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犬视网膜动脉和静脉压力及其与主动脉、眼内和脑脊液压力的关系。

Retinal artery and vein pressures in the dog and their relationship to aortic, intraocular, and cerebrospinal fluid pressures.

作者信息

Morgan W H, Yu D Y, Cooper R L, Alder V A, Cringle S J, Constable I J

机构信息

McCusker Glaucoma Centre, Centre for Ophthalmology and Visual Science, University of Western Australia, Nedlands.

出版信息

Microvasc Res. 1997 May;53(3):211-21. doi: 10.1006/mvre.1997.2010.

Abstract

The relationship between retinal arterial (Pra) and aortic (Pa) pressures is unknown, and the relationship between retinal vein (Prv) pressure and intraocular pressure (IOP) is not clear. Also unclear is the effect of cerebrospinal fluid pressure (CSFp) upon retinal venous pressure. We aimed to measure the relationships among Pra, Prv, Pa, IOP, and CSFp. Dogs were anesthetized while IOP, CSFp, and Pa were monitored. Pipettes with 2.5-micron diameter tips, connected to a servonulling pressure transducer, were used to record pressures from the retinal arteries and veins. Across a range of IOP (16-22 mmHg), CSFp (0-21 mmHg), and Pa (23-195 mmHg) the Pra = 0.72 Pa + 4.3 (r = 0.99, n = 61, P < 0.01), which suggests that the relationship between Pra and Pa is linear over a broad range of systemic blood pressures. The correlation coefficient between Prv and IOP was greater than 0.96 (P < 0.01) at all venous sites and whether IOP was greater than or less than CSFp. The transmural pressure varied along the retinal vein from 1.3 +/- 0.3 mmHg (+/-95% CI, n = 30) at 1 disk diameter from the optic disk rim to 0.3 +/- 0.2 mmHg (n = 66) at the optic disk, with a 0.9-mmHg/mm pressure gradient. These are the first measurements demonstrating a retinal vein transmural pressure close to zero.

摘要

视网膜动脉压(Pra)与主动脉压(Pa)之间的关系尚不清楚,视网膜静脉压(Prv)与眼内压(IOP)之间的关系也不明确。此外,脑脊液压力(CSFp)对视网膜静脉压的影响也不清楚。我们旨在测量Pra、Prv、Pa、IOP和CSFp之间的关系。对狗进行麻醉,同时监测IOP、CSFp和Pa。使用连接到伺服零压力传感器的直径为2.5微米的吸液管记录视网膜动脉和静脉的压力。在一系列的IOP(16 - 22 mmHg)、CSFp(0 - 21 mmHg)和Pa(23 - 195 mmHg)范围内,Pra = 0.72 Pa + 4.3(r = 0.99,n = 61,P < 0.01),这表明在广泛的体循环血压范围内,Pra与Pa之间的关系是线性的。在所有静脉部位,无论IOP大于还是小于CSFp,Prv与IOP之间的相关系数均大于0.96(P < 0.01)。视网膜静脉的跨壁压力沿视网膜静脉变化,从距视盘边缘1个视盘直径处的1.3±0.3 mmHg(±95%CI,n = 30)到视盘处的0.3±0.2 mmHg(n = 66),压力梯度为0.9 mmHg/mm。这些是首次测量显示视网膜静脉跨壁压力接近零。

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