Preserving Vision for Astronauts

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JAXA astronaut Koichi Wakata sits in the chin rest during an Optical Coherence Tomography (OCT) session on ISS.

Credit: NASA JAXA astronaut Koichi Wakata sits in the chin rest during an Optical Coherence Tomography (OCT) session on ISS.

Many astronauts who come back from space experience poorer vision after flight, some even years after, and researchers at the University of Alabama at Birmingham are working to see why. Brian Samuels, M.D., assistant professor in the Department of Ophthalmology, and his fellow collaborators from the Georgia Institute of Technology and Emory University recently received a grant to study computational modeling as a method of determining why astronauts who are in space for extended periods of time are experiencing eye pathologies. Samuels is collaborating with scientists at the NASA Glenn Research Center, and others, to help identify the cause of these pathologies, and determine whether there is a way to intervene and prevent these types of vision complications in the future.

“We know that, if astronauts are in space for extended amounts of time, they have a higher propensity for developing pathologies similar to increased intracranial pressure,” Samuels said. “We are trying to incorporate all of the existing clinical and research data into functional computational models of the eye itself, the central nervous system and the cardiovascular system to determine how they are interacting.”

The length of time astronauts stayed in space changed in the mid-2000s when the International Space Station started being used. Space shuttle missions typically lasted two weeks, but now the ISS missions may last 6 months or longer. Longer durations in space, in microgravity, caused a larger propensity for changes in the eye. Many astronauts are encountering a hyperopic shift in their vision, meaning they gradually become farsighted. Astronauts can develop folds in the retina, experience swelling of the optic disk and also have distention of the optic nerve sheath behind the eye. Some astronauts who have returned from a mission are still experiencing vision issues 5 years later. Samuels and his colleagues believe there may be some permanent remodeling changes in the eye after extended periods of time in space.

Samuels says he also wants to find the direct cause behind these eye pathologies in an effort to develop tools to halt this process for astronauts in space. Samuels’ role is to interpret clinical and research data that informs the computational modeling and relay back to the other investigators whether the output data obtained from the models is realistic. As a clinician-scientist, he can take information that is gathered from research studies, clinical studies and computational modeling in the lab, and compare it to real-world scenarios in a clinic.

“Dr. Samuels helps ground us in clinical reality by relating effects in space to clinical conditions on Earth, detailing pathophysiologic processes at the cellular level to clinical outcomes,” Ethier said. “He is an incredible resource for our team and the broader space physiology community.” http://www.newswise.com/articles/preserving-vision-for-astronauts