些SRN接受590nm染料激光治疗,并在24小时、2周、3个月时进行临床和组织病理学检查。组织病理学检查显示,视网膜下间隙中的新血管被强烈凝固,并在愈合病变过程中消失。在这些病变中,SRN消失后视网膜色素上皮细胞在视网膜下间隙增殖并覆盖瘢痕组织。在强凝固病变中,胶质细胞与瘢痕组织的形成有关。这些结果表明,通过光凝使新血管闭合是SRN愈合所必需的,并且在其愈合过程中视网膜色素上皮细胞和胶质细胞会发生增殖。

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