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A multiphoton microscope platform for imaging the mouse eye

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To demonstrate the ability of multiphoton microscopy to obtain full three-dimensional high-resolution images of the intact mouse eye anterior chamber without need for enucleation. A custom multiphoton microscope was constructed and optimized for deep tissue imaging. Simultaneous two-photon autofluorescence (2PAF) and second harmonic generation (SHG) imaging were performed. A mouse holder and stereotaxic platform were designed to access different parts of the eye for imaging. A reservoir for keeping the eye moist was used during imaging sessions. Non-invasive multiphoton images deep inside the anterior chamber of the mouse eye were obtained without the need for enucleation. The iris, corneal epithelium and endothelium, trabecular meshwork region and conjunctiva were visualized by the 2PAF and SHG signals. Identification of the anatomy was achieved by the intrinsic properties of the native tissue without any exogenous labeling. Images as deep as 600 microns into the eye were clearly demonstrated. Full three-dimensional image reconstructions of the entire anterior chamber were performed and analyzed using custom software. Multiphoton imaging is a highly promising tool for ophthalmic research. We have demonstrated the ability to image the entire anterior chamber of the mouse eye in its native state. These results provide a foundation for future in vivo studies of the eye.
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A multiphoton microscope platform for imaging the mouse eye
Omid Masihzadeh,1 Tim C. Lei,2 David A. Ammar,3 Malik Y. Kahook,3 Emily A. Gibson1
1Department of Bioengineering, University of Colorado Anschutz Medical Campus, Aurora, CO; 2Department of Electrical
Engineering, University of Colorado Denver, Denver, CO; 3Department of Ophthalmology, University of Colorado Hospital Eye
Center, Aurora, CO
Purpose: To demonstrate the ability of multiphoton microscopy to obtain full three-dimensional high-resolution images
of the intact mouse eye anterior chamber without need for enucleation.
Methods: A custom multiphoton microscope was constructed and optimized for deep tissue imaging. Simultaneous two-
photon autofluorescence (2PAF) and second harmonic generation (SHG) imaging were performed. A mouse holder and
stereotaxic platform were designed to access different parts of the eye for imaging. A reservoir for keeping the eye moist
was used during imaging sessions.
Results: Non-invasive multiphoton images deep inside the anterior chamber of the mouse eye were obtained without the
need for enucleation. The iris, corneal epithelium and endothelium, trabecular meshwork region and conjunctiva were
visualized by the 2PAF and SHG signals. Identification of the anatomy was achieved by the intrinsic properties of the
native tissue without any exogenous labeling. Images as deep as 600 microns into the eye were clearly demonstrated. Full
three-dimensional image reconstructions of the entire anterior chamber were performed and analyzed using custom
software.
Conclusions: Multiphoton imaging is a highly promising tool for ophthalmic research. We have demonstrated the ability
to image the entire anterior chamber of the mouse eye in its native state. These results provide a foundation for future in
vivo studies of the eye.
The anterior chamber of the mouse eye is a complex
structure that closely resembles that of the human eye [1].
Many human ophthalmic diseases can be modeled and studied
in the mouse eye including that of elevated intraocular
pressure (IOP) and glaucoma [2]. The location of the
conventional aqueous humor outflow system, important in the
regulation of intraocular pressure (IOP) of the eye, between
the cornea and the iris presents challenges for structural and
functional testing which are aimed at better understanding the
pathophysiology of glaucoma. Previous studies have shown
that structural abnormalities in this region can lead to elevated
IOP and development of glaucoma [3]. Therefore, early
detection and clinical intervention in the prevention of this
disease would greatly benefit from high resolution structural
and functional imaging capabilities.
