Skip to main content
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1984 Jan;68(1):42–46. doi: 10.1136/bjo.68.1.42

Retinal neovascularisation: early contributions of Professor Michaelson and recent observations.

A Patz
PMCID: PMC1040236  PMID: 6197084

Abstract

The late Professor I. C. Michaelson's pioneer contributions to the development and pathophysiology of the retinal vasculature have laid the groundwork for a generation of ophthalmic research scientists to pursue this exciting field of investigation. In more recent studies it has been found that, in diabetic retinopathy, branch vein occlusion, sickle cell retinopathy, and retrolental fibroplasia, retinal neovascularisation follows the development of retinal capillary closure. The capillary closure or nonperfusion has been demonstrated by fluorescein angiography. A working hypothesis to explain the clinical and experimental observations is that these areas of nonperfused retina are ischaemic or hypoxic and liberate a theoretical angiogenic or vasoproliferative substance which stimulates the development of retinal neovascularisation. In postulating this working hypothesis it is important to recognise, firstly, that this hypothesis remains to be proved, and, secondly, that retinal neovascularisation may develop from other stimuli such as intraocular inflammation where retinal ischaemia is not apparent.

Full text

PDF
42

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ASHTON N. STUDIES OF THE RETINAL CAPILLARIES IN RELATION TO DIABETIC AND OTHER RETINOPATHIES. Br J Ophthalmol. 1963 Sep;47:521–538. doi: 10.1136/bjo.47.9.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. ASHTON N., WARD B., SERPELL G. Effect of oxygen on developing retinal vessels with particular reference to the problem of retrolental fibroplasia. Br J Ophthalmol. 1954 Jul;38(7):397–432. doi: 10.1136/bjo.38.7.397. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. D'Amore P. A., Glaser B. M., Brunson S. K., Fenselau A. H. Angiogenic activity from bovine retina: partial purification and characterization. Proc Natl Acad Sci U S A. 1981 May;78(5):3068–3072. doi: 10.1073/pnas.78.5.3068. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Doxanas M. T., Kelley J. S., Prout T. E. Sarcoidosis with neovascularization of the optic nerve head. Am J Ophthalmol. 1980 Sep;90(3):347–351. doi: 10.1016/s0002-9394(14)74915-3. [DOI] [PubMed] [Google Scholar]
  5. Glaser B. M., D'Amore P. A., Michels R. G., Patz A., Fenselau A. Demonstration of vasoproliferative activity from mammalian retina. J Cell Biol. 1980 Feb;84(2):298–304. doi: 10.1083/jcb.84.2.298. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Goldberg M. F. Classification and pathogenesis of proliferative sickle retinopathy. Am J Ophthalmol. 1971 Mar;71(3):649–665. doi: 10.1016/0002-9394(71)90429-6. [DOI] [PubMed] [Google Scholar]
  7. Henkind P. Ocular neovascularization. The Krill memorial lecture. Am J Ophthalmol. 1978 Mar;85(3):287–301. [PubMed] [Google Scholar]
  8. Patz A. Clinical and experimental studies on retinal neovascularization. XXXIX Edward Jackson Memorial Lecture. Am J Ophthalmol. 1982 Dec;94(6):715–743. doi: 10.1016/0002-9394(82)90297-5. [DOI] [PubMed] [Google Scholar]
  9. Patz A. The role of oxygen in retrolental fibroplasia. Trans Am Ophthalmol Soc. 1968;66:940–985. [PMC free article] [PubMed] [Google Scholar]
  10. Preliminary report on effects of photocoagulation therapy. The Diabetic Retinopathy Study Research Group. Am J Ophthalmol. 1976 Apr;81(4):383–396. doi: 10.1016/0002-9394(76)90292-0. [DOI] [PubMed] [Google Scholar]
  11. Rednam K. R., Jampol L. M., Goldberg M. F. Scatter retinal photocoagulation for proliferative sickle cell retinopathy. Am J Ophthalmol. 1982 May;93(5):594–599. doi: 10.1016/s0002-9394(14)77374-x. [DOI] [PubMed] [Google Scholar]
  12. WISE G. N. Retinal neovascularization. Trans Am Ophthalmol Soc. 1956;54:729–826. [PMC free article] [PubMed] [Google Scholar]
  13. Weiter J. J., Zuckerman R. The influence of the photoreceptor-RPE complex on the inner retina. An explanation for the beneficial effects of photocoagulation. Ophthalmology. 1980 Nov;87(11):1133–1139. doi: 10.1016/s0161-6420(80)35119-1. [DOI] [PubMed] [Google Scholar]
  14. Wolbarsht M. L., Landers M. B., 3rd The rationale of photocoagulation therapy for proliferative diabetic retinopathy: a review and a model. Ophthalmic Surg. 1980 Apr;11(4):235–245. [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES