Disorders of perfusion of the anterior segment of the eye
Background: We have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography. Methods: The conditions were classified and findings reported according to the system set out below. Patients underwent full ocular examination. Fluorescein...
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| Published in | Australian and New Zealand journal of ophthalmology Vol. 24; no. 3; pp. 169 - 187 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Publishing Ltd
01.08.1996
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0814-9763 1440-1606 |
| DOI | 10.1111/j.1442-9071.1996.tb01579.x |
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| Abstract | Background: We have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography.
Methods: The conditions were classified and findings reported according to the system set out below. Patients underwent full ocular examination. Fluorescein angiography of the anterior segment was carried out when indicated to investigate iris atrophy and neovascularisation. Specular microscopy of the corneal endothelium was used to detect changes in this tissue.
Results: The hypoperfusion was variable in degree and accompanied by varying degrees of iris hypoplasia and atrophy with neovascularisation. The degree of neovascularisation depended upon its rapidity of development, the pre‐existing state of vascular perfusion and the underlying pathological condition.
Conclusions: Hypoperfusion with resultant ischaemia and neovascularisation is common in conditions of the anterior segment. An understanding of the changes is valuable in treating many conditions affecting the anterior segment. The changes observed may also occur elsewhere in the physical system and may be a significant part of the ageing process, either as scattered, disparate processes or as part of a general disease process. |
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| AbstractList | Background:
We have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography.
Methods:
The conditions were classified and findings reported according to the system set out below. Patients underwent full ocular examination. Fluorescein angiography of the anterior segment was carried out when indicated to investigate iris atrophy and neovascularisation. Specular microscopy of the corneal endothelium was used to detect changes in this tissue.
Results:
The hypoperfusion was variable in degree and accompanied by varying degrees of iris hypoplasia and atrophy with neovascularisation. The degree of neovascularisation depended upon its rapidity of development, the pre‐existing state of vascular perfusion and the underlying pathological condition.
Conclusions:
Hypoperfusion with resultant ischaemia and neovascularisation is common in conditions of the anterior segment. An understanding of the changes is valuable in treating many conditions affecting the anterior segment. The changes observed may also occur elsewhere in the physical system and may be a significant part of the ageing process, either as scattered, disparate processes or as part of a general disease process. Background: We have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography. Methods: The conditions were classified and findings reported according to the system set out below. Patients underwent full ocular examination. Fluorescein angiography of the anterior segment was carried out when indicated to investigate iris atrophy and neovascularisation. Specular microscopy of the corneal endothelium was used to detect changes in this tissue. Results: The hypoperfusion was variable in degree and accompanied by varying degrees of iris hypoplasia and atrophy with neovascularisation. The degree of neovascularisation depended upon its rapidity of development, the pre‐existing state of vascular perfusion and the underlying pathological condition. Conclusions: Hypoperfusion with resultant ischaemia and neovascularisation is common in conditions of the anterior segment. An understanding of the changes is valuable in treating many conditions affecting the anterior segment. The changes observed may also occur elsewhere in the physical system and may be a significant part of the ageing process, either as scattered, disparate processes