scholarly journals Quantitative Morphological Changes of the Choroidal Vasculature in Normal Aged and Diseased Human Donor eyes

Author(s):  
Swathi Kanduri

Introduction: To analyze whether the choriocapillaries undergo degenerative changes with age and disease. Corrosion casts of choroidal vessels in human donors were investigated by scanning electron microscopy (SEM) to understand the vasculature changes with age.Method: The patterns of blood vessels, vortex veins, ciliary arteries placements, capillaries placement from centre to periphery in different quadrants and regions of choroid were evaluated in twenty donor normal tissues aged from 20-90 years. Nine donors had diabetic donor tissues were evaluated in which different quadrants with laser marks and loss of blood vessels were quantified along with, six donors with signs of age-related macular degeneration were evaluated using a light stereoscopic dissection microscope. Six human donors were investigated by SEM of which two tissues were normal, two had diabetic retinopathy and two presented with age related macular degeneration changes. Result: The quantitative evaluation revealed that in normal to diseased there is a decrease of the blood vessel density in comparison to the total area of the choroid. There was also slight decrease from to centre to periphery in the % area of the blood vessel placement. Morphological identification noted was a greater number of vortex veins were noted in inferior end than the superior end. There was prominent loss of blood vessel bed was noted beneath the lasered areas in diabetic retinopathy tissues. Conclusion: Loss of % area of blood vessel density was directly correlating with the progression of age and in diabetic retinopathy diseased tissues we noted prominent loss of blood vessels underneath the laser treated areas. In age related macular degeneration, loss of blood vessels was prominent in different quadrants with age too.

2019 ◽  
Vol 8 (2S11) ◽  
pp. 3637-3640

Retinal vessels ID means to isolate the distinctive retinal configuration issues, either wide or restricted from fundus picture foundation, for example, optic circle, macula, and unusual sores. Retinal vessels recognizable proof investigations are drawing in increasingly more consideration today because of pivotal data contained in structure which is helpful for the identification and analysis of an assortment of retinal pathologies included yet not restricted to: Diabetic Retinopathy (DR), glaucoma, hypertension, and Age-related Macular Degeneration (AMD). With the advancement of right around two decades, the inventive methodologies applying PC supported systems for portioning retinal vessels winding up increasingly significant and coming nearer. Various kinds of retinal vessels segmentation strategies discussed by using Deep Learning methods. At that point, the pre-processing activities and the best in class strategies for retinal vessels distinguishing proof are presented.


2013 ◽  
Vol 12 (1) ◽  
pp. 4-11 ◽  
Author(s):  
Ana Tellechea ◽  
Antonios Kafanas ◽  
Ermelindo C. Leal ◽  
Francesco Tecilazich ◽  
Sarada Kuchibhotla ◽  
...  

Systemic inflammation is associated with impaired wound healing in diabetes mellitus (DM) patients. Using immunohistochemistry techniques, the authors investigated changes in skin inflammation and skin blood vessels in human and experimental diabetes. Comparing to the non-DM human subjects, the total number of inflammatory cells per biopsy and the number of inflammatory cells around blood vessels, a strong indication of inflammation, were higher in DM subjects irrespective of their risk for developing diabetic foot ulcer. Inflammatory cell infiltration was robustly increased in all DM animal models compared with their non-DM controls. The number and density of blood vessels and CD31 positive proliferating endothelial cells around preexisting skin vessels was also higher in the DM patients. However, there were no differences in the skin blood flow between the non-DM and DM subjects. The number of skin blood vessels was also increased in the DM animals; however, these differences were less obvious than the ones observed for inflammatory cells. We conclude that skin inflammation and skin blood vessel density is increased in diabetic human subjects and in rodent and rabbit models of diabetes.


