Summary

The importance of controlling pressure in the eye is known to be a factor in the damage to vision caused by glaucoma. The reason why controlling pressure is so important is still not known, but there are several hypotheses involving the stresses and strains caused by elevated pressure in the tissue of the optic nerve. However, in recent years a number of studies have supported an alternate hypothesis that it is not the stresses and strains alone that cause the high pressure, but the high pressure itself does the damage. Drs. Gluckberg and Johnson put forward an additional idea that may explain the results of the direct-pressure hypothesis—that is, rapid relief of the applied hydrostatic pressure causes a rapid decompression (related to a process called an “ultra-transient microbubble formation”) that affects cell function.

Project Details

The results of this study will shed light on mechanisms by which elevated intraocular pressure may lead to glaucoma. It is well known that high intraocular pressure can damage the optic nerve in glaucoma, but the precise mechanism by which high pressure leads to the damage is unknown. It presumably involves deformation of the delicate tissues where the optic nerve meets the retina. However, in recent years, an alternate hypothesis has been forwarded that hydrostatic pressure itself can damage ocular tissues, which has led to a variety of studies to assess the effect of pressure on cells and to understand the effects of pressure on cell function.

To date, no studies have been designed to isolate the effects of pressure alone, and none have looked at the effects of rapid depressurization on cells. Drs. Gluckberg and Johnson’s study is designed to control for both the confounding effects of dissolved gas at different pressures and the rate at which pressures are changed. Cell function has been assessed in all of the previous hydrostatic pressure studies after relief of the hydrostatic pressure to which the cells have been exposed.

Drs. Gluckberg and Johnson’s hypothesis is that rapid relief of the applied hydrostatic pressure causes a rapid decompression that affects cell function. If their hypothesis is confirmed, it may help to explain previous experimental results and may lead to further research on the mechanisms by which cells respond to physical stimuli.