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[视网膜色素上皮连续照射及选择性微凝固后视网膜病变的组织学研究]

[Histology of retinal lesions after continuous irradiation and selective micro-coagulation of the retinal pigment epithelium].

作者信息

Roider J, Michaud N, Flotte T, Birngruber R

机构信息

Wellman Laboratories of Photomedicine, Harvard Medical School, Boston.

出版信息

Ophthalmologe. 1993 Jun;90(3):274-8.

PMID:8334331
Abstract

Mild continuous wave (CW) irradiation (100 ms, 20 mW, 514 nm) and irradiation with 100 repetitive 5 microseconds laser pulses (3 or 6 microJ, 514 nm) at a repetition rate of 500 Hz was performed to the regio macularis of chinchilla rabbits. The angiographically visible lesions were histologically followed up to 4 weeks. With both irradiation modalities the original retinal pigment epithelium (RPE) was replaced by a monolayer of new RPE cells. Only minimal immediate and no subsequent damage to the photoreceptors was found after selective RPE photocoagulation. Only minimal inflammatory response was found after selective RPE photocoagulation in contrast to CW photocoagulation where macrophages, RPE cells and lymphocytes regularly appear in the damaged photoreceptor layer.

摘要

对绒鼠兔的黄斑区进行了轻度连续波(CW)照射(100毫秒,20毫瓦,514纳米)以及以500赫兹的重复频率用100个重复的5微秒激光脉冲(3或6微焦,514纳米)进行照射。对血管造影可见的病变进行了长达4周的组织学随访。两种照射方式均使原始视网膜色素上皮(RPE)被单层新的RPE细胞所取代。选择性RPE光凝后,仅发现对光感受器有极小的即时损伤且无后续损伤。与CW光凝相比,选择性RPE光凝后仅发现极小的炎症反应,在CW光凝中,巨噬细胞、RPE细胞和淋巴细胞经常出现在受损的光感受器层。

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