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C3F8诱导玻璃体液化的实验

Experiment of vitreous liquefaction induced by C3F8.

作者信息

Wang Jing, Li Qiuming

机构信息

Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

出版信息

Pak J Pharm Sci. 2017 Jan;30(1 Suppl):281-287.

Abstract

To investigate the effect and safety of vitreous liquefaction induced by C3F8 (an inert gas) injected into vitreous cavit of rabbit eyes. 24 rabbits (48 eyes) were randomly divided into four groups, named group A, group B, group C and group D, with 6 rabbits in each group. The right eye in each rabbit was taken as the experimental eye while the left as the control eye. The experimental eyes in group A were injected with 0.1mL disinfectant air; the experimental eyes in group B, group C and group D were all injected with C3F8 0.1mL, 0.2mL and 0.3mL respectively after receiving anterior chamber penetration; and the controlled eyes in all group were injected with 0.1mL balanced salt solution (BSS). During the first 7 d after injection, all the rabitts' eyes were examined by slit lamp, ophthalmoscope, intraocular pressure (IOP) and dark-adapted retina Electroretinography (ERG) each day. After that, the examination of IOG and ERP were reviewed weekly. Besides, B ultrasound should be examined to observe the situation of posterior vitreous detachment (PVD) in the 4th and 8th weeks. The rabbits were killed in the end of the 8th week, with their specimens examined by the light microscope, scanning electron microscopy (SEM) and transmission electron microscopy (TEM). Except group A, all the experimental eyes were produced with vitreous liquefaction. In group C and group D, in addition to the produced vitreous liquefaction, posterior vitreous detachment (PVD), even complete PVD, were induced in different extent. But in group B, the vitreous body was returned to the gel state at 2 weeks after gas absorption. In group C and group D, the vitreous body was not found to recover its original state at 8 weeks. In group D, there was a little increase of intraocular pressure, a mild delay of wave a and wave b after ERG in the 4th day after the gas injection. While there was no such situation in other groups. After the examination of B ultrasound in the 8th week, the complete PVD occurred in group C (with 2 experimental eyes occurred) and group D (with 4 experimental eyes occurred). Light microscope and transmission electron microscope examination showed no obvious abnormality. Smooth inner limiting membrane could be seen in the eye with PVD occurred when scanning electron microscope used. The injection of C3F8 into rabbit eyes can improve the vitreous liquefaction of the vitreous body and a certain volume of CF can successfully and safely induce the PVD, and a larger volume of CF was also effective but with a transient high IOP in rabbit eyes.

摘要

探讨向兔眼玻璃体腔注射C3F8(一种惰性气体)诱导玻璃体液化的效果及安全性。将24只兔(48只眼)随机分为A、B、C、D四组,每组6只兔。每只兔的右眼作为实验眼,左眼作为对照眼。A组实验眼注射0.1mL消毒空气;B、C、D组实验眼在前房穿刺后分别注射0.1mL、0.2mL和0.3mL的C3F8;所有组的对照眼均注射0.1mL平衡盐溶液(BSS)。注射后的前7天,每天用裂隙灯、检眼镜、眼压计(IOP)和暗适应视网膜电图(ERG)检查所有兔眼。之后,每周复查眼压和视网膜电图。此外,在第4周和第8周应进行B超检查以观察玻璃体后脱离(PVD)情况。在第8周结束时处死兔,取其标本进行光镜、扫描电子显微镜(SEM)和透射电子显微镜(TEM)检查。除A组外,所有实验眼均出现玻璃体液化。在C组和D组,除出现玻璃体液化外,不同程度地诱导了玻璃体后脱离(PVD),甚至完全性PVD。但在B组,气体吸收后2周玻璃体恢复为凝胶状态。在C组和D组,8周时玻璃体未恢复至原始状态。在D组,气体注射后第4天眼压略有升高,ERG的a波和b波轻度延迟。而其他组未出现这种情况。第8周B超检查后,C组(2只实验眼出现)和D组(4只实验眼出现)出现完全性PVD。光镜和透射电镜检查未见明显异常。扫描电子显微镜观察发现,出现PVD的眼中内界膜光滑。向兔眼注射C3F8可改善玻璃体的玻璃体液化,一定量的C3F8能成功、安全地诱导PVD,较大剂量的C3F8也有效,但兔眼会出现短暂性高眼压。

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