首都医科大学学报 ›› 2010, Vol. 31 ›› Issue (1): 36-38.

• 眼科学基础及临床研究进展 • 上一篇    下一篇

视网膜一步穿刺法植入视网膜下聚酰亚胺载片的实验研究

刘武1, 刘芳2, 莫宾1, 李倩1, 汪东生1, 卢清君1   

  1. 1. 首都医科大学附属北京同仁医院, 北京同仁眼科中心, 北京市眼科与视觉科学重点实验室;2. 河北省邢台市眼科医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-02-21 发布日期:2010-02-21
  • 通讯作者: 刘武

Experimental Research on One step Retinal Puncture Implantation of Subretinal Polyimide Film

LIU Wu1, LIU Fang2, MO Bin1, LI Qian1, WANG Dong-sheng1, LU Qing-jun1   

  1. 1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Science Key Laboratory; 2. Xingtai Eye Hospital, Hebei Province
  • Received:1900-01-01 Revised:1900-01-01 Online:2010-02-21 Published:2010-02-21
  • Contact: LIU Wu

摘要: 目的 探讨视网膜一步穿刺法植入视网膜下人工视觉载片的可行性。方法 健康成年新西兰白兔24只,采用随机数字表法分为植入组和伪植入组,每组12只兔。玻璃体切除手术后,将聚酰亚胺(polyimide)载片通过直接穿刺视网膜植入到视网膜下腔,伪植入组于成功植入0.5 min后将载片取出。植入手术后15、30、60 d进行眼底照相和光学相干断层成像观察。结果 所有载片均可成功植入至视网膜下腔。2组术中和观察期内无载片移位、视网膜脱离和眼内出血等合并症。植入组后期载片上方视网膜变薄,伪植入组视网膜厚度正常。结论 视网膜一步穿刺法可安全有效地将视觉载片植入兔眼视网膜下腔。该方法适用于视网膜下人工视觉的短期研究。

关键词: 视网膜下, 聚酰亚胺, 兔, 光学相干断层成像

Abstract: Objective To investigate the feasibility of one-step retinal puncture for the implantation of sub-retinal artificial vision films. Methods Twenty-four adult healthy New Zealand white rabbits were randomly divided into two groups: the implantation group(12 rabbits) and the sham-implantation group(12 rabbits). A polyimide film was implanted into the subretinal space via direct retinal puncture after vitrectomy. The implanted film was removed half a minute later in the sham group. Fundus photography and optical coherence tomography were taken 15, 30 and 60 days postoperatively. Results The polyimide film was implanted successfully into the sub-retinal space in all eyes. During the operation and the fellow-up period, there were no any film shift and surgical complications such as retinal detachment and intraocular hemorrhages in both groups. The retina over the film thinned in the implantation group in the late period, while normal thickness was kept in the sham group. Conclusion One-step retinal puncture could implant the artificial vision film into the sub-retinal space safely and effectively. This new method may be suitable for the short-term research of sub-retinal artificial vision.

Key words: subretinal, polyimide, rabbit, optical coherence tomography

中图分类号: