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Gewählte Publikation:

Joussen, AM; Huppertz, B; Koch, HR; Kernert, N; Camphausen, K; Schlösser, K; Foerster, AM; Kruse, FE; Lappas, A; Kirchhof, B.
Low-dose-rate ionizing irradiation for inhibition of secondary cataract formation.
INT J RADIAT ONCOL BIOL PHYS 2001 49: 817-825. Doi: 10.1016/S0360-3016(00)01512-1
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Co-Autor*innen der Med Uni Graz
Huppertz Berthold
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Abstract:
INTRODUCTION: Secondary cataract formation limits visual function after cataract surgery. Various experimental methods utilizing the pharmacologic inhibition of lens epithelial cell proliferation have been proposed. However, diffusion into the anterior chamber may lead to damage of corneal endothelial cells. This study evaluated the inhibition of lens epithelial cell proliferation with a capsular bag ring, labeled with a beta-emitting radioisotope. METHODS AND MATERIALS: In vitro studies using rabbit lens epithelial cells were performed to investigate the dose-dependent effect of irradiation. Based on these results, P-32-labeled PMMA rings were implanted into the capsular bag of NZW rabbits in vivo after phacoemulsification. Animals were examined for development of posterior capsule opacification over a period of 12 weeks following surgery. Radiation damage to the surrounding ocular tissue was subsequently analyzed in histologic sections using TUNEL assay and proliferation marker. RESULTS: Irradiation of lens epithelial cells in vitro with >5 Gy resulted in a dose-dependent decrease in the number of cells. BrdU testing demonstrated a near complete inhibition of cell proliferation. In vivo, implantation of P-32-labeled PMMA rings led to inhibition of epithelial cell proliferation and secondary cataract formation but was not able to fully inhibit aberrant differentiation of some remaining cells. Histologic examination showed no evidence of radiation damage of the ciliary body or the corneal endothelium. CONCLUSIONS: Low-dose beta irradiation exhibits the potential for inhibition of lens epithelial cell proliferation both in vitro and in vivo. Further investigation of various nuclides and their radiation profiles is needed to optimize the prevention of posterior capsule opacification due to epithelial cell proliferation.
Find related publications in this database (using NLM MeSH Indexing)
Animals -
Beta Rays -
Cataract - prevention and control
Cell Division - radiation effects
Epithelial Cells - cytology
Female - cytology
Lens, Crystalline - cytology
Phacoemulsification - adverse effects
Rabbits - adverse effects
Radiobiology - adverse effects
Research Support, Non-U.S. Gov't - adverse effects

Find related publications in this database (Keywords)
posterior capsule opacification
beta irradiation
capsular tension ring
lens epithelial cells
inhibition of proliferation
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