Dr. Kim is an Associate Scientist in the Department of Ophthalmology and Visual Sciences at the University of Wisconsin School of Medicine and Public Health. She is a visual psychophysicist with extensive training and experience in research neurophysiology and electrophysiology. She has worked with an array of vertebrate species in the investigation of retinal and subcortical function. She has specific background experience in the nonhuman and human aging visual systems and in nonhuman primate experimental glaucoma.
Regional choroidal blood flow and multifocal electroretinography in experimental glaucoma in rhesus macaques.
Invest Ophthalmol Vis Sci. 2014 Dec;55(12):7786-98
Authors: Nork TM, Kim CB, Munsey KM, Dashek RJ, Hoeve JN
PURPOSE: To test a hypothesis of regional variation in the effect of experimental glaucoma on choroidal blood flow (ChBF) and retinal function.
METHODS: Five rhesus macaques underwent laser trabecular destruction (LTD) to induce elevated intraocular pressure (IOP). Intraocular pressures were elevated for 56 to 57 weeks. Multifocal electroretinographic (mfERG) and multifocal visual evoked cortical potential (mfVEP) testing were performed at regular intervals before and during the period of IOP elevation. At euthanasia, the IOP was manometrically controlled at 35 (experimentally glaucomatous eye) and 15 (fellow control eye) mm Hg. Fluorescent microspheres were injected into the left ventricle. Regional ChBF was determined.
RESULTS: All of the experimentally glaucomatous eyes exhibited supranormal first-order kernel (K1) root mean square (RMS) early portions of the mfERG waveforms and decreased amplitudes of the late waveforms. The supranormality was somewhat greater in the central macula. Second-order kernel, first slice (K2.1) RMS mfVEP response was inversely correlated (R(2) = 0.97) with axonal loss. Total ChBF was reduced in the experimentally glaucomatous eyes. The mean blood flow was 893 ± 123 and 481 ± 37 μL/min in the control and glaucomatous eyes, respectively. The ChBF showed regional variability with the greatest proportional decrement most often found in the central macula.
CONCLUSIONS: This is the first demonstration of globally reduced ChBF in chronic experimental glaucoma in the nonhuman primate. Both the alteration of mfERG waveform components associated with outer retinal function and the reduction in ChBF were greatest in the macula, suggesting that there may be a spatial colocalization between ChBF and some outer retinal effects in glaucoma.
PMID: 25370515 [PubMed - indexed for MEDLINE]