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      Influence of exercise on the structure of the anterior chamber of the eye

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          Abstract

          Purpose

          To measure changes in anterior chamber structure before and after exercise in healthy individuals using anterior segment optical coherence tomography ( ASOCT).

          Methods

          Thirty‐two healthy young individuals performed jogging for 20 min. Eye blinking rate was recorded during rest and exercise. The anterior chamber angle ( ACA), angle opening distance at 500  μm from the scleral spur ( AOD500), trabecular‐iris space area at 500  μm from the scleral spur ( TISA500), iris concavity ( IC), iris concavity ratio ( CR), iris thickness at 750  μm from the scleral spur ( IT750), anterior chamber depth ( ACD), anterior chamber width ( ACW), pupil diameter ( PD), intraocular pressure (IOP), blood pressure (BP) and heart rate (HR) were recorded before and after exercise. Anterior chamber angle (ACA), AOD500, TISA500, IC, IT750, ACD, ACW and PD were measured with ASOCT.

          Results

          Compared with rest, the blinking rate during exercise did not change significantly (13.04 ± 5.80 versus 13.52 ± 5.87 blinks/min, p  =  0.645). The average IOP (15.4 ± 2.4 versus 12.4 ± 2.1 mmHg), ACA (35.96 ± 11.35 versus 40.25 ± 12.64 degrees), AOD500 (0.800 ± 0.348 versus 0.942 ± 0.387 mm), TISA500 (0.308 ± 0.155 versus 0.374 ± 0.193 mm 2), IC (−0.078 ± 0.148 versus −0.153 ± 0.159 mm) and CR (−0.027 ± 0.050 versus −0.054 ± 0.056) changed significantly (all p  <  0.001), while the average IT750 (0.463 ± 0.084 versus 0.465 ± 0.086 mm; p  =  0.492), ACD (3.171 ± 0.229 versus 3.175 ± 0.238 mm; p  =  0.543) and ACW (11.768 ± 0.377 versus 11.755 ± 0.378 mm; p  =  0.122) showed no significant change after exercise.

          Conclusion

          The blinking rate did not change significantly during exercise, while ACA, AOD500 and TISA500 increased after exercise. Exercise also induced or increased IC. These changes in anterior chamber structure were only associated with exercise, but not with the postexercise change in PD or IOP.

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          Most cited references41

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          Analysis of blink rate patterns in normal subjects.

          The present study measured the normal blink rate (BR) variations in relation to behavioral tasks in 150 healthy volunteers (70 males and 80 females; aged 35.9 +/- 17.9 years, range 5-87 years). The subjects were videotaped in a standard setting while performing three different tasks: resting quietly, reading a short passage, talking freely. The mean BR was computed during each task; the data were compared by means of analysis of variance and Student's t tests. Mean BR at rest was 17 blinks/min, during conversation it increased to 26, and it was as low as 4.5 while reading. As compared with rest, BR decreased by -55.08% while reading (p rest > reading, which occurred in 101 subjects (67.3%); 34 subjects (22.7%) had the pattern rest > conversation > reading; 12 (8.0%) had the pattern conversation > reading > rest. This study identified three normal behavioral BR patterns and showed that BR is more influenced by cognitive processes than by age, eye color, or local factors. The present findings provide a normal reference for the analysis of BR in movement disorders such as dystonia or tics.
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            Relationship between ocular perfusion pressure and retrobulbar blood flow in patients with glaucoma with progressive damage.

            To evaluate the relationship between ocular perfusion pressure and color Doppler measurements in patients with glaucoma. Twenty patients with primary open-angle glaucoma with visual field deterioration in spite of an intraocular pressure lowered below 21 mm Hg, 20 age-matched patients with glaucoma with stable visual fields, and 20 age-matched healthy controls were recruited. After a 20-minute rest in a supine position, intraocular pressure and color Doppler measurements parameters of the ophthalmic artery and the central retinal artery were obtained. Correlations between mean ocular perfusion pressure and color Doppler measurements parameters were determined. Patients with glaucoma showed a higher intraocular pressure (P <.0008) and a lower mean ocular perfusion pressure (P <.0045) compared with healthy subjects. Patients with deteriorating glaucoma showed a lower mean blood pressure (P =.033) and a lower end diastolic velocity in the central retinal artery (P =.0093) compared with normals. Mean ocular perfusion pressure correlated positively with end diastolic velocity in the ophthalmic artery (R = 0.66, P =.002) and central retinal artery (R = 0.74, P <.0001) and negatively with resistivity index in the ophthalmic artery (R = -0.70, P =.001) and central retinal artery (R = -0.62, P =.003) in patients with deteriorating glaucoma. Such correlations did not occur in patients with glaucoma with stable visual fields or in normal subjects. The correlations were statistically significantly different between the study groups (parallelism of regression lines in an analysis of covariance model) for end diastolic velocity (P =.001) and resistivity index (P =.0001) in the ophthalmic artery, as well as for end diastolic velocity (P =.0009) and resistivity index (P =. 001) in the central retinal artery. The present findings suggest that alterations in ocular blood flow regulation may contribute to the progression in glaucomatous damage.
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              The influence of eye solutions on blinking and ocular comfort at rest and during work at video display terminals.

