Microcystic macular edema (MME) represents a pathological change that can be observed in the inner layer of the retina in patients diagnosed with glaucoma. This phenomenon is particularly prevalent in individuals with moderate to advanced glaucoma. The majority of research in this field has focused on primary open-angle glaucoma. The occurrence of MME in glaucoma has been demonstrated to be associated with younger age, advanced stage and disease progression. MME occurs in the parafoveal region, most frequently located in the inferior perimacular region, which corresponded with the most vulnerable area of ganglion cells in glaucoma. The presence of MME may affect the automatic layering of optical coherence tomography images, suggesting that clinicians should be mindful of the occurrence of MME to avoid misdiagnosis of the disease. It is hypothesised that the occurrence of MME in glaucoma may be related to macular vitreous traction, mechanical stress of the stent, and Müller cell dysfunction. A comprehensive investigation of the precise pathophysiological mechanism of MME in glaucoma will facilitate the development of a novel perspective and a scientific foundation for the diagnosis, disease monitoring and evaluation of treatment efficacy in glaucoma.
Objective
To quantify the mRNA expression of NMDAR1 gene in the retina of eyes with acute elevation of IOP in rabbit.
Methods
Tweenty-six eyes of 16 rabbits were divided into three groups: Group 1: The IOP of one eye in 10 rabbits was elevated to 60 mm Hg by ante ri or chamber infusion. Group 2: The another eye of the same rabbit in group 1 was maintained the IOP to 20 mm Hg by anterior chamber infusion. Group 3: Unilat eral eyes of six rabbits were enucleated to evaluate the mRNA levels as normal control group. PCR product was identified by Southern blotting and the mRNA expression level was quantified by RT-PCR.
Results
The results revealed no significant difference between group 1 and group 2.
Conclusion
This implies that acute elevated IOP may not affect the mRNA expression level of NMDAR1 gene.
(Chin J Ocul Fundus Dis, 2001,17:50-51)