Hatta S
Department of Ophthalmology, Faculty of Medicine, Tottori University, Yonago, Japan.
Nippon Ganka Gakkai Zasshi. 1993 Feb;97(2):181-9.
The effects of intraocular pressure (IOP) on the blood flow in the laminar portion of the optic nerve head in adult albino rabbits were investigated employing the hydrogen clearance method. The blood flow volume at the normal IOP level of 15 mmHg was 119.0 +/- 25.0 ml/min/100 g (mean +/- S.D.). When the IOP was raised every 30 minutes from 5 mmHg to 15, 25, 35, 45 and 55 mmHg in a stepwise fashion, the mean blood flow volume at 5 mmHg was almost the same as the volume at 15 mmHg, but a significant linear decrease was observed at 35 mmHg or more. The decreased blood flow returned to the initial level when the raised IOP was restored to normal. When the IOP was raised to 55 mmHg, the optic nerve potential (ONP) amplitude decreased and the peak latency became gradually prolonged with time, and finally the ONP became almost impossible to measure after 30 minutes, before remarkable changes were noted on the electroretinogram. However, quick recovery of the ONP was recognized within 5 minutes after returning to a normal IOP level of 15 mmHg. These findings indicate that vascular changes might have an important effect on the optic nerve head function or action potential.
采用氢清除法研究了成年白化兔眼内压(IOP)对视神经乳头板层部分血流的影响。正常眼压水平为15 mmHg时,血流量为119.0±25.0 ml/min/100 g(平均值±标准差)。当眼压每30分钟从5 mmHg逐步升至15、25、35、45和55 mmHg时,5 mmHg时的平均血流量与15 mmHg时几乎相同,但在35 mmHg及以上时观察到显著的线性下降。当升高的眼压恢复正常时,减少的血流恢复到初始水平。当眼压升至55 mmHg时,视神经电位(ONP)幅度降低,峰值潜伏期随时间逐渐延长,最终在30分钟后几乎无法测量到ONP,此时视网膜电图尚未出现明显变化。然而,在恢复到15 mmHg的正常眼压水平后5分钟内,ONP迅速恢复。这些发现表明,血管变化可能对视神经乳头功能或动作电位有重要影响。