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Abstract #8187 Published in IGR 4-3

The mechanism of increasing outflow facility during washout in the bovine eye

Overby D; Gong H; Qiu G; Freddo TF; Johnson M
Investigative Ophthalmology and Visual Science 2002; 43: 3455-3464


PURPOSE: To investigate the relationship between outflow facility and separation between the inner wall of the aqueous plexus and the juxtacanalicular connective tissue (JCT) during washout in the bovine eye. METHODS: Facility was recorded during three hours of anterior chamber perfusion at 15 mmHg in eight pairs of bovine eyes. One eye of each pair was then lowered to 0 mmHg for one hour, whereas the fellow eye was kept at 15 mmHg. After a brief perfusion at 15 mmHg, both eyes were perfusion fixed and processed for electron microscopy. Micrographs of the inner wall were analyzed for separation from the JCT. To study the role of cellular adhesion between the inner wall and JCT, 12 additional pairs were perfused with integrin-binding peptide (RGD: Arg-Gly-Asp) or sham control peptide (RGE: Arg-Gly-Glu) at 2 μm to 2 mm, before IOP was reduced. RESULTS: During the first three hours, facility increased in both eyes because of 'washout'. However, after one hour of 0 mmHg, facility decreased by 13% (p < 0.006), whereas facility increased by 20% (p < 0.001) in the fellow eyes maintained at 15 mmHg. Two types of separation were observed between the inner wall and JCT: cell-matrix separation between the endothelial cell and basal lamina and matrix-matrix separation between the basal lamina and JCT. A significant positive correlation (p = 0.042) was found between the degree of matrix-matrix separation and the change in outflow facility after one hour of 0 mmHg. Compared with RGE control, RGD had no apparent effect on outflow facility (p > 0.35) or on the change in outflow facility after one hour at 0 mmHg (p > 0.15). CONCLUSIONS: The increase in outflow facility that occurs during washout in the bovine eye is reversible and correlates with the degree of separation between the basal lamina of the inner wall endothelium and the JCT. Therefore, adhesions tethering the inner wall to the JCT may be important ultrastructural features involved in the regulation of aqueous humor outflow resistance.

D. Overby, MD, Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA


Classification:

2.5 Meshwork (Part of: 2 Anatomical structures in glaucoma)
2.6 Aqueous humor dynamics (Part of: 2 Anatomical structures in glaucoma)
5 Experimental glaucoma; animal models



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