{"title":"Early diagnosis of primary open-angle glaucoma in patients with high myopia after laser in situ keratomileusis","authors":"曾锦, 郭海科, 崔颖, 谢文娟, 李仲明, 廖伟雄","doi":"10.3969/J.ISSN.1003-0808.2010.05.018","DOIUrl":"https://doi.org/10.3969/J.ISSN.1003-0808.2010.05.018","url":null,"abstract":"目的 探讨高度近视行准分子激光角膜原位磨镶术(LASIK)后开角型青光眼患者的临床特征.方法 回顾性分析2008年7月-2009年6月以屈光回退或眩光为主诉复诊的高度近视行LASIK术后患者13例25眼的临床资料;所有患者屈光回退现象均发生在术后2a,其中男8例,女5例;平均年龄30.1岁,均进行视力、屈光度、角膜地形图、Goldman眼压、眼轴、视野及OCT检查,原发性开角型青光眼的诊断依据全国青光眼学组建议的诊断标准,所有患者术前均签署知情同意书.结果 12例23眼中,术后平均回退屈光度为(-1.57±0.36)D,裸眼视力0.42±0.14;1例患者双眼眩光加重,瞳孔散大,直径为4.5~5.0mm,夜间瞳孔直径为5.8~6.1mm;6例12眼术后校正眼压为21~26mmHg,合并有视网膜神经纤维层(RNFL)变薄及相应的青光眼典型视野改变;7例13眼屈光回退者中OCT检查RNFL变薄者3例5眼,用眼过度致视疲劳者4例8眼.结论 高度近视患者行LASIK 2a后出现视力下降及眩光现象,且单纯以屈光回退及光学区过小无法解释者,要考虑到并发开角型青光眼的可能。","PeriodicalId":186994,"journal":{"name":"Chinese Ophthalmic Research","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117241324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Screening analysis for the causative genes in a Bai family with retinitis pigmentosa","authors":"郭海科, 覃泳杰, 夏泽梅, 孟倩丽, 张洪洋, 金海鹰, 陈艳蕾","doi":"10.3969/J.ISSN.1003-0808.2010.05.021","DOIUrl":"https://doi.org/10.3969/J.ISSN.1003-0808.2010.05.021","url":null,"abstract":"目的 探讨一白族常染色体显性遗传视网膜色素变性(adRP)家系致病基因与PRPF31、IMPDH、RDS基因多发突变位点的关系.方法 采集一连续5代发病的白族adRP家系静脉血3~5mL,提取基因组DNA.应用聚合酶链反应(PCR)对常见的3个adRP候选基因(PRPF31、IMPDH1、RDS)的多发突变位点进行扩增,PCR产物纯化后直接测序;测序结果与GenBank数据库中核酸序列进行Blast分析.结果 该白族家系22例成员中,11例(50%)存在PRPF31基因第6内含子4个碱基的缺失(IVS6-78_IVS6-75del4CACA,rs57960425),其中包括7例(53.8%)adRP患者和4例(44.4%)正常个体;11例(50%)存在IVS6-31C/T(rs2303557)变异,包括8例(61.5%)adRP患者和3例(33.3%)正常个体.IMPDH1基因和RDS基因的多发突变位点在该白族家系中未发现任何变异.结论 rs57960425及rs2303557为PRPF31基因中的单核苷酸多态,与该家系的发病无直接相关,该家系的致病基因可能与其他基因有关。","PeriodicalId":186994,"journal":{"name":"Chinese Ophthalmic Research","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115843732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Susceptibility of CYP1B1 knock-out mouse to glaucoma in a high glucocorticoid environment","authors":"吴畅, 姜发纲, 刘晓雯","doi":"10.3969/J.ISSN.1003-0808.2010.05.001","DOIUrl":"https://doi.org/10.3969/J.ISSN.1003-0808.2010.05.001","url":null,"abstract":"目的 观察高浓度糖皮质激素对CYP1B1-/-小鼠青光眼易感性的影响.方法 采用成年CYP1B1-/-小鼠作为实验模型,以同龄C57BL/6J小鼠作为对照.每3天结膜下注射0.04mL倍他米松,用Tonopen眼压(IOP)笔每周定期测定小鼠IOP,于第一次给药前,给药后4、8、12周分别摘除眼球,制备石蜡切片,光学显微镜下观察小鼠视网膜形态和厚度,采用TUNEL法检测视网膜神经节细胞(RGCs)的凋亡.结果 与给药前相比,2组小鼠给药后4、8、12周的IOP均较前升高,差异有统计学意义(P<0.05);CYP1B1-/-小鼠的IOP在给药后8周、12周较C57BL/6J小鼠显著升高,差异有统计学意义(P<0.05).