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A correlation of the development of optic nerve damage to the disturbance of optic disk blood flow and microangiopathy

Research Project

Project/Area Number 08457461
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Ophthalmology
Research InstitutionGifu University

Principal Investigator

KITAZAWA Yoshiaki  Gifu University, Ophthalmology, Professor, 医学部, 教授 (20009484)

Co-Investigator(Kenkyū-buntansha) KAWASE Kazuhide  Gifu University, Ophthalmology, Assistant Professor, 医学部・附属病院, 助手 (40234067)
TANIGUCHI Toru  Gifu University, Ophthalmology, Assistant Professor, 医学部, 助手 (30179840)
SUGIYAMA Kazuhisa  Gifu University, Ophthalmology, Assistant Professor, 医学部・附属病院, 講師 (80179168)
TOMITA Goji  Gifu University, Ophthalmology, Assistant Professor, 医学部・附属病院, 講師 (30172191)
YAMAMOTO Tetsuya  Gifu University, Ophthalmology, Associate Professor, 医学部, 助教授 (50134581)
Project Period (FY) 1996 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥7,600,000 (Direct Cost: ¥7,600,000)
Fiscal Year 1998: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 1997: ¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1996: ¥3,700,000 (Direct Cost: ¥3,700,000)
Keywordsnormal-tension glaucoma / confocal scanning ophthalmoscope / optic disc / parapapillary atrophy / retinal ganglion cell death / color doppler imaging / ocular blood flow / NMDA receptor antagonist / apoptosis / 共焦点レーザ眼底観察測定装置 / 二酸化炭素濃度 / カラードップラー / 自己免疫異常
Research Abstract

1. The size of peripapillary atrophy (zone-beta induced by the circulatory disturbance in peripapillary choroid was found to be closely associated with the severity of glaucomatous optic nerve damage in normal-tension glaucoma (NTG). On the other hand any significant association was not noted in primary angle-closure glaucoma (PACG). The result suggests that the circulatory disturbance is involved with the pathogenesis of optic nerve damage in NTG and that the vascular factor does not play a significant role in the development of the optic nerve damage in PACG.
2. Retrobulbar blood flow parameters evaluated by Color-Doppler Imaging technique were noted to significantly improve following oral administration of nilvadipine, Ca^<2+>-blocker, in NTG patients, indicating a possible, concomitant, vasospastic event in NTG.
3. The expression of Bcl 2 and Bax protein in the eye of experimentally induced glaucoma monkeys and rats with was studied by means of RT-PCR and immuno-histochemistry. The expression of Bcl 2 was found to be decreased but that of Bax was uncharged indicating the apoptic cell death in the retinal tissue. in the same experimental glaucoma model the loss of retinal ganglion cells was significantly inhibited by intraperitoneally injected memantine, Ca^<2+>-blockers and tacrolimus, an immunosuppressive agent. The result indicates that the compounds deserve further investigation for their possible neuroprotective effects in glaucoma.

Report

(4 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • 1996 Annual Research Report
  • Research Products

    (47 results)

All Other

All Publications (47 results)

