Choroidal myogenic autoregulation and intraocular pressure. 1994

J W Kiel
Department of Ophthalmology, University of Texas Health Science Center, San Antonio 78284.

This study tests the hypothesis that choroidal myogenic autoregulation participates in the intraocular pressure (IOP) response to mean arterial pressure (MAP) by minimizing arterial-pressure-dependent changes in choroidal blood volume. To test this hypothesis, the IOP response to MAP was quantified before and after impairing choroidal autoregulation. In a previous study, the efficacy of choroidal myogenic autoregulation was inversely related to IOP. Therefore, in one series of experiments (n = 6), the relationship between MAP and IOP was determined at normal and elevated baseline IOP (i.e., 15 and 25 mmHg, respectively). In a second series of experiments (n = 6), the relationship between MAP and IOP was determined at the normal IOP (15 mmHg) before and after administering hydralazine, an arterial vasodilator. In both series, the MAP manipulations were kept brief to avoid the confounding effects of aqueous compensation. The experiments were performed in pentobarbital anesthetized rabbits with hydraulic occluders placed on the thoracic descending aorta and inferior vena cava to raise and lower MAP, respectively. MAP was measured via a central ear artery catheter. The right eye was cannulated with two 23 gauge needles; one cannula was used to set the IOP by varying the ocular volume and the other was used to measure the IOP. The protocol consisted of inflating the occluders to cause brief (1-1.5 min) ramp increases and decreases in MAP over a wide pressure range. Baseline IOP was set prior to each occlusion, but was otherwise uncontrolled. In the first series, the MAP range was 30 to 95 mmHg and IOP changed by 6 mmHg at the normal baseline IOP and by 18 mmHg at the elevated baseline IOP. The corresponding volume shifts were 7.7 and 14.5 microliters, respectively. In the second series, the MAP range was 25 to 95 mmHg and IOP changed by 6 mmHg during control and by 14 mmHg after hydralazine. The corresponding volume shifts were 6.7 and 13.8 microliters, respectively. In both series, the prompt return of IOP to baseline upon restoration of normal MAP indicated that the volume changes were due to changes in ocular blood volume. Additional experiments confirmed that elevating the baseline IOP and administering hydralazine impaired choroidal autoregulation but did not alter the cranial venous pressure response to varying MAP.(ABSTRACT TRUNCATED AT 400 WORDS)

UI MeSH Term Description Entries
D007429 Intraocular Pressure The pressure of the fluids in the eye. Ocular Tension,Intraocular Pressures,Ocular Tensions,Pressure, Intraocular,Pressures, Intraocular,Tension, Ocular,Tensions, Ocular
D008297 Male Males
D009131 Muscle, Smooth, Vascular The nonstriated involuntary muscle tissue of blood vessels. Vascular Smooth Muscle,Muscle, Vascular Smooth,Muscles, Vascular Smooth,Smooth Muscle, Vascular,Smooth Muscles, Vascular,Vascular Smooth Muscles
D011817 Rabbits A burrowing plant-eating mammal with hind limbs that are longer than its fore limbs. It belongs to the family Leporidae of the order Lagomorpha, and in contrast to hares, possesses 22 instead of 24 pairs of chromosomes. Belgian Hare,New Zealand Rabbit,New Zealand Rabbits,New Zealand White Rabbit,Rabbit,Rabbit, Domestic,Chinchilla Rabbits,NZW Rabbits,New Zealand White Rabbits,Oryctolagus cuniculus,Chinchilla Rabbit,Domestic Rabbit,Domestic Rabbits,Hare, Belgian,NZW Rabbit,Rabbit, Chinchilla,Rabbit, NZW,Rabbit, New Zealand,Rabbits, Chinchilla,Rabbits, Domestic,Rabbits, NZW,Rabbits, New Zealand,Zealand Rabbit, New,Zealand Rabbits, New,cuniculus, Oryctolagus
D012039 Regional Blood Flow The flow of BLOOD through or around an organ or region of the body. Blood Flow, Regional,Blood Flows, Regional,Flow, Regional Blood,Flows, Regional Blood,Regional Blood Flows
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D002829 Choroid The thin, highly vascular membrane covering most of the posterior of the eye between the RETINA and SCLERA. Choriocapillaris,Haller Layer,Haller's Layer,Sattler Layer,Sattler's Layer,Choroids
D005260 Female Females
D006487 Hemostasis The process which spontaneously arrests the flow of BLOOD from vessels carrying blood under pressure. It is accomplished by contraction of the vessels, adhesion and aggregation of formed blood elements (eg. ERYTHROCYTE AGGREGATION), and the process of BLOOD COAGULATION. Hemostases
D006830 Hydralazine A direct-acting vasodilator that is used as an antihypertensive agent. Hydrallazin,Apresoline,Apressin,Apressoline,Hydralazine Hydrochloride,Hydralazine mono-Hydrochloride,Hydrazinophthalazine,Nepresol,Hydralazine mono Hydrochloride,Hydrochloride, Hydralazine,mono-Hydrochloride, Hydralazine

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