or as part of a general disease process. We have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography.BACKGROUNDWe have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography.The conditions were classified and findings reported according to the system set out below. Patients underwent full ocular examination. Fluorescein angiography of the anterior segment was carried out when indicated to investigate iris atrophy and neovascularisation. Specular microscopy of the corneal endothelium was used to detect changes in this tissue.METHODSThe conditions were classified and findings reported according to the system set out below. Patients underwent full ocular examination. Fluorescein angiography of the anterior segment was carried out when indicated to investigate iris atrophy and neovascularisation. Specular microscopy of the corneal endothelium was used to detect changes in this tissue.The hypoperfusion was variable in degree and accompanied by varying degrees of iris hypoplasia and atrophy with neovascularisation. The degree of neovascularisation depended upon its rapidity of development, the pre-existing state of vascular perfusion and the underlying pathological condition.RESULTSThe hypoperfusion was variable in degree and accompanied by varying degrees of iris hypoplasia and atrophy with neovascularisation. The degree of neovascularisation depended upon its rapidity of development, the pre-existing state of vascular perfusion and the underlying pathological condition.Hypoperfusion with resultant ischaemia and neovascularisation is common in conditions of the anterior segment. An understanding of the changes is valuable in treating many conditions affecting the anterior segment. The changes observed may also occur elsewhere in the physical system and may be a significant part of the ageing process, either as scattered, disparate processes or as part of a general disease process.CONCLUSIONSHypoperfusion with resultant ischaemia and neovascularisation is common in conditions of the anterior segment. An understanding of the changes is valuable in treating many conditions affecting the anterior segment. The changes observed may also occur elsewhere in the physical system and may be a significant part of the ageing process, either as scattered, disparate processes or as part of a general disease process. We have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography. The conditions were classified and findings reported according to the system set out below. Patients underwent full ocular examination. Fluorescein angiography of the anterior segment was carried out when indicated to investigate iris atrophy and neovascularisation. Specular microscopy of the corneal endothelium was used to detect changes in this tissue. The hypoperfusion was variable in degree and accompanied by varying degrees of iris hypoplasia and atrophy with neovascularisation. The degree of neovascularisation depended upon its rapidity of development, the pre-existing state of vascular perfusion and the underlying pathological condition. Hypoperfusion with resultant ischaemia and neovascularisation is common in conditions of the anterior segment. An understanding of the changes is valuable in treating many conditions affecting the anterior segment. The changes observed may also occur elsewhere in the physical system and may be a significant part of the ageing process, either as scattered, disparate processes or as part of a general disease process. |
| Author | Brooks, Anne MV Gillies, William E. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/8913119$$D View this record in MEDLINE/PubMed |
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| Notes | istex:35C84E96518F58080B52978B4640D6710413FC14 ark:/67375/WNG-K0FZ024G-D ArticleID:CEO169 This paper was the basis of the Council Lecture for 1995 delivered by WE Gillies at the Annual Congress of the Royal Australian College of Ophthalmologists, Melbourne. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
