Reitsamer Herbert A, Kiel Jeffrey W
Department of Physiology, University of Vienna Medical School, Austria.
Invest Ophthalmol Vis Sci. 2002 Dec;43(12):3728-34.
To measure orbital venous pressure (OVP) and determine the effects of changes in mean arterial pressure (MAP) on OVP, intraocular pressure (IOP), episcleral venous pressure (EVP), and ciliary and choroidal blood flows.
The experiments were performed in anesthetized rabbits. In all animals, MAP, IOP, and OVP were measured by direct cannulation of the central ear artery, the vitreous, and the orbital venous sinus, respectively. Laser Doppler flowmetry was used to measure choroidal blood flow in one group, and ciliary blood flow in a second group. A servonull micropressure system was used to measure EVP in a third group. The protocol for all three groups entailed varying MAP mechanically with occluders on the aorta and vena cava.
The OVP and IOP relationship correlated linearly (r = 0.99) during mechanical manipulation of MAP. EVP also correlated well with OVP (r = 0.9). Resistance calculations based on choroidal and ciliary blood flows and the pressure gradients indicate active adjustment of arterial resistance and passive changes in venous resistance in response to changing MAP in both circulations.
The rabbit orbital venous sinus permits continuous measurements of OVP. The present findings show that OVP is not static and suggest that OVP may play an important role in IOP homeostasis and ocular hemodynamics.
测量眼眶静脉压(OVP),并确定平均动脉压(MAP)变化对OVP、眼压(IOP)、巩膜静脉压(EVP)以及睫状体和脉络膜血流的影响。
实验在麻醉的兔子身上进行。在所有动物中,分别通过直接穿刺中耳动脉、玻璃体和眼眶静脉窦来测量MAP、IOP和OVP。一组使用激光多普勒血流仪测量脉络膜血流,另一组测量睫状体血流。第三组使用伺服零位微压系统测量EVP。所有三组的实验方案都包括通过在主动脉和腔静脉上放置阻塞器来机械改变MAP。
在机械操纵MAP期间,OVP与IOP的关系呈线性相关(r = 0.99)。EVP与OVP也有良好的相关性(r = 0.9)。基于脉络膜和睫状体血流以及压力梯度的阻力计算表明,在两个循环中,随着MAP的变化,动脉阻力会主动调节,静脉阻力会被动改变。
兔眼眶静脉窦允许连续测量OVP。目前的研究结果表明OVP并非恒定不变,并提示OVP可能在IOP稳态和眼血流动力学中起重要作用。