Lin Lei-Lei, Dong Yan-Min, Zong Yao, Zheng Qi-Shan, Fu Yue, Yuan Yong-Guang, Huang Xia, Qian Garrett, Gao Qian-Ying
Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, China.
School of Optometry and Vision Science, The University of New South Wales, Sydney 2052, Australia.
Int J Ophthalmol. 2016 Feb 18;9(1):99-107. doi: 10.18240/ijo.2016.01.17. eCollection 2016.
To explore how oxygen saturation in retinal blood vessels is altered in ischemic and non-ischemic branch retinal vein occlusion (BRVO).
Fifty BRVO eyes were divided into ischemic (n=26) and non-ischemic (n=24) groups, based on fundus fluorescein angiography. Healthy individuals (n=52 and n=48, respectively) were also recruited as controls for the two groups. The mean oxygen saturations of the occluded vessels and central vessels were measured by oximetry in the BRVO and control groups.
In the ischemic BRVO group, the occluded arterioles oxygen saturation (SaO2-A, 106.0%±14.3%), instead of the occluded venule oxygen saturation (SaO2-V, 60.8%±9.4%), showed increases when compared with those in the same quadrant vessels (SaO2-A, 86.1%±16.5%) in the contralateral eyes (P<0.05). The oxygen saturations of the central vessels showed similar trends with those of the occluded vessels. In the non-ischemic BRVO group, the occluded and central SaO2-V and SaO2-A showed no significant changes. In both the ischemic and non-ischemic BRVOs, the central SaO2-A was significantly increased when compared to healthy individuals.
Obvious changes in the occluded and central SaO2-A were found in the ischemic BRVO group, indicating that disorders of oxygen metabolism in the arterioles may participate in the pathogenesis of ischemic BRVO.
探讨缺血性和非缺血性视网膜分支静脉阻塞(BRVO)时视网膜血管内氧饱和度如何变化。
根据眼底荧光血管造影,将50只BRVO患眼分为缺血组(n = 26)和非缺血组(n = 24)。还分别招募了52名和48名健康个体作为两组的对照。通过血氧测定法测量BRVO组和对照组中阻塞血管和中央血管的平均氧饱和度。
在缺血性BRVO组中,与对侧眼同一象限血管(SaO2-A,86.1%±16.5%)相比,阻塞的小动脉氧饱和度(SaO2-A,106.0%±14.3%)升高,而非阻塞的小静脉氧饱和度(SaO2-V,60.8%±9.4%)升高(P<0.05)。中央血管的氧饱和度与阻塞血管的氧饱和度呈相似趋势。在非缺血性BRVO组中,阻塞和中央的SaO2-V和SaO2-A无明显变化。在缺血性和非缺血性BRVO中,与健康个体相比,中央SaO2-A均显著升高。
缺血性BRVO组中阻塞和中央的SaO2-A有明显变化,表明小动脉氧代谢紊乱可能参与缺血性BRVO的发病机制。