The Ocular Glymphatic System and Idiopathic Intracranial Hypertension: Author Response to "Hypodense Holes and the Ocular Glymphatic System".

نویسندگان

  • Alastair K Denniston
  • Pearse A Keane
  • Anuriti Aojula
  • Alex J Sinclair
  • Susan P Mollan
چکیده

The proposal that there exists a paravascular transport system within the eye, similar and likely continuous with the glymphatic system in the central nervous system (CNS), is an exciting development with implications to the pathogenesis of a number of common ocular diseases, and one that may open up new targets for treatment. We are delighted to see in this most recent correspondence how Wostyn and colleagues present further evidence to support the existence of such a system in the optic nerve and its potential relevance to the pathogenesis of glaucoma. Building on our initial hypothesis reported in Investigative Ophthalmology & Visual Science, we have now made important progress in identifying its relevance to another sight-threatening condition with a fluiddynamic component, idiopathic intracranial hypertension (IIH). We believe that these observations corroborate the most recent findings of Wostyn and colleagues, and provide

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Pseudotumor Cerebri and Glymphatic Dysfunction

In contrast to virtually all organ systems of the body, the central nervous system was until recently believed to be devoid of a lymphatic system. The demonstration of a complex system of paravascular channels formed by the endfeet of astroglial cells ultimately draining into the venous sinuses has radically changed this idea. The system is subsidized by the recirculation of cerebrospinal fluid...

متن کامل

The Glymphatic Hypothesis of Glaucoma: A Unifying Concept Incorporating Vascular, Biomechanical, and Biochemical Aspects of the Disease

The pathophysiology of primary open-angle glaucoma is still largely unknown, although a joint contribution of vascular, biomechanical, and biochemical factors is widely acknowledged. Since glaucoma is a leading cause of irreversible blindness worldwide, exploring its underlying pathophysiological mechanisms is extremely important and challenging. Evidence from recent studies appears supportive ...

متن کامل

Paravascular Pathways in the Eye: Is There an 'Ocular Glymphatic System'?

In 2012, Iliff and colleagues proposed the existence of a paravascular transport system, which they termed the ‘glymphatic system.’ We propose that a similar system is present in the eye, the ‘Ocular Glymphatic System,’ and that this may be a key player in retinal diseases ranging from AMD to retinal vasculitis. Healthy brain function is dependent on the regulation of the volume and composition...

متن کامل

Glymphatic MRI in idiopathic normal pressure hydrocephalus

The glymphatic system has in previous studies been shown as fundamental to clearance of waste metabolites from the brain interstitial space, and is proposed to be instrumental in normal ageing and brain pathology such as Alzheimer's disease and brain trauma. Assessment of glymphatic function using magnetic resonance imaging with intrathecal contrast agent as a cerebrospinal fluid tracer has so ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Investigative ophthalmology & visual science

دوره 58 2  شماره 

صفحات  -

تاریخ انتشار 2017