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PURTSCHER RETINOPATHY: AN ALTERNATIVE ETIOLOGY SUPPORTED BY COMPUTER FLUID DYNAMIC SIMULATIONS.
MedLine Citation:
PMID:  21908582     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Purpose:To explore an alternative etiology for Purtscher retinopathy by literature review and fluid dynamic computational simulations of wall shear stress profiles.Methods:Computer simulations were developed, incorporating posterior pole retinal microvascular flow parameters, to demonstrate wall shear stress profiles at ninety and forty-five degree angle artery/arteriolar branching.Results:Computer simulations reveal wall shear stress profiles dependent on artery/arteriolar branching angles. At high flow rates an area of changed wall shear stress and flow swirling and reversal was noted at the proximal fillet of the ninety degree arteriolar branching. These changes did not appear at the forty-five degree arteriolar branching until flow rate was increased an additional thirty percentConclusion:Computer simulation data, as well as review of the history and clinical findings of Purtscher and Purtscher-like retinopathy, present evidence that an additional etiology for Purtscher retinopathy may be a rheological event at a retinal posterior pole foci of vascular endothelial dysregulation, followed by downstream endothelin induced vasculopathy.
Authors:
Thomas J Harrison; Cyrus O Abbasi; Tariq A Khraishi
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-9
Journal Detail:
Title:  Investigative ophthalmology & visual science     Volume:  -     ISSN:  1552-5783     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7703701     Medline TA:  Invest Ophthalmol Vis Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1301 Vista Morada, Santa Fe, NM 87506 USA, e-mail: tom_harrison3@hotmail.com, Phone:(505) 983-9283, FAX: (505) 982-6362.
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