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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 5/2009

01-05-2009 | Review Article

Age-related ocular vascular changes

Authors: Rita Ehrlich, Nisha S. Kheradiya, Diana M. Winston, Daniel B. Moore, Barbara Wirostko, Alon Harris

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 5/2009

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Abstract

Background

The global society is aging at an increasing rate, with a continually larger proportion of the population consisting of those over the age of 65. Age-related vascular changes have been demonstrated in ocular tissue, and the incidence and prevalence of diseases such as macular degeneration, glaucoma and vascular occlusive diseases increase significantly with age.

Methods

This article reviews the current body of literature examining age-associated ocular vascular changes, and summarizes the aggregate findings. We discuss the potential role of the aging vasculature in the etiology of age-associated ocular disease, focusing on glaucoma.

Results

Our working hypothesis is that although advancing age is a physiological phenomenon, there are stepwise hemodynamic and vascular changes that occur, predisposing the eye and other tissue beds to pathological conditions. Advancing age does not independently give rise to disease, but does generate increasingly vulnerable vascular beds that are susceptible to further insults.

Conclusions

These results compel a need for further investigation of age-related changes in ocular physiology and pathophysiology.
Literature
6.
go back to reference Ferrari AU, Radaelli A, Centola M (2003) Invited Review: Aging and the cardiovascular system. J Appl Physiol 95:2591–2597PubMed Ferrari AU, Radaelli A, Centola M (2003) Invited Review: Aging and the cardiovascular system. J Appl Physiol 95:2591–2597PubMed
11.
go back to reference Gao H, Hollyfield JG (1992) Aging of the human retina. Differential loss of neurons and retinal pigment epithelial cells. Invest Ophthalmol Vis Sci 33:1–17PubMed Gao H, Hollyfield JG (1992) Aging of the human retina. Differential loss of neurons and retinal pigment epithelial cells. Invest Ophthalmol Vis Sci 33:1–17PubMed
15.
go back to reference Moya FJ, Brigatti L, Caprioli J (1999) Effect of aging on optic nerve appearance: a longitudinal study. Br J Ophthalmol 83:567–572.PubMedCrossRef Moya FJ, Brigatti L, Caprioli J (1999) Effect of aging on optic nerve appearance: a longitudinal study. Br J Ophthalmol 83:567–572.PubMedCrossRef
17.
go back to reference Wang AL, Yuan M, Neufeld AH (2007) Age-related changes in neuronal susceptibility to damage: comparison of the retinal ganglion cells of young and old mice before and after optic nerve crush. Ann N Y Acad Sci 1097:64–66. doi:10.1196/annals.1379.027 PubMedCrossRef Wang AL, Yuan M, Neufeld AH (2007) Age-related changes in neuronal susceptibility to damage: comparison of the retinal ganglion cells of young and old mice before and after optic nerve crush. Ann N Y Acad Sci 1097:64–66. doi:10.​1196/​annals.​1379.​027 PubMedCrossRef
19.
go back to reference Albon J, Farrant S, Akhtar S, Young R, Boulton ME, Smith G, Taylor M, Guggenheim J, Morgan JE (2007) Connective tissue structure of the tree shrew optic nerve and associated aging changes. Invest Ophthalmol Vis Sci 48:2134–2144. doi:10.1167/iovs.06-0084 PubMedCrossRef Albon J, Farrant S, Akhtar S, Young R, Boulton ME, Smith G, Taylor M, Guggenheim J, Morgan JE (2007) Connective tissue structure of the tree shrew optic nerve and associated aging changes. Invest Ophthalmol Vis Sci 48:2134–2144. doi:10.​1167/​iovs.​06-0084 PubMedCrossRef
20.