  • [Publications] Akihiro Oguri: "Incidence of elevation of intraocular pressure over time and associated factors in normal-tension glaucoma" Journal of Glaucoma. 7. 117-120 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yoshiaki Niwa: "Reproducibility of clolr doppler imaging for orbital arteries." Japanese Journal of Ophthalmology. 42. 389-392 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yuji Kondo: "A frequency doubling perimetric study in normal-tension glaucoma with hemifield defect" Journal of Glaucoma. 7. 261-265 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Tetsuya Yamamoto: "The effect of nilvadipine,a calcium-channel blocker,on the Hemodynamics of retrobulbar vessels in normal-tension glaucoma" Journal of Glaucoma. 7. 301-305 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kyoko Ishida: "Clinical factors associated with progression of normal-tension glaucoma" Journal of Glaucoma. 7. 372-377 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yoshiaki Niwa: "A new system to supply carbon dioxide safely to qlaucoma patients" Japanese Journal of Ophthalmology. 43. 16-19 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yoshiaki Kitazawa: "Antimetabolites,Glaucoma Surgery" American Academy of Ophthalmology, 2 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yoshiaki Kitazawa: "Uveoscleral Outflow Biology and Clinical Asects" Mosby Wolfe, 99 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Taniguchi T,Yamamoto T,Mochizuki K,Haque M,Kitazawa Y,Yokoi N,Komuro A,Kinoshita S: "Epithelial barrier function of the filtering bleb conjunctiva and thecornea after trabeculectomy with mitomycin C." Journal of Glaucoma. 5. 233-236 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yamamoto T,Kitazawa Y,Noma A,Maeda S.Kato A,Ando Y,Ido T,Inazumi K,Hayakawa T,Goto Y: "The effects of the beta-Adrenergic-blocking agents, timolol and carteolol, on plasma lipids and lipoproteins in Japanese glaucoma patients." Journal of Glaucoma. 5. 252-257 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ichien K,Yamamoto T,Kitazawa Y,Oguri A,Ando H,Kondo Y: "Mitomycin C dissolved in a reversible thermosetting gel : target tissue concentrations in the rabbit eye." British Journal of Ophthalmology. 81. 72-75 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Taniguchi T,Haque M,Sugiyama K,Hori N,Kitazawa Y: "Ocular hypotensive mechanism of topical isopropyl unoprostone, a novel prostaglandin metabolite-related drug, in rabbits." Journal of Ocular Pharmacology and Therapeutics. 12. 489-498 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Park KH,Tomita G,Liou S,Kitazawa Y: "Correlation between peripapillary atrophy and optic nerve damage in normal-tension glaucoma." Ophthalmology. 103. 1899-1906 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kitazawa Y,Yamamoto T,Sawada A,Hagiwara Y: "Surgery for refractory glaucoma." Australian & New Zealand Journal of Ophthalmology. 24. 327-332 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kono Y,Chi Q,Tomita G,Yamamoto T,Kitazawa Y: "High-pass resolution perimetry and a Humphrey Field Analyzer as indicators of glaucomatous optic disc abnormalities." Ophthalmology. 104. 1496-1502 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Sugiyama K,Tomita G,Kitazawa Y,Onda E,Shinohara H,Park KH: "The associations of optic disc hemorrhage with retinal nerve fiber layer defect and peripapillary atrophy in normal-tension glaucoma" Ophthalmology. 104. 1926-1933 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kitazawa Y,Yamamoto T: "Glaucomatous visual field defects : their characteristics and how to detect them." Clinical Neuroscience. 4. 279-283 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yamamoto T,Kitazawa Y: "Vascular pathogenesis of normal-tension glaucoma : a possible pathogenetic factor, other than intraocular pressure, of glaucomatous optic neuropathy." Progress in Retinal and Eye Research. 17. 127-143 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Oguri A,Sogano S,Yamamoto T,Kitazawa Y: "Incidence of elevation of intraocular pressure over time and associated factors in normal-tension glaucoma." Journal of Glaucoma. 7. 117-120 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Niwa Y,Yamamoto T,Kawakami H,Kitazawa Y: "Reproducibility of color doppler imaging for orbital arteries in Japanese patients with normal-tension glaucoma." Japanese Journal of Ophthalmology. 42. 389-392 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kondo Y,Yamamoto T,Sato Y,Matsubara M,Kitazawa Y: "A frequency-doubling perimetric study in normal-tension glaucoma with hemifield defect." Journal of Glaucoma. 7. 261-265 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yamamoto T,Niwa Y,Kawakami H,Kitazawa Y: "The effect of nilvadipine, a calcium-cannel blocker, on the hemodynamics of retrobulbar vessels in normal-tension glaucoma" Journal of Glaucoma. 