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| References | Schlötzer-Schrehardt UM, Koca MR, Naumann GOH, Volkholz H. Pseudoexfoliation syndrome: Ocular manifestation of a systemic disorder? Arch Ophthalmol 1992; 110:1752-6. Gillies WE. Secondary glaucoma associated with pseudoexfoliation of the lens capsule. Trans Ophthalmol Soc UK 1978; 98:96-100. Gillies WE, Dallison IW, Brooks AMV. Long term results with argon laser trabeculoplasty. Aust NZ J Ophthalmol 1994; 22:39-43. Brooks AMV, Gillies WE. Glaucoma associated with congenital hypoplasia of the iris stroma in rubella. Glaucoma 1989; 2:36-41. Gillies WE, Brooks AMV. The presentation of acute glaucoma in pseudoexfoliation of the lens capsule. Aust NZ J Ophthalmol 1988; 16:101-6. Brooks AMV, Gillies WE. Three cases of Wegener's granulomatosis associated with glaucoma. Ann Ophthalmol 1995; 27:293-300. Brooks AMV, Gillies WE. Fluorescein angiography and fluorophotometry of the iris in pseudoexfoliation of the lens capsule. Br J Ophthalmol 1983; 67:249-54. Brooks AMV, Gillies WE. Iris atrophy with hypoperfusion and microneovascularisation. Br J Ophthalmol 1987; 71:706-15. Gillies WE. Pigmentary glaucoma: a clinical review of anterior segment pigment dispersal syndrome. Aust NZ J Ophthalmol 1985; 13:325-8. Brooks AMV, Gillies WE. Hypoperfusion of the iris and its consequences in anterior segment pigment dispersal syndrome. Ophthalmic Surg 1994; 25:307-10. Dickinson P., Sabto J., West RH. Management of quinine toxicity. Aust J Ophthalmol 1983; 11:265-9. Brooks AMV, Gillies WE. The presentation and prognosis of glaucoma in pseudoexfoliation of the lens capsule. Ophthalmology 1988; 95:271-6. Maruyama Y., Kishi S., Kamei Y., Shimizu R., Kimura Y. Infrared angiography of the anterior ocular segment. Surv Ophthalmol 1995; 39(Suppl 1): S40-8. van Buskirk EM, Bacon DR, Fahrenbach WH. Ciliary vasoconstriction after topical adrenergic drugs. Am J Ophthalmol 1990; 109:511-17. Friedman E., Krupsky S., Lane AM, Oak SS, Friedman ES, Egan K., Gragoudas ES. Ocular blood flow velocity in age-related rnacular degeneration. Ophthalmology 1995; 102:640-6. Gillies WE. Hypoplasia of the iris stroma in Gregg's syndrome. Aust J Ophthalmol 1980; 8:189-192. Brooks AMV, Gillies WE. Fluorescein angiography of the iris and specular microscopy of the corneal endothelium in some cases of glaucoma secondary to chronic cyclitis. Ophthalmology 1988; 95:1624-30. Grant WM, Schuman JS, eds. Toxicology of the eye. Springfield , Illinois : CS Thomas, 1993:1225-33. Gillies WE, West RH. Unilateral pseudo-exfoliation, ocular hypertension and the cup disc ratio. Aust J Ophthalmol 1981; 9:321-3. Mendivil A., Cuartero V., Mendivil MP. Ocular blood flow velocities in patients with proliferative diabetic retinopathy and healthy volunteers: a prospective study. Br J Ophthalmol 1995; 79:413-16. Brooks AMV, Grant G., Gillies WE. Corneal endothelial changes in superficial epithelial keratopathy. Aust NZ J Ophthalmol 1986; 14:171-5. Alvardo JA, Underwood JL, Green WR, Wu S., Murphy CG, Hwang DG, Moore TE, O'Day D. Detection of herpes simplex viral DNA in the iridocorneal endothelial syndrome. Arch Ophthalmol 1994; 112:1601-9. Brooks AMV, West RH, Gillies WE. Acute primary ischemic iris atrophy. Ophthalmology 1988; 95:1234-43. Knox DL, Palmer CAL, English F. Iris atrophy after quinine amblyopia. Arch Ophthalmol 1966; 76:359-62. Brooks AMV, Gillies WE. The development and management of neovascular glaucoma. Aust NZ J Ophthalmol 1990; 18:179-85. Schlötzer-Schrehardt U., Küchle M., Naumann GOH. Electron-microscopic identification of pseudoexfoliation material in extrabulbar tissue. Arch Ophthalmol 1991; 109:565-70. Hietanen J., Uusitalo M., Tarkkanen A., Kivelä T. Lectin and immunohistochemical comparison of glycoconjugates in the conjunctiva of patients with and without exfoliation syndrome. Br J Ophthalmol 1995; 79:467-72. Brooks AMV, Grant G., Gillies WE. Differentiation and assessment of corneal endothelial changes associated with diseases of the anterior segment of the eye. Aust NZ J Ophthalmol 1987; 15:65-70. Ringvold A. On the occurrence of pseudo-exfoliation material in extracellular tissue from patients with pseudoexfoliation syndrome of the eye. Acta Ophthalmol 1973; 51:411-18. Gillies WE. Racial incidence of pseudoexfoliation of the lens capsule. Br J Ophthalmol 1972; 56:474-7. Gillies WE. Effect of lens extraction in pseudoexfoliation of the lens capsule. Br J Ophthalmol 1973; 57:46-51. Brooks AMV, Gillies WE. The development of microneovascular changes in the iris in pseudoexfoliation of the lens capsule. Ophthalmology 1987; 94:1090-7. Gillies WE. Trabeculotomy in pseudoexfoliation of the lens capsule. Br J Ophthalmol 1977; 61:297-8. Gillies WE. Pseudo-exfoliation of the lens capsule and pigmentary glaucoma. Trans Ophthalmol Soc Aust 1962; 22:120-3. Alvarado JA, Murphy CG, Maglio M., Hetherington J. Pathogenesis of Chandler's syndrome, essential iris atrophy and the Cogan-Reese syndrome. 