国际眼科纵览 ›› 2015, Vol. 39 ›› Issue (2): 99-102.doi: 10.3706/ cma. j. issn.1673/5803.2015.02.006

• 综述 • 上一篇    下一篇

青光眼模型视神经损伤的评估方法

董兴堂  廖萱  兰长骏   

  1. 637000 四川南充,川北医学院附属医院眼科,川北医学院眼视光学系(董兴堂 、廖萱、兰长骏);610031四川成都,成都市第三人民医院眼科(董兴堂)
  • 收稿日期:2014-08-12 出版日期:2015-04-22 发布日期:2015-04-29
  • 通讯作者: 兰长骏,Email: lanchangjun@sina.com
  • 基金资助:

    四川省科技厅基金(05SG011-025)

Assessment methodology of optic nerve injury in glaucoma model

DONG Xing-tang, LIAO Xuan, LAN Chang-jun   

  1. 1Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College,  Department of Ophthalmology & Optometry of North Sichuan Medical College, Nanchong 637000, China; 2The Third People's Hospital of Chengdu, Chengdu 610031, China
  • Received:2014-08-12 Online:2015-04-22 Published:2015-04-29
  • Contact: LAN Chang-jun,Email: lanchangjun@sina.com

摘要: 【摘要】对青光眼动物模型视神经损伤的评估有利于青光眼发病机制和治疗方法的研究。目前主要从视网膜神经节细胞(retinal ganglion cell, RGC)计数、视网膜内层厚度测定和球后视神经轴突计数三方面进行评估。几种评估方法各有优缺点。RGC的凋亡直接反映视神经损伤的程度,视网膜全铺片染色计数RGC方法操作较简单,但视网膜铺片各层细胞易于重叠;逆行荧光染料标记需进行颅内手术且染料可能泄露到邻近小胶质细胞,导致不准确的计数;视网膜厚度测量不能直接反映视神经损伤的程度;视神经轴突计数难度相对较高;体视学方法可直接计数RGC,但需要熟悉相关体视学公式及方法,目前在该领域的报道较少。(国际眼科纵览,2015, 39: 99-102)

Abstract: Glaucoma is characterized mainly by optic nerve injury, and the assessment of optic nerve injury contributes to research of its etiology and pathogenesis. The current assessment methodology mainly includes determination of retinal ganglion cell (RGC) number, counting of lining retinal thickness and optic nerve axons. Those methods have their own advantages and disadvantages. Apoptosis of RGC directly reflects the degree of optic nerve injury. RGC counting operates easily with retina\|stretched preparation, but the layers of cells are apt to overlap reciprocally. The retrograde fluorogold labeling of retinal ganglion cells possibly leaks out into neighboring microglia, and accordingly results in the inaccuracy of the count. The retinal thickness measurement is not directly reflected injury severity and the optic nerve axons counting is not operationally easy in some ways. The stereological method can be used for RGC counting, however relevant formulas and methods need to be mastered, and it is rarely reported in this field.  (Int Rev Ophthalmol, 2015, 39: 99-102)