go back to reference Leung H, Wang JJ, Rochtchina E, Tan AG, Wong TY, Klein R, Hubbard LD, Mitchell P (2003) Relationships between age, blood pressure, and retinal vessel diameters in an older population. Invest Ophthalmol Vis Sci 44:2900–2904. doi:10.1167/iovs.02-1114 PubMedCrossRef Leung H, Wang JJ, Rochtchina E, Tan AG, Wong TY, Klein R, Hubbard LD, Mitchell P (2003) Relationships between age, blood pressure, and retinal vessel diameters in an older population. Invest Ophthalmol Vis Sci 44:2900–2904. doi:10.​1167/​iovs.​02-1114 PubMedCrossRef
22.
go back to reference Ravalico G, Toffoli G, Pastoru G, Crocè M, Calderini S (1996) Age-related ocular blood flow changes. Invest Ophthalmol Vis Sci 37:2645–2650PubMed Ravalico G, Toffoli G, Pastoru G, Crocè M, Calderini S (1996) Age-related ocular blood flow changes. Invest Ophthalmol Vis Sci 37:2645–2650PubMed
24.
go back to reference Harris A, Harris M, Biller J, Garzozi H, Zarfty D, Ciulla TA, Martin B (2000) Aging affects the retrobulbar circulation differently in women and men. Arch Ophthalmol 118:1076–1080PubMed Harris A, Harris M, Biller J, Garzozi H, Zarfty D, Ciulla TA, Martin B (2000) Aging affects the retrobulbar circulation differently in women and men. Arch Ophthalmol 118:1076–1080PubMed
26.
go back to reference Groh MJ, Michelson G, Langhans MJ, Harazny J (1996) Influence of age on retinal and optic nerve hear blood circulation. Ophthalmology 103:529–534PubMed Groh MJ, Michelson G, Langhans MJ, Harazny J (1996) Influence of age on retinal and optic nerve hear blood circulation. Ophthalmology 103:529–534PubMed
28.
go back to reference Greenfield DS, Heggerick PA, Hedges TR 3rd (1995) Color Doppler imaging of normal orbital vasculature. Ophthalmology 102(11):1598–1605PubMed Greenfield DS, Heggerick PA, Hedges TR 3rd (1995) Color Doppler imaging of normal orbital vasculature. Ophthalmology 102(11):1598–1605PubMed
29.
30.
go back to reference Embleton SJ, Hosking SL, Roff Hilton EJ, Cunliffe IA (2002) Effect of senescence on ocular blood flow in the retina, neuroretinal rim and lamina cribrosa, using scanning laser Doppler flowmetry. Eye 16:156–162. doi:10.1038/sj/eye/6700100 PubMedCrossRef Embleton SJ, Hosking SL, Roff Hilton EJ, Cunliffe IA (2002) Effect of senescence on ocular blood flow in the retina, neuroretinal rim and lamina cribrosa, using scanning laser Doppler flowmetry. Eye 16:156–162. doi:10.​1038/​sj/​eye/​6700100 PubMedCrossRef
32.
go back to reference Kida T, Liu JH, Weinreb RN (2008) Effect of aging on nocturnal blood flow in the optic nerve head and macula in healthy human eyes. J Glaucoma 17:366–371PubMedCrossRef Kida T, Liu JH, Weinreb RN (2008) Effect of aging on nocturnal blood flow in the optic nerve head and macula in healthy human eyes. J Glaucoma 17:366–371PubMedCrossRef
33.
go back to reference Rizzo JF 3rd, Feke GT, Goger DG, Ogasawara H, Weiter JJ (1991) Optic nerve head blood speed as a function of age in normal human subjects. Invest Ophthalmol Vis Sci 32:3263–3272PubMed Rizzo JF 3rd, Feke GT, Goger DG, Ogasawara H, Weiter JJ (1991) Optic nerve head blood speed as a function of age in normal human subjects. Invest Ophthalmol Vis Sci 32:3263–3272PubMed
35.
go back to reference Grunwald JE, Hariprasad SM, DuPont J (1998) Effect of aging on foveolar choroidal circulation. Arch Ophthalmol 116:150–154PubMed Grunwald JE, Hariprasad SM, DuPont J (1998) Effect of aging on foveolar choroidal circulation. Arch Ophthalmol 116:150–154PubMed
36.
go back to reference Ramrattan RS, van der Schaft TL, Mooy CM, de Bruijn WC, Mulder PG, de Jong PT (1994) Morphometric analysis of Bruch’s membrane, the choriocapillaris, and the choroid in aging. Invest Ophthalmol Vis Sci 35(6):2857–2864PubMed Ramrattan RS, van der Schaft TL, Mooy CM, de Bruijn WC, Mulder PG, de Jong PT (1994) Morphometric analysis of Bruch’s membrane, the choriocapillaris, and the choroid in aging. Invest Ophthalmol Vis Sci 35(6):2857–2864PubMed
