The steroid effect on the blood-ocular barrier change induced by triolein emulsion as seen on contrast-enhanced MR images.
OBJECTIVE
The purpose of this study is to evaluate the effect of dexamethasone on the damaged blood-ocular barrier caused by triolein emulsion, using contrast-enhanced MR imaging.


METHODS
An emulsion of 0.1-mL triolein in 20 mL of saline was infused into the carotid arteries of 32 cats, 12 cats were placed in the treatment group and 18 cats were placed in the Control group. Thirty minutes after the infusion of triolein emulsion, a set of orbital pre- and post-contrast T1-weighted MR images (T1WIs) were obtained. Infusion of 10 mg/kg dexamethasone into the ipsilateral carotid artery of each of the cats in the treatment group cats and 20 mL saline in each of the cats in the control group was given. A second set of pre- and post-contrast orbital T1WIs were obtained three hours following triolein emulsion infusion. Qualitative analysis was performed for the the anterior chamber (AC), the posterior chamber (PC), and in the vitreous humor of the ipsilateral and contralateral eyes. The signal intensity ratios of the ipsilateral eye over the contralateral eye were quantitatively evaluated in the three ocular chambers on the first and second set of T1WIs, and were then statistically compared.


RESULTS
Qualitatively, the AC, the PC or the vitreous did not show immediate contrast enhancement on the first and the second set of post-contrast T1WIs. However, the AC and the PC showed delayed contrast enhancement for both groups of cats on the second pre-contrast T1WIs. No enhancement or minimally delayed enhancement was seen for the vitreous humor. Quantitatively, the signal intensity ratios in the PC of the treatment group of cats were statistically lower than the ratios of the control group of cats for the second set of T1WIs (p = 0.037). The AC and vitreous showed no statistically significant difference between the feline treatment group and control group (p > 0.05).


CONCLUSIONS
Contrast-enhanced MR images revealed increased vascular permeability in the PC of the eye after infusion of triolein emulsion. Dexamethasone seems to decrease the breakdown of the blood-aqueous barrier in the PC.
Department of Radiology, Graduate School of Inje University, College of Medicine, Pusan, Korea.
Jong Yuk
JY
Lee
Choong Ki
CK
Eun
Yong Woo
YW
Kim
Hak Jin
HJ
Kim
Yeon Joo
YJ
Jung
Seung Youn
SY
Jae
Byung Mann
BM
Cho
Seon Hee
SH
Choi
D000818:Animals; D018916:Blood-Aqueous Barrier / Q000187:drug effects*; D001813:Blood-Retinal Barrier / Q000187:drug effects*; D002199:Capillary Permeability / Q000187:drug effects; D002415:Cats; D003287:Contrast Media; D003907:Dexamethasone / Q000494:pharmacology*; D004655:Emulsions; D005938:Glucocorticoids / Q000494:pharmacology*; D007089:Image Enhancement; D008279:Magnetic Resonance Imaging / Q000379:methods*; D014304:Triolein / Q000009:adverse effects*
D003287:Contrast Media; D004655:Emulsions; D005938:Glucocorticoids; D014304:Triolein; D003907:Dexamethasone