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探讨蓝光诱导眼损伤的实验模型的综合综述:洞察参数、局限性和新机遇。

A comprehensive review of experimental models for investigating blue light-induced ocular damage: Insights into parameters, limitations, and new opportunities.

机构信息

Graduate Program of Nutrition Science, School of Life Science, National Taiwan Normal University, Taipei, 11677, Taiwan.

Institute of Eye Research, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, 97403, Taiwan.

出版信息

Exp Eye Res. 2024 Dec;249:110142. doi: 10.1016/j.exer.2024.110142. Epub 2024 Oct 28.

DOI:10.1016/j.exer.2024.110142
PMID:39490726
Abstract

Light-emitting diodes (LEDs) are widely used in modern lighting and electronic devices, including smartphones, computer monitors, tablets, televisions, and vehicle lights. Blue light (BL) hazards to eye health have received increasing attention because white LED bulbs emit higher levels of BL than traditional lighting sources. At wavelengths of 400-500 nm, BL is characterized by its high energy and risks associated with prolonged exposure, which may lead to photochemical damage and morphological alterations in the retina. Recent research has revealed that the harmful effects of BL are intricately linked to light intensity and exposure frequency, with mechanisms involving the overproduction of reactive oxygen species through photooxidative processes. This growing body of knowledge deepens our understanding of photodamage and opens avenues for exploring protective strategies for our eyes. Although current clinical trials assessing the safety of BL exposure remain limited, the development of experimental models that mimic physiological conditions has revealed BL toxicity. This review categorizes and evaluates BL-induced retinopathy in vivo, providing a comprehensive overview of the associated experimental parameters, including photosensitive fluorophores, light wavelength, illuminance, irradiance, exposure duration, animal strains, and their unique lesion patterns. Moreover, this study underscores the need for further research to evaluate photoprotective agents, which may offer valuable insights to the ongoing discussion on preserving ocular health in our increasingly illuminated digital environments.

摘要

发光二极管(LED)广泛应用于现代照明和电子设备中,包括智能手机、电脑显示器、平板电脑、电视和车辆照明。由于白光 LED 灯泡比传统照明光源发出更高水平的蓝光(BL),因此人们对其对眼睛健康的危害越来越关注。在 400-500nm 的波长范围内,BL 的特点是能量高,与长时间暴露相关的风险较高,可能导致光化学损伤和视网膜形态改变。最近的研究表明,BL 的有害影响与光强度和暴露频率密切相关,其机制涉及通过光氧化过程产生过量的活性氧物种。这方面的知识不断增加,加深了我们对光损伤的理解,并为探索保护眼睛的策略开辟了途径。尽管目前评估 BL 暴露安全性的临床试验仍然有限,但模拟生理条件的实验模型的发展揭示了 BL 的毒性。本综述对体内 BL 诱导的视网膜病变进行了分类和评估,提供了与相关实验参数的全面概述,包括光敏荧光染料、光波长、照度、辐照度、暴露持续时间、动物品系及其独特的病变模式。此外,本研究强调需要进一步研究评估光保护剂,这可能为在我们日益照明的数字环境中保护眼睛健康的持续讨论提供有价值的见解。

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