Ischemia and Loss of Vascular Autoregulation in Ocular and Cerebral Diseases - A New Perspective

von: Maurice E. Langham

Springer-Verlag, 2010

ISBN: 9780387097169 , 193 Seiten

Format: PDF, OL

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Ischemia and Loss of Vascular Autoregulation in Ocular and Cerebral Diseases - A New Perspective


 

Preface

6

Acknowledgments

7

Introduction

8

Contents

12

About the Author

16

Invasive Studies of the Parameters Regulating Ocular Physiology and Vision

17

“In Vivo” Manometric Studies of the Steady State Intraocular Pressure and the Intraocular Pressure Pulse in Animals and Man

18

The Rate of Formation of the Aqueous Humor

25

The Steady State Intraocular Pressure/ Flow Relations in Dead and Living Animal and Human Eyes

29

Homeostasis, Autoregulation, and Relative Ischemia

33

The Pressure/Volume Relation in Eyes of Dead and Living Animal and Human Eyes

41

The Ocular Perfusion Pressure and Its Influence on the Intraocular Pressure Pulse

45

Direct and Indirect Measurements of Ocular Blood Flow in Anesthetized and Conscious Animals and Humans

49

The Morphology and Hydrodynamics of the Chamber Angle Draining the Aqueous Humor

55

The Sympathetic Nerve Innervation of the Eye and the Actions of the Adrenergic Neuron Transmitter Norepinephrine on Intraocular Pressure and Ocular Blood Flow

58

Manometric Studies on the Intraocular Pressure and Vascular Circulation in Ophthalmic Disease

67

References

70

Noninvasive Studies on the IOP, PA, and Blood Flow Autoregulation in Healthy and Diseased Eyes

75

Indirect Measurements of the Intraocular Pressure and the Intraocular Pressure Pulse

76

The Effect of Posture and Corneal Thickness on the Measurement of the Intraocular Pressure

79

The Langham Pneumatic Analogue and Digitized Tonometers

84

The Calibration of the Intraocular Pressure and the Intraocular Pressure Pulse using the Langham Pneumatic Tonometer

91

The Theory of the Langham Tonometer

95

The Intraocular Pressure/Pulse Amplitude Relation in Healthy Animal and Human Eyes

97

The Intraocular Pressure/Pulse Amplitude Relation and Loss of Autoregulation in Ocular Diseases

104

Autoregulation of the Intraocular Pressure and the Ocular Blood Flow

121

The Evaluation of Ocular Ischemia and the Loss of Autoregulation for the Early Detection of Ocular Vascular Diseases

125

The Action of Drugs on Ocular Blood Flow and on the Intraocular Pressure/ Pulse Amplitude Relation

128

The Confluence and Integration of Therapies Based on Modulation of the Intraocular Pressure and Ocular Blood Flow

134

Longitudinal Therapeutic Studies

139

References

143

Ophthalmodynamometry, the Ophthalmic Arterial Pressure and the Effect of Increased Vascular Resistance Proximal and Distal to the Ophthalmic Artery on Ocular Blood Flow, the IOP/ PA Relation and Vision

149

The Ophthalmic Arterial Pressure, the Intraocular Pressure/ Pulse Amplitude Curve, and Their Relations to the Ocular and Cerebral Circulations

150

Ophthalmodynamometry

153

Autoregulation of the Intraocular Pressure and Blood Flow in the Human Eye

156

Objective Measurement of the Diastolic and Systolic Ophthalmic Arterial Pressures

158

The Ophthalmic Arterial Pressure in Healthy Subjects

161

The Relation Between the Ophthalmic Arterial Pressure and the Intraocular Pressure/ Pulse Amplitude Relation

163

Modulation of the Intraocular Pressure/ Pulse Amplitude Relation in Subjects with Stenosis of the Internal Carotid Artery

167

Alzheimer's Disease and the Eye

177

The Ocular Perfusion Pressure and the Visual Threshold

180

Concepts and New Perspectives

182

References

184

Index

186