[Immunohistochemical findings of epiretinal membranes after silicone oil injection].

U Nicolai, C Eckardt
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Abstract

During vitreoretinal surgery, 23 epiretinal membranes from eyes treated with silicone oil were removed. They were examined by immunohistochemical methods and compared with 15 membranes from eyes affected by proliferative vitreoretinopathy (PVR) and not treated with silicone oil and with 4 membranes from eyes with intermediate uveitis. PVR membranes from eyes treated with silicone oil showed a high level of macrophages and a strong expression of HLA-DR. Additionally, lymphocytes were found in PVR membranes, a finding that has not been described before. Similar changes were seen in proliferations removed from eyes affected by uveitis, but these membranes were found to have smaller amounts of extracellular substance. In contrast to this, most cells in the PVR membranes from eyes not treated with silicone oil react with vimentin, GFAP and cytokeratin. In none of these membranes were we able to find T-lymphocytes. It is not possible to say whether or not the different findings are attributable ot the silicone oil.

【硅油注射后视网膜前膜的免疫组化表现】。
在玻璃体视网膜手术中,用硅油去除23眼视网膜前膜。采用免疫组化方法对其进行检查,并与15例未使用硅油的增殖性玻璃体视网膜病变(PVR)眼的膜和4例中度葡萄膜炎眼的膜进行比较。硅油处理后的PVR膜显示出高水平的巨噬细胞和高水平的HLA-DR表达。此外,在PVR膜中发现淋巴细胞,这一发现以前从未被描述过。在受葡萄膜炎影响的眼睛中,发现了类似的变化,但这些膜含有较少的细胞外物质。与此相反,未使用硅油处理的眼睛PVR膜中的大多数细胞与vimentin, GFAP和细胞角蛋白发生反应。在这些膜中我们都没有发现t淋巴细胞。目前还无法确定这些不同的发现是否与硅油有关。
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