The Chorioretinal Damage Caused by Different Half Parameters of Photodynamic Therapy in Rabbits

被引:7
作者
Chuang, Lan-Hsin [1 ,2 ]
Hwang, Yih-Shiou [2 ,3 ]
Wang, Nan-Kai [2 ,3 ]
Chen, Yen-Po [2 ,3 ]
Liu, Laura [2 ,3 ]
Yeung, Ling [1 ,2 ]
Chen, Kuan-Jen [2 ,3 ]
Chen, Tun-Lu [2 ,3 ]
Wu, Wei-Chi [2 ,3 ]
Lai, Chi-Chun [2 ,3 ]
机构
[1] Chang Gung Mem Hosp, Dept Ophthalmol, Keelung, Taiwan
[2] Chang Gung Univ, Coll Med, Taoyuan, Taiwan
[3] Chang Gung Mem Hosp, Dept Ophthalmol, Linkou, Taiwan
关键词
CENTRAL SEROUS CHORIORETINOPATHY; POLYPOIDAL CHOROIDAL VASCULOPATHY; MACULAR DEGENERATION; DOSE VERTEPORFIN; MULTIFOCAL ELECTRORETINOGRAM; LASER PHOTOCOAGULATION; CONTROLLED-TRIAL; VISUAL-ACUITY; HUMAN EYES; NEOVASCULARIZATION;
D O I
10.1089/jop.2013.0219
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To compare the chorioretinal tissue response after different half-strength parameters of photodynamic therapy (PDT) in rabbits. Methods: The study included 4 groups, and each group contained 4 animals. The full dose served as the control group: verteporfin (4mg/kg) with 600mW/cm(2) irradiance from a diode laser at 689nm applied to the retina for 8s. One parameter was changed to half-strength in the other 3 groups. The HLaser group received half-strength laser irradiance. The HTime group was exposed to photosensitization for half the time, and the HDose group received half the drug dose. Six laser spots were generated in each of the eyes of every rabbit and documented graphically. The lesions were examined on days 1, 7, and 42 after PDT treatment using color fundus imaging, fluorescein angiography (FA), and histopathology analysis. Results: PDT treatment in rabbits caused chorioretinal damage in all 4 groups. FA on day 1 showed that the use of half the laser irradiance, half the drug dose, or half the photosensitizing time tended to decrease the damage to the chorioretinal tissue in terms of the number of occlusions and the area of occlusion, but only the results from half the laser irradiance were significantly different. In addition, the HLaser and HDose groups showed significantly less apoptosis by TUNEL staining on day 1. Conclusions: Among these PDT parameters, decreasing the laser irradiance by half showed the greatest decrease in chorioretinal damage in an experimental animal model.
引用
收藏
页码:642 / 649
页数:8
相关论文
共 37 条
[1]   Long-term cults of photodynamic therapy of polypoidal choroidal vasculopathy [J].
Akaza, Eriko ;
Mori, Ryusaburo ;
Yuzawa, Mitsuko .
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2008, 28 (05) :717-722
[2]   Acute severe visual acuity decrease after photodynamic therapy with verteporfin: Case reports from randomized clinical trials - TAP and VIP report no. 3 [J].
Arnold, JJ ;
Blinder, KJ ;
Bressler, M ;
Bressler, SB ;
Burdan, A ;
Haynes, L ;
Lim, JI ;
Miller, JW ;
Potter, MJ ;
Reaves, A ;
Rosenfeld, PJ ;
Sickenberg, M ;
Slakter, JS ;
Soubrane, G ;
Strong, HA ;
Stur, M .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2004, 137 (04) :683-696
[3]   Effect of lesion size, visual acuity, and lesion composition on visual acuity change with and without verteporfin therapy for choroidal neovascularization secondary to age-related macular degeneration: TAP and VIP report no. 1 [J].
Blinder, KJ ;
Bradley, S ;
Bressler, NM ;
Bressler, SB ;
Donati, G ;
Hao, Y ;
Ma, C ;
Menchini, U ;
Miller, J ;
Potter, MJ ;
Pournaras, JC ;
Reaves, A ;
Rosenfeld, PJ ;
Strong, HA ;
Stur, M ;
Su, XY ;
Virgili, G .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2003, 136 (03) :407-418
[4]   Ranibizumab versus verteporfin for neovascular age-related macular degeneration [J].
Brown, David M. ;
Kaiser, Peter K. ;
Michels, Mark ;
Soubrane, Gisele ;
Heier, Jeffrey S. ;
Kim, Robert Y. ;
Sy, Judy P. ;
Schneider, Susan .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (14) :1432-1444
[5]   Half-dose verteporfin photodynamic therapy for acute central serous chorioretinopathy - One-year results of a randomized controlled trial [J].
Chan, Wai-Man ;
Lai, Timothy Y. Y. ;
Lai, Ricky Y. K. ;
Liu, David T. L. ;
Lam, Dennis S. C. .
OPHTHALMOLOGY, 2008, 115 (10) :1756-1765
[6]   Choroidal vascular remodelling in central serous chorioretinopathy after indocyanine green guided photodynamic therapy with verteporfin: a novel treatment at the primary disease level [J].
Chan, WM ;
Lam, DSC ;
Lai, TYY ;
Tam, BSM ;
Liu, DTL ;
Chan, CKM .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2003, 87 (12) :1453-1458
[7]   Refractory Neovascular Age-related Macular Degeneration Secondary to Polypoidal Choroidal Vasculopathy [J].
Cho, Minhee ;
Barbazetto, Irene A. ;
Freund, K. Bailey .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2009, 148 (01) :70-78
[8]   Comparison of reduced and standard light application in photodynamic therapy of the eye in two rabbit models [J].
Framme, C. ;
Flucke, B. ;
Birngruber, R. .
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2006, 244 (07) :773-781
[9]  
Gemmy Cheung C. M., 2013, AM J OPHTHALMOL, V155
[10]   Photodynamic therapy and digital angiography of experimental iris neovascularization using liposomal benzoporphyrin derivative [J].
Husain, D ;
Miller, JW ;
Kenney, AG ;
Michaud, N ;
Flotte, TJ ;
Gragoudas, ES .
OPHTHALMOLOGY, 1997, 104 (08) :1242-1250