Department of Ophthalmology and Visual, College of Medicine, University of Iowa, Iowa City, IA, USA.
(no affiliation), Iowa City, IA, USA.
Eye (Lond). 2023 Sep;37(13):2590-2616. doi: 10.1038/s41433-023-02416-z. Epub 2023 Apr 25.
The uveal vascular bed is the largest vascular system in the eye and has a role in supplying almost every tissue in the eyeball. This makes it the most important ocular vascular system. This is an up-to-date review of the literature of the entire uveal vascular bed in health based on detailed anatomy of the posterior ciliary arteries (PCAs), anterior ciliary arteries, cilioretinal arteries, and vortex veins. Although postmortem injection cast preparations gave us useful information on the morphology of the choroidal vascular bed; in vivo studies showed that they misled us for centuries about the in vivo situation. According to the postmortem cast studies, the uveal vascular bed has no segmental distribution, the uveal vessels anastomose freely with one another, there are inter-arterial and arteriovenous anastomoses in the choroid, and the choriocapillaris form a freely communicating and an uninterrupted vascular bed in the entire choroid.
葡萄膜血管床是眼球中最大的血管系统,对供应眼球内几乎所有组织都起着作用。这使其成为最重要的眼部血管系统。本文基于后睫状动脉(PCA)、前睫状动脉、睫状视网膜动脉和涡静脉的详细解剖,对整个葡萄膜血管床的健康文献进行了最新综述。尽管尸检注射铸型准备为我们提供了有关脉络膜血管床形态学的有用信息;但体内研究表明,它们几个世纪以来误导了我们对体内情况的认识。根据尸检铸型研究,葡萄膜血管床没有节段性分布,葡萄膜血管彼此自由吻合,脉络膜中有动脉间和动静脉吻合,脉络膜毛细血管在整个脉络膜中形成自由连通且不间断的血管床。