Color Doppler imaging of normal orbital vasculature. 1995

D S Greenfield, and P A Heggerick, and T R Hedges
New England Eye Center, Tufts University School of Medicine, Boston, MA 02111, USA.

BACKGROUND Color Doppler imaging has become a useful adjunctive tool in diagnosing ophthalmic vascular disease. However, a paucity of information exists regarding normal values. This investigation was conducted to generate a database of normal retrobulbar circulatory parameters. METHODS The authors prospectively studied the retrobulbar hemodynamic parameters of 53 normal eyes from 32 healthy individuals of various ages, all without risk factors for the development of systemic vascular disease. Preliminary Doppler spectral analysis was used to demonstrate normal carotid arterial, carotid siphon, and ophthalmic vascular anatomy. RESULTS Mean hemodynamic values were recorded for each retrobulbar vessel. Diastolic blood pressure significantly correlated with ophthalmic arterial end-diastolic velocity (P < 0.05) and pulsatility index (P < 0.05). Although end-diastolic velocity significantly decreased (P < 0.05) and vascular resistance significantly increased (P < 0.05) as a function of age in the posterior ciliary and central retinal arterial circulation, no such correlation was identified in the ophthalmic artery which demonstrated significantly more hemodynamic variability among individuals (P < 0.00001). No significant differences in blood flow or vascular resistance were noted between sexes, fellow orbits, or the nasal and temporal branches of the posterior ciliary artery within individual orbits. CONCLUSIONS Orbital hemodynamic parameters do not appear to be sex dependent or variable between fellow orbits. These data suggest that age and diastolic blood pressure may affect normal orbital blood flow and vascular resistance patterns. Significant interindividual variability is limited only to ophthalmic arterial blood flow.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009880 Ophthalmic Artery Artery originating from the internal carotid artery and distributing to the eye, orbit and adjacent facial structures. Arteries, Ophthalmic,Artery, Ophthalmic,Ophthalmic Arteries
D009915 Orbit Bony cavity that holds the eyeball and its associated tissues and appendages. Eye Socket,Eye Sockets,Orbits,Socket, Eye,Sockets, Eye
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D001783 Blood Flow Velocity A value equal to the total volume flow divided by the cross-sectional area of the vascular bed. Blood Flow Velocities,Flow Velocities, Blood,Flow Velocity, Blood,Velocities, Blood Flow,Velocity, Blood Flow
D002339 Carotid Arteries Either of the two principal arteries on both sides of the neck that supply blood to the head and neck; each divides into two branches, the internal carotid artery and the external carotid artery. Arteries, Carotid,Artery, Carotid,Carotid Artery
D002924 Ciliary Body A ring of tissue extending from the scleral spur to the ora serrata of the RETINA. It consists of the uveal portion and the epithelial portion. The ciliary muscle is in the uveal portion and the ciliary processes are in the epithelial portion. Corpus Ciliare,Corpus Ciliaris,Bodies, Ciliary,Body, Ciliary,Ciliare, Corpus,Ciliares, Corpus,Ciliari, Corpus,Ciliaris, Corpus,Ciliary Bodies,Corpus Ciliares,Corpus Ciliari
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup

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