A contribution to the understanding of ocular and cerebrospinal fluid dynamics in astronauts during long-lasting spaceflight

Autor: Marijan Klarica, Darko Orešković, Milan Radoš
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Croatian Medical Journal
Volume 62
Issue 4
ISSN: 1332-8166
0353-9504
Popis: Zhang and Hargens (1) reviewed the knowledge on visual impairment intracranial pressure (VIIP) syndrome in astronauts, a condition that arises as a consequence of long-lasting spaceflight. However, the etiology and pathophysiology of VIIP syndrome remain unclear and only hypothetical. The main reason is the absence of data regarding astronauts’ intracranial (ICP) and intraocular pressure (IOP) during long-lasting spaceflights. It is believed that a crucial role in the pathogenesis of VIIP syndrome is played by chronic ICP/IOP mismatch, which is a consequence of chronically elevated ICP and which results in translaminar pressure gradient. A direct transmission of elevated ICP from the intracranial to the intraocular compartment through the perioptic subarachnoid space should lead to optic nerve sheath distension and disk edema. Therefore, elevated pressure gradient across the lamina cribrosa caused by chronic, gently elevated ICP should finally cause posterior-globe flattening, disk edema, choroid folds, and a hyperoptic shift (1)
Databáze: OpenAIRE