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Relationship of Consensual Changes in Intraocular Pressure to Arterial Blood Pressure

Relationship of Consensual Changes in Intraocular Pressure to Arterial Blood Pressure Abstract A fall in intraocular pressure in the contralateral undisturbed eye as a result of massage and trauma has been known since 1878 when Pagestecher1 described his observations. The term "ophthalmotonic consensual reaction" appears to have been coined by Weekers2 in 1924. The consensual fall in intraocular pressure accompanying tonography is well annotated,3-6,11 and its importance lies in the fact that the change in ocular dynamics which must occur to produce it may lend itself to study and analysis of the neurovascular reflexes subservient to the homeostatic mechanisms maintaining normal intraocular pressure. The literature suggests that the consensual fall occurs in most people and is of the order of 1-4 mm. Hg.3 The exact mechanism is not clearly worked out, but in animals Prijot and Stone4 found a decrease in flow of aqueous humor in the presence of unchanged facility of outflow, scleral rigidity, and constant References 1. Pagestecher, H.: Über die Massage des Auges und deren Anvendung bei verschiedenen Augenerkrankugen , Zbl. Prakt. Augenheilk 2:281, 1878. 2. Weekers, L.: Modifications experimentales de l'ophthalmotonus: Réactions ophthalmotoniques consensuelles , Arch. Ophthal. (Par.) 41:641, 1924. 3. Rosen, D. A.: Aqueous Humor Flow , A.M.A. Arch. Ophthal. 57:361, 1957.Crossref 4. Prijot, E. L., and Stone, H. H.: On the Ophthalmotonic Consensual Reaction and Its Relationship to Aqueous Humor Dynamics , Amer. J. Ophthal. 42:50, 1956. 5. Tarkkanen, A. H. A., and Becker, B.: Aqueous Humor Dynamics , Amer. I. Ophthal. 46:499, 1958. 6. Stocker, F. W.: On Changes in Intraocular Pressure After Application of the Tonometer , Amer. J. Ophthal. 45:192, 1958. 7. Perkins, E. S.: Consensual Changes in Intraocular Pressure Under Experimental Conditions , in Transactions of the Third Conference on Glaucoma , New York, Josiah Macy, Jr., Foundation, 1959, p. 143. 8. Adler, F. H.: Quoted by Perkins, E. S.7 9. Kirsch, R. E.; Samet, P.; Kugel, V., and Axelrod, S.: Electrocardiographic Changes During Ocular Surgery and Their Prevention by Retrobulbar Injection , A.M.A. Arch. Ophthal. 58: 348, 1957.Crossref 10. Palm, E., and Stromblad, R.: Respiratory and Circulatory Responses to Manipulations of the Eye , Acta Ophthal. 32:615, 1954. 11. Kornbluth, W., and Linnér, E.: Experimental Tonography in Rabbits: Effect of Unilateral Ligation of Common Carotid Artery on Aqueous Humor Dynamics As Studied by Means of Tonography and Fluorescein Appearance Time , A.M.A. Arch. Ophthal. 54:717, 1955.Crossref 12. Linnér, E.: Changeability Test of Aqueous Outflow Resistance , Brit. J. Ophthal. 42:38, 1958.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Relationship of Consensual Changes in Intraocular Pressure to Arterial Blood Pressure

Archives of Ophthalmology , Volume 66 (5) – Nov 1, 1961

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1961.00960010621004
Publisher site
See Article on Publisher Site

Abstract

Abstract A fall in intraocular pressure in the contralateral undisturbed eye as a result of massage and trauma has been known since 1878 when Pagestecher1 described his observations. The term "ophthalmotonic consensual reaction" appears to have been coined by Weekers2 in 1924. The consensual fall in intraocular pressure accompanying tonography is well annotated,3-6,11 and its importance lies in the fact that the change in ocular dynamics which must occur to produce it may lend itself to study and analysis of the neurovascular reflexes subservient to the homeostatic mechanisms maintaining normal intraocular pressure. The literature suggests that the consensual fall occurs in most people and is of the order of 1-4 mm. Hg.3 The exact mechanism is not clearly worked out, but in animals Prijot and Stone4 found a decrease in flow of aqueous humor in the presence of unchanged facility of outflow, scleral rigidity, and constant References 1. Pagestecher, H.: Über die Massage des Auges und deren Anvendung bei verschiedenen Augenerkrankugen , Zbl. Prakt. Augenheilk 2:281, 1878. 2. Weekers, L.: Modifications experimentales de l'ophthalmotonus: Réactions ophthalmotoniques consensuelles , Arch. Ophthal. (Par.) 41:641, 1924. 3. Rosen, D. A.: Aqueous Humor Flow , A.M.A. Arch. Ophthal. 57:361, 1957.Crossref 4. Prijot, E. L., and Stone, H. H.: On the Ophthalmotonic Consensual Reaction and Its Relationship to Aqueous Humor Dynamics , Amer. J. Ophthal. 42:50, 1956. 5. Tarkkanen, A. H. A., and Becker, B.: Aqueous Humor Dynamics , Amer. I. Ophthal. 46:499, 1958. 6. Stocker, F. W.: On Changes in Intraocular Pressure After Application of the Tonometer , Amer. J. Ophthal. 45:192, 1958. 7. Perkins, E. S.: Consensual Changes in Intraocular Pressure Under Experimental Conditions , in Transactions of the Third Conference on Glaucoma , New York, Josiah Macy, Jr., Foundation, 1959, p. 143. 8. Adler, F. H.: Quoted by Perkins, E. S.7 9. Kirsch, R. E.; Samet, P.; Kugel, V., and Axelrod, S.: Electrocardiographic Changes During Ocular Surgery and Their Prevention by Retrobulbar Injection , A.M.A. Arch. Ophthal. 58: 348, 1957.Crossref 10. Palm, E., and Stromblad, R.: Respiratory and Circulatory Responses to Manipulations of the Eye , Acta Ophthal. 32:615, 1954. 11. Kornbluth, W., and Linnér, E.: Experimental Tonography in Rabbits: Effect of Unilateral Ligation of Common Carotid Artery on Aqueous Humor Dynamics As Studied by Means of Tonography and Fluorescein Appearance Time , A.M.A. Arch. Ophthal. 54:717, 1955.Crossref 12. Linnér, E.: Changeability Test of Aqueous Outflow Resistance , Brit. J. Ophthal. 42:38, 1958.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Nov 1, 1961

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