Skip to main content
Top
Published in:

Open Access 01-12-2023 | Angiography | Research

The short-term effects of blood donation on the ocular parameters including blood flow of the retina and choroid in healthy people using OCT- angiography

Authors: Mengmeng Yu, Xiaolei Sun, Fanxing Zeng, Xiang Gao, Zhenzhen Li, Gongqiang Yuan, Ting Wang

Published in: BMC Ophthalmology | Issue 1/2023

Login to get access

Abstract

Background

To investigate the short-term effects of blood donation on the morphology and blood flow of the retina and choroid in healthy people using optical coherence tomography angiography (OCTA).

Methods

Twenty-eight healthy blood donors (56 eyes) who participated in the 200 ml voluntary blood donation between March 2, 2021 and January 20, 2022 were included. The best corrected visual acuity (BCVA), systolic (SBP) and diastolic blood pressure (DBP), intraocular pressure (IOP), subfoveal choroid thickness (SFCT), retinal thickness (RT), retinal superficial vascular density (SVD), deep vascular density (DVD) and foveal avascular were a (FAZ) were measured and statistically analysed 10 min before, 30 min and 24 h after the blood donation.

Results

The 200 ml blood donation could cause significant IOP reduction at 24 h (P = 0.006), which was negatively correlated with SBP (r = -0.268, P = 0.046), while SBP, DBP, or ocular perfusion pressure were not affected (> 0.05). Moreover, no significant difference existed in the OCT and OCTA indexes, including SFCT, RT, SVD, DVD, and FAZ, before and after the 200 ml blood donation (P > 0.05). The visual acuity was not affected either (P > 0.05).

