Role of ocular blood flow in normal tension glaucoma

Background: Normal tension glaucoma (NTG) is a multifactorial disease in the pathogenesis of which intraocular pressure (IOP)-independent factors play a key role. Main text: There is considerable evidence that impairment of the ocular blood flow (OBF) is involved both in the onset and progression of...

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Main Authors: Xingdi Wu, Katarzyna Konieczka, Xin Liu, Min Chen, Ke Yao, Kaijun Wang, Josef Flammer
Format: Article
Language:English
Published: Elsevier 2022-05-01
Series:Advances in Ophthalmology Practice and Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667376222000130
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author Xingdi Wu
Katarzyna Konieczka
Xin Liu
Min Chen
Ke Yao
Kaijun Wang
Josef Flammer
author_facet Xingdi Wu
Katarzyna Konieczka
Xin Liu
Min Chen
Ke Yao
Kaijun Wang
Josef Flammer
author_sort Xingdi Wu
collection DOAJ
description Background: Normal tension glaucoma (NTG) is a multifactorial disease in the pathogenesis of which intraocular pressure (IOP)-independent factors play a key role. Main text: There is considerable evidence that impairment of the ocular blood flow (OBF) is involved both in the onset and progression of this disease. With the development of the hypothesis of OBF in NTG, various imaging techniques have been developed to evaluate the OBF and blood vessels. Moreover, vascular dysregulation, which is a main factor in Flammer syndrome, was frequently observed in NTG patients. Disturbed OBF leads to increased oxidative stress, which plays an important role in the pathogenesis of glaucomatous optic neuropathy. These results suggested that IOP-independent management may provide alternative treatment options for NTG patients. Conclusions: In this review, we mainly focus on the mechanisms of the abnormal OBF in NTG.
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spelling doaj.art-53f25d5f5d06433bb4653ec4109077452022-12-22T02:22:36ZengElsevierAdvances in Ophthalmology Practice and Research2667-37622022-05-0121100036Role of ocular blood flow in normal tension glaucomaXingdi Wu0Katarzyna Konieczka1Xin Liu2Min Chen3Ke Yao4Kaijun Wang5Josef Flammer6Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, ChinaDepartment of Ophthalmology, University of Basel, Mittlere Strasse 91, Basel, 4031, SwitzerlandEye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, ChinaEye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, ChinaEye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, ChinaEye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China; Corresponding author.Department of Ophthalmology, University of Basel, Mittlere Strasse 91, Basel, 4031, Switzerland; Corresponding author.Background: Normal tension glaucoma (NTG) is a multifactorial disease in the pathogenesis of which intraocular pressure (IOP)-independent factors play a key role. Main text: There is considerable evidence that impairment of the ocular blood flow (OBF) is involved both in the onset and progression of this disease. With the development of the hypothesis of OBF in NTG, various imaging techniques have been developed to evaluate the OBF and blood vessels. Moreover, vascular dysregulation, which is a main factor in Flammer syndrome, was frequently observed in NTG patients. Disturbed OBF leads to increased oxidative stress, which plays an important role in the pathogenesis of glaucomatous optic neuropathy. These results suggested that IOP-independent management may provide alternative treatment options for NTG patients. Conclusions: In this review, we mainly focus on the mechanisms of the abnormal OBF in NTG.http://www.sciencedirect.com/science/article/pii/S2667376222000130Normal tension glaucomaOcular blood flowVascular dysregulationFlammer syndromeOxidative stress
spellingShingle Xingdi Wu
Katarzyna Konieczka
Xin Liu
Min Chen
Ke Yao
Kaijun Wang
Josef Flammer
Role of ocular blood flow in normal tension glaucoma
Advances in Ophthalmology Practice and Research
Normal tension glaucoma
Ocular blood flow
Vascular dysregulation
Flammer syndrome
Oxidative stress
title Role of ocular blood flow in normal tension glaucoma
title_full Role of ocular blood flow in normal tension glaucoma
title_fullStr Role of ocular blood flow in normal tension glaucoma
title_full_unstemmed Role of ocular blood flow in normal tension glaucoma
title_short Role of ocular blood flow in normal tension glaucoma
title_sort role of ocular blood flow in normal tension glaucoma
topic Normal tension glaucoma
Ocular blood flow
Vascular dysregulation
Flammer syndrome
Oxidative stress
url http://www.sciencedirect.com/science/article/pii/S2667376222000130
work_keys_str_mv AT xingdiwu roleofocularbloodflowinnormaltensionglaucoma
AT katarzynakonieczka roleofocularbloodflowinnormaltensionglaucoma
AT xinliu roleofocularbloodflowinnormaltensionglaucoma
AT minchen roleofocularbloodflowinnormaltensionglaucoma
AT keyao roleofocularbloodflowinnormaltensionglaucoma
AT kaijunwang roleofocularbloodflowinnormaltensionglaucoma
AT josefflammer roleofocularbloodflowinnormaltensionglaucoma