Current clinical techniques for imaging the eye include
optical coherence tomography (OCT), confocal reflectance
microscopy, ultrasound biomicroscopy and fluorescence
imaging. In comparison with multiphoton microscopy, OCT
has less spatial resolution, approximately 2–10 μm lateral and
is not capable of achieving subcellular resolution. Confocal
reflectance microscopy does allow subcellular level
resolution, but is not capable of providing data on the
Correspondence to: Emily A. Gibson, University of Colorado
Anschutz Medical Campus, Department of Bioengineering, Mail
Stop 8607, 12700 E 19th Avenue, Research 2 - Room P15-6C03,
Aurora, CO, 80045-2560; Phone: (303) 724-3678; FAX: (303)
724-5800; email: Emily.Gibson@UCDenver.edu
functional status of imaged tissues. Ultrasound
biomicroscopy is limited in resolution to ~25 μm and is also
not capable of imaging subcellular structures or cellular
function. For these reasons, multiphoton microscopy is a
promising tool for ophthalmic imaging and could provide
benefit in both research as well as clinical environments [4,
5]. Specific imaging of the aqueous outflow system and
trabecular meshwork (TM) has been performed with spectral
domain OCT [6,7]. However, OCT is still not capable of
obtaining functional information about the cells and collagen
network in the outflow region and is limited in resolution.
Three-dimensional micro-computed tomography (3D
MicroCT) imaging with resolution on the order of a few
microns has been performed on fixed human eye sections
showing the outflow structures similar to histological imaging
with light microscopy [8]. In contrast, multiphoton
microscopy provides sub-cellular resolution and functional
imaging capabilities using either intrinsic optical properties
of molecules or optical markers such as fluorescent labels. We
have previously demonstrated that multiphoton imaging can
resolve the collagen structure of the TM without exogenous
labeling as well as image epithelial cells in the TM by their
intrinsic autofluorescence generated predominately by the
cofactor nicotinamide adenine dinucleotide phosphate
(NAD(P)H) [9]. Progression of primary open angle glaucoma
(POAG) is indicated by a deterioration in the TM structure
and in loss of epithelial cells in the TM, as found by electron
microscopy studies [10,11]. A reduction in the dimensions of
Schlemm’s canal in POAG has also been observed by
Molecular Vision 2012; 18:1840-1848 <http://www.molvis.org/molvis/v18/a190>
Received 11 April 2012 | Accepted 1 July 2012 | Published 4 July 2012
© 2012 Molecular Vision
1840
histological studies [12]. Therefore, imaging this region of the
eye may allow for an improved understanding of the
pathophysiology of glaucoma, better diagnostic capabilities,
and potential for assisting in new therapeutic drug discovery
studies.
Multiphoton microscopy (MPM) is being increasingly
used for ophthalmic research [9,13-25]. MPM provides sub-
cellular resolution and considerable penetration depth as
compared to confocal microscopy and is a powerful multi-
modal tool for visualization of ocular structures by their
inherent optical properties, without the need for labeling
contrast agents [26,27]. Two-photon autofluorescence
(2PAF) and second harmonic generation (SHG) are examples
of different multiphoton imaging modalities. While both
involve the simultaneous interaction of two infrared photons
with molecules in the sample, they are fundamentally different
phenomena and reveal different information about the
molecular-level structure of the tissue [28-30]. 2PAF is
generated by excitation of endogenous fluorophores such as
the cofactors nicotinamide adenine dinucleotide phosphate
(NAD(P)H) and flavin adenine dinucleotide (FAD) or
melanin. SHG, on the other hand, is generated by non-
centrosymmetric molecules or macro-molecular structures,
such as collagen. Both SHG and 2PAF signals are arise from
a two-photon process and therefore, the signal is produced
selectively at the focus of the excitation laser where the
intensity is greatest. This intrinsic axial sectioning property
makes MPM ideal for three-dimensional imaging. In
comparison with confocal microscopy, MPM can image at
some depth in tissue because of reduced scattering of the
infrared excitation light and greater detection efficiency of the
emitted signal due to the elimination of the confocal pinhole
and relay optics in the detection path. In addition, excitation
with infrared light causes less thermal damage to the sample
than visible wavelength excitation for the same intensities
[31].
