Abstract
Visual performance is impaired when the ocular blood flow decreases, indicating that ocular blood flow plays a role in maintaining visual performance during exercise. We examined the ocular blood flow response to incremental cycling exercise to test the hypothesis that ocular blood flow is relatively stable during dynamic exercise because of its autoregulatory nature. The blood flow in the inferior and superior temporal retinal arterioles (ITRA and STRA, respectively) and retinal and choroidal vessels (RCV), mean arterial pressure, and heart rate (HR) were measured at rest and during leg cycling in nine young and healthy subjects (26 ± 5 years, mean ± SD). Ocular blood flow was measured by laser speckle flowmetry. The exercise intensity was incremented by 30 W every 3 min until the subject was unable to maintain a position appropriate for measuring ocular blood flow. Blood flow data obtained during cycling exercise were categorized based on HR as follows: <100, 100–120, and >120 bpm. Blood flow in the RCV increased with the exercise intensity: by 16 ± 8, 32 ± 13, and 40 ± 19% from baseline, respectively. However, blood flow and vascular conductance in the ITRA and STRA did not change significantly with exercise. These findings demonstrate for the first time that ocular blood flow increases in the retina and choroid, but not in the arterioles, with increasing exercise intensity during dynamic exercise.



References
Bill A (1975) Blood circulation and fluid dynamics in the eye. Physiol Rev 55:383–417
Bill A, Sperber GO (1990) Control of retinal and choroidal blood flow. Eye 4:319–325
Delaey C, Van de Voorde J (2000) Regulatory mechanisms in the retinal and choroidal circulation. Opthalmic Res 32:249–256
Forcier P, Kergoat H, Lovasik JV (1998) Macular hemodynamic responses to short-term acute exercise in young healthy adults. Vision Res 38:181–186
Fujii H, Nohira K, Yamamoto Y, Ikawa H, Ohura T (1987) Evaluation of blood flow by laser speckle image sensing. Part 1. Appl Opt 26:5321–5325
Glucksberg MR, Dunn R (1993) Direct measurement of retinal microvascular pressures in the live, anesthetized cat. Microvasc Res 45:158–165
Harris A, Arend O, Bohnke K, Kroepfl E, Danis R, Martin B (1996) Retinal blood flow during dynamic exercise. Graefes Arch Clin Exp Ophthalmol 234:440–444
Hayashi N, Ikemura T, Someya N (2010) Effects of hyper- and hypocapnea on choroidal and retinal blood flows and the visual acuity. FASEB J 24, 625.17
Hedreville M, Connes P, Romana M, Magnaval G, David T, Hardy-Dessources MD, Belloy MS, Etienne-Julan M, Hue O (2009) Central retinal vein occlusion in a sickle cell trait carrier after a cycling race. Med Sci Sports Exerc 41:14–18
Huber KK, Adams H, Remky A, Arend KO (2006) Retrobulbar haemodynamics and contrast sensitivity improvements after CO2 breathing. Acta Ophthalmol Scand 84:481–487
Iester M, Torre PG, Bricola G, Bagnis A, Calabria G (2007) Retinal blood flow autoregulation after dynamic exercise in healthy young subjects. Ophthalmologica 221:180–185
Johnson RL, Heigenhauser GJF, Hsia CC, Jones NL, Wagner PD (1996) Determinants of gas exchange and acid–base balance during exercise. In: Rowell LB, Shepherd JT (eds) Handbook of physiology. Oxford University Press, New York, pp 515–584
Joyner MJ, Proctor DN (1999) Muscle blood flow during exercise: the limits of reductionism. Med Sci Sports Exerc 31:1036–1040
Kisilevsky M, Mardimae A, Slessarev M, Han J, Fisher J, Hudson C (2008) Retinal arteriolar and middle cerebral artery responses to combined hypercarbic/hyperoxic stimuli. Invest Ophthalmol Vis Sci 49:5503–5509
Koskela PU (1988) Jogging and contrast sensitivity. Acta Ophthalmol 66:725–727
Koskela PU, Airaksinen PJ, Tuulonen A (1990) The effect of jogging on visual field indices. Acta Ophthalmol 68:91–93
Lovasik JV, Kergoat H, Riva CE, Petrig BL, Geiser M (2003) Choroidal blood flow during exercise-induced changes in the ocular perfusion pressure. Invest Ophthalmol Vis Sci 44:2126–2132
Luksch A, Garhöfer G, Imhof A, Polak K, Polska E, Dorner GT, Anzenhofer S, Wolzt M, Schmetterer L (2002) Effect of inhalation of different mixtures of O2 and CO2 on retinal blood flow. Br J Ophthalmol 86:1143–1147
Michelson G, Groh M, Gründler A (1994) Regulation of ocular blood flow during increases of arterial blood pressure. Br J Ophthalmol 78:461–465
Németh J, Knézy K, Tapasztó B, Kovács R, Harkányi Z (2002) Different autoregulation response to dynamic exercise in ophthalmic and central retinal arteries: a color Doppler study in healthy subjects. Graefes Arch Clin Exp Ophthalmol 240:835–840
Netter FH (2006) Atlas of human anatomy, 4th edn. Saunders, Philadelphia
Okuno T, Sugiyama T, Kohyama M, Kojima S, Oku H, Ikeda T (2006) Ocular blood flow changes after dynamic exercise in humans. Eye (Lond) 20:796–800
Reid RC (1999) Vision. In: Zigmond MJ, Bloom FE, Landis SC, Roberts JL, Squire LR (eds) Fundamental neuroscience. Academic Press, San Diego, p 821
Risner D, Ehrlich R, Kheradiya NS, Siesky B, McCranor L, Harris A (2009) Effects of exercise on intraocular pressure and ocular blood flow: a review. J Glaucoma 18:429–436
Riva CE, Grunwald JE, Sinclair SH, Petrig BL (1985) Blood velocity and volumetric flow rate in human retinal vessels. Invest Ophthalmol Vis Sci 26:1124–1132
Rowell LB (1993) Human cardiovascular control. Oxford University Press, NY
Tamaki Y, Araie M, Kawamoto E, Eguchi S, Fujii H (1994) Non-contact, two-dimensional measurement of retinal microcirculation using laser speckle phenomenon. Invest Ophthalmol Vis Sci 35:3825–3834
Tamaki Y, Araie M, Kawamoto E, Eguchi S, Fujii H (1995) Non-contact, two-dimensional measurement of tissue circulation in the choroids and optic nerve head using laser speckle phenomenon. Exp Eye Res 60:373–384
Wagner PD, Gale GE, Moon RE, Torre-Bueno JR, Stolp BW, Saltzman HA (1986) Pulmonary gas exchange in humans exercising at sea level and simulated altitude. J Appl Physiol 61:260–270
Williamson TH, Harris A (1994) Ocular blood flow measurement. Br J Ophthalmol 78:939–945
Woods RL, Thomson WD (1995) Effects of exercise on aspects of visual function. Ophthalmic Physiol Opt 15:5–12
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The authors are grateful for a grant from the Yamaha Motor Foundation for Sports to N.H.
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Communicated by Keith Phillip George.
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Hayashi, N., Ikemura, T. & Someya, N. Effects of dynamic exercise and its intensity on ocular blood flow in humans. Eur J Appl Physiol 111, 2601–2606 (2011). https://doi.org/10.1007/s00421-011-1880-9
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DOI: https://doi.org/10.1007/s00421-011-1880-9