[The effect of urea on the dynamics of the intraocular fluid in glaucoma].
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The levels of immunosuppressive acidic protein (IAP) in the vitreous fluid or the aqueous humor were measured in patients with ocular diseases. Undiluted samples of vitreous humor were obtained during pars plana vitrectomy in patients with uveitis, proliferative diabetic retinopathy, and premacular fibrosis. In patients with intraocular tumors, vitreous samples were aspirated after enucleation. Aqueous humor was aspirated during cataract surgery, and levels of IAP were measured in patients with secondary cataract due to uveitis and senile cataract. Single radial immunodiffusion assay was used to quantify IAP levels. To determine the intraocular synthesis of IAP, we calculated the percentage of IAP in patients with uveitis. Patients with uveitis, tumors, and diabetic retinopathy had significantly higher levels of vitreous IAP than patients with premacular fibrosis. The percentage of vitreous IAP was higher in patients with uveitis than in those with tumors and diabetic retinopathy. Patients with uveitis also had markedly higher aqueous IAP levels than patients with senile cataract. In one patient with Behçet's disease, the IAP level was higher in the active stage than in the inactive stage. Our results suggest that immunosuppressive acidic protein could be produced in the eye and that it might modulate intraocular inflammatory processes.
We evaluated the posterior drainage of saline in cadaver bovine eyes using different experimental procedures. The saline perfusion via a pars plana infusion into the vitreous cavity was measured in the following 5 different groups of 20 enucleated bovine eyes: 1, control; 2, vitrectomy; 3, vitrectomy + retinectomy; 4, vitrectomy + retinectomy + removal of retinal pigment epithelium (RPE); and 5, vitrectomy + retinectomy + removal of RPE + choroidectomy. The mean values obtained for the facility of saline outflow were as follows group 1, 0.0458 microliter min-1 mmHg-1; group 2, 0.0393 microliter min-1; group 3, 0.1308 microliter min-1 mmHg-1; group 4, 0.2288 microliter min-1; and group 5, 0.9985 microliter/min-1 mmHg-1. The retina appeared to be the major barrier to fluid movement from the vitreous to the chorioid, perhaps due to the lack of extracellular space and to the tight and impervious structure of the retina. The barrier function of the retina may explain the hypotony seen after rhegmatogenous retinal detachment and the decrease in intraocular pressure observed after the removal of silicone oil in eyes that had undergone retinectomy. Our results suggest that the reduction in intraocular pressure occurring after retinectomy is attributable to the new drainage pathway.