Liu Yuanyuan, Yang Tiantian, Yu Jinguo, Li Mengxuan, Li Jianan, Yan Hua
Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin Medical University, Tianjin, China.
Front Med (Lausanne). 2021 Sep 23;8:749351. doi: 10.3389/fmed.2021.749351. eCollection 2021.
To establish a rabbit animal model of closed globe blast injury with an application of self-developed explosive injury equipment, we tend to explore the anatomic and pathological changes of eyes under different gas pressure. The device comprises of high-pressure air source compression pump, air channel, and gas shock. There were 36 healthy bluish blue rabbits exposed to one of five blast pressures (500, 1,000, 1,500, 2,000, and 5,000 Kpa). Slit lamp microscope, B-mode ultrasonography, fundus photography, optical coherence tomography (OCT), and intraocular pressure (IOP) examination were performed at 0-, 1-, 3-, and 7-days post exposure, while gross histopathology was assessed with H&E stain at 7 days. The contralateral eyes and non-blast exposed rabbits were used as controls. Definitive evidence of closed globe blast injury was obtained. Corneal edema and hyphema were observed in the models under all pressures with no full-thickness globe injury, or lens rupture, as the severity was pressure independent. There was no obvious retinal abnormality on B ultrasound or OCT scan, while light vitreous hemorrhage, commotio retinae, and heavy retinal pigmentation presented on one eye, respectively, in the eyes exposed to 5,000 Kpa. Increased retinal thickness with disorganizations on the retinal ganglion cell (RGC) layer and RGC apoptosis in groups under higher pressure (>500 Kpa). IOP of injured eyes were statistically decreased at day 1 and 7 post injury ( < 0.05). Conclusively, the rabbit animal model induced by self-developed equipment could mimic the clinical features of closed ocular blast injury successfully that was feasible and easy to operate. This will be a new rabbit animal model for investigating mechanisms and new therapeutic interventions of closed globe blast injury in the future.
为应用自行研制的爆炸伤设备建立兔闭合性眼球爆炸伤动物模型,我们倾向于探索不同气压下眼睛的解剖和病理变化。该装置由高压空气源压缩泵、气道和气体冲击装置组成。36只健康青紫蓝兔暴露于5种爆炸压力(500、1000、1500、2000和5000千帕)之一。在暴露后0、1、3和7天进行裂隙灯显微镜检查、B型超声检查、眼底照相、光学相干断层扫描(OCT)和眼压(IOP)检查,而在7天时用苏木精和伊红染色评估大体组织病理学。对侧眼和未暴露于爆炸的兔用作对照。获得了闭合性眼球爆炸伤的确切证据。在所有压力下的模型中均观察到角膜水肿和前房积血,没有全层眼球损伤或晶状体破裂,因为严重程度与压力无关。在B超或OCT扫描上没有明显的视网膜异常,而在暴露于5000千帕的眼中,分别有一只眼出现轻度玻璃体出血、视网膜震荡和重度视网膜色素沉着。在较高压力(>500千帕)组中,视网膜厚度增加,视网膜神经节细胞(RGC)层排列紊乱,RGC凋亡。受伤眼的眼压在受伤后第1天和第7天统计学下降(<0.05)。总之,自行研制的设备诱导的兔动物模型能够成功模拟闭合性眼爆炸伤的临床特征,可行且易于操作。这将是未来研究闭合性眼球爆炸伤机制和新治疗干预措施的一种新的兔动物模型。