由合成可吸收缝合线引起的脉络膜视网膜炎。

Lens and eye toxicity research Pub Date : 1992-01-01
T Yamanaka
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引用次数: 0

摘要

2例视网膜脉络膜炎是由斜视手术中使用的高分子材料缝合线(Dexon)引起的。病变表现为黄斑水肿、肉芽肿性葡萄膜炎、眼底毛细血管闭塞。为了确认这种损伤的原因,进行了免疫学调查。巨噬细胞阻滞和不完全佐剂是导致对合成聚合物聚乙醇酸(PGA)延迟超敏反应的必要条件。注射PGA后,小鼠实验脚垫充血、肿胀反应强烈。组织学上,足部肿胀组织中有大量淋巴细胞积聚,而对照组足部无反应。
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Chorioretinitis caused by synthetic absorbable sutures.

Two cases of chorioretinitis were caused by polymer material from the suture (Dexon) used in squint surgery. The lesions were macula edema, granulomatous uveitis and capillary occlusions on the ocular fundus located in the operated area. To confirm the cause of this injury, an immunological investigation was performed. Macrophage block and an incomplete adjuvant were necessary to lead delayed hypersensitivity against the synthetic polymer polyglycolic acid (PGA). The mice showed a strong reaction as hyperemia and swelling on their experimental footpads after the injection of PGA. Histologically the footpad accumulated a large quantity of lymphocytes in the swollen tissue but the control footpad had no reaction.

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