Rat Model for Anterior Segment Intraocular Surgery Induced Blood-Retinal Barrier Breakdown

Abstract

Purpose: To develop a practical rat model of blood-retinal barrier (BRB) breakdown induced by anterior segment intraocular surgery. Methods: A 27-gauge needle attached to infusion tubing running to a bottle of balanced salt solution was inserted through the limbus into the rat anterior chamber. The pressure of the balanced salt solution was oscillated from 0 to 12 mm Hg above the atmospheric pressure for 30 times. The needle was removed and the anterior chamber was formed. Then the eye was exposed vertically to the light of the operating microscope. The contralateral eye was left untreated. The eyes were applied with ofloxacin ophthalmic solution after surgery. At several time points after surgery, the integrity of the BRB was assessed by fluorescence fundus angiography, optical coherence tomography, immunohistochemical staining for serum albumin and quantitative measurement using Evans blue as a tracer. Results: The extravasation of fluorescein, the increased central retinal thickness, strong staining for albumin in the retina and substantially elevated retinal Evans blue leakage demonstrated BRB breakdown after anterior segment intraocular surgery. On the 1st day after surgery, the model group showed a statistically significant elevation in the retinal Evans blue leakage as compared to the contralateral control group and the normal control group. These increased and reached the peak on the 2nd day after surgery and decreased to the point that there was no significant difference as compared to the contralateral control group and the normal control group on the 7th day after surgery. Conclusions: This study establishes a practical rat model of BRB breakdown induced by anterior segment intraocular surgery.

Differentiating Optic Disc Edema From Optic Nerve Head Drusen on Optical Coherence Tomography

“…Retinal adhesive forces are complex, but the principal components include capillary and interstitial tissue hydrostatic pressure, capillary and tissue osmotic or oncotic pressure, and the rate of active transport across the retinal pigment epithelium. [19][20][21][22] Of these forces, active transport across the retinal pigment epithelium may be the major factor for retinal adhesion and for preventing thickening of the subretinal hyporeflective space. 20 We have documented that in ONHD, the SHYPS is thicker than normal at the 0.75-mm radius but not at the 1.5-mm and 2.0-mm radii.…”