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完全眼睑闭合后兔角膜病变

Keratopathy of the rabbit cornea following complete eyelid closure.

作者信息

Koch J M, Refojo M F, Leong F L, Kenyon K R

机构信息

Eye Research Institute of Retina Foundation, Harvard Medical School, Boston, MA.

出版信息

Acta Ophthalmol Suppl (1985). 1989;192:108-14. doi: 10.1111/j.1755-3768.1989.tb07102.x.

Abstract

The corneal response to a complete tarsorrhaphy was studied in 46 rabbits for time periods up to 21 days. During the first 7 days of complete eyelid closure corneal thickness increased up to 18.4%, glycogen decreased 32.2%, and lactate rose 27.2%. A steep increase in corneal thickness to 89.8% appeared after 14 days, followed by decreasing values at 21 days, which was concomitant with the formation of extensive vascularized pannus. These results confirm previous findings that the partial pressure of O2 under closed eye conditions is substantially below physiologic requirements, affects endothelial pump capability, and results in major corneal swelling. When silicone contact lenses were fitted immediately before eyelid closure, corneal swelling 2 days after lid closure did not differ from that in eyes without lenses.

摘要

在46只兔子中研究了完全睑缘缝合术对角膜的影响,观察时间长达21天。在完全眼睑闭合的前7天,角膜厚度增加高达18.4%,糖原减少32.2%,乳酸增加27.2%。14天后角膜厚度急剧增加至89.8%,随后在21天时数值下降,这与广泛血管化的血管翳形成同时发生。这些结果证实了先前的发现,即闭眼条件下的氧分压大大低于生理需求,影响内皮泵功能,并导致角膜严重肿胀。当在眼睑闭合前立即佩戴硅水凝胶隐形眼镜时,眼睑闭合2天后的角膜肿胀与未佩戴隐形眼镜的眼睛无差异。

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