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玻璃体内注射碘酸钠诱导兔眼单眼视网膜变性

Monocular retinal degeneration induced by intravitreal injection of sodium iodate in rabbit eyes.

作者信息

Cho Bum-Joo, Seo Jong-Mo, Yu Hyeong Gon, Chung Hum

机构信息

Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.

Seoul Artificial Eye Center, Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea.

出版信息

Jpn J Ophthalmol. 2016 May;60(3):226-37. doi: 10.1007/s10384-016-0429-1. Epub 2016 Feb 23.

Abstract

PURPOSE

Our purpose was to evaluate the anatomical and functional changes in retinae of rabbit eyes following monocular intravitreal injection of sodium iodate (SI).

METHODS

Twenty albino rabbits were divided into four groups and underwent monocular intravitreal injection with four different doses of SI (0.1, 0.2, 0.4, and 0.8 mg). Before and for 28 days after injection, the eyes were examined using fundus photography, optical coherence tomography (OCT), and electroretinography (ERG). At postinjection days 2, 7, and 28, the eyes were enucleated and underwent histological examination.

RESULTS

On fundus examination, no distinct retinal changes were seen in any group except the 0.8-mg group, which showed chorioretinal vascular attenuation. In 0.1 and 0.2-mg groups, no significant anatomical changes were found except transient hyperreflective dots over the vitreoretinal interface on OCT. In 0.4 and 0.8-mg groups, disruption of the ellipsoid zone and diffuse retinal swelling were observed in the early period on OCT. In the 0.4-mg group, the outer retina was significantly destroyed at day 28, whereas the inner retina was relatively preserved. In the 0.8-mg group, the entire retina was destroyed irreversibly. The b-wave of ERG was reduced immediately in all groups, which recovered fully (0.1- and 0.2-mg groups), partially (0.4-mg group), or never (0.8-mg group). No structural or functional abnormalities were found in the fellow control eyes.

CONCLUSIONS

Retinal degeneration following intravitreal injection of SI appears to be dose dependent; retinal damage is reversible at low doses but irreversible at high doses. At a certain dose, the outer retina may be preferably ablated.

摘要

目的

我们的目的是评估单眼玻璃体内注射碘酸钠(SI)后兔眼视网膜的解剖学和功能变化。

方法

将20只白化兔分为四组,单眼玻璃体内注射四种不同剂量的SI(0.1、0.2、0.4和0.8毫克)。在注射前及注射后28天,使用眼底摄影、光学相干断层扫描(OCT)和视网膜电图(ERG)对眼睛进行检查。在注射后第2、7和28天,摘除眼球并进行组织学检查。

结果

眼底检查发现,除0.8毫克组出现脉络膜视网膜血管变细外,其他组均未发现明显的视网膜变化。在0.1和0.2毫克组中,除OCT显示玻璃体视网膜界面上有短暂的高反射点外,未发现明显的解剖学变化。在0.4和0.8毫克组中,OCT早期观察到椭圆体带破坏和视网膜弥漫性肿胀。在0.4毫克组中,第28天外层视网膜明显受损,而内层视网膜相对保留。在0.8毫克组中,整个视网膜被不可逆地破坏。所有组的ERG的b波立即降低,其中0.1和0.2毫克组完全恢复,0.4毫克组部分恢复,0.8毫克组未恢复。对侧对照眼未发现结构或功能异常。

结论

玻璃体内注射SI后的视网膜变性似乎与剂量有关;低剂量时视网膜损伤是可逆的,但高剂量时是不可逆的。在一定剂量下,外层视网膜可能更易被破坏。

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