There is evidence from a variety of animal studies that choroidal blood flow is under neural control. Recent results in humans indicate that a light/dark transition is associated with a short lasting reduction in choroidal blood flow. Several observations indicate that the changes in choroidal perfusion are triggered at least in part by neural mechanisms. Particularly, we have shown that during unilateral dark/light transition both eyes react with choroidal vasoconstriction strongly indicating a neural mechanism for blood flow regulation. Investigation of changes in choroidal blood flow during light/dark transition may represent an interesting approach to study neural dysregulation at the level of the eye in patients with IDDM. Accordingly, the hypothesis of reduced choroidal blood flow responses to a light/dark transition in patient with IDDM will be tested. This response in choroidal blood flow will be correlated to parameters of diabetic neuropathy and diabetic retinopathy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
80
Light will be switched from 0.5µW/cm2/sr to 115µW/cm2/sr.
Department of Clinical Pharmacology
Vienna, Austria
fundus pulsation amplitude
Time frame: 3 hours
choroidal blood flow
Time frame: 3 hours
Nerve conduction velocity
Time frame: measured before intervention
Pupil diameter during infra-red pupillometry
Time frame: measured before intervention
heart rate variability
Time frame: measured before intervention
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