In previous results, we demonstrated the use of MPM to
image the TM and nearby outflow structures within the intact,
enucleated, unfixed mouse eye [15]. The mouse eye is ideal
for these preliminary studies of MPM imaging due to its small
size, thin sclera allowing for increased penetration depth of
light for imaging and due to the well described anatomy of the
outflow system in past research. The mouse eye anterior
drainage system anatomy is very similar to that of the human
Figure 1. A schematic of the custom multiphoton microscope illustrating the beam path of the excitation laser and the emitted signals. The
pulsed laser light is first sent through a prism compressor (to ensure the shortest pulse duration at the sample) and passed through two
galvanometric scanning mirrors for raster scanning at the sample. The excitation laser beam travels through a scan lens (SL) and tube lens
(TL) before being sent into the microscope through the side port. A custom made lens relay system is used to convert our inverted microscope
(Olympus IX71) into an upright microscope for in situ imaging. The multiphoton signal from the sample is collected back through the
microscope objective and separated from the excitation laser light with a dichroic mirror (DM1). An additional dichroic mirror (DM2) is used
to separate the SHG and 2PAF signals, which are subsequently focused on separate photo-detectors. Abbreviations: prism (Pr), half-wave
plate (HW), polarizer (PP), telescoping optics (T), objective lens (Obj). Inset shows a photograph of the custom stereotaxic device that holds
the mouse and orients the eye position and angle with respect to the objective lens. A reservoir is held over the mouse eye to keep the eye
moist during imaging sessions.
Molecular Vision 2012; 18:1840-1848 <http://www.molvis.org/molvis/v18/a190> © 2012 Molecular Vision
1841
eye and has been studied extensively, providing an excellent
understanding of this model for future research in diseases of
the eye. In the present study, we demonstrate MPM for in situ
imaging of the mouse eye, to obtain the full three-dimensional
images of the anterior chamber without any disruption to the
tissue as occurs during the enucleation process. We describe
our custom built multiphoton microscope specifically
designed for ophthalmic imaging and the method for
alignment of the mouse eye using a custom stereotaxic device.
Our findings provide the foundation for achieving in vivo
imaging of the mouse eye.
METHODS
Animal protocol: The animal protocol for multiphoton
imaging was approved by the University of Colorado
Anschutz Medical Campus Institutional Animal Care and Use
Committee (IACUC). The mouse strain C57BL/6 (Jackson
Laboratory; Bar Harbor, ME) was selected for imaging
because it has no documented ocular phenotype. C57BL/6
mice were obtained from retired breeder stock used in
unrelated research projects. All mice were between 4 and 6
months of age. A total of 4 mouse eyes were imaged, all with
qualitatively similar results. Representative images from one
mouse eye are presented. For each experiment, the mouse was
imaged immediately after euthanasia and each imaging
session was around one hour in duration. Only one eye of each
mouse was imaged during a given session after mounting and
alignment of the eye with respect to the objective lens.
Histology: After the multiphoton imaging experiments, the
imaged mouse eye was enucleated and then preserved in 4%
paraformaldehyde in PBS overnight at 4 °C. The eyes were
embedded in paraffin and sectioned at a thickness of 6 µm.
Tissue sections were stained with Mayer’s hematoxylin and
eosin Y (H&E; Richard-Allan Scientific, Kalamazoo, MI).
Bright-field imaging was performed using a Nikon Eclipse 80i
microscope (Nikon, Melville, NY) equipped with a Nikon D5-
Fi1 color camera and a Nikon 20X/0.30 Plan Fluor objective
lens.
Multiphoton microscopy: The images shown in this work
were taken on a custom-built multiphoton microscope system.
The system is built around an Olympus IX-71 (Olympus,
Center Valley, PA) inverted microscope with several
components that were custom designed and integrated for
ophthalmic imaging capabilities (Figure 1). The excitation
laser source is a pulsed infrared laser (Mai Tai HP; Spectra
Physics, Santa Clara, CA) with a center wavelength of 810 nm
emitting a train of pulses at an 80 MHz repetition rate. To
optimize the multiphoton signal, the laser pulses are
temporally compressed to the shortest pulse duration at the
back aperture of the microscope objective by first passing
through a prism compressor to compensate for the material
dispersion due to the optical components in the beam path.
Near transform-limited pulses of ~100 fs (the shortest pulse
duration for the spectral bandwidth of our laser) were
measured by a custom-built ultrafast pulse characterization
apparatus based on the principle of frequency resolved optical
gating [32]. The laser passes through a pair of telecentric
lenses to increase the beam diameter to overfill the back
aperture of the microscope objective to achieve a diffraction
limited focal spot. Raster scanning of the laser focus across
the sample is achieved by use of two non-resonant
galvanometric mirrors (Cambridge Technology, Watertown,
MA). A combination of scanning lens (SL) and tube lens (TL)
is used to transform the angular translation of the laser beam
at the scan mirrors into a lateral displacement of the laser focus
in the focal plane of the objective lens. The pulse train with
an average power of 15 mW (incident at the sample) is focused
with an Olympus LUMPlanFL 40X/0.80 NA water immersion
objective (Olympus) with a working distance of 3.3 mm.
