School of Optometry, Université de Montréal, Montréal, Québec, Canada.
Curr Eye Res. 2013 Jan;38(1):158-67. doi: 10.3109/02713683.2012.723296. Epub 2012 Sep 19.
A new noninvasive laser Doppler flowmetry (LDF) probe (one emitting fiber surrounded by a ring of eight collecting fibers, 1-mm interaxis distance) was tested for its sensitivity to assess the retinal/choroidal blood flow variations in response to hypercapnia, hyperoxia, diverse vasoactive agents and following retinal arteries photocoagulation in the rat.
After pupil dilation, a LDF probe was placed in contact to the cornea of anesthetized rats in the optic axis. Hypercapnia and hyperoxia were induced by inhalation of CO(2) (8% in medical air) and O(2) (100%) while pharmacological agents were injected intravitreously. The relative contribution of the choroidal circulation to the LDF signal was estimated after retinal artery occlusion by photocoagulation.
Blood flow was significantly increased by hypercapnia (18%), adenosine (14%) and sodium nitroprusside (16%) as compared to baseline values while it was decreased by hyperoxia (-8%) and endothelin-1 (-11%). Photocoagulation of retinal arteries significantly decreased blood flow level (-45%).
Although choroidal circulation most likely contributes to the LDF signal in this setting, the results demonstrate that LDF represents a suitable in vivo noninvasive technique to monitor online relative reactivity of retinal perfusion to metabolic or pharmacological challenge. This technique could be used for repeatedly assessing blood flow reactivity in rodent models of ocular diseases.
测试一种新型的非侵入性激光多普勒流量测定仪(LDF)探头(一根发射光纤被八根接收光纤环绕,光纤轴心间距为 1 毫米)的灵敏度,以评估其在检测高碳酸血症、高氧血症、不同血管活性药物以及大鼠视网膜动脉光凝后视网膜/脉络膜血流变化方面的应用价值。
在瞳孔扩张后,将 LDF 探头置于麻醉大鼠视神经轴线上的角膜上。通过吸入 CO₂(医用空气中 8%)和 O₂(100%)来诱导高碳酸血症和高氧血症,同时通过玻璃体内注射药物来诱导高碳酸血症和高氧血症。通过视网膜动脉光凝来阻断脉络膜循环,以评估其对 LDF 信号的相对贡献。
与基线值相比,高碳酸血症(增加 18%)、腺苷(增加 14%)和硝普钠(增加 16%)可显著增加血流,而高氧血症(减少 8%)和内皮素-1(减少 11%)则降低血流。视网膜动脉光凝可显著降低血流水平(减少 45%)。
尽管在这种情况下,脉络膜循环可能对 LDF 信号有较大贡献,但结果表明 LDF 是一种适合在体监测代谢或药物刺激后视网膜灌注相对反应性的非侵入性技术。这种技术可用于反复评估眼部疾病的啮齿动物模型中的血流反应性。