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坏死性巩膜炎病变周边的变化:前段荧光素血管造影与电子显微镜检查的相关性

Changes at the periphery of a lesion in necrotising scleritis: anterior segment fluorescein angiography correlated with electron microscopy.

作者信息

Watson P G, Young R D

出版信息

Br J Ophthalmol. 1985 Sep;69(9):656-63. doi: 10.1136/bjo.69.9.656.

DOI:10.1136/bjo.69.9.656
PMID:4041412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1040706/
Abstract

Anterior segment fluorescein angiography in scleral disease reveals highly characteristic changes in the vasculature of the anterior segment associated with necrotising scleritis. The vaso-obliterative changes discovered in this investigation have been correlated with the histopathology in a patient who had to have tissue replaced. Light and electron microscopy of scleral tissue excised from sites of vascular closure detected by fluorescein angiography peripheral to the scleral defect revealed pathological changes in the absence of inflammatory cell infiltration. These changes included vascular stasis, partial vaso-obliteration, and fibroblastic transformation of scleral fibrocytes in association with intra- and extracellular degradation of the collagenous component of the matrix.

摘要

巩膜疾病的眼前节荧光血管造影显示,与坏死性巩膜炎相关的眼前节血管系统有高度特征性变化。本研究中发现的血管闭塞性变化与一名必须进行组织置换患者的组织病理学相关。对荧光血管造影检测到的巩膜缺损周边血管闭合部位切除的巩膜组织进行光镜和电镜检查,结果显示在无炎性细胞浸润的情况下出现了病理变化。这些变化包括血管淤滞、部分血管闭塞,以及巩膜纤维细胞的成纤维细胞转化,同时伴有基质胶原成分的细胞内和细胞外降解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/274093c2794a/brjopthal00141-0026-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/76f71aa337ad/brjopthal00141-0024-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/97adcc6b4e52/brjopthal00141-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/274093c2794a/brjopthal00141-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/219815800f27/brjopthal00141-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/8ceea38ed29b/brjopthal00141-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/c0add79567ce/brjopthal00141-0022-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/76af6b167677/brjopthal00141-0022-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/1071897d9c67/brjopthal00141-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/f485a83b5f40/brjopthal00141-0023-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/76f71aa337ad/brjopthal00141-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/9f2308f63730/brjopthal00141-0024-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/97adcc6b4e52/brjopthal00141-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d034/1040706/274093c2794a/brjopthal00141-0026-a.jpg

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本文引用的文献

1
Microscopical studies of necrotising scleritis. II. Collagen degradation in the scleral stroma.坏死性巩膜炎的显微镜研究。II. 巩膜基质中的胶原蛋白降解
Br J Ophthalmol. 1984 Nov;68(11):781-9. doi: 10.1136/bjo.68.11.781.
2
Microscopical studies of necrotising scleritis. I. Cellular aspects.坏死性巩膜炎的显微镜研究。I. 细胞层面
Br J Ophthalmol. 1984 Nov;68(11):770-80. doi: 10.1136/bjo.68.11.770.
3
Necrogranulomatous scleritis. Clinical and histologic features.
Am J Ophthalmol. 1967 Dec;64(6):1125-34.
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Ocular manifestations in collagenoses (with colour plates I and II).胶原病的眼部表现(附彩色图版I和II)
Adv Ophthalmol. 1970;23:1-54.
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Cellular mechanisms involved in cyclic stroma renewal of the uterus. III. Cells of the immune response.子宫周期性基质更新所涉及的细胞机制。III. 免疫反应细胞
Anat Rec. 1976 Jan;184(1):49-71. doi: 10.1002/ar.1091840105.
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Intracellular collagen fibers at the pannus-cartilage junction in rheumatoid arthritis.类风湿关节炎中血管翳-软骨交界处的细胞内胶原纤维。
Arthritis Rheum. 1977 Mar;20(2):657-65. doi: 10.1002/art.1780200204.