国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (6): 541-546.doi: 10.3760/ cma.j.issn.1673-5803.2022.06.012

• 综述 • 上一篇    下一篇

青光眼相关的角膜内皮细胞损伤机制

赵崟  徐丽娟  张欣瑶  梁远波   

  1. 温州医科大学附属眼视光医院 温州医科大学青光眼研究所 325027
  • 收稿日期:2022-04-04 出版日期:2022-12-22 发布日期:2022-12-22
  • 通讯作者: 梁远波,Email:yuanboliang@126.com
  • 基金资助:
    国家重点研发计划(2020YFC2008200);浙江省“尖兵”“领雁”研发攻关计划(2022C03112);浙江省万人计划科技创新领军人才(2021R52012);浙江省高校领军人才培养计划(2020099);国家自然科学基金(82201177);浙江省医药卫生项目(2023KY914)

Mechanisms of corneal endothelial cell injury related to glaucoma

Zhao Yin, Xu Lijuan, Zhang Xinyao, Liang Yuanbo   

  1. The Eye Hospital of Wenzhou Medical University, Glaucoma Research Institute of Wenzhou Medical University, Wenzhou 325027, China
  • Received:2022-04-04 Online:2022-12-22 Published:2022-12-22
  • Contact: Liang Yuanbo, Email: yuanboliang@126.com
  • Supported by:
    National Key R&D Program of China (2020YFC2008200); Key R&D Program of Zhejiang (2022C03112); Leading Scientific and Technological Innovation Talents in Zhejiang Province (2021R52012); Leading Talents Training Program for colleges and universities in Zhejiang Province (2020099); National Natural Science Foundation of China (82201177); Health Commission of Zhejiang Province (2023KY914)

摘要: 角膜内皮细胞是维持角膜透明的关键,青光眼本身及其治疗措施可能会对角膜内皮细胞造成损伤。非生理状态下的眼压会破坏角膜内皮细胞的结构及其泵功能;引流装置的植入及其位移会损伤角膜内皮细胞;治疗过程中房水微环境的改变会影响角膜内皮细胞的营养供给;抗青光眼药物的毒性作用也是角膜内皮细胞损伤的原因之一。(国际眼科纵览,2022, 46:541-546)

关键词: 青光眼, 角膜内皮细胞, 损伤

Abstract: Corneal endothelial cell plays a key role in maintaining its transparency. Glaucoma and its treatment may cause damages to the corneal endothelial cells. Intraocular pressure, either too high or too low, could destroy the structure of corneal endothelial cells, as well as their pump function; the implantation and displacement of the drainage devices will damage the corneal endothelial cells; the imbalance of aqueous humor microenvironment will influence the nutrition supply to corneal endothelial cells; the toxicity of anti-glaucoma medicines may contribute to the dysfunction of corneal endothelial cells. This paper summarizes the relevant clinical and basic researches, and discusses the corneal injury mechanisms, aiming to provide guidances for the diagnosis and treatments of glaucoma, and reduce or avoid the visual function damages caused by corneal endothelial cell injury in glaucoma patients. (Int Rev Ophthalmol, 2022, 46:  541-546)

Key words: glaucoma, corneal endothelial cells, injury