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Retinal venous pulsatility and intraocular pressure changes

机译:视网膜静脉搏动和眼压变化

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Purpose: Spontaneous retinal venous pulsations (SRVP) arise from an interaction between intraocular pressure (lOP), retinal venous pressure (RVP) and intracranial pressure (ICP). With elevated ICR raised RVP or reduced lOP, the gradient over the intra - extra ocular space decreases leading to cessation of SRVP. Reduced SRVPs have been reported in glaucoma. In this study we examined the amplitude of SRVP and its relationship with lOP in retinal veins near the optic disc. Methods: The study included 10 healthy subjects (mean age: 35 + 10) with no history of eye disease, no head injury, and a normal fundus on ophthalmoscopy with no signs of raised ICP or vascular changes. Baseline lOP was measured (Goldman) and SRVP was recorded using the dynamic retinal vessel analyser (Imedos). The lOP was lowered using a drop of lopi-dine 0.5% and was measured every 15 minutes, followed by a dynamic recording of SPRV for 100 seconds - inferotemporal vein IDD from optic disc. Mean SPRV was determined for a 20 second period of stable recording within each sample at the same site along the vein. The blood pressure and heart rate was tracked continuously throughout (Finipress). RVP was assumed to be constant during the test.
机译:目的:自发性视网膜静脉搏动(SRVP)由眼压(lOP),视网膜静脉压(RVP)和颅内压(ICP)之间的相互作用引起。随着ICR升高,RVP升高或IOP降低,眼内间隙的梯度降低,导致SRVP停止。据报道,青光眼的SRVP降低。在这项研究中,我们检查了视盘附近视网膜静脉中SRVP的振幅及其与lOP的关系。方法:该研究纳入了10名健康受试者(平均年龄:35 + 10),他们没有眼部疾病史,没有头部受伤,检眼镜检查眼底正常,没有ICP升高或血管改变的迹象。测量基线lOP(Goldman),并使用动态视网膜血管分析仪(Imedos)记录SRVP。使用一滴洛匹定0.5%降低IOP,每15分钟测量一次,然后动态记录SPRV 100秒-视盘下颞静脉IDD。在沿静脉相同部位的每个样品中,在20秒的稳定记录时间内确定平均SPRV。在整个过程中(Finipress)连续跟踪血压和心率。假设在测试过程中RVP保持恒定。

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