Age-related Changes in the Human Outflow Apparatus

Paul G. McMenamin, William R. Lee, Dorothy A.N. Aitken

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Abstract

Tissue from 53 human eyes was used for qualitative and quantitative morphological study (light microscopy and electron microscopy) of age-related changes in the human outflow apparatus. The specimen source was surgical procedures. Qualitative observations showed that the general configuration of the trabecular meshwork changed gradually with age, from a long wedge shape to a shorter, more rhomboidal form. The scleral spur became more prominent, the uveal meshwork more compact, and localized canal closure increased in incidence. Intercellular cytoplasmic processes between neighboring trabecular endothelial cells were less evident and areas of trabecular denudation were frequently observed in older eyes. Quantitative light microscopic studies showed a progressive thickening of the trabeculae, and the numbers of giant vacuoles in the lining endothelium of Schlemm's canal decreasing significantly with age. Morphometric analysis of the cribriform layer (transmission electron microscopy) showed that there was a change in the character of the extracellular materials with an increase in the deposition of electron dense plaques and a decrease in the ground substances from the fifth decade onwards.

Original languageEnglish
Pages (from-to)194-209
Number of pages16
JournalOphthalmology
Volume93
Issue number2
DOIs
Publication statusPublished - 1 Jan 1986
Externally publishedYes

Keywords

  • aging changes
  • extracellular materials
  • giant vacuoles
  • human outflow apparatus
  • trabecular meshwork
  • trabecular thickness

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