Rao N A, Tso M O, Zimmerman E L
Invest Ophthalmol Vis Sci. 1977 Apr;16(4):338-42.
An experimental model for acute allergic optic neuritis was produced in adult strain 13 guinea pigs by sensitization with isogenic spinal cord emulsion in complete Freund's adjuvant. These animals exhibited two distinct clinical patterns: (1) "retrobulbar optic neuritis," with a diminished pupillary response to light despite a normal fundus, and (2) "neuroretinitis," with a diminished pupillary response associated with hyperemia and swelling to the disc and juxtapapillary retinal edema. Histopathologic study of those animals with "retrobulbar neuritis" revealed that some had no abnormalities in the optic nerve or chiasm, but showed foci of mononuclear cell infiltration in the brain. Others had a mononuclear cell infiltration localized to the retrobulbar portion of the optic nerve and chiasm with multiple foci of axial and periaxial demyelination. Similar pathologic changes were present in the animals with "neuroretintis", but the lesions were located just behind the lamina scleralis. These animals also exhibited marked swelling of the axons at the lamina retinalis. On examination by light microscopy, the alterations in the region of optic nerve head appeared characteristic of papilledema.
通过用同基因脊髓乳剂在完全弗氏佐剂中致敏,在成年13品系豚鼠中建立了急性过敏性视神经炎的实验模型。这些动物表现出两种不同的临床模式:(1)“球后视神经炎”,尽管眼底正常,但对光的瞳孔反应减弱;(2)“神经视网膜炎”,瞳孔反应减弱,伴有视盘充血、肿胀以及视盘周围视网膜水肿。对患有“球后视神经炎”的动物进行组织病理学研究发现,一些动物的视神经或视交叉没有异常,但脑部出现单核细胞浸润灶。另一些动物的单核细胞浸润局限于视神经和视交叉的球后部分,伴有多个轴索和轴周脱髓鞘灶。患有“神经视网膜炎”的动物也有类似的病理变化,但病变位于巩膜板后方。这些动物的视网膜板处轴突也明显肿胀。通过光学显微镜检查,视神经乳头区域的改变表现为视乳头水肿的特征。