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[实验性静脉阻塞后早期视网膜病变的形态学]

[Morphology of early retinal lesions after experimental venous occlusion].

作者信息

Kalogeropoulos C, Donati G, Pizzolato G P, Pournaras C J

机构信息

Clinique d'Ophtalmologie H.U.G., Genève.

出版信息

Klin Monbl Augenheilkd. 1996 May;208(5):375-6. doi: 10.1055/s-2008-1035245.

Abstract

PURPOSE

Study of early hystological lesions after experimental branch venous occlusion (BVO) in miniature pigs.

MATERIALS AND METHODS

The retina was taken 1, 2, 4, 6 and 8 hours after BVO with green argon laser for examination with conventional and electronic microscopy.

RESULTS

1 hour after occlusion an extracellular focal oedema is observable in the ganglion cells optic nerve fibers and cells of inner plexiform layer; 2 hours after occlusion there is also an extracellular oedema of the external plexiform layer as intracellular oedema of the inner nuclear layer, 4 hours after occlusion the extracellular oedema is more diffuse especially in the ganglion cells, inner nuclear and optic nerve fibers layers. Cytoplasmic vacuolisation, nuclear pycnosis and ruptured cell membrane layers are observed; 8 hours after occlusion both intra and extracellular oedema are observable throughout the inner retina.

CONCLUSIONS

After BVO histological lesions are found within one hour only following the occlusion, apoptosis and cell necrosis are present as soon as 4 hours after experimental BVO.

摘要

目的

研究小型猪实验性分支静脉阻塞(BVO)后的早期组织学病变。

材料与方法

用绿色氩激光进行BVO后1、2、4、6和8小时取视网膜,用传统显微镜和电子显微镜检查。

结果

阻塞后1小时,在神经节细胞、视神经纤维和内网状层细胞中可见细胞外局灶性水肿;阻塞后2小时,外网状层也出现细胞外水肿,同时内核层出现细胞内水肿;阻塞后4小时,细胞外水肿更弥漫,尤其是在神经节细胞、内核层和视神经纤维层。观察到细胞质空泡化、核固缩和细胞膜层破裂;阻塞后8小时,整个内视网膜均可见细胞内和细胞外水肿。

结论

BVO后仅在阻塞后1小时内发现组织学病变,实验性BVO后4小时即出现凋亡和细胞坏死。

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