Relationship between retinal blood flow and arterial oxygen

Retinal blood flow (RBF) increases in response to a reduction in oxygen (hypoxia), but decreases in response to increased oxygen (hyperoxia). However, the relationship between blood flow and the arterial partial pressure of oxygen has not been quantified and modeled in the retina in particular the v...

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Main Authors: Cheng, Richard W, Yusof, Firdaus, Tsui, Edmund, Jong, Monica, Duffin , James, Flanagan, John G, Fisher, Joseph A, Hudson, Christopher
Format: Article
Language:English
English
English
Published: Wiley-Blackwell 2016
Subjects:
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http://irep.iium.edu.my/47493/1/firdaus_Yusof_Journal_of_Physiology.pdf
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spelling iium-474932016-12-22T07:58:13Z http://irep.iium.edu.my/47493/ Relationship between retinal blood flow and arterial oxygen Cheng, Richard W Yusof, Firdaus Tsui, Edmund Jong, Monica Duffin , James Flanagan, John G Fisher, Joseph A Hudson, Christopher QP Physiology RE Ophthalmology Retinal blood flow (RBF) increases in response to a reduction in oxygen (hypoxia), but decreases in response to increased oxygen (hyperoxia). However, the relationship between blood flow and the arterial partial pressure of oxygen has not been quantified and modeled in the retina in particular the vascular reserve and resting tonus of the vessels. The objective of this study was to determine the limitations of the retinal vasculature by modeling the relationship between RBF and oxygen. Retinal vascular responses were measured in 13 subjects for 8 different blood gas conditions, with the end-tidal partial pressure of oxygen (PET O2 ) ranging from 40-500 mmHg. Retinal vascular response measurements were repeated twice; using the Canon Laser Blood Flowmeter (CLBF) during the first visit, and using Doppler Spectral Domain Optical Coherence Tomography (Doppler SD-OCT, RTVue) during the second visit. We determined that the relationship between RBF and PaO2 can be modeled as a combination of hyperbolic and linear functions. We concluded that RBF compensated for decreases in arterial oxygen content for all stages of hypoxia used in this study, but can no longer compensate below a PET O2 of 32-37 mmHg. These vessels have a great vascular range of adjustment, increasing diameter (8.5% arteriolar and 21% total venous area) with hypoxia (40 mmHg PET O2 ; p<0.001) and decreasing diameter (6.9% arteriolar and 23% total venous area) with hyperoxia (500 mmHg PET O2 ; p<0.001) to the same extent; indicating that the resting tonus is near the midpoint of the adjustment ranges at resting PaO2 where sensitivity is maximum. Wiley-Blackwell 2016-02-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/47493/1/firdaus_Yusof_Journal_of_Physiology.pdf application/pdf en http://irep.iium.edu.my/47493/3/47463_.pdf application/pdf en http://irep.iium.edu.my/47493/6/47493_WOS_Scopus.pdf Cheng, Richard W and Yusof, Firdaus and Tsui, Edmund and Jong, Monica and Duffin , James and Flanagan, John G and Fisher, Joseph A and Hudson, Christopher (2016) Relationship between retinal blood flow and arterial oxygen. The Journal of Physiology , 594 (3). pp. 625-640. ISSN 0022-3751 E-ISSN 1469-7793 http://onlinelibrary.wiley.com/doi/10.1113/JP271182/full 10.1113/JP271182
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
English
topic QP Physiology
RE Ophthalmology
spellingShingle QP Physiology
RE Ophthalmology
Cheng, Richard W
Yusof, Firdaus
Tsui, Edmund
Jong, Monica
Duffin , James
Flanagan, John G
Fisher, Joseph A
Hudson, Christopher
Relationship between retinal blood flow and arterial oxygen
description Retinal blood flow (RBF) increases in response to a reduction in oxygen (hypoxia), but decreases in response to increased oxygen (hyperoxia). However, the relationship between blood flow and the arterial partial pressure of oxygen has not been quantified and modeled in the retina in particular the vascular reserve and resting tonus of the vessels. The objective of this study was to determine the limitations of the retinal vasculature by modeling the relationship between RBF and oxygen. Retinal vascular responses were measured in 13 subjects for 8 different blood gas conditions, with the end-tidal partial pressure of oxygen (PET O2 ) ranging from 40-500 mmHg. Retinal vascular response measurements were repeated twice; using the Canon Laser Blood Flowmeter (CLBF) during the first visit, and using Doppler Spectral Domain Optical Coherence Tomography (Doppler SD-OCT, RTVue) during the second visit. We determined that the relationship between RBF and PaO2 can be modeled as a combination of hyperbolic and linear functions. We concluded that RBF compensated for decreases in arterial oxygen content for all stages of hypoxia used in this study, but can no longer compensate below a PET O2 of 32-37 mmHg. These vessels have a great vascular range of adjustment, increasing diameter (8.5% arteriolar and 21% total venous area) with hypoxia (40 mmHg PET O2 ; p<0.001) and decreasing diameter (6.9% arteriolar and 23% total venous area) with hyperoxia (500 mmHg PET O2 ; p<0.001) to the same extent; indicating that the resting tonus is near the midpoint of the adjustment ranges at resting PaO2 where sensitivity is maximum.
format Article
author Cheng, Richard W
Yusof, Firdaus
Tsui, Edmund
Jong, Monica
Duffin , James
Flanagan, John G
Fisher, Joseph A
Hudson, Christopher
author_facet Cheng, Richard W
Yusof, Firdaus
Tsui, Edmund
Jong, Monica
Duffin , James
Flanagan, John G
Fisher, Joseph A
Hudson, Christopher
author_sort Cheng, Richard W
title Relationship between retinal blood flow and arterial oxygen
title_short Relationship between retinal blood flow and arterial oxygen
title_full Relationship between retinal blood flow and arterial oxygen
title_fullStr Relationship between retinal blood flow and arterial oxygen
title_full_unstemmed Relationship between retinal blood flow and arterial oxygen
title_sort relationship between retinal blood flow and arterial oxygen
publisher Wiley-Blackwell
publishDate 2016
url http://irep.iium.edu.my/47493/
http://irep.iium.edu.my/47493/
http://irep.iium.edu.my/47493/
http://irep.iium.edu.my/47493/1/firdaus_Yusof_Journal_of_Physiology.pdf
http://irep.iium.edu.my/47493/3/47463_.pdf
http://irep.iium.edu.my/47493/6/47493_WOS_Scopus.pdf
first_indexed 2023-09-18T21:07:35Z
last_indexed 2023-09-18T21:07:35Z
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