37.
go back to reference Dallinger S, Findl O, Strenn K, Eichler HG, Wolzt M, Schmetterer L (1998) Age dependence of choroidal blood flow. J Am Geriatr Soc 46:484–487PubMed Dallinger S, Findl O, Strenn K, Eichler HG, Wolzt M, Schmetterer L (1998) Age dependence of choroidal blood flow. J Am Geriatr Soc 46:484–487PubMed
39.
go back to reference Laatinainen L, Larinkari J (1977) Capillary-free area of the fovea with advancing age. Invest Ophthalmol Vis Sci 16:1154–1157PubMed Laatinainen L, Larinkari J (1977) Capillary-free area of the fovea with advancing age. Invest Ophthalmol Vis Sci 16:1154–1157PubMed
41.
go back to reference Hayreh SS, Bill A, Sperber GO (1994) Effects of high intraocular pressure on the glucose metabolism in the retina and optic nerve in old atherosclerotic monkeys. Graefes Arch Clin Exp Ophthalmol 232:745–752. doi:10.1007/BF00184278 PubMedCrossRef Hayreh SS, Bill A, Sperber GO (1994) Effects of high intraocular pressure on the glucose metabolism in the retina and optic nerve in old atherosclerotic monkeys. Graefes Arch Clin Exp Ophthalmol 232:745–752. doi:10.​1007/​BF00184278 PubMedCrossRef
49.
go back to reference Miyazaki H, Matsuoka H, Cooke JP, Usui M, Ueda S, Okuda S, Imaizumi T (1999) Endogenous nitric oxide synthase inhibitor: a novel marker of atherosclerosis. Circulation 99:1141–1146PubMed Miyazaki H, Matsuoka H, Cooke JP, Usui M, Ueda S, Okuda S, Imaizumi T (1999) Endogenous nitric oxide synthase inhibitor: a novel marker of atherosclerosis. Circulation 99:1141–1146PubMed
54.
go back to reference Klein BE, Klein R, Lee KE, Hoyer CJ (2006) Does the intraocular pressure effect on optic disc cupping differ by age? Trans Am Ophthalmol Soc 104:143–148PubMed Klein BE, Klein R, Lee KE, Hoyer CJ (2006) Does the intraocular pressure effect on optic disc cupping differ by age? Trans Am Ophthalmol Soc 104:143–148PubMed
55.
go back to reference Nicolela MT, Hnik P, Drance SM (1996) Scanning laser Doppler flowmeter study of retinal and optic disk blood flow in glaucomatous patients. Am J Ophthalmol 122:775–783PubMed Nicolela MT, Hnik P, Drance SM (1996) Scanning laser Doppler flowmeter study of retinal and optic disk blood flow in glaucomatous patients. Am J Ophthalmol 122:775–783PubMed
56.
go back to reference Chung HS, Harris A, Kagemann L, Martin B (1999) Peripapillary retinal blood flow in normal tension glaucoma. Br J Ophthalmol 83:466–469PubMedCrossRef Chung HS, Harris A, Kagemann L, Martin B (1999) Peripapillary retinal blood flow in normal tension glaucoma. Br J Ophthalmol 83:466–469PubMedCrossRef
58.
go back to reference Butt Z, McKillop G, O’Brien C, Allan P, Aspinall P (1995) Measurement of ocular blood flow velocity using colour Doppler imaging in low tension glaucoma. Eye 9:29–33PubMed Butt Z, McKillop G, O’Brien C, Allan P, Aspinall P (1995) Measurement of ocular blood flow velocity using colour Doppler imaging in low tension glaucoma. Eye 9:29–33PubMed
60.
go back to reference Harris A, Sergott RC, Spaeth GL, Katz JL, Shoemaker JA, Martin BJ (1994) Color Doppler analysis of ocular vessel blood velocity in normal-tension glaucoma. Am J Ophthalmol 118:642–649PubMed Harris A, Sergott RC, Spaeth GL, Katz JL, Shoemaker JA, Martin BJ (1994) Color Doppler analysis of ocular vessel blood velocity in normal-tension glaucoma. Am J Ophthalmol 118:642–649PubMed
63.
