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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Conjunctival microcirculation in ocular and systemic microvascular disease.

Kofi Asiedu1, Arun V Krishnan2,3, Natalie Kwai4

  • 1School of Optometry and Vision Science, University of New South Wales, Sydney, Australia.

Clinical & Experimental Optometry
|January 15, 2023
PubMed
Summary

The conjunctival microcirculation, a network of tiny blood vessels, can be measured using various techniques. Its study offers insights into ocular and systemic diseases like diabetes and Alzheimer's.

Keywords:
Conjunctivadiabeteshemodynamicsmicrocirculationmicrovasculopathy

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Area of Science:

  • Ophthalmology
  • Microcirculation Research
  • Vascular Biology

Background:

  • The conjunctival microcirculation is an accessible microvascular network.
  • Quantitative assessment of conjunctival haemodynamics provides insights into ocular and systemic health.
  • Current measurement algorithms are manual or semi-automated.

Purpose of the Study:

  • To review conjunctival microcirculation characteristics and measurement techniques.
  • To explore the association between conjunctival microcirculation and disease-related microvascular abnormalities.

Main Methods:

  • Review of existing literature on conjunctival microcirculation.
  • Description of measurement techniques including functional slit-lamp biomicroscopy, laser doppler flowmetry, optical coherence tomography angiography, orthogonal polarized spectral imaging, computer-assisted intravitral microscopy, diffuse reflectance spectroscopy, and corneal confocal microscopy.

Main Results:

  • Conjunctival microcirculatory haemodynamics are linked to various diseases.
  • Established relationship between conjunctival microvascular function and conditions such as dry eye, Alzheimer's disease, diabetes, hypertension, sepsis, coronary microvascular disease, and sickle cell anaemia.

Conclusions:

  • Conjunctival microcirculation assessment is valuable for understanding microvascular haemodynamics.
  • This review highlights the diagnostic potential of conjunctival microcirculation in systemic and ocular diseases.