Cerebrospinal fluid and ophthalmic disease
- PMID: 34698673
- DOI: 10.1097/ICU.0000000000000818
Cerebrospinal fluid and ophthalmic disease
Abstract
Purpose of review: The purpose of this review is to discuss the contemporary body of literature examining the relationship between cerebrospinal fluid (CSF) and ophthalmic disease. This review focuses on diseases that have a pathogenesis related to the translaminar pressure difference, defined as the pressure difference between the orbital subarachnoid space (OSAS) and the intraocular pressure. The diseases discussed include glaucoma, idiopathic intracranial hypertension, and spaceflight associated neuro-ocular syndrome.
Recent findings: The relationship between cerebrospinal and ophthalmic disease has been investigated for over 100 years. Recent research provides insight into the mechanisms that dictate CSF circulation in the OSAS and how alterations in these mechanism lead to disease. This review discusses these recent findings and their relationship to major ophthalmic diseases.
Summary: The recent findings provide insight into diseases that have pathogenic mechanisms that are not fully understood. This information will help physicians gain a clearer understanding of the relationship between CSF and ophthalmic disease and guide future research.
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
References
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- On December 15, 1908 at the Conference of the Military Medical Academy in St. Petersburg Russia, Polish ophthalmologist Kasmir Noishevski was the first to propose the idea that low CSF pressure is involved in the pathogenesis of normal tension glaucoma (NTG) (Noishevski KI, unpublished data).
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- Noishevski KI. Glaucoma, its etiology and treatment. Practical Medicine; 1915.
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- Szymanski JW. Jaska prost doswiadeczalna. Klin Ocz 1925; 3:145–150.
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- Levene RZ. Low tension glaucoma: a critical review and new material. Surv Ophthalmol 1980; 24:621–664.
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- Volkov VV. Essential element of the glaucomatous process neglected in clinical practice. Oftalmol Zh 1976; 31:500–504.
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