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激光光凝对视网膜毛细血管的作用。

The effects of laser photocoagulation in the retinal capillaries.

作者信息

Okisaka S, Kuwabara T, Aiello L M

出版信息

Am J Ophthalmol. 1975 Oct;80(4):591-601. doi: 10.1016/0002-9394(75)90389-x.

DOI:10.1016/0002-9394(75)90389-x
PMID:810028
Abstract

Using ruby and argon lasers, we produced multiple lesions on normal rhesus monkey retinas. The clinically used energy levels of both lasers produced identical cellular changes in the retina. Neither laser directly produced obliteration of capillaries. However, after the cellular damage in each burn lesion was repaired, we observed delayed degeneration of capillaries in a small segment at the burned areas. The marked reduction of active retinal cells that reduce vascular activity may beneficially affect laser treatment of diabetic retinopathy. The retinal tissue appears to have excessive photoreceptor cells and the horizontal connection of other cells seems to compensate for visual function after loss of many photoreceptor cells. We demonstrated severe damage in the ganglion cells by argon laser when it was aimed at the thick blood films in the vitreous cavity. Certain precautions must be taken when peripapillary neovascularization is treated by laser beam.

摘要

我们使用红宝石激光和氩激光在正常恒河猴视网膜上制造了多个损伤。两种激光的临床使用能量水平在视网膜上产生了相同的细胞变化。两种激光都没有直接导致毛细血管闭塞。然而,在每个烧灼损伤处的细胞损伤修复后,我们观察到烧灼区域一小段毛细血管的延迟退变。减少血管活性的活跃视网膜细胞的显著减少可能对糖尿病性视网膜病变的激光治疗产生有益影响。视网膜组织似乎有过多的光感受器细胞,并且在许多光感受器细胞丧失后,其他细胞的水平连接似乎可以补偿视觉功能。当氩激光瞄准玻璃体腔中的厚血膜时,我们证明了神经节细胞受到严重损伤。在用激光束治疗视盘周围新生血管时必须采取某些预防措施。

相似文献

1
The effects of laser photocoagulation in the retinal capillaries.激光光凝对视网膜毛细血管的作用。
Am J Ophthalmol. 1975 Oct;80(4):591-601. doi: 10.1016/0002-9394(75)90389-x.
2
Histopathology of ruby and argon laser lesions in monkey and human retina. A comparative study.猴和人视网膜红宝石激光与氩激光损伤的组织病理学:一项对比研究。
Br J Ophthalmol. 1975 Nov;59(11):610-30. doi: 10.1136/bjo.59.11.610.
3
[Retinal reactions to intense light. I. Threshold lesions. Experimental, morphological and clinical studies of pathological and therapeutic effects of laser and white light].[视网膜对强光的反应。I. 阈值性病变。激光和白光的病理及治疗作用的实验、形态学和临床研究]
Adv Ophthalmol. 1975;31:159-232.
4
Experimental argon laser photocoagulation. III. Relative dangers of immediate vs delayed retreatment.实验性氩激光光凝术。III. 即刻再治疗与延迟再治疗的相对危险性。
Arch Ophthalmol. 1976 Feb;94(2):309-12. doi: 10.1001/archopht.1976.03910030157015.
5
Intraocular argon laser photocoagulation.眼内氩激光光凝术
Eye (Lond). 1987;1 ( Pt 1):97-105. doi: 10.1038/eye.1987.15.
6
Intra-retinal absorption of argon laser irradiation in human and monkey retinae.
Experientia. 1974 Nov 15;30(11):1335-7. doi: 10.1007/BF01945217.
7
A model of subretinal neovascularization in the pigmented rat.
Curr Eye Res. 1989 Mar;8(3):239-47. doi: 10.3109/02713688908997565.
8
Histopathology of retinal lesions produced by long-term laser exposure.长期激光照射所致视网膜病变的组织病理学
Aviat Space Environ Med. 1977 Aug;48(8):708-11.
9
Retinal photocoagulation (xenon arc and lasers).视网膜光凝术(氙弧光和激光)。
Ann Ophthalmol. 1971 Nov;3(11):1201-8.
10
[Dye laser photocoagulation treatment for experimental subretinal neovascularization. 2. Histopathological findings of unsuccess lesions].[染料激光光凝治疗实验性视网膜下新生血管。2. 治疗失败病变的组织病理学发现]
Nippon Ganka Gakkai Zasshi. 1990 Sep;94(9):810-9.

引用本文的文献

1
Retinitis pigmentosa: clinical observations and correlations.视网膜色素变性:临床观察与相关性
Trans Am Ophthalmol Soc. 1983;81:693-735.
2
Retinal microangiopathy in pigmented paravenous chorioretinal atrophy.色素性静脉旁脉络膜视网膜萎缩中的视网膜微血管病变。
Br J Ophthalmol. 1987 Oct;71(10):757-61. doi: 10.1136/bjo.71.10.757.
3
Retinal vascular changes in congenital hypertrophy of the retinal pigment epithelium.视网膜色素上皮先天性肥大中的视网膜血管变化
Br J Ophthalmol. 1976 Jul;60(7):499-503. doi: 10.1136/bjo.60.7.499.