1. Alterations of the corneal endothelium. Invest Ophthalmol Vis Sci 1986; 27:853-72. Brooks AMV, Grant G., Gillies WE. Changes in the iris vasculature and corneal endothelium in chronic cyclitis. Aust NZ J Ophthalmol 1986; 14:189-97. Rummelt V., Wenkel H., Rummelt C., Jahn G., Meyer HJ, Naumann GO. Detection of varicella zoster virus DNA and viral antigen in the late stages of bilateral acute retinal necrosis syndrome. Arch Ophthalmol 1992; 110:1132-6. Alvarado JA, Murphy CG, Juster RP, Hetherington J. Pathogenesis of Chandler's syndrome, essential iris atrophy and the Cogan-Reese syndrome. II. Estimated age at disease onset. Invest Ophthalmol Vis Sci 1986; 27:873-82. Penman AD, Talbot JF, Chuang EL, Thomas P., Serjeant GR, Bird AC. New classification of peripheral retinal vascular changes in sickle cell disease. Br J Ophthalmol 1994; 78:681-9. Streeton BW, Bookman L., Ritch R., Prince AM, Dark AJ. Pseudoexfolirtive fibrillopathy in the conjunctiva: A relation to elastic fibers and elastosis. Ophthalmology 1987; 94:1439-49. Gillies WE, Tangas C. Fluorescein angiography of the iris in anterior segment pigment dispersal syndrome. Br J Ophthalmol 1986; 70:284-9. 1994; 112 1990; 109 1989; 2 1986; 70 1973; 51 1987; 71 1995; 39 1987; 94 1973; 57 1978; 98 1990; 18 1995; 79 1986; 14 1988; 16 1977; 61 1994; 22 1994; 25 1981; 9 1988; 95 1993 1966; 76 1983; 11 1987; 15 1995; 27 1992; 110 1986; 27 1994; 78 1980; 8 1995; 102 1981 1962; 22 1972; 56 1985; 13 1991; 109 1983; 67 Gillies WE. (e_1_2_1_17_2) 1962; 22 Gillies WE. (e_1_2_1_23_2) 1978; 98 Alvarado JA (e_1_2_1_8_2) 1986; 27 e_1_2_1_41_2 e_1_2_1_40_2 Use of the cell counting grid. (e_1_2_1_4_2) 1981 e_1_2_1_22_2 e_1_2_1_21_2 e_1_2_1_42_2 e_1_2_1_26_2 e_1_2_1_27_2 e_1_2_1_24_2 e_1_2_1_25_2 e_1_2_1_28_2 e_1_2_1_29_2 Brooks AMV (e_1_2_1_16_2) 1989; 2 Brooks AMV (e_1_2_1_20_2) 1994; 25 Streeton BW (e_1_2_1_30_2) 1987; 94 e_1_2_1_6_2 Grant WM (e_1_2_1_11_2) 1993 e_1_2_1_5_2 Alvarado JA (e_1_2_1_7_2) 1986; 27 e_1_2_1_2_2 e_1_2_1_34_2 e_1_2_1_3_2 e_1_2_1_12_2 e_1_2_1_33_2 e_1_2_1_32_2 e_1_2_1_10_2 e_1_2_1_31_2 e_1_2_1_15_2 e_1_2_1_38_2 Brooks AMV (e_1_2_1_43_2) 1995; 27 e_1_2_1_37_2 e_1_2_1_13_2 e_1_2_1_36_2 e_1_2_1_14_2 e_1_2_1_35_2 e_1_2_1_19_2 e_1_2_1_9_2 e_1_2_1_18_2 e_1_2_1_39_2 |
| References_xml | – reference: Grant WM, Schuman JS, eds. Toxicology of the eye. Springfield , Illinois : CS Thomas, 1993:1225-33. – reference: Penman AD, Talbot JF, Chuang EL, Thomas P., Serjeant GR, Bird AC. New classification of peripheral retinal vascular changes in sickle cell disease. Br J Ophthalmol 1994; 78:681-9. – reference: Brooks AMV, Grant G., Gillies WE. Corneal endothelial changes in superficial epithelial keratopathy. Aust NZ J Ophthalmol 1986; 14:171-5. – reference: Gillies WE. Hypoplasia of the iris stroma in Gregg's syndrome. Aust J Ophthalmol 1980; 8:189-192. – reference: Mendivil A., Cuartero V., Mendivil MP. Ocular blood flow velocities in patients with proliferative diabetic retinopathy and healthy volunteers: a prospective study. Br J Ophthalmol 1995; 79:413-16. – reference: Brooks AMV, Gillies WE. Three cases of Wegener's granulomatosis associated with glaucoma. Ann Ophthalmol 1995; 27:293-300. – reference: Brooks AMV, Gillies WE. Iris atrophy with hypoperfusion and microneovascularisation. Br J Ophthalmol 1987; 71:706-15. – reference: Gillies WE. Trabeculotomy in pseudoexfoliation of the lens capsule. Br J Ophthalmol 1977; 61:297-8. – reference: Gillies WE. Secondary glaucoma associated with pseudoexfoliation of the lens capsule. Trans Ophthalmol Soc UK 1978; 98:96-100. – reference: Brooks AMV, Grant G., Gillies WE. Changes in the iris vasculature and corneal endothelium in chronic cyclitis. Aust NZ J Ophthalmol 1986; 14:189-97. – reference: Knox DL, Palmer CAL, English F. Iris atrophy after quinine amblyopia. Arch Ophthalmol 1966; 76:359-62. – reference: