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家畜眼前纤维血管膜的发病机制及意义

The pathogenesis and significance of pre-iridal fibrovascular membrane in domestic animals.

作者信息

Peiffer R L, Wilcock B P, Yin H

机构信息

Department of Ophthalmology, School of Medicine, University of North Carolina, Chapel Hill.

出版信息

Vet Pathol. 1990 Jan;27(1):41-5. doi: 10.1177/030098589002700106.

Abstract

Histologic examination was made of 1,419 globes from domestic animals (964 dogs, 374 cats, 41 horses, and 40 cattle) with ocular disease; pre-iridal membranes (rubeosis iridis) were found in 98. The membranes originated as endothelial budding from the anterior iridal stroma and seemed to mature into fibrous or fibrovascular membranes that were often followed by hyphema or, occasionally, glaucoma. Pre-existent disease in the 98 affected globes included chronic endophthalmitis (27/98), chronic glaucoma (24/98), anterior uveal melanoma (15/98), ciliary body adenoma (14/98), neoplasms metastatic to the eye (8/98), and chronic retinal detachment (6/98). In terms of likelihood of occurrence, pre-iridal membranes seen in 21% (6/21) of globes with retinal detachment, 19% (14/75) of those with ciliary body adenomas, 14% (24/167) of those with chronic glaucoma, and 10% (15/158) of those with anterior uveal melanoma. They were detected with greatest relative frequency in horses (9/41) followed by dogs (83/964), cats (5/374) and cattle (1/40). These membranes, which are rarely detected by clinical examination, probably form in response to angiogenic factors released by ischemic retina, by neoplasms, or by leukocytes involved in ocular inflammation.

摘要

对1419只患有眼部疾病的家畜眼球(964只犬、374只猫、41匹马和40头牛)进行了组织学检查;发现98只眼球有虹膜前膜(虹膜红变)。这些膜起源于虹膜前基质的内皮芽生,似乎成熟为纤维性或纤维血管性膜,常伴有前房积血,偶尔伴有青光眼。98只患病眼球先前存在的疾病包括慢性眼内炎(27/98)、慢性青光眼(24/98)、前葡萄膜黑色素瘤(15/98)、睫状体腺瘤(14/98)、眼部转移瘤(8/98)和慢性视网膜脱离(6/98)。就发生可能性而言,视网膜脱离的眼球中有21%(6/21)出现虹膜前膜,睫状体腺瘤的眼球中有19%(14/75)出现,慢性青光眼的眼球中有14%(24/167)出现,前葡萄膜黑色素瘤的眼球中有10%(15/158)出现。在马(9/41)中检测到这些膜的相对频率最高,其次是犬(83/964)、猫(5/374)和牛(1/40)。这些膜很少通过临床检查检测到,可能是对缺血视网膜、肿瘤或眼部炎症中涉及的白细胞释放的血管生成因子作出的反应而形成。

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