“…Choroidal blood flow and CT are regulated by the autonomic nervous system (sympathetic nervous stimulation causes a substantial reduction in choroidal blood flow and CT [31,[63][64][65][66], and the parasympathetic input to the choroid has a vasodilation effect and serves to increase choroidal blood flow and CT [31,32,67,68]). The intrinsic rhythm of the choroid is also influenced by the autonomic nervous system (the choroid possesses a network of intrinsic choroidal neurons that lie in the choroidal stroma [12,32,69], and these intrinsic choroidal neurons appear to receive both sympathetic and parasympathetic input, suggesting they are controlled by the autonomic nervous system [70,71]). In addition, the choroid can release certain autonomic neurotransmitters (eg, vasoactive intestinal peptide, nitric oxide) [12,24,31,71] and change the permeability of the choroid, making the growth factor released by the choroid more easily arrive at the sclera, and further remodel the scleral extracellular matrix [11,61,72,73].…”