Masanori Mizote1, Kazuyuki Hirooka2, Kouki Fukuda2, Takehiro Nakamura3, Toshifumi Itano3, Fumio Shiraga2. 1. Department of Ophthalmology, Kagawa Prefectural Central Hospital, 5-4-16 Ban, Takamatu, Kagawa, 760-8557, Japan. m-mizote@chp-kagawa.jp. 2. Department of Ophthalmology, Kagawa University Faculty of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan. 3. Department of Neurobiology, Kagawa University Faculty of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan.
Abstract
PURPOSE: To investigate the protective effects of D-allose, a rare sugar, on pressure-induced ischemia during vitrectomy in the rabbit eye. METHODS: The rabbits underwent pars plana vitrectomy, and continuous intraocular irrigation at a perfusion pressure of 140 mmHg was performed for 45 min. Intraocular pressure was regulated by adjusting the height of a bottle of balanced saline solution containing D-allose. Morphometric studies were performed to study the effects of D-allose on the histological changes induced by ischemia in the rabbit retina. Electroretinograms (ERGs) were taken before and 1 and 7 days after vitrectomy. Nitroblue tetrazolium was used as an index of superoxide anion (O(2)(·-)) generation. Data were analyzed by use of the unpaired Student's t test. RESULTS: Seven days after ischemia, significant reductions in both number of ganglion cells and the thickness of the inner plexiform layer were observed. D-Allose significantly inhibited ischemic injury of the inner retina (P < 0.05). On postoperative day 7, amplitudes of ERG b-waves were significantly lower in the control group than in the D-allose group (P < 0.05). D-Allose suppressed the production of O(2)(-). CONCLUSIONS: Intraocular irrigation with D-allose during vitrectomy may protect the retina against ischemia-induced damage.
PURPOSE: To investigate the protective effects of D-allose, a rare sugar, on pressure-induced ischemia during vitrectomy in the rabbit eye. METHODS: The rabbits underwent pars plana vitrectomy, and continuous intraocular irrigation at a perfusion pressure of 140 mmHg was performed for 45 min. Intraocular pressure was regulated by adjusting the height of a bottle of balanced saline solution containing D-allose. Morphometric studies were performed to study the effects of D-allose on the histological changes induced by ischemia in the rabbit retina. Electroretinograms (ERGs) were taken before and 1 and 7 days after vitrectomy. Nitroblue tetrazolium was used as an index of superoxide anion (O(2)(·-)) generation. Data were analyzed by use of the unpaired Student's t test. RESULTS: Seven days after ischemia, significant reductions in both number of ganglion cells and the thickness of the inner plexiform layer were observed. D-Allose significantly inhibited ischemic injury of the inner retina (P < 0.05). On postoperative day 7, amplitudes of ERG b-waves were significantly lower in the control group than in the D-allose group (P < 0.05). D-Allose suppressed the production of O(2)(-). CONCLUSIONS: Intraocular irrigation with D-allose during vitrectomy may protect the retina against ischemia-induced damage.