Skip to main content
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1985 Jun;69(6):428–432. doi: 10.1136/bjo.69.6.428

Outward transport of fluorescein from the vitreous in aphakic eyes.

K Miyake, T Miyake, C Miyake, M Asakura, K Maekubo
PMCID: PMC1040621  PMID: 4005210

Abstract

By administering fluorescein intravenously to 95 patients we calculated the ratio of fluorescein concentration in the vitreous at the time of its peak level compared with the estimated unbound concentration of fluorescein in the plasma at the same time. We studied 12 normal phakic and 83 aphakic eye approximately two months, one year, and more than two years after cataract extraction. All the eyes had undergone intracapsular cataract extraction or extracapsular cataract extraction, with or without posterior capsulotomy, because of senile cataract. The calculated ratio in patients with intracapsular and extracapsular lens extraction was statistically significantly reduced at two months and one year after cataract extraction and was normalised at more than two years after the operation in comparison with normal subjects. The ratio was statistically extracapsular extraction at two months and one year after surgery. Posterior capsulotomy had no effect on the ratio. The ratio, we considered, at least partially reflects the outward transport of fluorescein from the vitreous cavity. Although the findings reflect subclinical phenomena, they are of importance when considering postoperative sequelae. The posterior lens capsule, zonule, and intact anterior vitreous face may be essential for the anterior uvea to function in the outward transport of fluorescein from the vitreous cavity.

Full text

PDF
428

Selected References

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

  1. Anstadt B., Blair N. P., Rusin M., Cunha-Vaz J. G., Tso M. O. Alteration of the blood-retinal barrier by sodium iodate: kinetic vitreous fluorophotometry and horseradish peroxidase tracer studies. Exp Eye Res. 1982 Dec;35(6):653–662. doi: 10.1016/s0014-4835(82)80077-8. [DOI] [PubMed] [Google Scholar]
  2. Binkhorst C. D. Corneal and retinal complications after cataract extraction. The mechanical aspect of endophthalmodonesis. Ophthalmology. 1980 Jul;87(7):609–617. doi: 10.1016/s0161-6420(80)35183-x. [DOI] [PubMed] [Google Scholar]
  3. Bito L. Z., Salvador E. V. Intraocular fluid dynamics. 3. The site and mechanism of prostaglandin transfer across the blood intraocular fluid barriers. Exp Eye Res. 1972 Nov;14(3):233–241. doi: 10.1016/0014-4835(72)90008-5. [DOI] [PubMed] [Google Scholar]
  4. Blair N. P., Zeimer R. C., Rusin M. M., Cunha-Vaz J. G. Outward transport of fluorescein from the vitreous in normal human subjects. Arch Ophthalmol. 1983 Jul;101(7):1117–1121. doi: 10.1001/archopht.1983.01040020119021. [DOI] [PubMed] [Google Scholar]
  5. Cunha-Vaz J. G., Goldberg M. F., Vygantas C., Noth J. Early detection of retinal involvement in diabetes by vitreous fluorophotometry. Ophthalmology. 1979 Feb;86(2):264–275. doi: 10.1016/s0161-6420(79)35516-6. [DOI] [PubMed] [Google Scholar]
  6. Cunha-Vaz J. G., Maurice D. M. The active transport of fluorescein by the retinal vessels and the retina. J Physiol. 1967 Aug;191(3):467–486. doi: 10.1113/jphysiol.1967.sp008262. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Cunha-Vaz J., Maurice D. Fluorescein dynamics in the eye. Doc Ophthalmol. 1969;26:61–72. doi: 10.1007/BF00943962. [DOI] [PubMed] [Google Scholar]
  8. Jones C. W., Cunha-Vaz J., Zweig K. O., Stein M. Kinetic vitreous fluorophotometry in experimental diabetes. Arch Ophthalmol. 1979 Oct;97(10):1941–1943. doi: 10.1001/archopht.1979.01020020389025. [DOI] [PubMed] [Google Scholar]
  9. Kraff M. C., Sanders D. R., Jampol L. M., Peyman G. A., Lieberman H. L. Prophylaxis of pseudophakic cystoid macular edema with topical indomethacin. Ophthalmology. 1982 Aug;89(8):885–890. doi: 10.1016/s0161-6420(82)34710-7. [DOI] [PubMed] [Google Scholar]
  10. Krupin T., Waltman S. R., Szewczyk P., Koloms B., Farber M., Silverstein B., Becker B. Fluorometric studies on the blood-retinal barrier in experimental animals. Arch Ophthalmol. 1982 Apr;100(4):631–634. doi: 10.1001/archopht.1982.01030030633021. [DOI] [PubMed] [Google Scholar]
  11. Maurice D. M. The use of fluorescein in ophthalmological research. Invest Ophthalmol. 1967 Oct;6(5):464–477. [PubMed] [Google Scholar]
  12. Miyake K. Blood-retinal barrier in eyes with long-standing aphakia with apparently normal fundi. Arch Ophthalmol. 1982 Sep;100(9):1437–1439. doi: 10.1001/archopht.1982.01030040415007. [DOI] [PubMed] [Google Scholar]
  13. Miyake K., Sakamura S., Miura H. Long-term follow-up study on prevention of aphakic cystoid macular oedema by topical indomethacin. Br J Ophthalmol. 1980 May;64(5):324–328. doi: 10.1136/bjo.64.5.324. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Ozaki L. The barrier function of the posterior capsule. J Am Intraocul Implant Soc. 1984 Spring;10(2):182–184. doi: 10.1016/s0146-2776(84)80105-6. [DOI] [PubMed] [Google Scholar]
  15. Palestine A. G., Brubaker R. F. Pharmacokinetics of fluorescein in the vitreous. Invest Ophthalmol Vis Sci. 1981 Oct;21(4):542–549. [PubMed] [Google Scholar]
  16. Worst J. G. Biotoxizität des Kammerwassers. Eine vereinheitlichende pathologische Theorie, begründet auf hypothetische biotoxische Kammerwasserfaktoren. Klin Monbl Augenheilkd. 1975 Sep;167(3):376–384. [PubMed] [Google Scholar]
  17. Yannuzzi L. A., Landau A. N., Turtz A. I. Incidence of aphakic cystoid macular edema with the use of topical indomethacin. Ophthalmology. 1981 Sep;88(9):947–954. doi: 10.1016/s0161-6420(81)80010-3. [DOI] [PubMed] [Google Scholar]
  18. Zeimer R. C., Blair N. P., Cunha-Vaz J. G. Vitreous fluorophotometry for clinical research. I. Description and evaluation of a new fluorophotometer. Arch Ophthalmol. 1983 Nov;101(11):1753–1756. doi: 10.1001/archopht.1983.01040020755019. [DOI] [PubMed] [Google Scholar]
  19. Zeimer R. C., Blair N. P., Cunha-Vaz J. G. Vitreous fluorophotometry for clinical research. II. Method of data acquisition and processing. Arch Ophthalmol. 1983 Nov;101(11):1757–1761. doi: 10.1001/archopht.1983.01040020759020. [DOI] [PubMed] [Google Scholar]

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

RESOURCES