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2017 ; 58
(ä): 115-151
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Retinal oxygen: from animals to humans
#MMPMID28109737
Linsenmeier RA
; Zhang HF
Prog Retin Eye Res
2017[May]; 58
(ä): 115-151
PMID28109737
show ga
This article discusses retinal oxygenation and retinal metabolism by focusing on
measurements made with two of the principal methods used to study O(2) in the
retina: measurements of PO(2) with oxygen-sensitive microelectrodes in vivo in
animals with a retinal circulation similar to that of humans, and oximetry, which
can be used non-invasively in both animals and humans to measure O(2)
concentration in retinal vessels. Microelectrodes uniquely have high spatial
resolution, allowing the mapping of PO(2) in detail, and when combined with
mathematical models of diffusion and consumption, they provide information about
retinal metabolism. Mathematical models, grounded in experiments, can also be
used to simulate situations that are not amenable to experimental study. New
methods of oximetry, particularly photoacoustic ophthalmoscopy and visible light
optical coherence tomography, provide depth-resolved methods that can separate
signals from blood vessels and surrounding tissues, and can be combined with
blood flow measures to determine metabolic rate. We discuss the effects on
retinal oxygenation of illumination, hypoxia and hyperoxia, and describe retinal
oxygenation in diabetes, retinal detachment, arterial occlusion, and macular
degeneration. We explain how the metabolic measurements obtained from
microelectrodes and imaging are different, and how they need to be brought
together in the future. Finally, we argue for revisiting the clinical use of
hyperoxia in ophthalmology, particularly in retinal arterial occlusions and
retinal detachment, based on animal research and diffusion theory.