The multiphoton signals generated by intense laser light
interaction with the sample include second harmonic
generation (SHG) and two-photon autofluorescence (2PAF).
The emitted signals are collected in the epi-direction and
separated from the excitation laser by a dichroic mirror (long
pass at 685 nm, FF685-Di02; Semrock, Inc., Rochester, NY).
Any residual excitation laser light is blocked by an additional
sputter-coated, high-throughput shortpass 2-photon emission
filter (ET700sp-2p ; Chroma Technology, Bellows Falls, VT).
The SHG and 2PAF signals are spectrally separated with a
dichroic mirror (T425lpxr; Chroma Technology) and
bandpass filters (HQ400/20m-2p for SHG and
HQ575/250m-2p 2PH; Chroma Technology) and detected by
two separate high-sensitivity, photon counting detectors
(H7422P-s40; Hamamatsu, Inc., Bridgewater, NJ). The signal
from each detector is amplified (Model ACA-4–35-N, 35dB
gain, 1.8GHz bandwidth, non-inverting amplifier; Becker and
Hickl GmbH, Berlin, Germany) and converted to TTL
(Transistor-transistor logic) pulses using a constant fraction
discriminator (Model 6915; Phillips, Mahwah, NJ). The TTL
pulses are sent to the counter inputs of a data acquisition card
(PCIe-6259; National Instruments, Austin TX) with a
maximum count rate of 80 MHz. Custom software was
developed in Labview (National Instruments) running on a
personal computer (Dell Inspiron, Round Rock, TX) to
control the galvo-mirrors and read in the signal from the
counters.
Image analysis: Acquired multiphoton images were post-
processed using Matlab (MathWorks, Natick, MA) and
ImageJ software. Except when noted, all image dimensions
are 256×256 pixels with a 13 μs pixel dwell time and frame
averaging of two. The maximum image area is limited by the
field-of-view of the objective lens and the scanning range of
the galvanometric mirrors to ~140×140 μm2. Calibration of
the image dimensions was performed by imaging a standard
mesh with a calibrated grid size (Copper 400 Size Mesh; Ted
Pella, Redding, CA).
To image over larger regions of the eye, tiling of many
individual scans was performed. This was accomplished by
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1842
translating the sample with a motorized stage (MS-2000; ASI,
Eugene, OR) in the x and y directions with a step size of
140 µm to acquire a series of images. The images were then
combined in software into one composite image (tiling). The
effects of tiling can be seen in the reconstructed images as
stripes with reduced intensity due to variations in the signal
intensity across the field-of-view. This artifact can be
eliminated by scanning a smaller region for each individual
image, or by implementing more sophisticated image
reconstruction software to correct for the intensity variations
currently under development. A series of two-dimensional
images was acquired at different depths and then projected in
three-dimensions (3D) using ImageJ for 3D visualization. 3D
animations were prepared using Zen 2009 software package
(Carl Zeiss MicroImaging, Inc., Göttingen, Germany). In the
3D image reconstructions, the 2PAF and SHG signals are
superimposed onto the same image for co-localized
visualization. Appropriate noise reduction filtering (6-point
smoothing function) and thresholding were applied to
eliminate the noise from detector dark counts and to optimize
visualization.
Mouse holder: A custom stereotaxic device is used to position
the mouse for multiphoton imaging of the eye. The holder is
mounted on to the motorized stage that translates for tiling.
The mouse holder incorporates two manual rotation stages to
allow angular adjustments along two axes of rotation, to
optimally position the mouse eye with respect to the objective
lens. Acquisition of images at different depths is
accomplished by translating the microscope objective
vertically with a computer controlled stepper motor
(MFC-2000; ASI, Eugene, OR) to adjust the focus knob on
the Olympus IX-71 microscope platform. During the imaging
experiments, it was important to keep the exterior surface of
the eye moist. This was accomplished by a custom reservoir
(Figure 1) positioned on top of the mouse eye to hold balanced
salt solution (BSS) between the eye and the objective. The
fluid in this reservoir also serves as the immersion liquid for
the objective lens.
