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1.
Wang Kai Jiang Yanrong Li Xiaoxin 《Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie》2006,244(9):1152-1159
Background Intravitreal triamcinolone acetonide (TA) has been widely used as a therapeutic method for many ocular diseases, but a consensus on an appropriate safe therapeutic window of dosage for intravitreal injection, and whether vehicle of TA should be reduced or eliminated, has not yet been reached. The aim of this article is to investigate these issues.Methods Forty New Zealand white rabbits were divided into four experimental groups and one control group. Four or 25 mg TA, with vehicle either reduced or not, was injected into the vitreous cavity of rabbits in experimental groups. Rabbits in the control group received 0.2 ml intravitreal sterile saline solution. Intraocular pressures (IOP) were measured by a Tonopen tonometer. Values of lens density were measured by a Pentacam system. Soluble protein, total antioxidation capacity, reduced glutathione (GSH), glutathion peroxidase (GSH-px), and superoxide dismutase (SOD) in lens were measured by specific kits. ERG and pathological examinations, including light and electron microscopy of the retina, were also performed.Results Elevation of IOP was noted in all experimental groups after intravitreal TA (P<0.01, paired t-test). Significant increase of lens density was noticed at 1 week after intravitreal TA in the 25 mg vehicle-containing group (P<0.0001, paired t-test). Significant loss of GSH-px activity was noticed at the end of the study (P<0.05, paired t-test), while SOD activity increased (P<0.05, paired t-test). Amplitudes of ERG waves declined significantly in vehicle-containing groups (P<0.01, paired t-test) at the end of the study. Pathological examination showed obvious retinal toxicity in vehicle-containing groups.Conclusions Vehicle of TA should be eliminated or reduced before intravitreal injection to avoid potential retinal toxicity and transient increase in lens density.Presented at Chinese Academy of Fundus Disease Meeting, April, 2005.This study was supported by the 985 Fund of Peking University, Beijing.The authors have no financial interest in any instruments or drugs mentioned in this study. 相似文献
2.
晶体玻璃体视网膜联合手术治疗复杂性视网膜脱离 总被引:6,自引:2,他引:4
目的探讨玻璃体视网膜手术(vitreretinalsurgery,VR术)联合晶体切除/超声粉碎的效果。方法对81例(81只眼)应用晶体玻璃体视网膜联合手术(lenticular-vitreoretinalsurgery,LVR术)治疗的复杂性视网膜脱离进行回顾性分析。结果解剖性成功者64只眼(79.01%),功能性成功者45只眼(55.56%);手术成功率显著降低的原因是前部增殖性玻璃体视网膜病变(proliferativevitreo-retinopathy,PVR)(成功率42.86%,P<0.01)和术中/术后眼内出血(成功率58.82%,P<0.025)。结论LVR术是治疗复杂性视网膜脱离的主要方法;显著影响手术预后的因素是前部PVR和术中/术后眼内出血。 相似文献
3.
Allan J. Flach Bernard J. Dolan 《Documenta ophthalmologica. Advances in ophthalmology》1993,83(4):323-329
Amiodarone hydrochloride is a potent antiarrhythmic agent recently approved for use by the Food and Drug Administration. Anterior subcapsular lens opacities were observed in seven of fourteen patients treated with moderate to high doses of amiodarone at the Veterans Administration Medical Center in San Francisco in 1982. The present report summarizes the present status of these same fourteen patients ten years later. Anterior subcapsular lens opacities developed or progressed in all patients continuing treatment with this antiarrhythmic agent during the following ten year interval. Although Snellen visual acuities are not decreased, subtle visual impairment is present as measured by contrast sensitivity measurements with and without glare. This decrease in visual acuity is not a contraindication for therapy with this potentially life saving drug. 相似文献
4.
