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血视网膜屏障通透性的测量:正常眼睛的重复性研究

Measurement of blood-retinal barrier permeability: a reproducibility study in normal eyes.

作者信息

Chahal P S, Chowienczyk P J, Kohner E M

出版信息

Invest Ophthalmol Vis Sci. 1985 Jul;26(7):977-82.

PMID:4008212
Abstract

Fluorescein penetration into the posterior vitreous depends on plasma-free fluorescein concentration and blood-retinal barrier (BRB) permeability. The reproducibility of two methods of deriving BRB permeability was studied in 19 normal eyes of 14 subjects using vitreous fluorophotometry on two separate occasions. Plasma-free fluorescence was measured at intervals over 1 hr and posterior vitreous fluorescence was measured before (background scan), within 6 min (bolus) and at 60 min (measurement) after intravenous fluorescein (14 mg X kg-1). A computer algorithm subtracted background fluorescence from the measurement scan which was then corrected for signal spread by using a "spread" function derived from the bolus scan. BRB permeability coefficient and vitreous diffusion coefficients were derived by fitting a mathematical model to the plasma and corrected vitreous fluorescence data. A permeability index was also calculated by dividing the area under the vitreous fluorescence by the area under the plasma fluorescence curve. There were no significant differences in the results between right and left eyes. Mean +/- SD values on first and second occasions for all eyes were permeability coefficient: (1.91 +/- 0.94) and (2.08 +/- 0.95) X 10(-7) cm X s-1; diffusion coefficient: (1.33 +/- 0.68) and (1.19 +/- 0.54) X 10(-5) cm2 X s-1; and permeability index: (2.05 +/- 1.03) and (2.11 +/- 1.02) X 10(-7) cm X s-1.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

荧光素渗入玻璃体后段取决于无血浆荧光素浓度和血视网膜屏障(BRB)的通透性。在14名受试者的19只正常眼中,分两次使用玻璃体荧光光度法研究了两种推导BRB通透性方法的可重复性。在1小时内间隔测量无血浆荧光,在静脉注射荧光素(14mg·kg-1)前(背景扫描)、6分钟内(团注)和60分钟时(测量)测量玻璃体后段荧光。一种计算机算法从测量扫描中减去背景荧光,然后使用从团注扫描得出的“扩散”函数对信号扩散进行校正。通过将数学模型拟合到血浆和校正后的玻璃体荧光数据来推导BRB通透性系数和玻璃体扩散系数。还通过将玻璃体荧光曲线下的面积除以血浆荧光曲线下的面积来计算通透性指数。左右眼结果无显著差异。所有眼睛第一次和第二次测量的平均±标准差数值分别为:通透性系数:(1.91±0.94)和(2.08±0.95)×10-7cm·s-1;扩散系数:(1.33±0.68)和(1.19±0.54)×10-5cm2·s-1;通透性指数:(2.05±1.03)和(2.11±1.02)×10-7cm·s-1。(摘要截短于250字)

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引用本文的文献

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Permeability of the blood-retinal barrier in healthy humans. European Concerted Action on Ocular Fluorometry.健康人类血视网膜屏障的通透性。欧洲眼荧光测定法协同行动。
Graefes Arch Clin Exp Ophthalmol. 1997 Oct;235(10):639-46. doi: 10.1007/BF00946940.
2
Vitreous laser absorption following fluorescein angiography in diabetic patients.糖尿病患者荧光素血管造影后的玻璃体激光吸收情况
Graefes Arch Clin Exp Ophthalmol. 1996 Aug;234(8):488-92. doi: 10.1007/BF00184856.
3
Aqueous flare and cells in eyes with retinal vein occlusion--correlation with retinal fluorescein angiographic findings.
视网膜静脉阻塞患者眼中的房水闪光和细胞——与视网膜荧光血管造影结果的相关性
Br J Ophthalmol. 1993 May;77(5):280-3. doi: 10.1136/bjo.77.5.280.
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Presence and further development of retinal dysfunction after 3-year follow up in IDDM patients without angiographically documented vasculopathy.在无血管造影记录的血管病变的胰岛素依赖型糖尿病(IDDM)患者中,经过3年随访后视网膜功能障碍的存在及进一步发展情况。
Diabetologia. 1994 Sep;37(9):911-6. doi: 10.1007/BF00400947.
5
Plasma fluorescein decay determination during fluorophotometry.荧光光度法中血浆荧光素衰减的测定
Doc Ophthalmol. 1987 Apr;65(4):403-22. doi: 10.1007/BF00143044.
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Fluorescein and fluorescein glucuronide in the vitreous body of diabetic patients.糖尿病患者玻璃体中的荧光素和荧光素葡糖醛酸
Graefes Arch Clin Exp Ophthalmol. 1987;225(3):173-6. doi: 10.1007/BF02175445.
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Vitreous fluorophotometry: a review.玻璃体荧光光度测定法:综述
J R Soc Med. 1988 Jul;81(7):403-6. doi: 10.1177/014107688808100714.
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Does vitreous fluorophotometry reflect severity of early diabetic retinopathy?玻璃体荧光光度测定法能否反映早期糖尿病视网膜病变的严重程度?
Br J Ophthalmol. 1989 Apr;73(4):255-60. doi: 10.1136/bjo.73.4.255.