Spinal Taps And Sleeping Sacks: Astronauts Try To Learn Why Vision Changes In Space | KERA News

Spinal Taps And Sleeping Sacks: Astronauts Try To Learn Why Vision Changes In Space

Jan 25, 2017

Spending time in space changes people: not just their outlook on life, but also their eyesight in general. For years, a North Texas doctor has been trying to find out what is causing this vision change among astronauts. His latest research provides some clues — and connects astronauts on the International Space Station, cancer patients on a roller coaster plane flight and high-tech sleeping sacks.

After spending six months on the International Space Station, Michael Barratt had a strange request when he finally stepped foot on Earth.

He wanted a spinal tap.

Barratt isn’t a masochist, he’s a NASA astronaut. While flying hundreds of miles above Earth in 2009, he noticed his vision was changing. He was struggling to read manuals and checklists. 

“I spent a lot of time on the Russian segment as well. When you’re reading in Russian in small print in a dark place, and your visual acuity starts to tank, you notice it!” Barratt says. 

Barratt is also a very curious physician, which brings us to his request for a spinal tap to check the pressure in his brain. He knew he wasn’t the first astronaut whose vision had changed while in space, and he hoped sticking a needle into his back might provide a clue to his vision loss. The leading theory at the time was that microgravity raises pressure in the head and reshapes the eyeballs, which could be problematic for long-term space travel to places like Mars.

“This is a medical issue that affects a large percentage of people who fly in space," Barratt says. “So the stakes are extremely high.”

Credit NASA

Simulating Zero Gravity For Science

Scientists know that when people go into space, the fluid normally below their hearts goes into their heads. But is it creating enough pressure to damage the eyes? To flatten them and affect the optic nerve?

Dr. Benjamin Levine has been on a mission to find out. He’s a professor at UT Southwestern Medical Center and Director of the Institute for Exercise and Environmental Medicine, jointly run by UT Southwestern and Texas Health Resources. Instead of sticking needles in astronauts’ backs, Levine decided to stick needles inside people’s brains.

Really, he found eight healthy cancer survivors who already had ports in their heads, once used to deliver chemotherapy. Those ports would allow him to directly measure their intracranial pressure.

Then, he convinced them to get on a plane, for a sort of extreme roller coaster ride to simulate the zero gravity found on the International Space Station.

You know that feeling of weightlessness when you drop on a roller coaster? Well, these folks did that, except they plunged 8,000 feet in 30 seconds, dozens of times, all in the name of science.

Dr. Justin Lawley, Instructor in Internal Medicine at UT Southwestern and a researcher at the Institute for Exercise and Environmental Medicine, floating during a zero-gravity interval in on a parabolic flight.
Credit David Ham

Trent Barton, a lymphoma survivor from Dallas, went on the wild trip above the Texas-Mexico border.

“I enjoyed each and every rotation we did,” Barton says.

During the flight, a needle in the port in his head monitored the pressure in the fluid surrounding his brain.

Turns out, Levine says, space flight doesn’t cause pressure to be much higher than it is when you or I are standing up. But, it is a little higher. He published the results in The Journal of Physiology.

“So we now think this mild but persistent pressure may be the thing that’s stimulating remodeling the eye and causing the visual impairment,” Levine says.

A Sleeping Sack To Rest The Brain

Unlike us earthlings, astronauts never get to rest their brains in lower pressure. When they’re standing up, the fluid won’t go to their feet. So, researchers like Levine are now trying to find a way to give these astronaut brains a rest.

“We’ve been working with UnderArmour, the garment company, to come up with a soft, but comfortable almost like a sleeping sack or pair of trousers, that you can put on at night, hook up to a vacuum cleaner, suck the blood and fluid into the feet and unload the heart and the brain while you're sleeping,” Levine says.

Astronaut Dr. Mike Barratt says he’d be willing to try the sleeping sack, but he also wants to do more tests on the International Space Station to better understand intracranial pressure. Especially before we send astronauts deeper into space.

This is a medical issue that affects a large percentage of people who fly in space, so the stakes are extremely high.

As for Barratt's eyesight, six years post flight?

“It’s my right eye that has apparently has been permanently remodeled," Barratt says. "Other than that I’m totally normal."

Still the same curious doctor, he just sees things a bit differently since being back on Earth.