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(Investigative Ophthalmology and Visual Science. 1973;12:267-279.)
© 1973 by The Association for Research in Vision and Ophthalmology, Inc.

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Studies of Aqueous Humor Dynamics in Man

III. Measurements in Young Normal Subjects Using Norepinephrine and Isoproterenol

DOUGLAS GAASTERLAND 1, CARL KUPFER 1, KARYN ROSS 1, and HENRY L. GABELNICK 1

1 Clinical Branch, National Eye Institute and the Biomedical Engineering and Instrumentation Branch, Division of Research Services, National Institutes of Health, United States Department of Health, Education, and Welfare, Bethesda, Md. 20014

The short-term effects on aqueous humor flow dynamics of single doses of l-norepinephrine and d,l-isoproterenol, alone and combined, were studied in selected young, normal males. Norepinephrine reduced pseudofacility without significantly altering intraocular pressure, episcleral venous pressure, or true facility of outflow. The rate of flow of aqueous was increased. Isoproterenol reduced intraocular pressure and decreased aqueous flow without altering true facility of outflow or pseudofacility. Flow curves plotted for the isoproterenol data disclosed a pressure-independent pattern of flow reduction. The combination of norepinephrine with isoproterenol produced changes of the parameters of intraocular pressure similar to those previously observed after l-epinephrine. This study provides evidence that the acute effect of epinephrine in young, normal male subjects is flow reduction from beta-adrenergic stimulation combined with pseudofacility reduction from alpha-adrenergic stimulation.

Submitted on October 10, 1972
Accepted on January 11, 1973




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