Hobbs H E, Harman D J, Rees J W, McDougall A C
Br J Ophthalmol. 1978 Aug;62(8):516-24. doi: 10.1136/bjo.62.8.516.
At varying periods of time following the successful establishment of systemic infections with Mycobacterium leprae or M. lepraemurium in the mouse and the nine-banded armadillo eyes were examined by light microscopy. Inoculation of bacilli was by the intravenous or intraperitoneal route or directly into the hind footpads; eyes were not directly inoculated in this study. During periods of up to 3 years under laboratory conditions no animal showed evidence of impaired vision or blindness, and the external appearance of both eyes was normal. The ocular histopathology and the sites of accumulation of bacilli are described. In immunologically normal mice infected with M. lepraemurium bacilli were much commoner in extraorbital tissues, but they were, nevertheless, found in various tissues within the orbit, including the ciliary body and sclera. In immunologically normal mice (and one rat) injected with M. leprae of human origin no bacilli were found in the eye, but in mice immunologically depressed by thymectomy and total body irradiation considerable numbers of bacilli were present in the iris and ciliary body and also in the limbal cornea. In the armadillo bacilli were found in large numbers in virtually all tissues except the lens, retina, optic nerve, and aqueous and vitreous humours, but the uveal tract was heavily involved. Findings are discussed in relation to the great frequency of ocular involvement and the importance of immune-complex disease in patients with lepromatous leprosy, and to factors wihch may favour the localisation and multiplication of Mycobacterium leprae in the eye.
在用麻风分枝杆菌或鼠麻风分枝杆菌成功建立小鼠和九带犰狳的全身感染后的不同时间段,通过光学显微镜检查眼睛。接种杆菌的途径为静脉内、腹腔内或直接注入后足垫;在本研究中未直接对眼睛进行接种。在实验室条件下长达3年的时间里,没有动物表现出视力受损或失明的迹象,且双眼外观正常。描述了眼部组织病理学和杆菌聚集部位。在感染鼠麻风分枝杆菌的免疫正常小鼠中,杆菌在眶外组织中更为常见,但在眼眶内的各种组织中也能发现,包括睫状体和巩膜。在注射人源麻风分枝杆菌的免疫正常小鼠(和一只大鼠)眼中未发现杆菌,但在因胸腺切除和全身照射而免疫抑制的小鼠中,虹膜、睫状体以及角膜缘中存在大量杆菌。在犰狳中,除晶状体、视网膜、视神经、房水和玻璃体外,几乎在所有组织中都发现了大量杆菌,但葡萄膜受累严重。结合瘤型麻风患者眼部受累的高频率以及免疫复合物疾病的重要性,以及可能有利于麻风分枝杆菌在眼部定位和增殖的因素,对研究结果进行了讨论。