OCT评估磁性微珠注射诱导小鼠慢性高眼压模型的建立  

OCT Evaluation on the Establishment of A Mouse Model of Chronic Ocular Hypertension Induced by Magnetic Beads Injection

作　　者：杨秀强 张晓帆[2,3,4,5] 任玉玲 李娟娟[2,3,4,5] 张利伟 YAN Xiu-qiang;ZHANG Xiao-fan;REN Yu-ling;LI Juan-juan;ZHANG Li-wei(Dept.of Ophthalmology,People’s Hospital of Diqing Tibetan Autonomous Prefecture,Diqing Yunnan,674400;Dept.of Ophthalmology,The Second People’s Hosptial of Yunnan Province,Kunming Yunnan,650031;Dept.of Ophthalmology,The Affiliated Hospital of Yunnan University,Kunming Yunnan,650031;Yunnan Eye Institute,Yunnan Clinical Medical Research Center of Eye Disease,Kunming Yunnan,650031;Yunnan Clinical Research Center of Eye Disease,Kunming Yunnan 650031,China)

机构地区：[1]迪庆藏族自治州人民医院,云南迪庆674400 [2]云南省第二人民医院眼科,云南昆明650031 [3]云南大学附属医院眼科,云南昆明650031 [4]云南省眼科研究所,云南昆明650031 [5]云南省眼部疾病临床医学研究中心,云南昆明650031

出　　处：《昆明医科大学学报》2021年第1期23-28,共6页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81860171);云南省自然科学基金资助项目(2017FB122);云南省科技厅-昆明医科大学应用基础联合专项基金资助项目[2017FE468(-224)];云南省卫生健康委员会医学后备人才培养基金资助项目(H-2018020)。

摘　　要：目的探索磁性微珠前房注射诱导高眼压模型的可行性及特点,OCT在模型评估中的作用。方法将C57BL/6小鼠分为正常组、对照组与实验组。实验组前房内注射磁性微珠诱导高眼压,对照组前房内注射等量生理盐水,正常组不做任何处理。术前及术后第1天开始隔天检测眼压波动;建模3周后行荧光金逆行标记,建模4周后使用OCT检测两组小鼠视盘旁神经纤维厚度,并行视网膜行铺片计数各组RGCs数量。结果小鼠前房内注射磁性荧光微珠后,微珠可均匀分布于房角处堵塞房角。实验组小鼠眼压自注射术后1 d开始升高,平均眼压为(19.37±4.38)mmHg,3周开始眼压下降;荧光金逆行标记RGCs,建立微珠诱导小鼠高眼压模型后4周,行OCT检测RNFL厚度。实验组RNFL厚度为(27.67±6.15)μm,较对照组明显变薄,两组比较差异有统计学意义(P=0.008 2)。检测OCT后收集眼球计数RGCs,实验组RGCs为(203.83±26.35)个,与对照组比较明显减少,差异有统计学意义(P=0.009 4)。结论小鼠前房注射磁性微珠可以诱导持续稳定的眼压升高并引起明显RGC数量减少,可通过OCT无创、快速、重复的检测神经纤维层厚度发现RGC损伤。Objective To explore the feasibility and characteristics of magnetic microbead anterior chamber injection inducing ocular hypertension model,and to study the role of OCT in model evaluation.Methods C57 BL/6 mice were divided into the normal group,control group and experimental group.The normal group was not treated.The intraocular pressure fluctuations were detected before the surgery and on the first day after the surgery;After 3 weeks of modeling,fluorescent gold retrograde labeling was performed,and after 4 weeks of modeling,OCT was used to detect the thickness of para-optical nerve fibers in two groups of mice,and the number of RGCs in each group was counted by parallel retinal plating.Results After the injection of magnetic fluorescent microbeads into the anterior chamber of the mice,the microbeads were able to be evenly distributed at the angle of the anterior chamber to block the angle.In the experimental group,the intraocular pressure of the mice began to increase 1 day after the injection,and the average intraocular pressure was 19.37±4.38 mmHg.The intraocular pressure decreased slightly after three weeks.In the 4 th week,OCT was used to detect the thickness of RNFL.The thickness of RNFL in the experimental group was 27.67±6.15μm,which was significantly thinner than that in the control group.The difference between the two groups was statistically significant(p=0.0082).After detecting OCT,RGCs were counted in wholemount retina and the RGCs in the experimental group were 203.83±26.35,which was significantly reduced compared with the control group,and the difference was statistically significant(p=0.0094).Conclusion The injection of magnetic microbeads in the anterior chamber of mice can induce a sustained and stable increase in intraocular pressure and cause a significant decrease in the number of RGCs.RGC damage can be found by non-invasive,rapid,and repeated detection of the thickness of the nerve fiber layer by OCT.

关 键 词：磁性微珠 高眼压 OCT 青光眼 动物模型 

分 类 号：R774.1[医药卫生—眼科]