Namiki M
Department of Ophthalmology, Faculty of Medicine, Kobe University, Hyogo-ken, Japan.
Nippon Ganka Gakkai Zasshi. 1994 Apr;98(4):334-9.
Basic fibroblast growth factor (bFGF) and transforming growth factor alpha (TGF alpha) in rabbit aqueous humor were quantified before and after phacoemulsification (phaco) and intraocular lens (IOL) implantation by enzyme linked immunosorbent assay (ELISA). bFGF was not detected (< 10 pg/ml) before the operation, but increased to 250 +/- 150 pg/ml in a phaco group and 300 +/- 280 pg/ml in a phaco+IOL group on the first postoperative day. The concentration of bFGF in the aqueous humor was the highest in the first postoperative week, with a peak value of 390 +/- 180 pg/ml, and then gradually decreased to 130 +/- 50 pg/ml in the phaco group and 180 +/- 160 pg/ml in the phaco+IOL group in the eighth postoperative week. TGF alpha was not detected (< 10 pg/ml) before the operation or on the first postoperative day in either group. 25 +/- 50 pg/ml and 35 +/- 100 pg/ml of TGF alpha was detected in a phaco group and a phaco+IOL group on the third postoperative day and then TGF alpha in the aqueous humor gradually decreased becoming undetectable in the third postoperative week. The level of bFGF and TGF alpha was higher in a phaco+IOL group than in a phaco group but there was no statistical significance. The results show that bFGF increases in the aqueous humor for several postoperative weeks and suggests that it is one the of factors that promote capsular opacities and shrinkage in the early postoperative period of cataract extraction.
采用酶联免疫吸附测定法(ELISA)对兔眼房水中的碱性成纤维细胞生长因子(bFGF)和转化生长因子α(TGFα)在超声乳化白内障吸除术(phaco)及人工晶状体(IOL)植入术前、术后进行定量检测。术前未检测到bFGF(<10 pg/ml),术后第1天,phaco组bFGF升高至250±150 pg/ml,phaco+IOL组升高至300±280 pg/ml。术后第1周房水中bFGF浓度最高,phaco组峰值为390±180 pg/ml,phaco+IOL组为390±180 pg/ml,术后第8周phaco组逐渐降至130±50 pg/ml,phaco+IOL组降至180±160 pg/ml。两组术前及术后第1天均未检测到TGFα(<10 pg/ml)。术后第3天,phaco组和phaco+IOL组分别检测到25±50 pg/ml和35±100 pg/ml的TGFα,随后房水中TGFα逐渐降低,术后第3周未检测到。phaco+IOL组bFGF和TGFα水平高于phaco组,但差异无统计学意义。结果表明,白内障摘除术后数周房水中bFGF升高,提示其是促进术后早期晶状体后囊膜混浊和皱缩的因素之一。