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Biomedical subjects

B L Petrig

Publications and source records attributed to B L Petrig.

42 records · Page 3Linked to original sources

The acute effect of cigarette smoking on macular capillary blood flow in humans.

The acute effect of cigarette smoking on retinal macular blood flow was studied in 14 healthy habitual smokers using the blue field simulation technique. This technique provides a method for quantifying the velocity of leukocytes flowing in one's own macular capillaries. Subjects adjusted the mean velocity of computer simulated leukocytes moving on a CRT screen to match that of their own entoptically perceived leukocytes before, during, and immediately after smoking a cigarette. Smoking resulted in a 12 +/- 5% (SEM) increase in macular leukocyte velocity and presumably blood flow. Possible mechanisms for this increase are discussed.

Adult↗

Blood velocity and volumetric flow rate in human retinal vessels.

The distributions of blood velocity and volumetric flow rate in individual vessels of the normal human retina were determined as a function of vessel diameter. The mean velocity of blood, Vmean, was calculated from the centerline velocity measured by bidirectional laser Doppler velocimetry (LDV). Volumetric flow rate was determined from Vmean and the vessel diameter, D, measured from monochromatic fundus photographs. Diameter of the arteries and veins at the site of the LDV measurements ranged from 39 to 134 microns and 64 to 177 microns, respectively. Flow velocity correlated with D (P less than 0.001 for both arteries and veins). Volumetric flow rate varied with D at a power of 2.76 +/- 0.16 for arteries and 2.84 +/- 0.12 for veins, in close agreement with Murray's law. Calculated from 12 eyes, the average total arterial and venous volumetric flow rates were 33 +/- 9.6 and 34 +/- 6.3 microliters/min, respectively. The good agreement between both flow rates suggests that the technique and the assumptions for calculating flow yield results that satisfy mass conservation. Total arterial and venous volumetric flow rates correlated with total arterial and venous vessel cross-section. Volumetric flow rate in the temporal retina was significantly greater than in the nasal retina, but the difference is likely to be due to the larger area of the temporal retina. No difference in flow rate was observed between the superior and inferior retinal hemispheres. Finally, blood velocity in the major retinal vessels measured under normal experimental conditions appears remarkably constant over short (hours) and long (months) periods of time.

Blood Flow Velocity↗

Retinal autoregulation in open-angle glaucoma.

The macular blood flow response to an induced change in intraocular pressure (autoregulation) was studied using the blue field entopic phenomenon in 11 open angle glaucoma patients, eight glaucoma suspects and 13 normal volunteers. A suction cup was used to raise the intraocular pressure (IOP) above its resting state (IOPrest). IOPmax, the highest acutely increased IOP for which blood flow can be maintained constant by autoregulation, was 24.9 +/- 1.5 mmHg (+/- 1 SD) in the glaucoma patients, 30.8 +/- 4.6 mmHg in the glaucoma suspects and 29.9 +/- 3.6 mmHg in the normal subjects. The values for IOPmax - IOPrest were 3.7 +/- 4.3 mmHg, 4.7 +/- 3.3 mmHg, and 14.3 +/- 3.1 mmHg, respectively. After the release of the suction cup, a hyperemic response was observed by 16 of 17 normal eyes, 10 of 14 glaucoma suspect eyes and only 9 of 19 glaucomatous eyes. These results suggest an abnormal autoregulation of macular retinal blood flow in open-angle glaucoma.

Adult↗

Altered retinal vascular response to 100% oxygen breathing in diabetes mellitus.

The effect of 100% oxygen breathing on retinal blood flow was investigated using laser Doppler velocimetry in 19 normal eyes, and in 41 eyes of insulin treated diabetic patients. Of the diabetic eyes studied, nine had no retinopathy, 18 had background diabetic retinopathy, seven had proliferative diabetic retinopathy, and seven had proliferative diabetic retinopathy that had been previously treated by argon panretinal photocoagulation. Five minutes of 100% oxygen breathing produced an average decrease in blood flow of 61% (SD = 8) in normal eyes, 53% (SD = 10) in NR eyes, 38% (SD = 13) in background diabetic retinopathy eyes, 24% (SD = 18) in proliferative diabetic retinopathy eyes and 54% (SD = 8) in panretinal photocoagulation eyes. In six eyes with proliferative retinopathy measured before and after panretinal photocoagulation, a significant increase in vascular response to O2 was observed following photocoagulation (Wilcoxon signed rank test, P less than 0.05).

Adult↗

Effect of pure O2-breathing on retinal blood flow in normals and in patients with background diabetic retinopathy.

The noninvasive Laser Doppler velocimetry technique was applied in normal volunteers and in patients with background diabetic retinopathy to determine retinal blood flow during pure oxygen breathing at atmospheric pressure. In normal subjects, five minutes of oxygen breathing produced a 63 +/- 6% decrease in retinal blood flow. In the diabetic patients blood flow decreased by only 36 +/- 15%. A significant correlation between the decrease in blood flow and that of the diameter of the veins was found in the diabetic patients. This was not the case for the normal subjects.

Adult↗

Reactivity of the human retinal circulation to darkness: a laser Doppler velocimetry study.

Bidirectional laser Doppler velocimetry (LDV) and fundus photography were applied to investigate the effects of light and darkness on retinal blood flow. Blood flow had increased by an average of 67% after 5 min of darkness. This increase persisted for periods of darkness as long as 80 min (the longest period tested). The magnitude of this elevation, its time course, and its neutralization by the breathing of 100% O2 suggest that, in vivo, the retina consumes more O2 in the dark than in light. This effect is, most probably, associated with the maintenance of the photoreceptor dark current. LDV in light and darkness may become a useful probe of retinal function.

Blood Flow Velocity↗