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[核性白内障晶状体和眼部黑色素瘤的天然荧光]

[Natural fluorescence of nuclear cataract lenses and melanomas of the eye].

作者信息

Lohmann W, Strobel J, Jacobi K W, Schmehl W, Bernhardt P, Wickert H

出版信息

Fortschr Ophthalmol. 1989;86(1):23-5.

PMID:2722095
Abstract

For various reasons, it is desirable to have an objective cataract classification system that does not depend on either the opinion of the physician or the patient. Since both highly molecular protein aggregates and chromophores are formed in cataractous lenses, which fluoresce under suitable stimulation, we have developed a fluorescence apparatus that illuminates the lens with five monochromatic wavelengths between 350 and 500 nm in situ. The fluorescence spectrum is recorded up to 100 ms with an optical multi-channel analyzer. This fluorescence method is non-invasive and does not harm the eye; it also uses the native fluorophore. The set of fluorescence spectra obtained by this method describes the condition of the cataractous lens both quantitatively and qualitatively. Because of the sensitivity of the method, it can also be used to assess the disease objectively in the early stages and to test and determine the effectiveness of anti-cataract drugs. Another use was discovered by using the fluorescence measurements for the diagnosis of malignant melanomas. With this equipment, melanomas in the eye and the surrounding area can be diagnosed both rapidly and precisely.

摘要

出于各种原因,需要有一个不依赖于医生或患者意见的客观白内障分类系统。由于在白内障晶状体中会形成高分子蛋白质聚集体和发色团,它们在适当刺激下会发出荧光,我们开发了一种荧光装置,可在原位用350至500纳米之间的五个单色波长照射晶状体。用光学多通道分析仪记录长达100毫秒的荧光光谱。这种荧光方法是非侵入性的,不会伤害眼睛;它还使用天然荧光团。通过这种方法获得的荧光光谱集从定量和定性两方面描述了白内障晶状体的状况。由于该方法的灵敏度,它还可用于在早期阶段客观评估疾病,并测试和确定抗白内障药物的有效性。通过使用荧光测量来诊断恶性黑色素瘤还发现了另一种用途。利用该设备,可以快速、精确地诊断眼睛及周围区域的黑色素瘤。

相似文献

1
[Natural fluorescence of nuclear cataract lenses and melanomas of the eye].[核性白内障晶状体和眼部黑色素瘤的天然荧光]
Fortschr Ophthalmol. 1989;86(1):23-5.
2
[In vivo autofluorescence. Measurements of human crystalline lenses with cataract and normal findings after excitation with monochromatic light].[体内自发荧光。用单色光激发后对患有白内障和检查结果正常的人晶状体进行的测量]
Ophthalmologe. 1992 Aug;89(4):278-82.
3
Correlation of nuclear cataract lens density using Scheimpflug images with Lens Opacities Classification System III and visual function.使用Scheimpflug图像测量的核性白内障晶状体密度与晶状体混浊分类系统III及视觉功能的相关性。
Ophthalmology. 2009 Aug;116(8):1436-43. doi: 10.1016/j.ophtha.2009.03.002. Epub 2009 Jun 4.
4
Relationship between lens protein glycation and membrane structure in human cataract.人白内障中晶状体蛋白糖基化与膜结构的关系
Exp Eye Res. 1993 Mar;56(3):335-40. doi: 10.1006/exer.1993.1043.
5
[Significance of fluorescence spectra for the evaluation of lens opacities].
Klin Monbl Augenheilkd. 1986 Aug;189(2):141-3. doi: 10.1055/s-2008-1050771.
6
[Role of biomicroscopy in determining the indications for a measured dissection of the anterior capsule and its use in fixing an intraocular lens].[生物显微镜在确定前囊膜精准撕开的适应证及其在人工晶状体固定中的应用中的作用]
Vestn Oftalmol. 1986 Jan-Feb;102(1):18-21.
7
Progressive saturation relaxation spectroscopy. Investigations on lens nucleus and cortex at low temperature.渐进饱和弛豫光谱学。低温下晶状体核与皮质的研究。
Lens Eye Toxic Res. 1991;8(2-3):163-76.
8
Some fluorescence properties of cataractous eye lenses.白内障晶状体的一些荧光特性。
Lens Eye Toxic Res. 1991;8(2-3):195-215.
9
Influence of severity of nuclear cataract on optical biometry.核性白内障严重程度对光学生物测量的影响。
J Cataract Refract Surg. 2006 Jul;32(7):1161-5. doi: 10.1016/j.jcrs.2006.01.101.
10
Grading nuclear cataract opacity by densitometry and objective optical analysis.通过密度测定法和客观光学分析对核性白内障混浊进行分级。
J Cataract Refract Surg. 2008 Aug;34(8):1345-52. doi: 10.1016/j.jcrs.2008.04.022.

引用本文的文献

1
Different regional changes of fluorescence spectra of clear human lenses and nuclear cataracts.
Graefes Arch Clin Exp Ophthalmol. 1993 Nov;231(11):656-61. doi: 10.1007/BF00921961.