April 2009
Volume 50, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2009
Vascular Reactivity Reserve and Resting Tonus in Retinal Arterioles of Healthy Subjects
Author Affiliations & Notes
  • J. K. Adleman
    Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada
    Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, Toronto, Ontario, Canada
  • S. Dorner
    Department of Anaesthesiology, University Health Network, Toronto, Ontario, Canada
  • J. A. Fisher
    Department of Anaesthesiology, University Health Network, Toronto, Ontario, Canada
  • T. Wong
    Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, Toronto, Ontario, Canada
  • G. E. Trope
    Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, Toronto, Ontario, Canada
  • C. Hudson
    Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, Toronto, Ontario, Canada
    School of Optometry, University of Waterloo, Waterloo, Ontario, Canada
  • Footnotes
    Commercial Relationships  J.K. Adleman, None; S. Dorner, Thornhill Research Inc., E; J.A. Fisher, RespiractTM TRI, Toronto, Canada, P; T. Wong, None; G.E. Trope, None; C. Hudson, RespiractTM TRI, Toronto, Canada, P.
  • Footnotes
    Support  Vision Science Research Program, Canadian Institutes of Health Research, University of Toronto
Investigative Ophthalmology & Visual Science April 2009, Vol.50, 402. doi:
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      J. K. Adleman, S. Dorner, J. A. Fisher, T. Wong, G. E. Trope, C. Hudson; Vascular Reactivity Reserve and Resting Tonus in Retinal Arterioles of Healthy Subjects. Invest. Ophthalmol. Vis. Sci. 2009;50(13):402.

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Abstract

Purpose: : To determine the magnitude of retinal arteriolar vascular reactivity reserve in relation to the resting tonus of healthy subjects.

Methods: : The retinal arteriolar vascular reactivity was assessed in either eye of five healthy subjects (mean 28, range: 23-32 years). All subjects had a visual acuity of 20/20 or better, no history of ocular disease or refractive surgery and were non-smokers. Vascular reactivity was defined as change from baseline in arteriolar diameter, blood velocity, max:min velocity ratio, and blood flow as assessed by the Canon Laser Blood Flowmeter. Baseline conditions were measured at an end-tidal PCO2 (PETCO2) of 38mmHg and end-tidal PO2 (PETO2) of 100mmHg to determine resting tonus.Two graded vasodilatory stimuli were applied in the form of hypoxic hypercapnia (PETO2 = 83 / PETCO2 = 46 mmHg; and PETO2 = 65 / PETCO2 = 46 mmHg) and a single maximal constrictor stimulus was applied in the form of hyperoxic hypocapnia (PETO2 = 300mmHg / PETCO2 = 30mmHg) in randomized order. A 15 minute interval was employed following hyperoxic hypercapnia to avoid any persistent effects of inhaled oxygen. End-tidal gases were actuated by providing predetermined gas flows of specific PCO2 and PO2 to a sequential gas delivery breathing circuit via an automated gas blender (RespiractTM TRI, Toronto, Canada). Following a 3 minute stabilization period at the beginning of each phase, 3 hemodynamic measurements were acquired in the superior temporal arteriole at approximately 1 disc diameter from the optic nerve head.

Results: : Flow was unchanged during the first and second phase of the dilatory stimuli (+10.0%, SD = 7.9, p=0.558, and +7.7%, SD = 8.5, p=0.693, respectively). Flow was reduced by -32.9% (SD = 0.6, p=0.007) during the constrictor stimulus. There was a non-significant trend for the max:min velocity ratio to increase during the constrictor stimulus and to decrease during the dilatory stimuli.

Conclusions: : Relative to the resting tonus position, the retinal arterioles demonstrated a greater capacity for vasoconstriction than vasodilation in response to the gas stimuli used in this study.

Keywords: retina • hypoxia • laser 
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