Table 2 Previous SRH models.
Species (references) | Method | Results | Limitations |
|---|---|---|---|
Mouse34 | Injections via transscleral route with a 33G needle 1.6 µl autologous blood (from tail vein); survival times 6 h to 10 days | Increased expression of inflammatory cytokines, chemokines and adhesion molecules; microglial migration, increased density; effects of minocycline | Use of metal needle, lower biocompatibility and larger tip size |
heparinized and diluted blood (one part blood to ten parts saline) injected subretinally | The retina overlying the hemorrhage became intensely degenerated over a period of months | Heparin is an anticoagulant; clotting process differs from fresh blood injections | |
Rabbit38 | 0.1 ml fresh blood from ear; specially constructed 30G needle tip encased in a 22G spinal needle; clot prevention 0.03 cc of air in the needle tip (also injected in the subretinal space); survival times:1 h to 28 days | Signs of degeneration after 1 day in the outer retinal layer | Use of plus air bubble, can make retinal detachment worse |
Rabbit39 | 0.1 ml fresh blood from ear; 30G needle; Clot prevention: air bubble | Intravitreal injection of tPA 1 day after subretinal injection of blood in rabbits facilitated more rapid lysis of the clotted blood, however, retinal damage was not prevented | Use of plus air bubble, can make retinal detachment worse |
Rabbit40 | 100 µl autologous blood from ear vein in a nasal juxtapapillary location along the myelinated streak; An angled 1-inch, 30-gauge needle was introduced transsclerally 3–4 mm posterior to the limbus | Photoreceptor toxicity caused by SRH occurs at least in part by apoptosis and is associated with iron migration to the photoreceptor layer | Use of metal needle |
Cat41 | the tip of a 20-gauge surgical knife or a 25-gauge needle was passed transsclerally into the bleb and then withdrawn, allowing choroidal blood to extend under the retina into the area centralis; Lesions were observed 25 min to 14 days | In 6 of 9 clots more than 1 h old, fibrin was associated with tearing of sheets of photoreceptor inner and outer segments. Later degeneration progressed to involve all retinal layers overlying the densest areas of fibrin in the clots; hemorrhages into subretinal blebs containing tPA did not form fibrin strands or cause photoreceptor tearing | Use of metal needle |
Cat42 | the tapetal or nasal retina with a neodymium: YAG (Nd: YAG) laser focused through a preformed retinal bleb; 2–25 laser shots (mean, 14) at between 20 and 25 mJ were fired until one created a large subretinal hemorrhage | Removing experimental SRHs within 7 days of their occurrence with the assistance of rt-PA and an ultra-microsurgical approach may reduce outer retinal degeneration | Laser due to heat and tissue absorption |