Liu Kegao, Wang Ningli, Peng Xiaoyan, Yang Diya, Wang Cong, Zeng Huiyang
1 Beijing Ophthalmology and Visual Science Key Laboratory, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University , Beijing, China .
Photomed Laser Surg. 2014 Jul;32(7):371-8. doi: 10.1089/pho.2013.3693.
The purpose of this study was to investigate the long-term effect of laser-induced ocular hypertension on the cone electroretinogram (ERG) and retinal thickness in monkeys.
Degeneration of retinal nerve fiber layer (RNFL) and loss of retinal ganglion cells in the primate glaucoma model have been confirmed by histological studies and optical coherence tomography (OCT) images. However, it remains unclear whether the outer retina distal to the RGCs (e.g., photoreceptors) is involved in histological studies and in functional test.
Subjects were five monkeys with high intraocular pressure (IOP) induced in the right eye by laser. Six years after the laser coagulation of the mid-trabecular meshwork, RNFL, ganglion cell complex (GCC), central macular thickness (CMT), and the thickness of outer retinal layer (ORL) were measured by OCT. The photopic responses of ERG were recorded in response to red flashes on a blue background. The maximum cone amplitude (Rcone) and cone sensitivity (Scone) were calculated.
Enlarged cup-to-disc (C/D) ratio was found in the lasered eyes. RNFL and GCC were significantly thinner in the lasered eyes (p<0.05), but no significant differences were found in CMT and the thickness of ORL compared with fellow eyes (p>0.05). Mean amplitude of the photopic negative response (PhNR), Mean Rcone were significantly lower in the lasered eye (p<0.05), and no significant differences of Scone were found between the two eyes (p>0.05).
Long-term ocular hypertension induced by laser affects the function of cone photoreceptor in monkeys.
本研究旨在探讨激光诱导的高眼压对猴锥体视网膜电图(ERG)和视网膜厚度的长期影响。
灵长类青光眼模型中视网膜神经纤维层(RNFL)的退变和视网膜神经节细胞的丢失已通过组织学研究和光学相干断层扫描(OCT)图像得到证实。然而,视网膜神经节细胞(RGCs)远端的外视网膜(如光感受器)是否参与组织学研究和功能测试仍不清楚。
研究对象为5只右眼经激光诱导产生高眼压的猴子。在小梁网中部激光凝固6年后,通过OCT测量RNFL、神经节细胞复合体(GCC)、中心黄斑厚度(CMT)和外视网膜层(ORL)的厚度。记录ERG的明视觉反应,以响应蓝色背景上的红色闪光。计算最大锥体振幅(Rcone)和锥体敏感度(Scone)。
激光照射眼的杯盘比(C/D)增大。激光照射眼的RNFL和GCC明显变薄(p<0.05),但与对侧眼相比,CMT和ORL厚度无显著差异(p>0.05)。激光照射眼的明视觉负反应(PhNR)平均振幅、平均Rcone明显较低(p<0.05),两眼之间的Scone无显著差异(p>0.05)。
激光诱导的长期高眼压会影响猴锥体光感受器的功能。