Consensus Recommendations for Studies of Outflow Facility and Intraocular Pressure Regulation Using Ex Vivo Perfusion Approaches DOI Creative Commons

Ted S. Acott,

Michael P. Fautsch, Weiming Mao

et al.

Investigative Ophthalmology & Visual Science, Journal Year: 2024, Volume and Issue: 65(14), P. 32 - 32

Published: Dec. 18, 2024

Intraocular pressure (IOP) elevation is the primary risk factor and currently main treatable for progression of glaucomatous optic neuropathy. In addition to direct clinical living animal in vivo studies, ex perfusion anterior segments whole eyes a key technique studying conventional outflow function as it responsible IOP regulation. We present well-tested experimental details, protocols, considerations, advantages, limitations several model systems These include: (1) perfused globes, (2) stationary segment organ culture, (3) human (4) (5) corneal rims, (6) wedges. methods, with due consideration paid their strengths limitations, comprise set very strong tools extending our understanding

Language: Английский

Trabecular Meshwork Movement Controls Distal Valves and Chambers: New Glaucoma Medical and Surgical Targets DOI Open Access
Murray Johnstone, Xin Chen, Elizabeth Martin

et al.

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(20), P. 6599 - 6599

Published: Oct. 18, 2023

Herein, we provide evidence that human regulation of aqueous outflow is by a pump-conduit system similar to the lymphatics. Direct observation documents pulsatile flow into Schlemm’s canal and from collector channels, intrascleral veins, episcleral veins. Pulsatile in vessels requires driving force, chamber with mobile walls valves. We demonstrate trabecular meshwork acts as deformable, wall chamber: canal. A tight linkage between force intraocular pressure deformation causes tissue responses milliseconds. The link provides sensory-motor baroreceptor-like function, providing maintenance homeostatic setpoint. ocular pulse motion oscillations around document valves entering exiting using real-time direct microscope multiple additional modalities. Our laboratory-based high-resolution SD-OCT platform quantifies valve lumen opening closing within milliseconds synchronously motion; stiffens, movement slows glaucoma tissue. novel PhS-OCT measures nanometer-level synchronous subjects. Movement decreases patients. model robust because it anchors laboratory studies physical reality humans glaucoma.

Language: Английский

Citations

3

Consensus Recommendations for Studies of Outflow Facility and Intraocular Pressure Regulation Using Ex Vivo Perfusion Approaches DOI Creative Commons

Ted S. Acott,

Michael P. Fautsch, Weiming Mao

et al.

Investigative Ophthalmology & Visual Science, Journal Year: 2024, Volume and Issue: 65(14), P. 32 - 32

Published: Dec. 18, 2024

Intraocular pressure (IOP) elevation is the primary risk factor and currently main treatable for progression of glaucomatous optic neuropathy. In addition to direct clinical living animal in vivo studies, ex perfusion anterior segments whole eyes a key technique studying conventional outflow function as it responsible IOP regulation. We present well-tested experimental details, protocols, considerations, advantages, limitations several model systems These include: (1) perfused globes, (2) stationary segment organ culture, (3) human (4) (5) corneal rims, (6) wedges. methods, with due consideration paid their strengths limitations, comprise set very strong tools extending our understanding

Language: Английский

Citations

0