Evidence map›Paper›PMID 29229444›Full record

ReviewProgress in retinal and eye research2018

Neural control of choroidal blood flow.

Anton Reiner, Malinda E C Fitzgerald, Nobel Del Mar, Chunyan Li

Open access · hybridAbstract readReview
In one paragraph

Review in Progress in retinal and eye research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 134 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 2 syntheses or guidelines pooled it, 243 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effects of Chinese Acupoint Eye Exercise on Ocular Biological Parameters.Translational vision science & technology · 2025
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  15. In-depth analysis of retinal RNA transcriptome sequencing in a rat model of hypertensive retinopathy.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
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74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Anton ReinerDepartment of Anatomy & Neurobiology, University of Tennessee, 855 Monroe Ave. Memphis, TN 38163, United States; Department of Ophthalmology, University of Tennessee, 855 Monroe Ave. Memphis, TN 38163, United States. Electronic address: areiner@uthsc.edu.
Malinda E C FitzgeraldDepartment of Anatomy & Neurobiology, University of Tennessee, 855 Monroe Ave. Memphis, TN 38163, United States; Department of Ophthalmology, University of Tennessee, 855 Monroe Ave. Memphis, TN 38163, United States; Department of Biology, Christian Brothers University, Memphis, TN, United States.
Nobel Del MarDepartment of Anatomy & Neurobiology, University of Tennessee, 855 Monroe Ave. Memphis, TN 38163, United States.
Chunyan LiDepartment of Anatomy & Neurobiology, University of Tennessee, 855 Monroe Ave. Memphis, TN 38163, United States.
University of Tennessee Health Science Center · USChristian Brothers University · US

Funding

Visual Phenotyping CoreP30EY003039 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LAWRENCE C SINCICH · 1985 to 2026
$16.9M
NEURAL CONTROL OF CHOROIDAL BLOOD FLOW IN THE EYER01EY005298 · NEI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI REINER, ANTON J. · 1985 to 2019
$4.9M
NEI NIH HHS R01 EY005298
6 · The paper itself

Abstract

The choroid is richly innervated by parasympathetic, sympathetic and trigeminal sensory nerve fibers that regulate choroidal blood flow in birds and mammals, and presumably other vertebrate classes as well. The parasympathetic innervation has been shown to vasodilate and increase choroidal blood flow, the sympathetic input has been shown to vasoconstrict and decrease choroidal blood flow, and the sensory input has been shown to both convey pain and thermal information centrally and act locally to vasodilate and increase choroidal blood flow. As the choroid lies behind the retina and cannot respond readily to retinal metabolic signals, its innervation is important for adjustments in flow required by either retinal activity, by fluctuations in the systemic blood pressure driving choroidal perfusion, and possibly by retinal temperature. The former two appear to be mediated by the sympathetic and parasympathetic nervous systems, via central circuits responsive to retinal activity and systemic blood pressure, but adjustments for ocular perfusion pressure also appear to be influenced by local autoregulatory myogenic mechanisms. Adaptive choroidal responses to temperature may be mediated by trigeminal sensory fibers. Impairments in the neural control of choroidal blood flow occur with aging, and various ocular or systemic diseases such as glaucoma, age-related macular degeneration (AMD), hypertension, and diabetes, and may contribute to retinal pathology and dysfunction in these conditions, or in the case of AMD be a precondition. The present manuscript reviews findings in birds and mammals that contribute to the above-summarized understanding of the roles of the autonomic and sensory innervation of the choroid in controlling choroidal blood flow, and in the importance of such regulation for maintaining retinal health.

Indexed as

AnimalsBirdsBlood PressureChoroidMammalsParasympathetic Nervous SystemRegional Blood FlowRetinaRetinal DegenerationSympathetic Nervous SystemChoroidal blood flowCiliary ganglionOcular blood flowParasympatheticPterygopalatine ganglionSuperior cervical ganglionSympatheticUvea

Identifiers

PMID29229444
PMCPMC5971129
OpenAlexW2771820867

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.