7. 301-305 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ishida K,Yamamoto T,Kitazawa Y: "Clinical factors associated with progression of normal-tension glaucoma" Journal of Glaucoma. 7. 372-377 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Niwa Y,Harris A,Kagemann L,Yamamoto T,Matsubara M,Takahashi D,Kitazawa Y: "A new system to supply carbon dioxide safely to glaucoma patients" Japanese Journal of Ophthalmology. 43. 16-19 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Akihiro Oguri: "Incidence of elevation of intraocular pressure over time and associated factors in cover normal-tension glaucoma" Journal of Glaucoma. 7. 117-120 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshiaki Niwa: "Reproducibility of color doppler imaging for orbital arteries." Japanese Journal of Ophthalmology. 42. 389-392 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yuji Kondo: "Afrequency doubling perimetric study in normal-tension glaucoma with hemifield defect" Journal of Glaucoma. 7. 261-265 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Tetsuya Yamamoto: "The effect of nilvadipine,a calcium-channel blocker,on the Hemodynamics of retrobulbar vessels in normal-tension glaucoma" Journal of Glaucoma. 7. 301-305 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kyoko Ishida: "Clinical factors associated with progression of normal-tension glaucoma" Journal of Glaucoma. 7. 372-377 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshiaki Niwa: "A new system to supply carbon dioxide safely to glaucoma patients" Japanese Journal of Ophthalmology. 43. 16-19 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshiaki Kitazawa: "Antimetabolites,Glaucoma Surgery" American Academy of Ophthalmology, 2 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshiaki Kitazawa: "Uveoscleral Outflow Biology and Clinical Asects" Mosby Wolfe, 99 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshiki Kono: "High-pass Resolution Perimetry and a Humphrey Field Analyzer as Indicators of Glaucomatous Optic Disc Abnormalities" Ophthalmology. 104:9. 1496-1502 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Kazuhisa Sugiyama: "The Associations of Optic Disc Hemorrhage with Retinal Nerve Fiber Layer Defect and Peripapillary Atrophy in Normal-tension Glaucoma" Ophthalmology. 104:11. 1926-1933 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Yoshiaki Kitazawa: "Glaucomatous Visual Field Defects:Their Characteristics and How to Detect Them" Clinical Neuroscience. 4. 279-283 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Tetsuya Yamamoto: "Vascular Pathogenesis of Normal-tension Glaucoma:a Possible Pathogenetic Factor,Other than Intraocular Pressure,of Glaucomatous Optic Neuropathy" Retinal and Eye Research. 17:1. 127-143 (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] 丹羽義明: "緑内障眼の眼窩内血流動態に対する二酸化炭素の影響-超音波カラードップラー法による検討-" 日本眼科学会雑誌. 102:2. 130-134 (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] Manabu Maeda: "Is Normal Tension Glaucoma Accompanied with Patients with Progressive Systemic Sclerosis(PPS)?" American Journal of Dermatology. (in press). (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] 北澤克明: "眼科学大系" 中山書店, 6(643) (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] 北澤克明: "白内障・緑内障の診断と治療" 真興交易医書出版部, 6(264) (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] Toru Taniguchi: "Epithelial Barrier Function of the Filtering Bleb Conjunctiva and the Cornea after legth MMC Trabeculectomy with Mitomycin C" Journal of Glaucoma. 5. 233-236 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Tetsuya Yamamoto: "The Effects of the β-Adrenergic-Blocking Agents,Timolol and Carteolol,on Plasma Lipids and Lipoproteins in Japanese Glaucoma Patients" Journal of Glaucoma. 5. 252-257 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Toru Taniguchi: "Ocular Hypotensive Mechanism of Topical Isopropyl Unoprostone,a Novel Prostaglandin Metabolite-Related Drug,in Rabbits" Journal of Ocular Pharmacology and Therapeutics. 12. 489-498 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Goji Tomita: "Correlation between Peripapillary Atrophy and Optic Nerve Damage in Normal-tension Glaucoma" Ophthalmology. 103. 1899-1906 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Yoshiaki Kitazawa: "Surgery for refractory glaucoma21GC05:Surgery for refractory glaucoma22GD05:24" 327-332 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Tetsuya Yamamoto: "Mitomycin C dissolved in a reversible thermosetting gel:target tissue concentrations in the rabbit eye" British Journal of Ophthalmology. 81. 72-75 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 北澤克明: "緑内障クリニック" 金原出版, 303 (1996)

    • Related Report
      1996 Annual Research Report

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Published: 1996-04-01   Modified: 2016-04-21  

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