Brooks AMV, Gillies WE. The presentation and prognosis of glaucoma in pseudoexfoliation of the lens capsule. Ophthalmology 1988; 95:271-6. – reference: Gillies WE, Brooks AMV. The presentation of acute glaucoma in pseudoexfoliation of the lens capsule. Aust NZ J Ophthalmol 1988; 16:101-6. – reference: Brooks AMV, Gillies WE. Fluorescein angiography of the iris and specular microscopy of the corneal endothelium in some cases of glaucoma secondary to chronic cyclitis. Ophthalmology 1988; 95:1624-30. – reference: Streeton BW, Bookman L., Ritch R., Prince AM, Dark AJ. Pseudoexfolirtive fibrillopathy in the conjunctiva: A relation to elastic fibers and elastosis. Ophthalmology 1987; 94:1439-49. – reference: Gillies WE, Tangas C. Fluorescein angiography of the iris in anterior segment pigment dispersal syndrome. Br J Ophthalmol 1986; 70:284-9. – reference: Brooks AMV, Gillies WE. Glaucoma associated with congenital hypoplasia of the iris stroma in rubella. Glaucoma 1989; 2:36-41. – reference: Maruyama Y., Kishi S., Kamei Y., Shimizu R., Kimura Y. Infrared angiography of the anterior ocular segment. Surv Ophthalmol 1995; 39(Suppl 1): S40-8. – reference: Brooks AMV, Gillies WE. Hypoperfusion of the iris and its consequences in anterior segment pigment dispersal syndrome. Ophthalmic Surg 1994; 25:307-10. – reference: Alvarado JA, Murphy CG, Juster RP, Hetherington J. Pathogenesis of Chandler's syndrome, essential iris atrophy and the Cogan-Reese syndrome. II. Estimated age at disease onset. Invest Ophthalmol Vis Sci 1986; 27:873-82. – reference: Brooks AMV, Grant G., Gillies WE. Differentiation and assessment of corneal endothelial changes associated with diseases of the anterior segment of the eye. Aust NZ J Ophthalmol 1987; 15:65-70. – reference: Alvardo JA, Underwood JL, Green WR, Wu S., Murphy CG, Hwang DG, Moore TE, O'Day D. Detection of herpes simplex viral DNA in the iridocorneal endothelial syndrome. Arch Ophthalmol 1994; 112:1601-9. – reference: Schlötzer-Schrehardt U., Küchle M., Naumann GOH. Electron-microscopic identification of pseudoexfoliation material in extrabulbar tissue. Arch Ophthalmol 1991; 109:565-70. – reference: Gillies WE, West RH. Unilateral pseudo-exfoliation, ocular hypertension and the cup disc ratio. Aust J Ophthalmol 1981; 9:321-3. – reference: Gillies WE. Racial incidence of pseudoexfoliation of the lens capsule. Br J Ophthalmol 1972; 56:474-7. – reference: Gillies WE. Effect of lens extraction in pseudoexfoliation of the lens capsule. Br J Ophthalmol 1973; 57:46-51. – reference: Alvarado JA, Murphy CG, Maglio M., Hetherington J. Pathogenesis of Chandler's syndrome, essential iris atrophy and the Cogan-Reese syndrome. 1. Alterations of the corneal endothelium. Invest Ophthalmol Vis Sci 1986; 27:853-72. – reference: Gillies WE. Pseudo-exfoliation of the lens capsule and pigmentary glaucoma. Trans Ophthalmol Soc Aust 1962; 22:120-3. – reference: Friedman E., Krupsky S., Lane AM, Oak SS, Friedman ES, Egan K., Gragoudas ES. Ocular blood flow velocity in age-related rnacular degeneration. Ophthalmology 1995; 102:640-6. – reference: Dickinson P., Sabto J., West RH. Management of quinine toxicity. 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| Snippet | Background: We have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography.
Methods: The... Background: We have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography. Methods: The... We have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography. The conditions were... We have investigated the vascular perfusion of a wide variety of conditions of the anterior segment using fluorescein angiography.BACKGROUNDWe have... |
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| SubjectTerms | Acute Disease Adult Aged Aged, 80 and over Ageing segment anterior Anterior Eye Segment - blood supply Atrophy Chronic Disease Female Fluorescein Angiography Humans hypoperfusion Iris - blood supply Iris - pathology iris angiography Iris Diseases - pathology iris ischaemia Ischemia - pathology Male Middle Aged neovascularisation Neovascularization, Pathologic - pathology perfusion specular microscopy vascular changes |
| Title | Disorders of perfusion of the anterior segment of the eye |
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