Pitts D G, Bergmanson J P, Chu L W
Acta Ophthalmol Suppl. 1983;159:1-54.
Two F40CW fluorescent lamps mounted in an EYS-2404 fixture and 300 nm, 5 nm waveband UV radiation were used to expose pigmented rabbit eyes. The results of the exposures to the eye were evaluated with the biomicroscope, ophthalmoscope, light microscope and electron microscope. The following conclusions were reached: The adverse ocular responses to fluorescent radiation exposure were due to long-duration, broadband radiation. These reactions were more generalized for fluorescent exposures when the cornea and lens are compared to UV exposures. The differences between the levels of threshold exposure needed to cause damage for the fluorescent source and UV radiation were attributed to exposure duration and the rate of delivery of the radiation. Corneal and lenticular damage was mild when compared with UV 300 nm exposures, and the threshold occurred after 8 h to 12 h of exposure. The effect of the radiation was to interfere with the normal functions of the cell while changes to the inert materials in the tissues was secondary to injury to the cell. The damage was mild in the corneal epithelium, somewhat more severe in the corneal endothelium, but minimal in the corneal stroma. Early retinal changes were found after 8 h of exposure to the fluorescent source. These induced changes were evident in the neural retina as spaces and were assumed to represent oedema. The retinal oedema was initially found only in the receptor cell, outer nuclear and nerve fibre layers. Many vacuoles or spaces were located in the junctional area between the ganglion cell and nerve fibre layers while smaller spacing occurred also within the nerve fibre layer. Twelve h of exposure to the fluorescent source produced a further increase in the oedema in the retina. The outer segments of the receptor cells appear to disintegrate and significant open spaces are evident among the inner and outer segments of the receptors. The inner plexiform layer shows an increased number of spaces within and among the neural elements, and the mitochondria appeared to be undergoing changes. The 20-h and longer exposure induced severe changes affecting all layers of the retina. These changes include massive retinal oedema with degenerative signs in all retinal neurons. A sympathetic reaction of the unexposed, contralateral eye occurred as the result of the damage to the exposed eye. Minimal sympathetic responses to the cornea and the lens began at exposure durations at or above 12 h, while the retina showed the sympathetic reaction beginning at 8 h.(ABSTRACT TRUNCATED AT 400 WORDS)
将两个安装在EYS - 2404灯具中的F40CW荧光灯以及300纳米、5纳米波段的紫外线辐射用于照射有色家兔眼睛。通过生物显微镜、检眼镜、光学显微镜和电子显微镜对眼睛的照射结果进行评估。得出以下结论:对荧光辐射照射的眼部不良反应是由于长时间、宽带辐射所致。与紫外线照射相比,当比较角膜和晶状体时,这些反应在荧光照射时更为普遍。荧光源和紫外线辐射造成损伤所需的阈值照射水平之间的差异归因于照射持续时间和辐射传递速率。与300纳米紫外线照射相比,角膜和晶状体损伤较轻,阈值出现在照射8小时至12小时之后。辐射的作用是干扰细胞的正常功能,而组织中惰性物质的变化是细胞损伤的继发结果。角膜上皮损伤较轻,角膜内皮损伤稍重,但角膜基质损伤最小。在照射荧光源8小时后发现视网膜早期变化。这些诱导变化在神经视网膜中表现为间隙,被认为代表水肿。视网膜水肿最初仅在感光细胞、外核层和神经纤维层中发现。许多空泡或间隙位于神经节细胞和神经纤维层之间的连接区域,而神经纤维层内也出现较小的间隙。照射荧光源12小时后,视网膜水肿进一步加重。感光细胞的外段似乎解体,感光细胞内、外段之间出现明显的大间隙。内网状层在神经元内部和之间的间隙数量增加,线粒体似乎也在发生变化。照射20小时及更长时间会引起严重变化,影响视网膜各层。这些变化包括大量视网膜水肿以及所有视网膜神经元的退行性体征。由于暴露眼受到损伤,未暴露的对侧眼出现了交感反应。对角膜和晶状体的最小交感反应在照射持续时间达到或超过12小时时开始,而视网膜的交感反应在8小时时开始。(摘要截断于400字)