RESULTS
The superior quadrant of the mouse eye was imaged with our
custom multiphoton microscope from the surface of the
cornea to the iris and anterior capsule of the lens. To visualize
the different regions of the eye, we performed three-
dimensional reconstructions of separate sections, illustrated
schematically in Figure 2. Section A-A represents a solid cut
through the top of the cornea where the image volume consists
of the stroma and extends to the epithelium layer. Section B-
B shows a solid cut through the cornea and into the anterior
chamber. The ring appearance is noted due to the lack of signal
generation from the aqueous humor located in the center of
the volumetric section. Section C-C is the section deepest
inside the anterior chamber capturing part of the iris, which
generates a strong 2PAF signal (red) in the center while the
outer ring consists of the cornea which predominately emits
SHG (green).
Three dimensional image reconstructions of the data
taken in the three sections of the anterior chamber of the eye
are displayed in Figure 3. The images (Figure 3A-C) are
shown starting from the exterior surface of the cornea and
progressing deeper into the anterior chamber. False colors
represent the SHG (green) and 2PAF (red) signals. Figure 3A
shows the 2PAF signals from the epithelial cells at the surface
of the cornea and SHG signal from the collagen-rich stroma
further into the cornea, similar to our previously reported data
in the enucleated eye [15]. The reconstructed three-
dimensional volume is composed of 17 stacks in z (depth) of
4×5 tiled images (1 tile=136×136 μm2), each stack is separated
in z by 10 μm. In Figure 3B, taken further into the eye, the
signal is predominantly SHG (green) from the stroma of the
cornea. The endothelium layer is distinct from the stroma by
its strong 2PAF signal (inner red circle), while additionally in
the same section, the epithelium layer is visible at the edge by
its 2PAF signal (the outer red region). The reconstructed data
consists of 12 z stacks (separated by 10 μm in depth) of 5×10
tiled images (1 tile=122×122 µm2). In section 3C, the iris
becomes visible at a depth of 250 μm below the cornea. The
nonlinear signal from the iris was exclusively 2PAF (red) from
the pigment granules. The 3D image reconstruction consists
Figure 2. Diagram showing the different
regions of the mouse eye that were
measured with the multiphoton
microscope, results shown in Figure 3.
A-A represents a solid cut of the cornea
from the top surface into the stroma. B-
B is a cross-section of the anterior
chamber filled with aqueous humor.
Since the aqueous humor does not emit
any signal, the sectioned image appears
in the shape of a ring. C-C is a section
deep inside the anterior chamber that
includes the front of the iris.
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of 16 z stacks (separated by 20 μm) of 12×6 tiled images
(1tile=122×122 μm2). Figure 4 show a two-dimensional tiled
view inside of the eye at different depths extending (from left
to right) from the center of the pupil out to the outer edge of
the iris and into the conjunctiva. The data are represented by
5×16 tiled images (1 tile=68×68 µm2). Four different depths
are displayed in 20 μm steps starting at a depth of ~500 µm
from the epithelium layer of the cornea. From left to right, one
can identify the iris (I), trabecular meshwork region (TM),
sclera (S) and conjunctiva (C). A higher resolution image of
the conjunctiva is shown in Figure 5 where individual cell
bodies are visible. The cells can be visualized by 2PAF
predominately from endogenous fluorescent cofactors such as
NAD(P)H and FAD [28].
Histology was performed to screen for potential damage
to the tissue from the infrared excitation laser used in
multiphoton imaging. After completion of the imaging
experiment, blue dye was placed on the region of the mouse
eye that was exposed to the laser light to identify the location
for histology. Results from histology showed no visible
Figure 3. Three dimensional
reconstructions of the images of the
mouse eye taken with our multiphoton
microscope. Below each 3-D
reconstruction is a two-dimensional
projection showing the side view of the
image composite. The cornea (C) and
iris (I) are indicated on the images. A:
Image reconstruction of one quarter of
the cornea section (indicated as section
A-A in Figure 2). The epithelium layer
(EP) is visible by the strong 2-photon
autofluorescence signal (red; 2PAF)
clearly delineating it from the stroma of
the cornea that emits predominately
second-harmonic generation from
collagen (green;SHG). B: Image
reconstruction of a cross section through
the anterior chamber (AC; section B-B
in Figure 2). The 2PAF signal on the
outer rim of the image is from the
epithelial layer on top of the stroma
while the SHG signal is from the
collagen in the stroma. C: Image
reconstruction of the measured region
deep into the anterior chamber that
includes the iris (I) which emits 2PAF
signal predominantly from the pigment
granules.
