Literature DB >> 24436190

Static blood flow autoregulation in the optic nerve head in normal and experimental glaucoma.

Lin Wang1, Claude F Burgoyne, Grant Cull, Simon Thompson, Brad Fortune.   

Abstract

PURPOSE: To characterize the static blood flow autoregulation in the optic nerve head (ONH), and to investigate its role in hemodynamic changes in experimental glaucoma (EG).
METHODS: Unilateral elevation of intraocular pressure (IOP) was induced in 15 adult rhesus macaques by laser treatment to the trabecular meshwork. Prior to and after laser treatment, retinal nerve fiber layer thickness (RNFLT) was assessed, biweekly, by spectral-domain optical coherence tomography. Optic nerve head static autoregulation was assessed by determining the percentage blood flow (BF) change after the IOP was acutely increased from 10 to 30, 40, or 50 mm Hg manometrically, utilizing a laser speckle flowgraphy device.
RESULTS: Postlaser IOP (measured during average 7.7 ± 2.6 months) was 20.2 ± 5.9 mm Hg in EG eyes and 12.3 ± 2.6 mm Hg in control eyes (P < 0.0001). Retinal nerve fiber layer thickness was reduced by 33 ± 22% of the baseline values (P < 0.001) on average in EG eyes and by 0.4 ± 2.3% in control eyes (P > 0.05). The ONH BF remained at a constant level within a range of ocular perfusion pressure (OPP), 41 mm Hg and above. The autoregulation curves, created by all 723 tests in control and 352 tests in EG, were not significantly different (P = 0.71).
CONCLUSIONS: Optic nerve head BF in normal nonhuman primate (NHP) eyes is effectively regulated within a range of OPP approximately 41 mm Hg and above. Chronic IOP elevation causes no remarkable change to the static autoregulation within the ONH of EG eyes.

Entities:  

Keywords:  autoregulation; experimental glaucoma; intraocular pressure; ocular perfusion pressure

Mesh:

Year:  2014        PMID: 24436190      PMCID: PMC3920822          DOI: 10.1167/iovs.13-13716

Source DB:  PubMed          Journal:  Invest Ophthalmol Vis Sci        ISSN: 0146-0404            Impact factor:   4.799


  61 in total

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  16 in total

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3.  Alterations in molecular pathways in the retina of early experimental glaucoma eyes.

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8.  Longitudinal alterations in the dynamic autoregulation of optic nerve head blood flow revealed in experimental glaucoma.

Authors:  Lin Wang; Grant Cull; Claude F Burgoyne; Simon Thompson; Brad Fortune
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9.  Compromised Optic Nerve Blood Flow and Autoregulation Secondary to Neural Degeneration.

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