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Updated: May 29, 2026

Assessment of Global Ocular Structure Following Spaceflight Using a Micro-Computed Tomography (Micro-CT) Imaging Method
Published on: October 27, 2020
AstroOphthalmology: Basic and Pathophysiological Concepts of Space-Induced Ocular Changes.
Kasra Cheraqpour1, Mansoor Shahriari2, Mahya Ghazi3,4
1Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Spaceflight poses significant eye health risks due to microgravity and cosmic radiation. These stressors cause oxidative stress and mitochondrial dysfunction, leading to visual impairment and spaceflight-associated neuro-ocular syndrome (SANS).
Area of Science:
- Ophthalmology
- Space Medicine
- Aerospace Medicine
Background:
- Long-duration space missions present significant risks to astronaut eye health.
- Visual dysfunction is a primary health concern for astronauts.
- This review integrates current insights into the pathophysiological consequences of the space environment on the eye.
Purpose of the Study:
- To review the effects of space on the eye, focusing on pathophysiology.
- To identify key space-specific stressors and their impact on ocular tissues.
- To summarize current in-flight evaluations and suggest future research directions.
Main Methods:
- Literature review of existing studies on spaceflight and ocular health.
- Analysis of pathophysiological mechanisms induced by microgravity and cosmic radiation.
- Summary of current in-flight ocular evaluation techniques.
Main Results:
- Microgravity causes fluid shifts, leading to vascular congestion, altered hemodynamics, and increased intracranial pressure, contributing to spaceflight-associated neuro-ocular syndrome (SANS).
- Cosmic radiation increases the risk of cataracts, retinal cotton-wool spots, and optic neuropathy.
- Ocular damage is a result of synergistic interactions between fluid shifts and radiation, impacting cellular components and ocular tissue function.
Conclusions:
- Spaceflight-induced ocular damage is multifactorial, involving microgravity and cosmic radiation.
- Current in-flight evaluations include optical coherence tomography and fundoscopy.
- Future research must prioritize combined countermeasures and predictive biomarkers for lunar and Martian missions.
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