Molecular Vision 2012; 18:1840-1848 <http://www.molvis.org/molvis/v18/a190> © 2012 Molecular Vision
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damage to the tissue (Figure 6), indicating that we are able to
image the eye structures at light intensities below the
photodamage threshold.
DISCUSSION
In the current study, we demonstrate a multiphoton system
capable of imaging deep inside the anterior chamber of a
mouse eye without need for enucleation. Although imaging
of the mouse cornea in vivo has recently been demonstrated
[33], the current study is the first, to the best of our knowledge,
in which multiphoton imaging was used to image the
structures deep within the anterior chamber of a non-
enucleated mouse eye. We have demonstrated the capability
of imaging in the angle of the eye at depths of 600 μm and the
ability to visualize the anatomy without the use of any external
dyes or fluorescent labeling. Our multiphoton microscope is
optimized for deep tissue imaging and is integrated with a
custom stereotaxic device capable of rotation and translation
with five degrees of freedom. The capability of both
translational and rotational alignment is key to accessing
different locations inside the anterior chamber. A fluid
reservoir is designed to keep the eye moist for an extended
period of time, necessary to obtain images of the tissue in its
native state.
At our demonstrated penetration depth of 600 μm inside
the eye, we can image a section through the entire anterior
chamber, visualizing it in its native state. Due to light
scattering and optical aberrations from inhomogeneities in the
ocular tissue, the resolution of the microscope when imaging
Figure 5. Two-dimensional tiled image showing a section through
the sclera to the conjunctiva. The sclera (S) emits predominately
SHG signal (green) while the conjunctiva (C) is visible by 2PAF
(red). In this image, individual cells within the conjunctiva (see
arrow) can be clearly resolved by their intrinsic autofluorescence
from endogenous cofactors such as NAD(P)H and FAD.
Figure 4. Two-dimensional tiled
multiphoton images of the angle of the
eye taken at different depths. Distinct
features of the anatomy of the eye are
visible. Images from top (A) to bottom
(D) represent sections taken at different
depths below the surface of the eye from
(A) 580 μm, (B) 540 μm, (C) 520 μm,
and (D) 500 μm. From left to right, we
can see the iris (I), trabecular meshwork
region (TM), sclera (S) and conjunctiva
(C).
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1845
at-depth is reduced from the theoretical diffraction limited
resolution of ~225 nm [34]. We are currently working on
improvements to image resolution through several avenues
including better aberration correction of the laser focus [35].
When imaging deep in tissue, care is taken to keep the
excitation laser power as low as possible to avoid thermal
damage. By using sensitive photon-counting detection, we
were able to successfully image deep into the eye without any
visible damage to the tissue, i.e., when repeating the scan over
the same region, we did not observe any alteration in the
imaged structures. Histology performed on the region of the
eye that was imaged also showed no evidence of tissue
damage. As an added safeguard for future in vivo studies, we
can implement feedback controls to continuously monitor the
multiphoton signals to detect any sudden increase that may
indicate potential tissue damage, such as strong absorption by
pigment-containing tissues. Upon detection of a rapid increase
in signal, the laser power can be reduced during the scan to
prevent any damage. From experiments at different laser
Figure 6. Histological section of C57BL/6 mouse eye imaged with
our multiphoton microscope. Eye structures appear normal after
imaging. No distortion or photocoagulation is noted in the tissues
near the drainage angle of the eye. Blue dye was used to mark the
orientation of the eye before enucleation (*). S=sclera. R=retina.
I=iris. C=cornea. L=lens. The scale bar represents 50 µm.
excitation powers, our results indicated the pigmentation of
the iris is the most susceptible to tissue damage most likely a
result of the light absorbing properties of melanin. The cornea
and sclera were more resilient to higher laser powers.
Currently, MPM imaging is much slower than OCT when
imaging over the same volume. In spite of this disadvantage,
for future clinical applications, MPM may have an advantage
for high resolution “optical biopsy” of specific locations.
MPM as an add-on to a standard OCT clinical instrument
would potentially give both the fast scanning ability combined
with high-resolution functional imaging in localized areas.
