Regional Blood Flow Clinical Trial
Official title:
Dopaminergic Modulation of Choroidal Blood Flow Changes During Dark/Light Transitions
There is evidence from a variety of animal studies that choroidal blood flow is under neural
control. By contrast, only little information is available from human studies. Recent
results indicate that a light/dark transition is associated with a reduction in choroidal
blood flow due to an unknown mechanism. We have shown that during unilateral dark/light
transitions both eyes react with choroidal vasoconstriction strongly indicating a neural
mechanism responsible for the blood flow changes.
Dopamine has been discussed as a chemical messenger for light adaptation. However,
dopaminergic effects in the eye are not restricted to synaptic sites of release, but
dopamine also diffuses to the outer retinal layers and pigment epithelium. Accordingly,
dopaminergic effects also include a modulatory role on retinal vessel diameter and animal
studies provide evidence for vasodilatory effects in the choroid. There is evidence that
during darkness retinal and choroidal dopamine levels decrease. Accordingly, dopamine could
provide a modulatory input to the light/dark transition induced changes of choroidal
circulation. The aim of the present study is to test this hypothesis.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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