Abstract
Pathological changes in the optic disc and anterior part of the optic nerve of monkeys were studied 5 hours and several days after occlusion of the temporal short posterior ciliary arteries. Ischaemic vacuolation of neural tissue was observed in some of the animals studied and was restricted to the lamina cribrosa and the immediately retrolaminar portion of the optic nerve. Axonal swelling and organelle aggregation were demonstrated in the prelaminar region, and autoradiography after intravitreal injection of tritiated leucine revealed an associated obstruction of rapid and slow orthograde axoplasmic transport. The experimental findings correlate with those seen clinically in acute ischaemic optic neuropathy. The pale swelling of the optic disc in this condition represents an accumulation of axoplasmic debris in retinal ganglion-cell axons owing to obstruction of axoplasmic transport at the lamina cribrosa; it is thus equivalent to a 'cotton-wool spot' of the disc.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson D. R., Davis E. B. Retina and optic nerve after posterior ciliary artery occlusion. An experimental study in squirrel monkeys. Arch Ophthalmol. 1974 Nov;92(5):422–426. doi: 10.1001/archopht.1974.01010010434013. [DOI] [PubMed] [Google Scholar]
- Anderson D. R., Hendrickson A. Effect of intraocular pressure on rapid axoplasmic transport in monkey optic nerve. Invest Ophthalmol. 1974 Oct;13(10):771–783. [PubMed] [Google Scholar]
- Anderson D. R. Vascular supply to the optic nerve of primates. Am J Ophthalmol. 1970 Sep;70(3):341–351. doi: 10.1016/0002-9394(70)90093-0. [DOI] [PubMed] [Google Scholar]
- Armaly M. F., Araki M. Optic nerve circulation and ocular pressure: contribution of central retinal artery and short posterior ciliary arteries and the effect on oxygen tension. Invest Ophthalmol. 1975 Jun;14(6):475–479. [PubMed] [Google Scholar]
- CROMPTON M. R. The visual changes in temporal (giant-cell) arteritis. Report of a case with autopsy findings. Brain. 1959 Sep;82:377–390. doi: 10.1093/brain/82.3.377. [DOI] [PubMed] [Google Scholar]
- Ernest J. T., Stern W. H., Archer D. B. Submacular choroidal circulation. Am J Ophthalmol. 1976 May;81(5):574–582. doi: 10.1016/0002-9394(76)90119-7. [DOI] [PubMed] [Google Scholar]
- Foulds W. S. Visual disturbances in systemic disorders. Optic neuropathy and systemic disease. Trans Ophthalmol Soc U K. 1970;89:125–146. [PubMed] [Google Scholar]
- HAYREH S. S. THE ORBITAL VESSELS OF RHESUS MONKEYS. Exp Eye Res. 1964 Mar;3:16–30. [PubMed] [Google Scholar]
- Hayreh S. S. Anterior ischaemic optic neuropathy. II. Fundus on ophthalmoscopy and fluorescein angiography. Br J Ophthalmol. 1974 Dec;58(12):964–980. doi: 10.1136/bjo.58.12.964. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hayreh S. S., Baines J. A. Occlusion of the posterior ciliary artery. 3. Effects on the optic nerve head. Br J Ophthalmol. 1972 Oct;56(10):754–764. doi: 10.1136/bjo.56.10.754. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hayreh S. S., Baines J. A. Occlusion of the posterior ciliary artery. I. Effects on choroidal circulation. Br J Ophthalmol. 1972 Oct;56(10):719–735. doi: 10.1136/bjo.56.10.719. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hayreh S. S. Blood supply of the optic nerve head and its role in optic atrophy, glaucoma, and oedema of the optic disc. Br J Ophthalmol. 1969 Nov;53(11):721–748. doi: 10.1136/bjo.53.11.721. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hayreh S. S. Pathogenesis of visual field defects. Role of the ciliary circulation. Br J Ophthalmol. 1970 May;54(5):289–311. doi: 10.1136/bjo.54.5.289. [DOI] [PMC free article] [PubMed] [Google Scholar]
- KREIBIG W. Optikomalazie, die Folge eines Gefässverschlusses im retrobulbären Abschnitt des Sehnerven. Klin Monbl Augenheilkd Augenarztl Fortbild. 1953;122(6):719–731. [PubMed] [Google Scholar]
- Knox D. L., Duke J. R. Slowly progressive ischemic optic neuropathy. A clinicopathologic case report. Trans Am Acad Ophthalmol Otolaryngol. 1971 Sep-Oct;75(5):1065–1068. [PubMed] [Google Scholar]
- Kohner E. M., Dollery C. T., Shakib M., Henkind P., Paterson J. W., De Oliveira L. N., Bulpitt C. J. Experimental retinal branch vein occlusion. Am J Ophthalmol. 1970 May;69(5):778–825. doi: 10.1016/0002-9394(70)93420-3. [DOI] [PubMed] [Google Scholar]
- Levy N. S. The effect of interruption of the short posterior ciliary arteries on slow axoplasmic transport and histology within the optic nerve of the rhesus monkey. Invest Ophthalmol. 1976 Jun;15(6):495–499. [PubMed] [Google Scholar]
- Lieberman M. F., Maumenee A. E., Green W. R. Histologic studies of the vasculature of the anterior optic nerve. Am J Ophthalmol. 1976 Sep;82(3):405–423. doi: 10.1016/0002-9394(76)90489-x. [DOI] [PubMed] [Google Scholar]
- McLeod D. Clinical sign of obstructed axoplasmic transport. Lancet. 1975 Nov 15;2(7942):954–956. doi: 10.1016/s0140-6736(75)90364-5. [DOI] [PubMed] [Google Scholar]
- McLeod D., Marshall J., Kohner E. M., Bird A. C. The role of axoplasmic transport in the pathogenesis of retinal cotton-wool spots. Br J Ophthalmol. 1977 Mar;61(3):177–191. doi: 10.1136/bjo.61.3.177. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Minckler D. S., Bunt A. H., Klock I. B. Radioautographic and cytochemical ultrastructural studies of axoplasmic transport in the monkey optic nerve head. Invest Ophthalmol Vis Sci. 1978 Jan;17(1):33–50. [PubMed] [Google Scholar]
- Tso M. O., Hayreh S. S. Optic disc edema in raised intracranial pressure. IV. Axoplasmic transport in experimental papilledema. Arch Ophthalmol. 1977 Aug;95(8):1458–1462. doi: 10.1001/archopht.1977.04450080168023. [DOI] [PubMed] [Google Scholar]
- WYBAR K. C. Vascular anatomy of the choroid in relation to selective localization of ocular disease. Br J Ophthalmol. 1954 Sep;38(9):513–517. doi: 10.1136/bjo.38.9.513. [DOI] [PMC free article] [PubMed] [Google Scholar]
- van Heuven W. A., Hayreh M. S., Hayreh S. S. Experimental central retinal vascular occlusion. Blood-retinal barrier alterations and retinal lesions. Trans Ophthalmol Soc U K. 1977 Sep;97(4):588–618. [PubMed] [Google Scholar]