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飞秒激光辅助白内障手术患者前房中的白细胞介素-1β、白细胞介素-6和前列腺素E2

Anterior chamber interleukin 1β, interleukin 6 and prostaglandin E2 in patients undergoing femtosecond laser-assisted cataract surgery.

作者信息

Wang Li, Zhang Zhe, Koch Douglas D, Jia Yading, Cao Weifang, Zhang Suhua

机构信息

Shanxi Eye Hospital, Taiyuan, Shanxi Province, P. R. China Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA.

Shanxi Eye Hospital, Taiyuan, Shanxi Province, P. R. China Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, P. R. China.

出版信息

Br J Ophthalmol. 2016 Apr;100(4):579-82. doi: 10.1136/bjophthalmol-2015-307586. Epub 2015 Dec 11.

Abstract

PURPOSE

To evaluate the interleukin (IL) 1β, IL-6 and prostaglandin E2 (PGE2) concentrations in aqueous humour in patients undergoing femtosecond laser-assisted cataract surgery.

METHODS

In 27 eyes of 27 patients undergoing femtosecond laser-assisted cataract surgery (femto group), aqueous humour of 100 μL was collected after laser treatment. In 15 eyes of 15 subjects undergoing routine cataract surgery (control group), aqueous humour of 100 μL was also collected. The IL-1β, IL-6 and Prostaglandin E2 (Human Interleukin 1β, Interleukin 6 and Prostaglandin E2 ELISA Kits, Bio-Swamp Life Science) were used to determine the concentrations of IL-1β, IL-6 and PGE2 in the aqueous humour. All patients were treated with non-steroidal anti-inflammatory drugs prior to surgery.

RESULTS

For IL-1β, IL-6 and PGE2, respectively, the mean concentration values in aqueous humour were 25.6, 24.6 and 64.2 pg/mL in the femto group, and 17.1, 15.2 and 45.7 pg/mL in the control group (table 2). Concentrations of IL-1β, IL-6 and PGE2 were significantly higher in the femto group than those in the control group (all p<0.01). There were no significant correlations between concentrations of IL-1β, IL-6 or PGE2 and age, cataract densities, suction time or laser time (all p>0.05).

CONCLUSIONS

Inflammatory cytokines IL-1β, IL-6 and PGE2 significantly increased after femtosecond laser-assisted cataract surgery, which maybe the cause of intraoperative miosis seen in these patients.

摘要

目的

评估接受飞秒激光辅助白内障手术患者房水中白细胞介素(IL)-1β、IL-6和前列腺素E2(PGE2)的浓度。

方法

在27例接受飞秒激光辅助白内障手术患者(飞秒组)的27只眼中,激光治疗后收集100μL房水。在15例接受常规白内障手术患者(对照组)的15只眼中,也收集100μL房水。使用IL-1β、IL-6和前列腺素E2(人白细胞介素1β、白细胞介素6和前列腺素E2酶联免疫吸附测定试剂盒,Bio-Swamp生命科学公司)测定房水中IL-1β、IL-6和PGE2的浓度。所有患者在手术前均接受非甾体类抗炎药治疗。

结果

对于IL-1β、IL-6和PGE2,飞秒组房水中的平均浓度值分别为25.6、24.6和64.2 pg/mL,对照组分别为17.1、15.2和45.7 pg/mL(表2)。飞秒组IL-1β、IL-6和PGE2的浓度显著高于对照组(均p<0.01)。IL-1β、IL-6或PGE2的浓度与年龄、白内障密度、抽吸时间或激光时间之间均无显著相关性(均p>0.05)。

结论

飞秒激光辅助白内障手术后,炎性细胞因子IL-1β、IL-6和PGE2显著增加,这可能是这些患者术中瞳孔缩小的原因。

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