Iris is a small pigmented sheet in between cornea and the lens that is constantly bathed in aqueous humor. Two sets of muscles that are opposite in their function constitute the iris (sphincter for contraction, and the dilator for dilation) and these muscles are responsible for maintaining the normal size of the pupil. Thus, their proper functioning is important for iris health. Common manifestations that lead to secondary glaucomatous conditions include iritis, and anterior uveitis. Uveitis, a sight‐threatening emergency is responsible for more than 30,000 legal blinding in the US alone, and it accounts for 10–15% of blindness. The cause of most uveitis cases is idiopathic. Although homocysteine (Hcy), and the high glucose contribute to ocular dysfunction, but the mechanisms are not clear. This study investigated the role of Hcy, and the hyperglycemia (HG), and their contribution to the biology of sphincter, and dilator muscles in the regulation of intraocular pressure (IOP). We hypothesize that metabolic dysregulation of iris muscles during hyperhomocysteinemia (HHcy), and or HG is responsible for ocular hypertension. Therefore, restoration of the iris homeostasis by direct pharmacological intervention (e.g. dilator/constrictor/antioxidants: such as Tropicamide, acetylcholine, sodium nitroprusside, epinephrine, norepinephrine, glycol and atropine derivatives, and hydrogen sulfide donor; GYY 4137) could help modulate the pressure in the eye. When tested, as eye drops, employing Ins2Akita, and CBS+/− strains of mouse models representing HHcy, and HG conditions, the IOP was measured before, and after the application of above agents in treated, and untreated mice groups. Findings reveal that Tropicamide was more effective than others. Some agents, not all, were able to lower IOP significantly in a gender‐specific manner. We are currently dissecting‐out the molecular mechanism(s) that might reveal new therapeutic targets for treating the hypertensive eyes.Interestingly, both strains of the mice also revealed alterations in their retinae that included occlusion of their vessels along with significant thickening of the retinal layers. Our study has a direct clinical significance where dysfunction of the iris muscles alone or in conjunction with retinal‐ischemia may predispose susceptible patients to higher IOP that is responsible for various forms of glaucomatous phenotypes.
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