Effects of viscoelastic injection into Schlemm's canal in primate and human eyes: potential relevance to viscocanalostomy.

OBJECTIVE: To study possible initial mechanisms of alterations in aqueous outflow that may result from the injection of viscoelastic into Schlemm's canal (SC) during viscocanalostomy. DESIGN: Experimental animal (Macaca nemestrina) and human autopsy study. METHODS: Eyes were dissected into a limbal ring and hemisected or quartered. Uncannulated segments served as controls. In treated segments, SC was cannulated and viscoelastic injected. Segments were fixed and sectioned into continuous 500 to 1000 microm pieces, examined at the dissecting microscope, and photomicrographs were taken. Representative tissue was further prepared for scanning electron microscopy or sectioned at 1 microm. MAIN OUTCOME MEASURES: Tissue sections were examined to determine the extent of dilation and disruption of SC and related structures. SC dimensions were measured in segments from controls, cannulated regions, and regions of viscoelastic injection beyond the cannula insertion. In the hemisected segments, the circumferential extent of SC dilation was determined, and structures within the canal were described and counted. RESULTS: SC was dilated with increased anteroposterior length and height in cannulated and viscoelastic-injected segments in both primate and human eyes relative to untreated controls. The walls of SC were disrupted in both regions of cannulation and of viscoelastic injection, and the collector channels were widely dilated by viscoelastic. With decreasing effectiveness, the injected viscoelastic circumferentially dilated SC as far as 14 mm and 16 mm in primate and human hemisections, respectively. Structures that bridged between the walls of SC were often disrupted. CONCLUSIONS: Cannulation of SC and injection of viscoelastic beyond the cannula resulted in marked dilation of SC and associated collector channels. Lateral walls, inner wall endothelium, and bridging structures of SC were frequently disrupted by cannulation and sometimes by injected viscoelastic. These findings suggest that viscocanalostomy may acutely cause a direct communication between SC and the juxtacanalicular space, and so may initially enhance conventional aqueous outflow. Controlled clinical trials will be necessary to determine the long-term outcomes of this procedure.

Root hydraulic conductivity and xylem sap levels of zeatin riboside and abscisic acid in ectomycorrhizal Douglas fir seedlings.

Mechanistic hypotheses to explain mycorrhizal enhancement of root hydraulic conductivity (Lp ) suggest that phosphorus (P) nutrition, plant growth substances and/or altered morphology may be responsible. Such ideas are based on work with VA (vesicular-arbuscular) mycorrhizas. Since VA mycorrhizas and ectomycorrhizas differ in many respects, they may alter host plant water uptake via different mechanisms. This paper examines LT in various ectomycorrhizal associations while considering factors which are important to the VA mycorrhizal effect on Lp . Douglas fir Pseudotsuga menziesii (Mirb.) Franco] seedlings inoculated with the ectomycorrhizal fungi Laccaria bicolor (Maire) Orton and Hebeloma crustuliniforme (Bull, ex St. Amans) Quel. and non-inoculated seedlings infected naturally with Thelephora were grown under three low levels of P fertilization (1, 10 and 100 fim P). Seedling morphology, tissue P levels, Lp and plant growth substance levels in xylem sap were measured after nine months growth. Increased tissue P and decreased root/shoot ratio correlated with increased Lp in each of the mycorrhizal treatments. When adjusted for the effect of these two factors, Lp of Laccaria and Hebeloma seedlings was still lower than the Thelephora seedlings. In a subsequent experiment, the Lp of seedlings with Hebeloma and Rhizopogon vinicolor Smith mycorrhizas was compared to the Lp of non-mycorrhizal seedlings (grown at 100 mM P) and no differences were found among treatments. The lack of an ectomycorrhizal effect on Lp is quite different from the enhancement of host Lp by VA mycorrhizas. Zeatin riboside concentrations of Thelephora- and Hebeloma-iniected seedlings were similar, yet higher than with Laccaria. There was no relationship between plant growth substances and Lp in ectomycorrhizal Douglas fir, despite lower zeatin riboside concentrations for Laccaria-inoculated plants.