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. 2000 Nov;84(11):1285–1290. doi: 10.1136/bjo.84.11.1285

Evaluation of the Zeiss retinal vessel analyser

K Polak 1, G Dorner 1, B Kiss 1, E Polska 1, O Findl 1, G Rainer 1, H Eichler 1, L Schmetterer 1
PMCID: PMC1723319  PMID: 11049956

Abstract

AIM—To investigate the reproducibility and sensitivity of the Zeiss retinal vessel analyser, a new method for the online determination of retinal vessel diameters in healthy subjects.
METHODS—Two model drugs were administered, a peripheral vasoconstrictor (the α receptor agonist phenylephrine) and a peripheral vasodilator (the nitric oxide donor sodium nitroprusside) in stepwise increasing doses. Nine healthy young subjects were studied in a placebo controlled double masked three way crossover design. Subjects received intravenous infusions of either placebo or stepwise increasing doses of phenylephrine (0.5, 1, or 2 µg/kg/min) or sodium nitroprusside (0.5, 1, or 2 µg/kg/min). Retinal vessel diameters were measured with the new Zeiss retinal vessel analyser. Retinal leucocyte velocity, flow, and density were measured with the blue field entoptic technique. The reproducibility of measurements was assessed with coefficients of variation and intraclass correlation coefficients.
RESULTS—Placebo and phenylephrine did not influence retinal haemodynamics, although the α receptor antagonist significantly increased blood pressure. Sodium nitroprusside induced a significant increase in retinal venous and arterial diameters (p<0.001 each), leucocyte density (p=0.001), and leucocyte flow (p=0.024) despite lowering blood pressure to a significant degree. For venous and arterial vessel size measurements short term coefficients of variation were 1.3% and 2.6% and intraclass correlation coefficients were 0.98 and 0.96, respectively. The sensitivity was between 3% and 5% for retinal veins and 5% and 7% for retinal arteries.
CONCLUSIONS—These data indicate that the Zeiss retinal vessel analyser is an accurate system for the assessment of retinal diameters in healthy subjects. In addition, nitric oxide appears to have a strong influence on retinal vascular tone.



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Figure 1  .

Figure 1  

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Effect of stepwise increasing doses of placebo (broken lines), phenylephrine, or sodium nitroprusside (solid lines) on retinal venous and arterial diameters. Data are presented as means (SEM) (n = 9). At the highest dose of phenylephrine and sodium nitroprusside only seven subjects were eligible for analysis. Asterisks indicate significant changes versus placebo.

Figure 2  .

Figure 2  

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Effect of stepwise increasing doses of placebo (broken lines), phenylephrine, or sodium nitroprusside (solid lines) on leucocyte velocity, density of leucocytes, and leucocyte flow. Data are presented as means (SEM) (n = 9). At the highest dose of phenylephrine and sodium nitroprusside only seven subjects were eligible for analysis. Asterisks indicate significant changes versus placebo.

Selected References

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