Tonaki M, Hiraoka T
Department of Ophthalmology, Dokkyo University School of Medicine, Tochigi, Japan.
Nippon Ganka Gakkai Zasshi. 1996 Mar;100(3):192-200.
We studied changes of epithelial cells in injured lens, after extracapsular cataract extraction (ECCE) in culture solution and in vivo changes in epithelial cells after phacoemulsification and aspiration (PEA) using light and electron microscopy. The epithelial cells at the injured site of the lens were transformed into spindle cells indicating healing and contraction of the lesion. In the culture solution, epithelial cells which had been seen only on the side of the anterior capsule extended and proliferated over the equatorial zone to the posterior capsule covering the whole posterior capsule 6 weeks after an ECCE. Spindle cells were seen in the region with folds in the posterior capsule. In vivo, formation of Soemmering's ring was observed in the equatorial zone after PEA suggesting regeneration of the lens in the electron microscopic aspect. At the edge of the anterior capsule, appearance of spindle cells formation of folds in the anterior and posterior capsules at this site as well as formation of membrane similar to the lens capsule could be seen, and this phenomenon resembled the healing process of the injured lens. Observation of the spindle cells at the cut edge of the anterior capsule showed cells which were extending psudopodia into collagen and they appeared to be engaged in ameboid movement. We considered that this ameboid movement would trigger off contraction of the wound and formation of folds at the cut edge of the anterior capsule.
我们使用光学显微镜和电子显微镜研究了在培养液中进行囊外白内障摘除术(ECCE)后损伤晶状体上皮细胞的变化,以及超声乳化吸除术(PEA)后上皮细胞的体内变化。晶状体损伤部位的上皮细胞转化为梭形细胞,表明病变正在愈合和收缩。在培养液中,仅在前囊一侧可见的上皮细胞在ECCE术后6周延伸并增殖,穿过赤道区覆盖整个后囊。在后囊有褶皱的区域可见梭形细胞。在体内,PEA术后在赤道区观察到索默林环的形成,从电子显微镜角度提示晶状体再生。在前囊边缘,可以看到梭形细胞的出现、该部位前后囊褶皱的形成以及类似于晶状体囊膜的膜的形成,这种现象类似于损伤晶状体的愈合过程。在前囊切口边缘观察到的梭形细胞显示,细胞向胶原中伸出伪足,似乎在进行阿米巴样运动。我们认为这种阿米巴样运动将引发伤口收缩和前囊切口边缘褶皱的形成。