[Clinical analysis of intraocular pressure elevation following vitreoretinal surgery].

OBJECTIVE: To study the incidence and risk factors of intraocular pressure (IOP) elevation in patients who underwent vitreoretinal surgery. METHODS: Data for 422 patients (446 eyes) who underwent vitreoretinal surgery from June 2005 to June 2007 were retrospectively analyzed. IOP was measured before surgery and on day 1, 2, 3, 7-14 after surgery with Goldmann applanation tonometer. Ocular hypertension was defined as IOP 25 mmHg or more. All factors were analyzed for association with Ocular hypertension. RESULTS: 232 of the 422 patients were female. 190 were male. The IOP was elevated significantly in 185 eyes (41%) after surgery within 2 weeks. Among them the IOP occurred mostly in day 1 (152 eyes, 82%). The rate of IOP elevation with intraocular tamponade of C3F8 or silicone oil was 53% or 55%, the difference being not statistically significant (P>0.05). The incidence of high IOP in C3F8 injection group and silicone oil injection group were statistically higher than simple pars plana vitrectomy group (P<0.01). The risk factors of ocular hypertension include C3F8 injection (chi2=37.82, P<0.01), silicone oil injection (chi2=27.84, P<0.01), lentectomy (chi2=8.98, P<0.01), scatter endolaser (chi2=7.41, P<0.01), diabetes (chi2=12.12, P<0.01) and increasing patient age (chi2=7.07, P<0.01). CONCLUSION: IOP elevation was a common complication of vitreoretinal surgery. The risk factors of ocular hypertension include C3F8 injection, silicone oil injection, lentectomy, scatter endolaser, diabetes and increasing patient age.

Subretinal hypopyon in sympathetic ophthalmia.

PURPOSE: To describe a rare case of sympathetic ophthalmia with subretinal hypopyon. METHODS: Observational case report. RESULTS: A 41-year-old man was diagnosed with sympathetic ophthalmia in his left eye. Oral prednisone was started. Three days later, he developed an inferior exudative retinal detachment with an underlying hypopyon. The exudative retinal detachment and hypopyon resolved completely within 48 hours. CONCLUSIONS: A subretinal hypopyon in sympathetic ophthalmia is a rare clinical finding. It is probably the result of acute inflammation in the subretinal space.

Effects on telomerase activity and associated-protein of hRPE cells by TGF-beta 1.

PURPOSE: To investigate the effects on telomerase activity, human telomerase reverse transcriptase(hTERT) gene and TEP1mRNA of retinal pigment epithelial(RPE) cells were treated by TGF-beta 1 of different concentration. METHODS: The cultured human RPE cells were treated with TGF-beta 1 at different concentration (0 ng/ml, 0.01 ng/ml, 0.1 ng/ml, 1 ng/ml, 10 ng/ml) for 24 h, then telomerase activity was detected by telomerase repeat amplification protocol (TRAP). The expression of hTERT mRNA and TEP-1mRNA were detected by reverse transcription polymerase chain reaction (RT-PCR). RESULTS: TRAP and RT-PCR showed when the concentration of TGF-beta 1 was gradually increased, telomerase activity and the expression of hTERTmRNA were gradually reduced, TEP1mRNA showed no apparent differential expression. CONCLUSION: TGF-beta 1 can down-regulate telomerase activity and the expression of hTERT mRNA, but no effection on TEP-1mRNA, hTERTmRNA expression was in accordance with telomerase activity in hRPE cells, hTERT gene plays a crucial role in the expression of telomerase activity, while TEP1 plays a much smaller role.