Krassimir K, Stefan B
Department of Ophthalmology, Medical Faculty, Sofia, Bulgaria.
Doc Ophthalmol. 1996;93(3):211-21. doi: 10.1007/BF02569061.
This article discusses the possibility of application of 15% medical gelatin solution compared to 10% medical gelatin solution in the anterior chamber and in the posterior eye segment as a viscosubstance in the viscosurgery. The experimental investigations were performed on 24 Chinchilla rabbits, divided in two groups consisting of 12 each. 0.5 ml of 10% and 15% of medical gelatin were injected in the anterior chamber and 2 ml of 10% and 15% medical gelatin were injected in the vitreous body of the tested eyes. 2% methyl cellulose and 0.89% Sodium Chloride were injected in the vitreous body of the control eyes. Clinical, biomicroscopical, ophthalmoscopical, tonometrical, histological and electron-microscopical examinations were performed. It was established that when the eyes were injected with 10% and 15% medical gelatin, as well as with 0.89% Sodium Chloride, the intraocular pressure was not increased but when the eyes were injected with methyl cellulose the intraocular pressure was increased. We also found that 15% of medical gelatin has longer effect than 10% medical gelatin. Toxoallergic and inflammatory changes were not observed in the eyes injected with 10% and 15% medical gelatin. In the same eyes, histologically and by electron microscopy, were not found any changes in the layers of the cornea and retina. These substances could be used as viscosubstances and as instruments in surgical interventions of the anterior eye segment and in the posterior eye segment (vitrectomy).
本文探讨了在眼前房和眼后节将15%医用明胶溶液与10%医用明胶溶液作为粘性手术中的粘性物质使用的可能性。实验研究在24只龙猫兔身上进行,分为两组,每组12只。在受试眼的前房注射0.5毫升10%和15%的医用明胶,在玻璃体中注射2毫升10%和15%的医用明胶。在对照眼的玻璃体中注射2%甲基纤维素和0.89%氯化钠。进行了临床、生物显微镜、检眼镜、眼压测量、组织学和电子显微镜检查。结果表明,当给眼睛注射10%和15%的医用明胶以及0.89%氯化钠时,眼压没有升高,但当给眼睛注射甲基纤维素时,眼压升高。我们还发现15%的医用明胶比10%的医用明胶效果持续时间更长。在注射10%和15%医用明胶的眼睛中未观察到毒过敏和炎症变化。在同一眼睛中,通过组织学和电子显微镜检查,角膜和视网膜各层未发现任何变化。这些物质可作为粘性物质以及眼前节和眼后节(玻璃体切除术)手术干预中的器械使用。