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Biomechanical Mechanisms of IOP-/CSFP-Induced Optic Nerve Damage

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Book cover Intraocular and Intracranial Pressure Gradient in Glaucoma

Part of the book series: Advances in Visual Science and Eye Diseases ((AVSED,volume 1))

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Abstract

Glaucoma, which is characterized by loss of retinal ganglion cell death, is a leading cause of irreversible world vision loss. Traditionally, intraocular pressure (IOP) is considered as the main reason that glaucomatous optic neuropathy develops [1]. However, as well as an elevated IOP, a low cerebrospinal fluid pressure (CSFP) has been proved to be another factor that related to the pathogenesis of glaucomatous optic neuropathy, especially in normal-IOP glaucoma patients [2–10]. The trans-lamina cribrosa pressure difference (TLCPD), which is defined as IOP minus CSFP, may be more important for the development of glaucomatous optic neuropathy [3, 5–8, 11–14]. Study on the damage of optic nerve in reduced CSFP animal models has further supported the hypothesis [15, 16]. However, mechanism of reduced CSFP on the optic nerve damage has not been elucidated yet.

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References

  1. Geijssen HC. Studies on normal pressure glaucoma. Amsterdam: Kugler Publications; 1991.

    Google Scholar 

  2. Jonas JB, Berenshtein E, Holbach L. Anatomic relationship between lamina cribrosa, intraocular space, and cerebrospinal fluid space. Invest Ophthalmol Vis Sci. 2003;44:5189–95.

    Article  Google Scholar 

  3. Ren R, Jonas JB, Tian G, et al. Cerebrospinal fluid pressure in glaucoma: a prospective study. Ophthalmology. 2010;117:259–66.

    Article  Google Scholar 

  4. Morgan WH, Chauhan BC, Yu DY, Cringle SJ, Alder VA, House PH. Optic disc movement with variations in intraocular and cerebrospinal fluid pressure. Invest Ophthalmol Vis Sci. 2002;43:3236–42.

    PubMed  Google Scholar 

  5. Morgan WH, Yu DY, Balaratnasingam C. The role of cerebrospinal fluid pressure in glaucoma pathophysiology: the dark side of the optic disc. J Glaucoma. 2008;17:408–13.

    Article  Google Scholar 

  6. Berdahl JP, Allingham RR, Johnson DH. Cerebrospinal fluid pressure is decreased in primary open-angle glaucoma. Ophthalmology. 2008;115:763–8.

    Article  Google Scholar 

  7. Berdahl JP, Fautsch MP, Stinnett SS, Allingham RR. Intracranial pressure in primary open angle glaucoma, normal tension glaucoma, and ocular hypertension: a case-control study. Invest Ophthalmol Vis Sci. 2008;49:5412–8.

    Article  Google Scholar 

  8. Ren R, Wang N, Zhang X, Cui T, Jonas JB. Trans-lamina cribrosa pressure difference correlated with neuroretinal rim area in glaucoma. Graefes Arch Clin Exp Ophthalmol. 2011;249:1057–63.

    Article  Google Scholar 

  9. Wang N, Xie X, Yang D, et al. Orbital cerebrospinal fluid space in glaucoma: the Beijing intracranial and intraocular pressure (iCOP) study. Ophthalmology. 2012;119:2065–2073.e2061.

    Article  Google Scholar 

  10. Morgan WH, Yu DY, Cooper RL, Alder VA, Cringle SJ, Constable IJ. The influence of cerebrospinal fluid pressure on the lamina cribrosa tissue pressure gradient. Invest Ophthalmol Vis Sci. 1995;36:1163–72.

    CAS  PubMed  Google Scholar 

  11. Yablonski M, Ritch R, Pokorny KS. Effect of decreased intracranial pressure on optic disc. Invest Ophthalmol Vis Sci. 1979;18(Suppl):165.

    Google Scholar 

  12. Jonas JB, Budde WM. Optic cup deepening spatially correlated with optic nerve damage in focal normal-pressure glaucoma. J Glaucoma. 1999;8:227–31.

    Article  CAS  Google Scholar 

  13. Morgan WH, Cringle SJ, Balaratnasingam C, Yu DY. Impaired cerebrospinal fluid circulation and its relationship to glaucoma. Clin Exp Ophthalmol. 2008;36:802–3.

    Article  Google Scholar 

  14. Wang N, Xie X, Yang D, Xian J, Li Y, et al. Orbital cerebrospinal fluid space in glaucoma. Ophthalmology. 2012;119:2065–2073.e1.

    Article  Google Scholar 

  15. Yang D, Fu J, Hou R, et al. Optic neuropathy induced by experimentally reduced cerebrospinal fluid pressure in monkeys. Invest Ophthalmol Vis Sci. 2014;55:3067–73.

    Article  Google Scholar 

  16. Zheng Z, Liu D, Jonas JB, Wu S, Kwong JM, Zhang J, Liu Q, Li L, Lu Q, Yang D, Wang J, Wang N. Axonal transport in the rat optic nerve following short-term reduction in cerebrospinal fluid pressure or elevation in intraocular pressure. Invest Ophthalmol Vis Sci. 2015;56:4257–66.

    Article  Google Scholar 

  17. Osborne NN, del Olowns JC, Bellezza A, et al. 3-D histomorphometry of the normal and early glaucomatous monkey optic nerve head: prelaminar neural tissues and cupping. Invest Ophthalmol Vis Sci. 2007;48:5068–84.

    Article  Google Scholar 

  18. Hattar S, Liao H-W, Takao M, Berson DM, Yau K-W. Melanopsin-containing retinal ganglion cells: architecture, projections, and intrinsic photosensitivity. Science. 2002;295(5557):1065–70.

    Article  CAS  Google Scholar 

  19. Quigley HA, Brown A, Dorman-Pease ME. Alterations in elastin of the optic nerve head in human and experimental glaucoma. Br J Ophthalmol. 1991;75:552–7.

    Article  CAS  Google Scholar 

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Correspondence to Ningli Wang .

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Mao, Y., Wang, N. (2019). Biomechanical Mechanisms of IOP-/CSFP-Induced Optic Nerve Damage. In: Wang, N. (eds) Intraocular and Intracranial Pressure Gradient in Glaucoma. Advances in Visual Science and Eye Diseases, vol 1. Springer, Singapore. https://doi.org/10.1007/978-981-13-2137-5_39

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  • DOI: https://doi.org/10.1007/978-981-13-2137-5_39

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  • Publisher Name: Springer, Singapore

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  • Online ISBN: 978-981-13-2137-5

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