Abstract
BACKGROUND: The present study investigates the possible application of a
commercially available on-line measuring device of retinal vessels for
conjunctival vessel assessment. METHODS: Repeated measurements in one randomly
chosen eye were performed in 11 healthy volunteers (mean age 42.9 +/- 10 years).
Measurements of one conjunctival vessel were obtained first without a stimulus
followed by measurements after the application of one drop of a topical
vasoconstrictor. The examinations were performed by Retinal Vessel Analyzer (RVA,
IMEDOS/Germany). This system determines automatically on-line the vessel diameter
along a chosen vessel segment. RESULTS: Measurements in the native state without
eye drop application showed an intraclass correlation coefficient of 0.97 and a
mean variation coefficient of 1.8\%. After application of the topical
vasoconstrictor a short acting vasodilatation was observed with a magnitude of
+10.9\% +/- 14.9 (p < 0.001), followed by an increasing vasoconstriction (after 4
min -12.0\% +/- 7.6; p = 0.004). One volunteer had no measurable conjunctival
vessels in the baseline measurements and was therefore excluded from the study.
DISCUSSION: The suggested technique allows the measurement of changes in
conjunctival vessel diameter with high precision. The method represents a non
invasive technique for the assessment of effects on conjunctival vessels caused
by topical or systemic drugs.
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