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Outflow facility and extent of angle closure in a porcine model

  • Ying Hong
  • Chao Wang
  • Ralitsa Loewen
  • Susannah Waxman
  • Priyal Shah
  • Si Chen
  • Hamed Esfandiari
  • Nils A. LoewenEmail author
Basic Science
  • 13 Downloads

Abstract

Purpose

To establish the extent of anterior chamber angle circumference needed to maintain a physiological outflow facility (C). This could create a model to investigate focal outflow regulation.

Methods

Twenty anterior segments of porcine eyes were assigned to five groups, each with a different degree of cyanoacrylate-mediated angle closure: 90° (n = 4), 180° (n = 4), 270° (n = 4), 360° (n = 4), and four unoccluded control eyes. The outflow facility was measured at baseline, 3, 12, 24, and 36 h after angle closure. Outflow patterns were evaluated with canalograms and the histomorphology was compared.

Results

Baseline outflow facilities of the five groups were similar (F = 0.922, p = 0.477). Occlusion of 360° induced a significant decrease in facility from baseline at all time-points (p ≤ 0.023 at 3, 12, 24, and 36 h). However, no difference from baseline was found in any of the partially occluded (0–270°) groups (F ≥ 0.067, p ≥ 0.296 at 3, 12, 24, and 36 h). The canalograms confirmed the extent of occlusion with flow through the unblocked regions. Histology revealed no adverse effects of blockage on the TM or aqueous plexus in the unoccluded angle portions. The unoccluded TM appeared normal.

Conclusion

Cyanoacrylate-mediated angle occlusion created a reproducible angle closure model. Ninety degrees of unoccluded anterior chamber angle circumference was sufficient to maintain physiological outflow. This model may help understand how outflow can be regulated in healthy, nonglaucomatous TM.

Keywords

Angle closure model Glaucoma Trabecular meshwork Outflow facility 

Notes

Funding

This study was funded by the Initiative to Cure Glaucoma of the Eye and Ear Foundation of Pittsburgh (NAL), by NEI Grant K08EY022737, by NIH CORE Grant P30 EY08098 to the Department of Ophthalmology, and an unrestricted grant from Research to Prevent Blindness, New York, NY.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors. No animals were sacrificed for the purpose of doing research. An approval by an ethics committee or institutional animal care and use committee was not required.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of OphthalmologyUniversity of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Department of OphthalmologyPeking University Third HospitalBeijingChina
  3. 3.Department of Ophthalmology, Xiangya HospitalCentral South UniversityChangshaChina
  4. 4.The Third Xiangya Hospital of Central South UniversityChangshaChina
  5. 5.Department of OphthalmologyNorthwestern UniversityChicagoUSA
  6. 6.Department of OphthalmologyUniversity of WürzburgWürzburgGermany

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