Systemic hypertension is not protective against chronic intraocular pressure elevation in a rodent model

Abstract High intraocular pressure is the most well documented glaucoma risk factor; however many patients develop and/or show progression of glaucoma in its absence. It is now thought that in some instances, ocular perfusion pressure (blood pressure – intraocular pressure) may be as important as in...

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Autores principales: Anna K. van Koeverden, Zheng He, Christine T. O. Nguyen, Algis J. Vingrys, Bang V. Bui
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Publicado: Nature Portfolio 2018
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Acceso en línea:https://doaj.org/article/0f3d58fbb93f41b38c1fb16a30316add
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spelling oai:doaj.org-article:0f3d58fbb93f41b38c1fb16a30316add2021-12-02T16:08:26ZSystemic hypertension is not protective against chronic intraocular pressure elevation in a rodent model10.1038/s41598-018-25264-42045-2322https://doaj.org/article/0f3d58fbb93f41b38c1fb16a30316add2018-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-25264-4https://doaj.org/toc/2045-2322Abstract High intraocular pressure is the most well documented glaucoma risk factor; however many patients develop and/or show progression of glaucoma in its absence. It is now thought that in some instances, ocular perfusion pressure (blood pressure – intraocular pressure) may be as important as intraocular pressure alone. Thus, systemic hypertension would be protective against glaucoma. Epidemiological studies, however, are inconclusive. One theory of why hypertension may not protect against elevated intraocular pressure in spite of increasing ocular perfusion pressure is that with time, morphological changes to the vasculature and autoregulatory failure outweigh the benefits of improved perfusion pressure, ultimately leading to poor retinal and optic nerve head blood supply. In this study we showed the presence of increased wall:lumen ratio and wall area of the ophthalmic artery in rats with chronic hypertension in addition to failure of retinal autoregulation in response to acute modification of ocular perfusion pressure. Subsequently we found that in spite of dramatically increasing ocular perfusion pressure, chronic systemic hypertension failed to protect retinal structure and function from a rodent model of glaucoma.Anna K. van KoeverdenZheng HeChristine T. O. NguyenAlgis J. VingrysBang V. BuiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-12 (2018)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Anna K. van Koeverden
Zheng He
Christine T. O. Nguyen
Algis J. Vingrys
Bang V. Bui
Systemic hypertension is not protective against chronic intraocular pressure elevation in a rodent model
description Abstract High intraocular pressure is the most well documented glaucoma risk factor; however many patients develop and/or show progression of glaucoma in its absence. It is now thought that in some instances, ocular perfusion pressure (blood pressure – intraocular pressure) may be as important as intraocular pressure alone. Thus, systemic hypertension would be protective against glaucoma. Epidemiological studies, however, are inconclusive. One theory of why hypertension may not protect against elevated intraocular pressure in spite of increasing ocular perfusion pressure is that with time, morphological changes to the vasculature and autoregulatory failure outweigh the benefits of improved perfusion pressure, ultimately leading to poor retinal and optic nerve head blood supply. In this study we showed the presence of increased wall:lumen ratio and wall area of the ophthalmic artery in rats with chronic hypertension in addition to failure of retinal autoregulation in response to acute modification of ocular perfusion pressure. Subsequently we found that in spite of dramatically increasing ocular perfusion pressure, chronic systemic hypertension failed to protect retinal structure and function from a rodent model of glaucoma.
format article
author Anna K. van Koeverden
Zheng He
Christine T. O. Nguyen
Algis J. Vingrys
Bang V. Bui
author_facet Anna K. van Koeverden
Zheng He
Christine T. O. Nguyen
Algis J. Vingrys
Bang V. Bui
author_sort Anna K. van Koeverden
title Systemic hypertension is not protective against chronic intraocular pressure elevation in a rodent model
title_short Systemic hypertension is not protective against chronic intraocular pressure elevation in a rodent model
title_full Systemic hypertension is not protective against chronic intraocular pressure elevation in a rodent model
title_fullStr Systemic hypertension is not protective against chronic intraocular pressure elevation in a rodent model
title_full_unstemmed Systemic hypertension is not protective against chronic intraocular pressure elevation in a rodent model
title_sort systemic hypertension is not protective against chronic intraocular pressure elevation in a rodent model
publisher Nature Portfolio
publishDate 2018
url https://doaj.org/article/0f3d58fbb93f41b38c1fb16a30316add
work_keys_str_mv AT annakvankoeverden systemichypertensionisnotprotectiveagainstchronicintraocularpressureelevationinarodentmodel
AT zhenghe systemichypertensionisnotprotectiveagainstchronicintraocularpressureelevationinarodentmodel
AT christinetonguyen systemichypertensionisnotprotectiveagainstchronicintraocularpressureelevationinarodentmodel
AT algisjvingrys systemichypertensionisnotprotectiveagainstchronicintraocularpressureelevationinarodentmodel
AT bangvbui systemichypertensionisnotprotectiveagainstchronicintraocularpressureelevationinarodentmodel
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