2021 ◽  
Vol Special issue (2) ◽  
pp. 61-67
Author(s):  
Azamat Yusupov ◽  
◽  
Mukhiddin Ziyoviddinov ◽  
Shavkat Mukhanov ◽  
O.O. Sobirov

This article provides an unsystematic literature review devoted to analyzing the currently existing methods of functional diagnostics for age-related macular degeneration.The essence, advantages and disadvantages, and literature data on the use of such methods asphotostresstest, electrooculography, dark adaptation study, contrast sensitivity function assessment, light and color sensitivity study,electroretinographyand critical flicker fusion frequencyare described.Based on the analysis of literature data, itis shownthat currently, there is a need to searchfor informative and accessible methods of functional diagnostics in age-related macular degeneration, especially for its early diagnosis. The analysis has shown that the existing methods are mainly aimed either at fixing secondary morphological changes in the layer of pigment epithelial cells, at identifying the pathology of the pigment epithelium in conjunction with determining the function of photoreceptor elements, or at a comprehensive assessment of the structures of several layers of the retina. Keywords:age-related macular degeneration; methods of functional diagnostics; photostress test; electrooculography; contrast sensitivity


2019 ◽  
Author(s):  
Sophie Lemmens ◽  
João Barbosa Breda ◽  
Karel Van Keer ◽  
Tine Jacobs ◽  
Ruben Van Landeghem ◽  
...  

Abstract Background Age-related conditions such as glaucoma, age-related macular degeneration (AMD), diabetic retinopathy (DRP) and cataract have become the major cause of visual impairment and blindness in high-income countries and carry a major socio-economic burden. The aim of the current study is to investigate the prevalence of age-related eye diseases such as glaucoma, age-related macular degeneration, diabetic retinopathy and cataract in a cohort of self-proclaimed healthy elderly, and thus get a rough estimation of the prevalence of undiagnosed age-related eye conditions in the Belgian population.Methods Individuals aged 55 and older without ophthalmological complaints were asked to fill in a general medical questionnaire and underwent an ophthalmological examination, which included a biomicroscopic examination, intraocular pressure measurement, axial length measurement, and acquisition of fundus pictures and Optical Coherence Tomography scans. Information regarding follow-up was collected in the subset of participants who received the advice of referral to an ophthalmologist or the advice to have more frequent follow-up visits, based on the ophthalmological changes detected in their evaluation.Results The cohort included 102 people and comprised 46% men (median age 70 years, range 57-85 years). Referral for additional examinations based on clinical findings, was made in 26 participants (25%). The advice to have more regular follow-up ophthalmologist visits was given to nine additional participants (9%). No significant correlations between baseline characteristics, including eye care consumption, and the need for referral could be identified. Follow-up information was available for 25 out of 26 referred volunteers (96%). Out of these, four (16%) underwent a therapeutical intervention based on study referral, up until 18 months after study participation. All four interventions took place in the age group 65 - 74 years.Conclusions This study shows that even in an elderly population with self-proclaimed healthy eyes and good general health, a significant proportion of subjects showed ocular findings that need regular follow up and/or intervention. Moreover, the frequency of prior ophthalmological examinations does not seem to be relevant to this proportion, meaning that everyone above 55 years old needs a routine ophthalmological evaluation.


Oncotarget ◽  
2018 ◽  
Vol 9 (16) ◽  
pp. 12562-12590 ◽  
Author(s):  
Khaled Elmasry ◽  
Riyaz Mohamed ◽  
Isha Sharma ◽  
Nehal M. Elsherbiny ◽  
Yutao Liu ◽  
...  

2021 ◽  
Vol 6 ◽  
pp. 12-12
Author(s):  
Alauddin Bhuiyan ◽  
Arun Govindaiah ◽  
Sharmina Alauddin ◽  
Oscar Otero-Marquez ◽  
R. Theodore Smith

Author(s):  
Jacqueline Chua ◽  
Ching-Yu Cheng ◽  
Tien Yin Wong

General physicians have an essential role in preventing vision loss in older people. However, most vision-threatening eye disorders are initially asymptomatic and often go underdiagnosed. Therefore screening, early detection, and timely intervention are important in their management. The most common cause of visual impairment is uncorrected or undercorrected refractive error, followed by cataract, age-related macular degeneration, glaucoma, and diabetic retinopathy. Spectacles and cataract surgery can successfully restore sight for uncorrected refractive error and cataract, respectively. Visual impairment as a result of age-related macular degeneration, glaucoma, and diabetic retinopathy can be prevented with appropriate treatment if they are identified early enough. This chapter provides an overview of common age-related eye disease and visual impairment.


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