Conclusions

The 200 ml blood donation was noted to be associated with statistically significant IOP reduction at 24 h, while SBP, DBP, or OPP was not affected. The blood flow of the retina and choroid or the visual acuity did not change significantly after the blood donation. Larger studies with different volumes of blood donation were needed to further analysis the effect of blood donation on ocular parameters.
Literature
1.
go back to reference Araz-Ersan HB, Sayin N, Bayramoğlu SE, Pirhan D, Sanli K, Kara N. The Effect of Acute Hypovolemia on the Eye. Curr Eye Res. 2018;43(7):949–54.CrossRefPubMed Araz-Ersan HB, Sayin N, Bayramoğlu SE, Pirhan D, Sanli K, Kara N. The Effect of Acute Hypovolemia on the Eye. Curr Eye Res. 2018;43(7):949–54.CrossRefPubMed
2.
go back to reference Sadda SR, Nee M, Miller NR, Biousse V, Newman NJ, Kouzis A. Clinical spectrum of posterior ischemic optic neuropathy. Am J Ophthalmol. 2001;132(5):743–50.CrossRefPubMed Sadda SR, Nee M, Miller NR, Biousse V, Newman NJ, Kouzis A. Clinical spectrum of posterior ischemic optic neuropathy. Am J Ophthalmol. 2001;132(5):743–50.CrossRefPubMed
4.
go back to reference Flammer J, Mozaffarieh M. Autoregulation, a balancing act between supply and demand. Can J Ophthalmol. 2008;43(3):317–21.CrossRefPubMed Flammer J, Mozaffarieh M. Autoregulation, a balancing act between supply and demand. Can J Ophthalmol. 2008;43(3):317–21.CrossRefPubMed
5.
go back to reference Caprioli J, Coleman AL. Blood pressure, perfusion pressure, and glaucoma. Am J Ophthalmol. 2010;149(5):704–12.CrossRefPubMed Caprioli J, Coleman AL. Blood pressure, perfusion pressure, and glaucoma. Am J Ophthalmol. 2010;149(5):704–12.CrossRefPubMed
6.
go back to reference Pemp B, Schmetterer L. Ocular blood flow in diabetes and age-related macular degeneration. Can J Ophthalmol. 2008;43(3):295–301.CrossRefPubMed Pemp B, Schmetterer L. Ocular blood flow in diabetes and age-related macular degeneration. Can J Ophthalmol. 2008;43(3):295–301.CrossRefPubMed
7.
go back to reference Daruich A, Matet A, Dirani A, Bousquet E, Zhao M, Farman N, et al. Central serous chorioretinopathy: recent findings and new physiopathology hypothesis. Prog Retin Eye Res. 2015;48:82–118.CrossRefPubMed Daruich A, Matet A, Dirani A, Bousquet E, Zhao M, Farman N, et al. Central serous chorioretinopathy: recent findings and new physiopathology hypothesis. Prog Retin Eye Res. 2015;48:82–118.CrossRefPubMed
8.
go back to reference Jendzjowsky NG, Steinback CD, Herman RJ, Tsai WH, Costello FE, Wilson RJA. Functional-optical coherence tomography: a non-invasive Approach to assess the sympathetic nervous system and intrinsic vascular regulation. Front Physiol. 2019;10:1146.CrossRefPubMedPubMedCentral Jendzjowsky NG, Steinback CD, Herman RJ, Tsai WH, Costello FE, Wilson RJA. Functional-optical coherence tomography: a non-invasive Approach to assess the sympathetic nervous system and intrinsic vascular regulation. Front Physiol. 2019;10:1146.CrossRefPubMedPubMedCentral
9.
go back to reference Kim M, Kim SS, Kwon HJ, Koh HJ, Lee SC. Association between choroidal thickness and ocular perfusion pressure in young, healthy subjects: enhanced depth imaging optical coherence tomography study. Invest Ophthalmol Vis Sci. 2012;53(12):7710–7.CrossRefPubMed Kim M, Kim SS, Kwon HJ, Koh HJ, Lee SC. Association between choroidal thickness and ocular perfusion pressure in young, healthy subjects: enhanced depth imaging optical coherence tomography study. Invest Ophthalmol Vis Sci. 2012;53(12):7710–7.CrossRefPubMed
10.
go back to reference Hennis A, Wu SY, Nemesure B, Leske MC. Hypertension, diabetes, and longitudinal changes in intraocular pressure. Ophthalmology. 2003;110(5):908–14.CrossRefPubMed Hennis A, Wu SY, Nemesure B, Leske MC. Hypertension, diabetes, and longitudinal changes in intraocular pressure. Ophthalmology. 2003;110(5):908–14.CrossRefPubMed
11.
go back to reference McLeod SD, West SK, Quigley HA, Fozard JL. A longitudinal study of the relationship between intraocular and blood pressures. Invest Ophthalmol Vis Sci. 1990;31(11):2361–6.PubMed McLeod SD, West SK, Quigley HA, Fozard JL. A longitudinal study of the relationship between intraocular and blood pressures. Invest Ophthalmol Vis Sci. 1990;31(11):2361–6.PubMed
12.
go back to reference Klein BE, Klein R, Knudtson MD. Intraocular pressure and systemic blood pressure: longitudinal perspective: the Beaver Dam Eye Study. Br J Ophthalmol. 2005;89(3):284–7.CrossRefPubMedPubMedCentral Klein BE, Klein R, Knudtson MD. Intraocular pressure and systemic blood pressure: longitudinal perspective: the Beaver Dam Eye Study. Br J Ophthalmol. 2005;89(3):284–7.CrossRefPubMedPubMedCentral
