Struktura mikrovaskulature ili krvnih sudova u dužici može igrati važnu ulogu u smanjivanju učestalosti očnih bolesti kao što su glaukom ili katarakta. Nedavno sprovedeno istraživanje je imalo za cilj da ispita ulogu mikrovaskulature dužice i njenog endotela, sloja ćelija koje oblažu krvne sudove.

Dužica je jedino vaskulatorno tkivo (koje se sastoji od krvnih sudova) u prednjoj komori oka, uronjeno u očnu vodicu i okruženo sa nekoliko avaskularnih tkiva (bez krvnih sudova), uključujući rožnjaču, trabekularnu mrežu i sočivo.

Trabekularna mreža je poznata kao ključna struktura u patogenom procesu (glaukomu), a sočivo je dio koji postane neproziran, kada ljudi dobiju kataraktu. Svaka blokada ili bilo koja disfunkcija trabekularne mreže bi smanjila curenje vodice, što bi dovelo do visokog očnog pritiska, što je glavna oznaka glaukoma.

Istraživači su ubrizgali tečnosti kroz cilijarnu arteriju u oči 11 svinja i proučavali krvne sudove dužice, njihovu distribuciju, redoslijed i endotelijalne karakteristike. Koristili su mikropipetu za ubacivanje tečnosti u krvni sud, a drugi kraj pipete je bio povezan sa pumpom, koja je korišćena za kontrolu protoka i za ubrizgavanje tečnosti u oko.

Ovom metodom uspjeli su da izbace krvne ćelije i da ubrizgaju srebro-nitrat. Srebro-nitrat otkriva krvne sudove i obrasce ćelije. Smješta se u intracelularne praznine i pretvara iz žutog u crno nakon izlaganja jakom svjetlu, čineći da krvni sudovi i sistemi endotelijalnih ćelija budu vidljivi pod mikroskopom. Oni su odredili veliku gustinu mikrovaskulature dužice, i neobičan obrazac distribucije krvnih sudova.

Svi ovi nalazi sugerišu da iris ima visoku stopu protoka krvi i sposobnost za dovoljnu razmjenu hranljivih i otpadnih materija između krvotoka i stroma. Ranije je potvrđeno da su promjene u gradijentima pritiska kiseonika i oksidativnog stresa glavni patogeni faktor za kataraktu i glaukom. Mikrovaskulatura dužice je glavni izvor kiseonika za avaskularna tkiva u prednjoj komori, što navodi naučnike da vjeruju da igra ključnu ulogu u održavanju ravnoteže kiseonika.

Istraživači ističu da bi bilo kakav zastoj u procesu razmjene otpada ugrozilo sočivo i trabekularnu mrežu, ključne strukture u nastanku katarakte i glaukoma.

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I turn to Kozomar ophthalmology with great pleasure, even though I came from Slovenia for their services. I am extremely grateful for their professional treatment during diopter removal and blepharoplasty. Every time I am impressed by their dedicated and precise work. I would especially like to emphasize the respectable attitude of the entire staff

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All the best! Very satisfied with everything, from the appointment, examination, operation and control. Thank you to the doctor and the whole team for their expertise and kindness!!!

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It is with great pleasure that I thank the entire staff and dr. Kosamora. I am very satisfied with the service, I came yesterday with very poor eyesight. They restored my vision to 100% painlessly, quickly and professionally. I recommend this clinic to everyone and THANK YOU very much. Sincerely, Adnan Jusić.

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Congratulations, I've done several procedures so far, from aesthetics to vision correction. I'm over the moon! Kudos!

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Very friendly staff, medical specialists and technology of the highest quality

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I found out about the clinic from a friend. The professionalism during the examination and the kindness of the entire staff, after two or three days they create an almost friendly relationship with the patients.

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Laser dioptre removal done in 3/23. Service at the level, wonderful and very kind staff. Everything was as it was said at the examinations. Clear vision from the first day, thank you from the bottom of my heart! ????

T.P.

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Excellent team, kindness and professionalism! All recommendations!

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Very friendly and competent team!

Dr. Kozomara, himself is a top professional! I felt very well looked after. Was fully explained. I've been watching in HD quality for a few days now

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