Jose M. Benitez Del Castillo Ignacio Jimenez-Alfaro Pilar Ortega Alfredo Castillo David Diaz Nicolas Toledano Julian Garcia-Sanchez 《Documenta ophthalmologica. Advances in ophthalmology》1994,86(4):387-393
The possible beneficial effects on the lens and retina which Bendazac Lysine may have in the treatment of adult diabetic patients were investigated. Twenty patients, ranging in age from 54.80 ± 5.86 years old, were studied. The average duration of the diabetes was 11.32 ± 4.10 years. Thirteen patients had background retinopathy. The metabolic controls carried out during the study were satisfactory (HbA1<11%). Bendazac Lysine (500 mg three times a day) was administered for 6 months. Blood-retinal barrier permeability (VPR and VPRt) and lens transmittance (t) were evaluated prior to and 6 months after treatment by fluorophotometry. No statistically significant differences between the pre- and post-treatment values of the retina permeability were observed, however, there was a statistically significant improvement (p<0.05) (initial value: t= 0.813 ± 0.040 and final value: t=0.823 ± 0.037) in the lens transmittance. The authors conclude that Bendazac Lysine has a beneficial effect on the lens in the diabetic adult although no improvement in the permeability of the blood-retinal barrier has been observed. 相似文献
5.
The effect of single and repeated UVB radiation on rabbit cornea 总被引:1,自引:0,他引:1
Miroslav Fris May-Britt Tessem Jitka Čejková Anna Midelfart 《Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie》2006,244(12):1680-1687
Background Cumulative effect of ultraviolet radiation (UVR) is an important aspect of UV corneal damage. The purpose of this study was to apply high resolution magic angle spinning proton nuclear magnetic resonance (HR-MAS 1H NMR) spectroscopy to evaluate the effect of single and repeated UV radiation exposure of the same overall dose on the rabbit cornea.Methods Corneal surfaces of 24 normal rabbit eyes were examined for the effects of UVB exposure (312 nm). In the first group (UVB1), animals were irradiated with a single dose (3.12 J/cm2; 21 min) of UVB radiation. The animals in the second group (UVB2) were irradiated three times for 7 min every other day (dose of 1.04 J/cm2; days 1, 3, 5) to give the same overall dose (3.12 J/cm2). The third group served as an untreated control group. One day after the last irradiation, the animals were sacrificed, and the corneas were removed and frozen. HR-MAS 1H NMR spectra from intact corneas were obtained. Special grouping patterns among the tissue samples and the relative percentage changes in particular metabolite concentrations were evaluated using modern statistical methods (multivariate analysis, one-way ANOVA).Results The metabolic profile of both groups of UVB-irradiated samples was significantly different from the control corneas. Substantial decreases in taurine, hypo-taurine and choline-derivatives concentrations and substantial elevation in glucose and betaine levels were observed following the UVR exposure. There was no significant difference between the effect of a single and repeated UVB irradiation of the same overall dose.Conclusions For the first time, the effects of single and repeated UVR doses on the metabolic profile of the rabbit cornea were analysed and compared. The combination of HR-MAS 1H NMR spectroscopy and modern statistical methods (multivariate analysis, one-way ANOVA) proved suitable to assess the overall view of the metabolic alterations in the rabbit corneal tissue following UVB radiation exposure. 相似文献
6.
碱性成纤维细胞生长因子受体基因在牛眼晶体上皮细胞内的表达 总被引:1,自引:0,他引:1
目的探讨碱性成纤维细胞生长因子(basicfibroblastgrowthfactor,bFGF)对晶体上皮细胞促增殖作用的机理。方法从培养的第二代牛眼晶体上皮细胞提取RNA,经逆转录反应合成cDNA。借助从人体胎盘纤维细胞bFGF受体序列合成的寡核苷酸引物,聚合酶链反应体外扩增cDNA。扩增的cDNA片段克隆后,Sanger双脱氧链终止法测定其序列。结果探测出牛眼晶体上皮细胞bFGF受体的mRNA,测序后发现其氨基酸序列片段中仅3个氨基酸与人体不同。结论晶体上皮细胞存在bFGF受体,当bFGF与其受体结合后,对促进晶体上皮细胞的增殖以及白内障术后后囊混浊具有重要作用。 相似文献
7.
