Purpose: To obtain more information about the functional significance
of arteriovenous anastomoses as regulatory elements, the authors inves
tigated the topography and innervation of episcleral anastomoses in th
e rat and rabbit. Materials and Methods: The topography of arterioveno
us anastomoses in the limbal and episcleral vasculature of the rat and
rabbit eye was studied by scanning electron microscopy of vascular re
sin casts. The perivascular distribution of the following neuropeptide
s was investigated by fluorescence immunohistochemistry: neuropeptide
Y (NPY). vasoactive intestinal polypeptide (VIP), substance P (SP), an
d calcitonin gene-related peptide (CGRP). Results: The episcleral arte
riovenous anastomoses connect arterioles directly with the episcleral
venous plexus which also drains the aqueous humor. The nerve fiber ple
xus around the episcleral arteriovenous anastomoses is far mon dense t
han around arteriovenous connections at the limbal arcades. NPY-, VIP-
, SP-, and CGRP-immunoactive fibers concentrate at the arteriolar segm
ent of the episcleral arteriovenous anastomoses and are reduced at the
venular segment. Still, numerous VIP-IR fibers are on the venous side
of the rabbit episcleral anastomoses. Conclusion: We conclude that th
e elaborated innervation of the episcleral anastomoses is a prerequisi
te for a subtle modulation of the blood flow and possibly of the aqueo
us humor outflow dynamics.