Johnson G J, Overall M
Br J Ophthalmol. 1978 Jan;62(1):53-61. doi: 10.1136/bjo.62.1.53.
Nine specimens of the corneas of patients from Labrador and Northern Newfoundland affected by spheroidal degeneration (climatic droplet keratopathy) have been examined microscopically. Histochemical stains confirmed studies of similar corneal degenerations from other geographical areas that the droplets contain a protein which does not have all the characteristic properties of elastic tissue. Staining compatible in some instances with fibrin and "fibrinoid" was found. By immunoperoxidase techniques the droplets were located in the zones of greatest concentration of various plasma constituents, especially albumin and immunoglobulins G and A. Reasons are given why the abnormal deposits are not thought to be derived directly from corneal collagen. It is suggested that some of the plasma proteins, which are known to be diffusing through the cornea from the limbal vessels under normal conditions are acted upon by the ultraviolet light reflected from the ice of Labrador and degraded so that they accumulate in the superficial stroma.
对来自拉布拉多和纽芬兰北部受球状变性(气候性滴状角膜病变)影响的患者的9个角膜标本进行了显微镜检查。组织化学染色证实了对其他地理区域类似角膜变性的研究,即这些液滴含有一种不具备弹性组织所有特征特性的蛋白质。发现了在某些情况下与纤维蛋白和“类纤维蛋白”相符的染色。通过免疫过氧化物酶技术,液滴位于各种血浆成分浓度最高的区域,尤其是白蛋白以及免疫球蛋白G和A。文中给出了为何认为异常沉积物并非直接源自角膜胶原蛋白的原因。有人提出,在正常情况下已知会从角膜缘血管扩散穿过角膜的一些血浆蛋白,受到拉布拉多冰层反射的紫外线作用而降解,从而在浅层基质中积聚。