随着倍他米松注射时间的推移,2组小鼠视网膜纤维层均变薄,各时间组的总体差异有统计学意义(P<0.05);且CYP1B1-/-小鼠视网膜纤维层厚度在给药后8周、12周较C57BL/6J小鼠显著变薄,差异有统计学意义(P<0.05).2组小鼠RGCs凋亡的速度与给药前相比均显著增加,差异有统计学意义(P<0.05);且CYP1B1-/-小鼠与C57BL/6J小鼠相比结果更为显著(P<0.05).结论 在高浓度糖皮质激素的诱导下,CYP1B1-/-小鼠对青光眼的易感性增加。","PeriodicalId":186994,"journal":{"name":"Chinese Ophthalmic Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127440668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of sinvastatin on VE-cadherin in retinas of rat with diabetes","authors":"萧鸿, 王志云, 庞东渤, 刘学政","doi":"10.3969/J.ISSN.1003-0808.2010.04.009","DOIUrl":"https://doi.org/10.3969/J.ISSN.1003-0808.2010.04.009","url":null,"abstract":"目的 观察链脲佐菌素(STZ)诱导的糖尿病视网膜血管内皮钙黏蛋白(VE-cadherin)的表达及辛伐他汀对VE-cadherin表达的影响,探讨他汀类药物可能的非调脂性治疗作用.方法 尾静脉注射STZ法建立糖尿病大鼠模型,造模成功48只.成模次日起,24只大鼠每日给予辛伐他汀20mg/kg灌胃为辛伐他汀组,24只等量生理盐水灌胃为糖尿病组;另选24只大鼠作为正常对照组.分别在造模后2、5、8周各组取8只大鼠采用伊凡思蓝(EB)法检测视网膜的渗透性,免疫组织化学和Western blot法检测各组大鼠视网膜VE-cadherin的表达情况.结果 与正常对照组比较,辛伐他汀组和糖尿病组大鼠体重明显下降,差异均有统计学意义(P<0.01),血糖显著上升,差异均有统计学意义(P<0.01).与糖尿病组大鼠比较,各时间点辛伐他汀组大鼠体重均明显上升,而血糖均显著下降(P<0.05).免疫组织化学分析证实,VE-cadherin在糖尿病组大鼠视网膜血管呈黄褐色阳性表达.Western blot分析表明随着糖尿病视网膜病变(DR)的发生发展,糖尿病组视网膜血管表达VE-cadherin的量显著减少,与正常对照组和辛伐他汀组比较,差异均有统计学意义(P<0.05).糖尿病组和辛伐他汀组EB渗透量明显高于正常对照组(P<0.01),辛伐他汀组低于糖尿病组(P<0.05).结论 STZ诱导的糖尿病大鼠视网膜血管中VE-cadherin表达量减少,辛伐他汀可改善这种改变,提示辛伐他汀对DR有预防和治疗作用。","PeriodicalId":186994,"journal":{"name":"Chinese Ophthalmic Research","volume":"155 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114207054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of CD4+ NK T cells on high-risk corneal transplantation in SEB-treated rat","authors":"接英, 潘志强, 陈钰, 张文华, 武宇影","doi":"10.3969/J.ISSN.1003-0808.2010.04.001","DOIUrl":"https://doi.org/10.3969/J.ISSN.1003-0808.2010.04.001","url":null,"abstract":"目的 研究超抗原金黄色葡萄球菌肠毒素B亚单位(SEB)治疗高危角膜移植免疫排斥反应与CD4+自然杀伤(NK)T细胞的相关性.方法 Fisher 344大鼠21只作为供体,Lewis大鼠42只作为受体.缝线法诱导角膜新生血管,建立高危角膜移植动物模型.将受体大鼠随机分为3组,每组14只.SEB组在角膜移植术前腹腔内注射75μg/kg SEB 0.2mL,每4日1次,共3次;SEB联合地塞米松组除按上述方法注射SEB外,在角膜移植术后每日结膜下注射5g/L地塞米松0.1mL,每日1次,共3次;生理盐水组按SEB组的方法 腹腔内注射等体积生理盐水.术后观察植片混浊、水肿和新生血管指标并进行评分.术后第10天,每组取3只受体大鼠进行组织病理学和免疫学检测.结果 SEB组植片平均存活时间为(12.50±1.41)d,较SEB联合地塞米松组(10.38±3.07)d和生理盐水组(7.30±0.67)d明显延长(P<0.05).SEB组淋巴细胞的增生能力明显降低,脾脏和颌下淋巴结中的CD4+ NK T细胞百分数明显升高.SEB联合地塞米松组脾脏和颌下淋巴结中的CD4+和CD8+细胞百分数均明显降低.SEB组房水和血清中IL-2质量浓度均明显降低,而IL-10质量浓度均明显升高.结论 超抗原SEB能够明显延长大鼠高危角膜移植手术植片的存活时间,其作用机制与上调了CD4+NK T细胞有关,CD4+NK T细胞对于免疫耐受的形成有重要作用。","PeriodicalId":186994,"journal":{"name":"Chinese Ophthalmic Research","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127555549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}