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[染料激光光凝治疗实验性视网膜下新生血管。2. 治疗失败病变的组织病理学发现]

[Dye laser photocoagulation treatment for experimental subretinal neovascularization. 2. Histopathological findings of unsuccess lesions].

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):810-9.

PMID:2248166
Abstract

We observed the histopathological process in unhealed lesions following photocoagulation treatment for experimental subretinal neovascularization (SRN) in rhesus monkey eyes. Long-lasting SRNs were produced experimentally by the method which we previously reported. These SRNs were treated by a 590nm dye laser beam, and were examined clinically and histopathologically. Lesions in which insufficient photocoagulation treatment was performed showed serous fluid accumulation and fluorescein angiography revealed remaining neovascularization. In these lesions abundant patent neovascularization was seen with proliferation of spindle-shaped fibroblast-like retinal pigment epithelial (RPE) cells in the subretinal space. These metaplastic RPE cells produced matrix and abundant collagen fiber around the cells. The above results showed that insufficient photocoagulation induced neovascularization and proliferation of RPE cells in the subretinal space and promoted the formation of fibrovascular membrane.

摘要

我们观察了恒河猴眼实验性视网膜下新生血管(SRN)光凝治疗后未愈合病变的组织病理学过程。通过我们之前报道的方法在实验中产生了持久的SRN。这些SRN用590nm染料激光束进行治疗,并进行了临床和组织病理学检查。光凝治疗不足的病变显示有浆液性积液,荧光素血管造影显示仍有新生血管。在这些病变中,可见大量开放的新生血管,视网膜下间隙有梭形成纤维细胞样视网膜色素上皮(RPE)细胞增殖。这些化生的RPE细胞产生基质,并在细胞周围形成丰富的胶原纤维。上述结果表明,光凝不足会诱导视网膜下间隙新生血管形成和RPE细胞增殖,并促进纤维血管膜的形成。

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