13.
go back to reference Karadag R, Koyun E, Ozsoy I, Caliskan M. Evaluation of the 24-hour intraocular pressure and systemic blood pressure at the same time. J Fr Ophtalmol. 2019;42(7):739–45.CrossRefPubMed Karadag R, Koyun E, Ozsoy I, Caliskan M. Evaluation of the 24-hour intraocular pressure and systemic blood pressure at the same time. J Fr Ophtalmol. 2019;42(7):739–45.CrossRefPubMed
14.
go back to reference Garrioch MA. The body’s response to blood loss. Vox Sang. 2004;87 Suppl1:74 – 6. Garrioch MA. The body’s response to blood loss. Vox Sang. 2004;87 Suppl1:74 – 6.
15.
go back to reference Zöllei E, Paprika D, Makra P, Gingl Z, Vezendi K, Rudas L. Human autonomic responses to blood donation. Auton Neurosci. 2004;110(2):114–20.CrossRefPubMed Zöllei E, Paprika D, Makra P, Gingl Z, Vezendi K, Rudas L. Human autonomic responses to blood donation. Auton Neurosci. 2004;110(2):114–20.CrossRefPubMed
16.
go back to reference Ikegami K, Shigeyoshi Y, Masubuchi S. Circadian regulation of IOP rhythm by dual pathways of Glucocorticoids and the sympathetic nervous system. Invest Ophthalmol Vis Sci. 2020;61(3):26.CrossRefPubMedPubMedCentral Ikegami K, Shigeyoshi Y, Masubuchi S. Circadian regulation of IOP rhythm by dual pathways of Glucocorticoids and the sympathetic nervous system. Invest Ophthalmol Vis Sci. 2020;61(3):26.CrossRefPubMedPubMedCentral
17.
go back to reference Belmonte C, Bartels SP, Liu JH, Neufeld AH. Effects of stimulation of the ocular sympathetic nerves on IOP and aqueous humor flow. Invest Ophthalmol Vis Sci. 1987;28(10):1649–54.PubMed Belmonte C, Bartels SP, Liu JH, Neufeld AH. Effects of stimulation of the ocular sympathetic nerves on IOP and aqueous humor flow. Invest Ophthalmol Vis Sci. 1987;28(10):1649–54.PubMed
19.
go back to reference Risner D, Ehrlich R, Kheradiya NS, Siesky B, McCranor L, Harris A. Effects of exercise on intraocular pressure and ocular blood flow: a review. J Glaucoma. 2009;18(6):429–36.CrossRefPubMed Risner D, Ehrlich R, Kheradiya NS, Siesky B, McCranor L, Harris A. Effects of exercise on intraocular pressure and ocular blood flow: a review. J Glaucoma. 2009;18(6):429–36.CrossRefPubMed
20.
go back to reference Zhu MM, Lai JSM, Choy BNK, Shum JWH, Lo ACY, Ng ALK, et al. Physical exercise and glaucoma: a review on the roles of physical exercise on intraocular pressure control, ocular blood flow regulation, neuroprotection and glaucoma-related mental health. Acta Ophthalmol. 2018;96(6):e676–e91.CrossRefPubMed Zhu MM, Lai JSM, Choy BNK, Shum JWH, Lo ACY, Ng ALK, et al. Physical exercise and glaucoma: a review on the roles of physical exercise on intraocular pressure control, ocular blood flow regulation, neuroprotection and glaucoma-related mental health. Acta Ophthalmol. 2018;96(6):e676–e91.CrossRefPubMed
21.
go back to reference Dumskyj MJ, Eriksen JE, Doré CJ, Kohner EM. Autoregulation in the human retinal circulation: assessment using isometric exercise, laser doppler velocimetry, and computer-assisted image analysis. Microvasc Res. 1996;51(3):378–92.CrossRefPubMed Dumskyj MJ, Eriksen JE, Doré CJ, Kohner EM. Autoregulation in the human retinal circulation: assessment using isometric exercise, laser doppler velocimetry, and computer-assisted image analysis. Microvasc Res. 1996;51(3):378–92.CrossRefPubMed
22.
go back to reference Hafez AS, Bizzarro RL, Rivard M, Lesk MR. Changes in optic nerve head blood flow after therapeutic intraocular pressure reduction in glaucoma patients and ocular hypertensives. Ophthalmology. 2003;110(1):201–10.CrossRefPubMed Hafez AS, Bizzarro RL, Rivard M, Lesk MR. Changes in optic nerve head blood flow after therapeutic intraocular pressure reduction in glaucoma patients and ocular hypertensives. Ophthalmology. 2003;110(1):201–10.CrossRefPubMed
23.
go back to reference Chou P, Lu DW, Chen JT. Bilateral superior cervical ganglionectomy increases choroidal blood flow in the rabbit. Ophthalmologica. 2000;214(6):421–5.CrossRefPubMed Chou P, Lu DW, Chen JT. Bilateral superior cervical ganglionectomy increases choroidal blood flow in the rabbit. Ophthalmologica. 2000;214(6):421–5.CrossRefPubMed
24.
go back to reference Steinle JJ, Krizsan-Agbas D, Smith PG. Regional regulation of choroidal blood flow by autonomic innervation in the rat. Am J Physiol Regul Integr Comp Physiol. 2000;279(1):R202–9.CrossRefPubMed Steinle JJ, Krizsan-Agbas D, Smith PG. Regional regulation of choroidal blood flow by autonomic innervation in the rat. Am J Physiol Regul Integr Comp Physiol. 2000;279(1):R202–9.CrossRefPubMed
