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Progress in the studies of etiology,epidemiology and pathogenesis of ocular melanomas
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作者 Steven A. McCormick 《Eye Science》 CAS 2011年第1期18-22,共5页
Our population-based epidemiological studies demonstrated that the epidemiological aspects of ocular melanomas are different from those in cutaneous melanoma.The incidences of conjunctival melanoma increased in the pa... Our population-based epidemiological studies demonstrated that the epidemiological aspects of ocular melanomas are different from those in cutaneous melanoma.The incidences of conjunctival melanoma increased in the past decades and was higher in the South(greater sun exposure),which is consistent with the occurrence of cutaneous melanoma.On the contrary,incidences of uveal melanoma are in the opposite direction of cutaneous melanomas.This indicates that solar radiation does not cause an increase of incidences of melanoma in ocular tissues (uveal melanoma) that are not exposed to solar radiation.Solar radiation increases the incidence of melanoma only in tissues exposed to said radiation,such as in conjunctival and eyelid melanomas.Uveal melanoma incidences in lightpigmented individuals are much greater than in dark-pigmented individuals.This result cannot be attributed to a melanin photo-screening effect,and is possibly related to melanin's biophysical and biochemical effects.The difference in incidences between light-and dark-pigmented individuals in conjunctival melanomas,as well as in vulvar and vaginal melanomas,are much lower than that in the uveal and cutaneous melanomas.This difference may be related to the different histological structures in these melanomas;.conjunctival and vaginal melanomas occur in the mucous membrane,whereas cutaneous melanomas occur in the skin.Recent molecular biological studies indicate that each type of melanoma has its own molecular changes which are different from the others.Therefore,independent studies are required for each type of melanoma to discover their own etiology and pathogenesis,and to develop relevant novel prevention and treatment procedures. 展开更多
关键词 黑色素瘤 流行病学 发病机制 病因 太阳辐射 分子生物学 组织结构 发病率
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OVERVIEW OF EXFOLIATION SYNDROME
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作者 R.Ritch 《国际眼科杂志》 CAS 2003年第1期100-101,共2页
Exfoliation syndrome (XFS) is an age-related disease characterized by the production and progressive accumulation of a fibrillar extracellular material in many ocular tissues. It has only recently been recognized to b... Exfoliation syndrome (XFS) is an age-related disease characterized by the production and progressive accumulation of a fibrillar extracellular material in many ocular tissues. It has only recently been recognized to be the overall most common identifiable cause of glaucoma, and in some countries accounts for the majority of the glaucoma Its ocular manifestations affect all of 展开更多
关键词 假性磷片样脱皮综合征 青光眼 病理变化 综述
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毒蕈碱1型受体在人视网膜色素上皮细胞表达的研究 被引量:6
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作者 张立华 闫东升 +6 位作者 周翔天 吕帆 谢若衷 吴光波 胡诞宁 付小莹 瞿佳 《中华眼科杂志》 CAS CSCD 北大核心 2006年第12期1109-1112,共4页
目的探讨正常人眼视网膜色素上皮(RPE)细胞毒蕈碱1型(M1)受体的表达情况和M1受体对维持RPE细胞功能的作用及其与近视发生、发展的关系。方法采用已建立的RPE细胞的分离和培养方法建立细胞培养株。取传3~5代生长良好的细胞,应用逆转录聚... 目的探讨正常人眼视网膜色素上皮(RPE)细胞毒蕈碱1型(M1)受体的表达情况和M1受体对维持RPE细胞功能的作用及其与近视发生、发展的关系。方法采用已建立的RPE细胞的分离和培养方法建立细胞培养株。取传3~5代生长良好的细胞,应用逆转录聚合酶链反应(RT-PCR)、间接免疫荧光法(IIF)检测培养的RPE细胞中M1受体的表达情况。结果培养的RPE细胞呈多边形,平均分裂时间约2~3d,细胞内含有棕黄色素颗粒,随着细胞的分裂,细胞内的色素颗粒稀释和变少。RT-PCR和间接免疫荧光法检测,显示体外培养的人RPE细胞有M1受体表达。结论人RPE细胞有M1受体的分布。M1受体对维持RPE细胞的功能起重要作用。M1受体拮抗剂玻璃体腔注射以延缓近视的发生、发展机制可能与其抑制RPE细胞功能有关。 展开更多
关键词 近视 受体 毒蕈碱M1 色素上皮
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正常眼压性青光眼与高眼压性青光眼视神经图像分析的对比研究 被引量:4
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作者 窦宏亮 Pons Mauricio +3 位作者 Mistlberger Andrea Ishikawa Hiroshi Liebmann Jeffrey Ritch Robert 《中华眼底病杂志》 CAS CSCD 2002年第2期109-112,共4页
目的 探讨正常眼压性青光眼 (normal- tension glaucoma,NTG)与高眼压性青光眼 (high-tension glaucoma,HTG)视盘和视神经纤维层 (retinal nerve fiber layer,RNFL )损害的差异。 方法 选择具有青光眼性视神经损害或 RNFL 缺损、相... 目的 探讨正常眼压性青光眼 (normal- tension glaucoma,NTG)与高眼压性青光眼 (high-tension glaucoma,HTG)视盘和视神经纤维层 (retinal nerve fiber layer,RNFL )损害的差异。 方法 选择具有青光眼性视神经损害或 RNFL 缺损、相应的视野缺损的青光眼患者 ,NTG至少 2次 2 4 h眼压曲线和多次眼压测量均≤ 2 1mm Hg(1mm Hg=0 .133k Pa) ,HTG的眼压至少 2次测量≥ 2 5 mm Hg。患者进行详细的眼科检查 ,同时用扫描激光偏振仪 (scanning laser polarimetry,SL P)、光学相干断层扫描 (opticalcoherence tomography,OCT)和海德堡视网膜成像仪 (Heidelberg retinal tomography,HRT)定量测定视盘形态和 RNFL厚度。比较两组视盘总体和相同象限测量参数。 结果  30例 NTG和 19例 HTG (共 4 9只眼 )患者的平均年龄分别为 (5 9.6± 8.6 )岁 (39~ 71岁 )和 (5 9.2± 12 .3)岁 (36~ 75岁 )。两组间视野缺损的平均偏差 (mean deviation,MD)差异不显著 (P>0 .0 5 )。HRT测量的视盘 C/ D面积比 ,除鼻侧象限外 ,NTG者视盘总体和上、下、颞侧 3个象限均显著大于 HTG者 (P<0 .0 5 ) ,而盘缘面积小于 HTG者 (P<0 .0 5 ) ;两组间其他视盘参数差异不显著。 3种激光扫描技术所测定的总体和象限 RNFL厚度 。 展开更多
关键词 正常眼压性青光眼 高眼压性青光眼 视神经图像 视神经损伤 病理生理学 视盘损害 对比分析 NTG HTG
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