8.
应用激光扫描共聚焦显微镜观察晶体上皮细胞中的游离钙 总被引:2,自引:0,他引:2
目的用钙的荧光指示剂fluo-3和激光扫描共聚焦显微镜(laserscanningconfocalmicroscopy,LSCM)观察大白鼠的晶体上皮细胞(lensepithelialcel,LEC)中的游离钙。方法fluo-3着染细胞后,应用LSCM观察细胞内fluo-3与钙螯合后的荧光分布,最后用钙离子载体A23187和重金属离子Mn++作校正,将fluo-3与钙结合显示的荧光强度转换为[Ca++]i值。结果LEC中的游离钙主要分布在细胞核中。大白鼠晶体上皮细胞中的[Ca++]i为259.79±49.24nmol/L。结论fluo-3与LEC孵育后能着染细胞。用LSCM能直观地观察细胞内钙的分布,并能通过校正得到细胞内游离钙的绝对值。这种成熟的方法,为进一步对LEC中游离Ca++的研究提供技术准备 相似文献
9.
K. S. Kohli D. V. Rai P. Kumar V. K. Jindal Dr. N. Goyal 《Medical & biological engineering & computing》1997,35(4):348-353
The complex electrical impedance of a goat eye lens is studied in the frequency range 10mHz−10Hz at room temperature, using
a computer-controlled AC impedance system. AC impedance software (model 368, version 2.2) is employed to determine the total
impedance and capacitance of the eye lens at various frequencies. A Cole-Cole plot of the eye lens material is drawn between
the real component of impedance Z′ and the imaginary component Z″ for each excitation frequency that shows a perfect arc of
a semicircle, with its centre lying below the abscissa at an angle of 35°. The half-angle ϕ between R0 and R∞ is found to be 55°, which mathematically demonstrates the selective permeability of the eye lens. Using graphical analysis
of the Cole-Cole plot, characteristic frequency fc and distribution factor α are observed to be 1Hz and 0.77, respectively. At characteristic frequency, capacitance and total
impedance are found to be 1.14μF and 9.08kΩ. The effect of electrode polarisation on capacitance is corrected, based on Fricke's
power function. The observed electrical parameters are then used to explain the multiple current path through various tissue
compartments. Further, an attempt is made to explain the results on the basis of a possible dipolar model. 相似文献
10.
T. T. Khater K. J. Quinn J. Pena J. F. Baker B. W. Peterson 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》1993,94(1):16-32
Latencies of normal and adapted feline vestibulo-ocular reflex (VOR) were studied in five cats by applying ± 20°/s horizontal head velocity steps (4000°/s2 acceleration) and measuring the elicited horizontal or vertical reflex eye responses. Normal VOR latency was 13.0 ms ± 1.9 SD. Short-term adaptation was then accomplished by using 2 h of paired horizontal sinusoidal vestibular stimulation and phase-synchronized vertical optokinetic stimulation (cross-axis adaptation). For long-term adaptation, cats wore ×0.25 or ×2.2 magnifying lenses for 4 days. The cats were passively rotated for 2 h/day and allowed to walk freely in the laboratory or their cages for the remainder of the time. The latency of the early (primary) adaptive response was 15.2ms±5.2 SD for crossaxis adaptation and 12.5 ms±3.9 SD for lens adaptation. This short-latency response appeared within 30 min after beginning the adaptation procedure and diminished in magnitude overnight. A late (secondary) adaptive response with latency of 76.8 ms±7.0 SD for cross-axis adaptation and 68.1 ms±8.8 SD for lens adaptation appeared after approximately 2 h of adaptation. It had a more gradual increase in magnitude than the primary response and did not diminish in magnitude overnight. These data suggest that brainstem VOR pathways are a site of learning for adaptive VOR modification, since the primary latency is short and has a similar latency to that of the normal VOR. 相似文献