go back to reference Sato EA, Ohtake Y, Shinoda K, Mashima Y, Kimura I (2006) Decreased blood flow at neuroretinal rim of optic nerve head corresponds with visual field deficit in eyes with normal tension glaucoma. Graefes Arch Clin Exp Ophthalmol 244:795–801. doi:10.1007/s00417-005-0177-2 PubMedCrossRef Sato EA, Ohtake Y, Shinoda K, Mashima Y, Kimura I (2006) Decreased blood flow at neuroretinal rim of optic nerve head corresponds with visual field deficit in eyes with normal tension glaucoma. Graefes Arch Clin Exp Ophthalmol 244:795–801. doi:10.​1007/​s00417-005-0177-2 PubMedCrossRef
65.
go back to reference Amerasinghe N, Aung T, Cheung N, Fong CW, Wang JJ, Mitchell P, Saw SM, Wong TY (2008) Evidence of retinal vascular narrowing in glaucomatous eyes in an Asian population. Invest Ophthalmol Vis Sci 49(12):5397–5402PubMedCrossRef Amerasinghe N, Aung T, Cheung N, Fong CW, Wang JJ, Mitchell P, Saw SM, Wong TY (2008) Evidence of retinal vascular narrowing in glaucomatous eyes in an Asian population. Invest Ophthalmol Vis Sci 49(12):5397–5402PubMedCrossRef
67.
go back to reference Wang S, Xu L, Wang Y, Wang Y, Jonas JB (2007) Retinal vessel diameter in normal and glaucomatous eyes: The Beijing Eye Study. Clin Experiment Ophthalmol 35:800–807PubMed Wang S, Xu L, Wang Y, Wang Y, Jonas JB (2007) Retinal vessel diameter in normal and glaucomatous eyes: The Beijing Eye Study. Clin Experiment Ophthalmol 35:800–807PubMed
69.
go back to reference Ikram MK, de Voogd S, Wolfs RCW, Hofman A, Breteler MM, Hubbard LD, de Jong PT (2005) Retinal vessel diameters 1 and incident open-angle glaucoma and optic disc changes: The Rotterdam Study. Invest Ophthalmol Vis Sci 46:1182–1187. doi:10.1167/iovs.04-1459 PubMedCrossRef Ikram MK, de Voogd S, Wolfs RCW, Hofman A, Breteler MM, Hubbard LD, de Jong PT (2005) Retinal vessel diameters 1 and incident open-angle glaucoma and optic disc changes: The Rotterdam Study. Invest Ophthalmol Vis Sci 46:1182–1187. doi:10.​1167/​iovs.​04-1459 PubMedCrossRef
70.
go back to reference Spraul CW, Lang GE, Lang GK, Grossniklaus HE (2002) Morphometric changes of the choriocapillaris and the choroidal vasculature in eyes with advanced glaucomatous changes. Vision Res 42:923–32PubMedCrossRef Spraul CW, Lang GE, Lang GK, Grossniklaus HE (2002) Morphometric changes of the choriocapillaris and the choroidal vasculature in eyes with advanced glaucomatous changes. Vision Res 42:923–32PubMedCrossRef
71.
go back to reference Resch H, Garhofer G, Fuchsjäger-Mayrl G, Hommer A, Schmetterer L (2008) Endothelial dysfunction in glaucoma. Acta Ophthalmol May 27 [Epub ahead of print] Resch H, Garhofer G, Fuchsjäger-Mayrl G, Hommer A, Schmetterer L (2008) Endothelial dysfunction in glaucoma. Acta Ophthalmol May 27 [Epub ahead of print]
72.
go back to reference Doganay S, Evereklioglu C, Turkoz Y, Er H (2002) Decreased nitric oxide production in primary open angle glaucoma. Eur J Ophthalmol 12:44–48PubMed Doganay S, Evereklioglu C, Turkoz Y, Er H (2002) Decreased nitric oxide production in primary open angle glaucoma. Eur J Ophthalmol 12:44–48PubMed
75.
go back to reference Cellini M, Possati GL, Profazio V, Sbreocca M, Caramazza N, Caramazza R (1997) Colour Doppler imaging and plasma levels of endothelin-1 in low tension glaucoma. Acta Ophthalmol Scand Suppl 224:11–13PubMedCrossRef Cellini M, Possati GL, Profazio V, Sbreocca M, Caramazza N, Caramazza R (1997) Colour Doppler imaging and plasma levels of endothelin-1 in low tension glaucoma. Acta Ophthalmol Scand Suppl 224:11–13PubMedCrossRef
Metadata
Title
Age-related ocular vascular changes
Authors
Rita Ehrlich
Nisha S. Kheradiya
Diana M. Winston
Daniel B. Moore
Barbara Wirostko
Alon Harris
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 5/2009
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-008-1018-x

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