Document Detail


Choroidal blood flow after isovolemic hemodilution in an eye with retinal vein occlusion and the contralateral healthy eye.
MedLine Citation:
PMID:  20175271     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the effect of hemodilution on subfoveal choroidal blood flow in the human eye with or without retinal vein occlusion. METHODS: Choroidal blood flow was measured using laser Doppler flowmetry in 28 patients with retinal vein occlusion in 1 eye. Isovolemic hemodilution was performed when hematocrit was >35%. Laser Doppler flowmetry parameters, velocity, volume, and flow were measured in both eyes in 4 sessions: 1 hour before and 1 hour after the first hemodilution on Day 1 and Day 7. RESULTS: Hematocrit decreased significantly by 23.7%, 19.8%, and 16.1% in the first hour, on the first day, and the seventh day after hemodilution, respectively (P < 0.001). The ocular perfusion pressure of the healthy eye and the eye with retinal vein occlusion decreased by 7.7% and 7.2% after 1 hour and by 5.3% and 4.7% 1 day after hemodilution, respectively (P < 0.01). After hemodilution, subfoveal choroidal blood velocity, volume, flow, and vascular resistance did not significantly change in either eye. CONCLUSION: Laser Doppler flowmetry measurement in the subfoveal choroid is a feasible technique for blood flow assessment in patients with retinal vein occlusion. A substantial change of hematocrit after isovolemic hemodilution does not lead to a significant change in choroidal blood flow. Vascular regulation is expected to keep blood flow constant and needs to be further explored.
Authors:
Christophe Chiquet; Matthieu Tonini; Philippe Drillat; Viviane Vinh Moreau Gaudry; Jean-Paul Romanet; Martial Henri Geiser
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Retina (Philadelphia, Pa.)     Volume:  30     ISSN:  1539-2864     ISO Abbreviation:  Retina (Philadelphia, Pa.)     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-19     Completed Date:  2010-04-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309919     Medline TA:  Retina     Country:  United States    
Other Details:
Languages:  eng     Pagination:  275-80     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University Hospital of Grenoble, Joseph Fourier University, Grenoble, France. cchiquet@chu-grenoble.fr
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity / physiology
Blood Pressure / physiology
Choroid / blood supply*
Female
Fluorescein Angiography
Heart Rate / physiology
Hematocrit
Hemodilution*
Humans
Intraocular Pressure / physiology
Laser-Doppler Flowmetry
Male
Middle Aged
Ocular Physiological Phenomena
Pilot Projects
Regional Blood Flow
Retinal Vein Occlusion / physiopathology*
Tomography, Optical Coherence
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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