25.
go back to reference Altinkaynak H, Kara N, Sayın N, Güneş H, Avşar S, Yazıcı AT. Subfoveal choroidal thickness in patients with chronic heart failure analyzed by spectral-domain optical coherence tomography. Curr Eye Res. 2014;39(11):1123–8.CrossRefPubMed Altinkaynak H, Kara N, Sayın N, Güneş H, Avşar S, Yazıcı AT. Subfoveal choroidal thickness in patients with chronic heart failure analyzed by spectral-domain optical coherence tomography. Curr Eye Res. 2014;39(11):1123–8.CrossRefPubMed
26.
go back to reference Sayin N, Kara N, Uzun F, Akturk IF. A quantitative evaluation of the posterior segment of the eye using spectral-domain optical coherence tomography in carotid artery stenosis: a pilot study. Ophthalmic Surg Lasers Imaging Retina. 2015;46(2):180–5.CrossRefPubMed Sayin N, Kara N, Uzun F, Akturk IF. A quantitative evaluation of the posterior segment of the eye using spectral-domain optical coherence tomography in carotid artery stenosis: a pilot study. Ophthalmic Surg Lasers Imaging Retina. 2015;46(2):180–5.CrossRefPubMed
27.
go back to reference Kang HM, Lee CS, Lee SC. Thinner subfoveal choroidal thickness in eyes with ocular ischemic syndrome than in unaffected contralateral eyes. Graefes Arch Clin Exp Ophthalmol. 2014;252(5):851–2.CrossRefPubMed Kang HM, Lee CS, Lee SC. Thinner subfoveal choroidal thickness in eyes with ocular ischemic syndrome than in unaffected contralateral eyes. Graefes Arch Clin Exp Ophthalmol. 2014;252(5):851–2.CrossRefPubMed
28.
go back to reference Tani T, Nagaoka T, Nakabayashi S, Yoshioka T, Yoshida A. Autoregulation of retinal blood flow in response to decreased ocular perfusion pressure in cats: comparison of the effects of increased intraocular pressure and systemic hypotension. Invest Ophthalmol Vis Sci. 2014;55(1):360–7.CrossRefPubMed Tani T, Nagaoka T, Nakabayashi S, Yoshioka T, Yoshida A. Autoregulation of retinal blood flow in response to decreased ocular perfusion pressure in cats: comparison of the effects of increased intraocular pressure and systemic hypotension. Invest Ophthalmol Vis Sci. 2014;55(1):360–7.CrossRefPubMed
29.
go back to reference Böhmer T, Manicam C, Steege A, Michel MC, Pfeiffer N, Gericke A. The α1B -adrenoceptor subtype mediates adrenergic vasoconstriction in mouse retinal arterioles with damaged endothelium. Br J Pharmacol. 2014;171(16):3858–67.CrossRefPubMedPubMedCentral Böhmer T, Manicam C, Steege A, Michel MC, Pfeiffer N, Gericke A. The α1B -adrenoceptor subtype mediates adrenergic vasoconstriction in mouse retinal arterioles with damaged endothelium. Br J Pharmacol. 2014;171(16):3858–67.CrossRefPubMedPubMedCentral
30.
go back to reference Puchner S, Schmidl D, Ginner L, Augustin M, Leitgeb R, Szegedi S, et al. Changes in Retinal Blood Flow in response to an experimental increase in IOP in healthy participants as assessed with Doppler Optical Coherence Tomography. Invest Ophthalmol Vis Sci. 2020;61(2):33.CrossRefPubMedPubMedCentral Puchner S, Schmidl D, Ginner L, Augustin M, Leitgeb R, Szegedi S, et al. Changes in Retinal Blood Flow in response to an experimental increase in IOP in healthy participants as assessed with Doppler Optical Coherence Tomography. Invest Ophthalmol Vis Sci. 2020;61(2):33.CrossRefPubMedPubMedCentral
31.
go back to reference Mwanza JC, Hochberg JT, Banitt MR, Feuer WJ, Budenz DL. Lack of association between glaucoma and macular choroidal thickness measured with enhanced depth-imaging optical coherence tomography. Invest Ophthalmol Vis Sci. 2011;52(6):3430–5.CrossRefPubMedPubMedCentral Mwanza JC, Hochberg JT, Banitt MR, Feuer WJ, Budenz DL. Lack of association between glaucoma and macular choroidal thickness measured with enhanced depth-imaging optical coherence tomography. Invest Ophthalmol Vis Sci. 2011;52(6):3430–5.CrossRefPubMedPubMedCentral
Metadata
Title
The short-term effects of blood donation on the ocular parameters including blood flow of the retina and choroid in healthy people using OCT- angiography
Authors
Mengmeng Yu
Xiaolei Sun
Fanxing Zeng
Xiang Gao
Zhenzhen Li
Gongqiang Yuan
Ting Wang
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Angiography
Published in
BMC Ophthalmology / Issue 1/2023
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-023-03002-3

Other articles of this Issue 1/2023

BMC Ophthalmology 1/2023 Go to the issue