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目的：探讨反转缝合与丰富环境联合干预对单眼形觉剥夺成年弱视大鼠视皮层可塑性的再激活作用。方法将14日龄大鼠随机分为8组：1~3组为正常对照组,4~8组为单眼剥夺组。剥夺组在生后14天行右侧眼睑缝合制备单眼剥夺模型，放于实验室标准环境下饲养，1~3组、4~6组分别于生后45天、60天、90天处死；7~8组于60日龄时打开剥夺眼，缝合左侧眼睑行遮盖治疗，第7组放于标准环境中饲养30d，即反转缝合组，第8组放于丰富环境中饲养30天，即反转缝合联合丰富环境干预组，此两组至90日龄处死取材；免疫组化染色检测并分析各组大鼠视皮层PSD-95蛋白表达水平的变化。结果同年龄段弱视组视皮层PSD-95呈阳性神经元密度降低(P<0.001)；同年龄段反转缝合干预组视皮层较弱视组PSD-95呈阳性神经元密度增加(P<0.05)，但仍低于正常组(P<0.05)；同年龄段反转缝合、结合丰富环境干预组视皮层与弱视组、反转缝合组相比，PSD-95呈阳性神经元密度增加(P0.05)。结论单眼剥夺影响了关键期后成年大鼠视皮层PSD-95的表达，提示PSD-95可能参与调节成年视皮层可塑性；反转缝合单纯干预、反转缝合联合丰富环境干预能部分重新激活剥夺性成年弱视大鼠视皮层可塑性，反转缝合与丰富环境联合干预的再激活作用更为明显。“,”Objective To investigate effect of reverse suture combined with enriched environment intervention on the reactivation of ocular dominance plasticity in the visual cortex of monocular form-deprived adult rats. Methods The 14-day-old rats were randomly divided into eight groups: 1~3 groups are normal control group (NC) , 4~8 groups are monocular deprivation group (MD) .The right eyelids of MD groups were sutured at postnatal 14 days to obtain animal model. Rats were housed in the standard environment. All the rats of 1~6 groups were sacrificed at postnatal 45, 60 and 90 days. The right eyelids of the rats for 7~8 groups were opened while left eyelids were sutured at postnatal 45 days.Rats of 7 group ( RS) were housed in the standard environment and rats of 8 group ( RS+EE) were housed in the enriched environment. The last two groups were sacrificed at postnatal 90 days. We measured the expression of PSD-95 protein in the visual cortex of the different groups by using immunohistochemistry staining. Results The density of positive neurons of PSD-95 in the visual cortex of MD group was significantly much less than those in NC groups at the same age ( P< 0.001) .The density of positive neurons of PSD-95 in RS group was higher than those of MD group (P< 0.05),but still lower than those of NC group at the same age (P< 0.05) . The density of positive neurons of PSD-95 in RS+EE group was higher than those of MD group and RS group at the same age ( P 0.05) . Conclusions Monocular deprivation might influence the expression of PSD-95 in the visual cortex of monocular deprived form adult rats after the critical period, The results implied that PSD-95 might participated in the ocular dominance plasticity in the adult visual cortex. Effect of re verse suture combined with enriched environment intervention was much stronger than reverse suture alone intervention on the reactivation of ocular dominance plasticity in the visual cortex of monocular form deprived adult rats.