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血脂对人体视网膜血管血流动力学影响的计算评估

Computational assessment of blood lipid influence on hemodynamics in human retinal vessels.

作者信息

Ding Yu, Jiang Zhengxuan, Jiang Jiang, Yang Guoke, Li Yinglong, Tao Liming

机构信息

Department of Ophthalmology, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.

Department of Ophthalmology, The First People's Hospital of Hefei, The Third Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.

出版信息

Sci Rep. 2025 May 13;15(1):16542. doi: 10.1038/s41598-025-98767-6.

Abstract

The study of retinal hemodynamics is pivotal for understanding both physiological and pathological conditions affecting the eye. Microcirculation in the retina exhibits unique rheological properties and flow dynamics compared to larger vessels. This computational study investigates the possible impact of elevated blood lipids on retinal vascular flow characteristics, focusing on viscosity increases and potential blockage effects. We utilized computational fluid dynamics to solve the incompressible Navier-Stokes equations for an image-based retinal vessel network under healthy conditions. Our findings reveal that arterial vessels have a higher average mainstream flow velocity than venous vessels, however, the latter experience higher wall shear stress (WSS) in those fine branch vessels, which are far away from the optical disc. Notably, vessels with more branches in the venous network are subjected to greater WSS. Then, we simulated the effect of elevated blood lipids by increasing venous viscosity by about 10-20%, which led to a proportional rise in WSS. Furthermore, we explored the potential blockage that may caused by elevated blood lipids, leading to localized increases in velocity and WSS. This study provides insights into the hemodynamic alterations induced by hyperlipidemia, highlighting the importance of considering systemic health parameters in ocular disease research and treatment.

摘要

视网膜血流动力学的研究对于理解影响眼睛的生理和病理状况至关重要。与较大血管相比,视网膜中的微循环表现出独特的流变学特性和血流动力学。这项计算研究调查了血脂升高对视网膜血管血流特性的可能影响,重点关注粘度增加和潜在的阻塞效应。我们利用计算流体动力学在健康条件下求解基于图像的视网膜血管网络的不可压缩纳维-斯托克斯方程。我们的研究结果表明,动脉血管的平均主流流速高于静脉血管,然而,在远离视盘的那些细支血管中,静脉血管承受着更高的壁面剪应力(WSS)。值得注意的是,静脉网络中分支较多的血管承受的WSS更大。然后,我们通过将静脉粘度提高约10 - 20%来模拟血脂升高的影响,这导致WSS成比例上升。此外,我们探讨了血脂升高可能导致的潜在阻塞,从而导致局部速度和WSS增加。这项研究为高脂血症引起的血流动力学改变提供了见解,强调了在眼科疾病研究和治疗中考虑全身健康参数的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e07/12075859/816754aecaa2/41598_2025_98767_Fig1_HTML.jpg

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