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基于雙光子共聚焦成像的急性高眼壓大鼠小梁網(wǎng)孔隙率變化研究

Change of porosity in trabecular meshwork under acute high intraocular pressure using two-photon microscope

作者: 任琳  梅曦  劉志成                          
單位:                                 首都醫(yī)科大學(xué)生物醫(yī)學(xué)工程學(xué)院,首都醫(yī)科大學(xué)臨床生物力學(xué)應(yīng)用基礎(chǔ)研究北京市重點(diǎn)實(shí)驗(yàn)室(北京 100069)            
關(guān)鍵詞:                               小梁網(wǎng);高眼壓;孔隙率;鞏膜靜脈;雙光子共聚焦成像系統(tǒng)              
分類號(hào):
出版年·卷·期(頁碼):2015·34·2(181-184)
摘要:

目的 獲取不同眼壓下小梁網(wǎng)組織深層結(jié)構(gòu)信息,為小梁網(wǎng)房水外排通道生理功能的探索奠定組織形態(tài)學(xué)基礎(chǔ)。方法 將4只SD大鼠分成A、B兩組每組2只,處死后于左眼球分別加壓40mmHg(A組)、加壓60mmHg(B組),維持24h。右眼均為未加壓對(duì)照組,利用雙光子共聚焦成像系統(tǒng)采集每只眼球的小梁網(wǎng)組織形態(tài)圖:從眼底剖開眼球后照射前房角小梁網(wǎng)處,每2μm采集圖像,直至圖像模糊停止。結(jié)果 未加壓的對(duì)照組眼球小梁網(wǎng)處膠原纖維排列較為規(guī)則,孔隙明顯,小梁網(wǎng)與周圍組織界限分明。加壓40mmHg的A組眼球小梁網(wǎng)膠原纖維出現(xiàn)了部分塌縮,小梁網(wǎng)與周圍組織出現(xiàn)融合,偶爾可見一些孔隙,膠原纖維排列呈無序狀態(tài)。加壓60mmHg的B組眼球小梁網(wǎng)膠原纖維斷裂較明顯,臨管區(qū)被擠壓到完全塌陷,與周圍組織已無法分辨。A、B兩組動(dòng)物的小梁網(wǎng)均表現(xiàn)出骨架斷裂,組織變薄,逐漸與周圍組織融為一體,以及出現(xiàn)遠(yuǎn)端的鞏膜靜脈塌縮的現(xiàn)象。與A組眼球相比,B組眼球的葡萄膜小梁網(wǎng)孔隙率略有增加。結(jié)論 急性眼內(nèi)壓升高可能引發(fā)房水外排通道結(jié)構(gòu)異常,主要表現(xiàn)為前房角小梁網(wǎng)組織壓縮、鞏膜靜脈塌陷。這一解剖結(jié)構(gòu)異常造成房水排出困難,從而又加劇了眼內(nèi)壓的升高。

Objective To obtain morphological change of trabecular meshwork under different pressure and do certain basic research for exploring aqueous humor discharge. Methods Four SD rats were divided into A group and B group. Enucleated left eyes were perfused at pressure of 40mm Hg (A group) and 60mmHg (B group) for 24hours to achieve high IOP and right eyes were control group. We used two-photon confocal system to observe morphological images of trabecular meshwork in each eye: to split from fundus and expose the limbus, then we got the images each 2μm until fuzziness. Results The collagen fiber in trabecular meshwork of the control group arranged regularly. We could see obvious boundaries between trabecular meshwork and surrounding tissue. After perfused 40mmHg pressure, the collagen fiber of trabecular meshwork became collapsed and merged with surrounding tissue. The fibers arranged in disorder. After perfused 60mmHg, collagen fiber of trabecular meshwork fractured more obviously, juxtacanalicular connective tissue collapsed completely, and difficult to be distinguished from the surrounding tissue. Conclusions Acute intraocular pressure might cause the structure abnormal in aqueous humor discharge channel: trabecular meshwork tissue in anterior chamber became compressed, and sclera vein collapsed. This abnormal anatomy caused excreted difficulty of aqueous humor, and aggravated the elevated intraocular pressure in return.

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