              The aim of this work was to study blink frequency changes and levels of ocular discomfort during work at a video display terminal, and the effects on these parameters of augmented or reduced humidification of the ocular surface. Blink rate was measured from recordings of the electrical signal evoked by the contraction of the orbicularis oculi muscle. Blink rate and interblink intervals were analyzed at rest and during performance of a task with a computer (playing a card game) for 10 or 30 min in steady environmental conditions and during application of a continuous stream of air to the face. In two separate sessions, the effect of pretreatment with humidifying ocular solutions of different elastoviscosity (balanced salt solution or elastoviscous 0.1% Hylan A solution) was assayed. At the end of each experimental period, the subjects marked the level of ocular discomfort experienced on a 0-10 cm visual analogue scale. The blink frequency at rest (12.4+/-1.2 blinks min-1) was reduced significantly (to 10.3+/-1.1 blinks min-1) by pretreatment with elastoviscous eyedrops both with and without air applied to the face. This effect was not obtained with balanced salt solution. During performance of the visual task for 10 or 30 min, basal blink rate decreased significantly, to about 40% of the control value. Neither application of an air jet on the face nor application of eye solutions of different viscosity modified this reduced blink rate.A low degree of ocular discomfort developed after performance of the visual task that was enhanced by air application to the face. This discomfort was reduced by pretreatment with ocular solutions, the elastoviscous eye solution being more efficient than the balanced salt solution. Interblink interval duration was also more regular after treatment with the elastoviscous solution. These data suggest that blink rate at rest is maintained in part by activation of sensory receptors of the cornea and conjunctiva, which are stimulated by desiccation of the ocular surface. Reduction of eye blink frequency elicited by the performance of a visual task with a computer appears to depend on central neural mechanisms that are quite independent of peripheral sensory inputs. The reduction of blink frequency consecutive to computer use was associated with a sensation of discomfort that was attenuated more effectively by elastoviscous eyedrops than by regular balanced salt solution. Copyright 1999 Academic Press.
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                Author and article information

                Contributors
                yanxiaoqinyy@126.com
                dr_zhanghong@vip.163.com
                Journal
                Acta Ophthalmol
                Acta Ophthalmol
                10.1111/(ISSN)1755-3768
                AOS
                Acta Ophthalmologica
                John Wiley and Sons Inc. (Hoboken )
                1755-375X
                1755-3768
                25 October 2017
                March 2018
                : 96
                : 2 ( doiID: 10.1111/aos.2018.96.issue-2 )
                : e247-e253
                Affiliations
                [ 1 ] Department of Ophthalmology Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China
                Author notes
                [*] [* ] Correspondence:

                Xiaoqin Yan, Hong Zhang

                Department of Ophthalmology

                Tongji Hospital, Tongji Medical College

                Huazhong University of Science and Technology

                No. 1095 Jiefang Road

                Wuhan, Hubei

                China

                Tel: +86 15827327025 (XY), +86 13971679079 (HZ)

                Fax: +86 2783663688 (XY and HZ)

                Emails: yanxiaoqinyy@ 123456126.com (XY), dr_zhanghong@ 123456vip.163.com (HZ)

                Author information
                http://orcid.org/0000-0002-6859-1519
                Article
                AOS13564
                10.1111/aos.13564
                5836894
                29068522
                89271a56-66c0-423a-b6c8-57a649cb147a
                © 2017 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.

                This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                : 27 March 2017
                : 19 July 2017
                Page count
                Figures: 3, Tables: 4, Pages: 7, Words: 6586
                Funding
                Funded by: National Natural Science Foundation of China
                Award ID: 81471744
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                aos13564
                March 2018
                Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.3.2.2 mode:remove_FC converted:05.03.2018

                Ophthalmology & Optometry
                anterior chamber structure,exercise,iris concavity,reverse pupillary block

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