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1998 Fiscal Year Final Research Report Summary

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
Keywordsnormal-tension glaucoma / confocal scanning ophthalmoscope / optic disc / parapapillary atrophy / retinal ganglion cell death / color doppler imaging / ocular blood flow / NMDA receptor antagonist / apoptosis
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.

  • Research Products

    (24 results)

All Other

All Publications (24 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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [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

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Published: 1999-12-08  

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