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Departments of 1 Clinical Pharmacology, 2 Physiology, and 3 Ophthalmology and the 4 Institute of Medical Physics, University of Vienna Medical School, Vienna A-1090, Austria
We performed a randomized,
subject-blinded, placebo and time-controlled, two-way crossover study
in 12 healthy male subjects. Placebo or dopamine was administered on
two separate study days. After saline infusion, dopamine hydrochloride
was infused in three consecutive doses (5, 10, and 15 µg · kg
1 · min
1). Plasma
levels of dopamine were determined at each perfusion step. Arterial and
venous retinal vessel diameters were measured with the use of a Zeiss
retinal vessel analyzer. Diffuse luminance flicker stimuli of 8 Hz were
applied for 60 s. Blood pressure and pulse rate were monitored
continuously. Flicker stimulation (8 Hz) increased retinal vessel
diameters under basal conditions. The response to 8-Hz flicker light
was significantly reduced by dopamine administration. In addition,
dopamine slightly but significantly increased retinal vessel diameters.
Dopamine hydrochloride significantly increased systolic but not
diastolic or mean arterial pressure. The present study indicates that
dopamine has a distinct effect on retinal vessel diameters also
attenuating the flicker-induced response reactivity of retinal vessels.
This implies a role of dopamine in retinal blood flow hemodynamics.
retinal vessel analyzer; neurovascular coupling
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