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   Table of Contents      
Year : 2015  |  Volume : 63  |  Issue : 12  |  Page : 930-931

Authors' response

1 Department of Ophthalmology, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey
2 Department of Ophthalmology, Gaziantep University, Gaziantep, Turkey
3 Department of Ophthalmology, Pamukkale University, Denizli, Turkey
4 Department of Ophthalmology, Ataturk Training and Research Hospital, Ankara, Turkey

Date of Web Publication10-Feb-2016

Correspondence Address:
Dr. Nihat Sayin
Atakent Mahallesi, 4. Cadde, C 2-7 Blok, Kat: 3 Daire: 13, Kücükcekmece, Istanbul
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Source of Support: None, Conflict of Interest: None

PMID: 26862103

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How to cite this article:
Sayin N, Kara N, Pekel G, Altinkaynak H. Authors' response. Indian J Ophthalmol 2015;63:930-1

How to cite this URL:
Sayin N, Kara N, Pekel G, Altinkaynak H. Authors' response. Indian J Ophthalmol [serial online] 2015 [cited 2020 Aug 4];63:930-1. Available from: http://www.ijo.in/text.asp?2015/63/12/930/176039

Dear Sir,

We appreciate the interest in and comments of the author concerning our article.[1] As we addressed in our study, choroid has a very large vascular network and choroidal circulation has one of the highest rates of blood flow in humans.[1] However, an important physiological role for the high choroidal blood flow is to help temperature regulation of the retina.[2],[3] Increased body temperature during exercise may lead to vasodilation and increase in choroidal blood flow.[4] On the other hand, the previous study showed that decreased retinal temperature led to a significant decrease in choroidal blood flow.[5] Our findings confirm the outcomes of that study. We found that choroidal thickness (CT) values increased significantly at 5 min following dynamic exercise and returned to baseline values at 15 min following the exercise. Core body temperature rises during exercise and returns to baseline values following the exercise.[6] In conclusion, high choroidal blood flow protects photoreceptors, retina pigment epithelium, and vitreous from heat stress.[7] It must be remembered that the measurements of CT with enhanced depth imaging optical coherence tomography (EDI-OCT) technology provide only an indirect index of the consequence of blood flow regulation in a vascular bed, yet cannot measure blood flow, volume, or velocity there. We, therefore, suggest that the EDI-OCT may be used to evaluate the issue of blood flow regulation. Furthermore, it has been reported that the body temperature of older persons is lower than that of younger people and that their tolerance of thermal changes is more limited.[8] So that, studies are required to evaluation the changes in CT during egzersize in older and young peoples.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Sayin N, Kara N, Pekel G, Altinkaynak H. Choroidal thickness changes after dynamic exercise as measured by spectral-domain optical coherence tomography. Indian J Ophthalmol 2015;63:445-50.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
Nickla DL, Wallman J. The multifunctional choroid. Prog Retin Eye Res 2010;29:144-68.  Back to cited text no. 2
Parver LM. Temperature modulating action of choroidal blood flow. Eye (Lond) 1991;5(Pt 2):181-5.  Back to cited text no. 3
Parver LM, Auker CR, Carpenter DO. Choroidal blood flow. III. Reflexive control in human eyes. Arch Ophthalmol 1983;101:1604-6.  Back to cited text no. 4
Stiehl WL, González-Lima F, Carrera A, Cuebas LM, Díaz RE. Active defence of retinal temperature during hypothermia of the eye in cats. J Physiol (Paris) 1986;81:26-33.  Back to cited text no. 5
Wanner SP, Costa KA, Soares AD, Cardoso VN, Coimbra CC. Physical exercise-induced changes in the core body temperature of mice depend more on ambient temperature than on exercise protocol or intensity. Int J Biometeorol 2014;58:1077-85.  Back to cited text no. 6
Parver LM, Auker C, Carpenter DO. Choroidal blood flow as a heat dissipating mechanism in the macula. Am J Ophthalmol 1980;89:641-6.  Back to cited text no. 7
Blatteis CM. Age-dependent changes in temperature regulation – A mini review. Gerontology 2012;58:289-95.  Back to cited text no. 8


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