Another limitation of MPM is the depth of penetration and
decreased resolution at-depth due to scattering and tissue
inhomogeneities. We are currently pursuing methods to
address these limitations to higher resolutions in a way that
will allow for practical use.
The study presented in this paper shows promising
opportunities toward in vivo multiphoton microscopy for
ocular imaging. The inherent sectioning capabilities and
resolution of MPM along with its noninvasiveness are key to
future clinical studies of live subjects and could add a wealth
of information toward understanding diseases of the eye. For
glaucoma, MPM imaging for studying the dynamic nature of
TM cell survival in vivo has great potential. Recently, Tan et
al. demonstrated that MPM imaging is capable of measuring
the presence or lack thereof of TM cells on excised human
corneal rims [36], however, in this study, they used exogenous
markers and did not image through tissue to access the TM
region. In our recent publication, we demonstrated use of
coherent anti-Stokes Raman scattering (CARS) imaging for
quantifying TM cells on excised human tissue without use of
exogenous markers [16] and believe this is an additional
multiphoton imaging method that could lead to clinical use in
studying TM cells in live specimens when combined with our
multiphoton imaging platform.
ACKNOWLEDGMENTS
The authors thank Justin Brantley for his assistance with the
design of the mouse holder and Mark Petrash for providing
the mice for this study. Supported in part by a Bioscience
Discovery Evaluation Grant from the State of Colorado and
the University of Colorado Technology Transfer Office
(Grant No. 11BGF-30).
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Articles are provided courtesy of Emory University and the Zhongshan Ophthalmic Center, Sun Yat-sen University, P.R. China.
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... Compared with the sclera, the cornea appears to be arranged more regularly showing the corneal stroma extracellular matrix in accordance with its refractive function to remain transparent. The SHG signal exhibited a cornea that has been similarly reported in the literature [42]. Figures 4C and 4D illustrate the superficial and deeper region of the TM in the normal condition, respectively. ...
... The infrared wavelength of 800 nm inevitably leads to broad melanin autofluorescence, and previous studies of TPM imaging in TM regions have been discussed [42,45]. Our work extends the study of TM imaging in enucleated rat eyes using the improved techniques [31,33]. ...
Article
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Elevated intraocular pressure (IOP) appears to have a broader impact on increased resistance to aqueous humor (AH) outflow through the conventional aqueous outflow system (AOS). However, it is still unknown how AH drainage resistance is produced or why it becomes increased in glaucoma. It is hard to accurately obtain hydrodynamic parameters of AH within the trabecular meshwork (TM) outflow pathway tissues based on current technology. In this study, we reconstructed the rat AOS model with high-resolution two-photon imaging, and simulated the AH outflow process. The resolution of the two-photon imaging system can be up to 0.5 μm for imaging the AOS tissues. Quite a few morphological parameters of rat TM in conditions of normal and elevated IOP were determined using the experiment integrated with the simulation method. We determined that the TM thickness is 49.51 ± 6.07 μm with an IOP of 5.32 kPa, which significantly differed from the TM thickness of 66.4 ± 5.14 μm in the normal IOP group. Furthermore, 3D reconstruction of local aqueous drainage channels from two-photon microscopy images revealed detailed structures of the AOS and permitted the identification of 3D relationships of Schlemm's canal, collector channel, and trabecular drainage channels. An algorithm of finite element micro-modeling of the rat TM outflow pathways reveals the importance of TM for mechanical performance, with the potential to assist clinical therapies for glaucoma that seek to steer clear of an abnormal TM.
... Two-photon autofluorescence intensity was first used to image the cornea ex vivo in 1995 by Piston and co-workers [32]. Since then it has already been applied to image and characterize ex vivo mouse [33], porcine [34][35][36] and human corneas [37], as well as rabbit's cornea in vivo [38]. Examples of two-photon autofluorescence intensity images of the human corneal epithelium acquired by our group are shown in Fig. 16.2. ...
... Therefore, autofluorescence intensity is a good parameter for individual cell visualization and characterization, hence corneal cell layer discrimination. The feasibility of two-photon excitation autofluorescence intensity to discriminate between the corneal epithelium at multiple depths, the stroma, and the endothelium has already been demonstrated [32][33][34][35][36][37][38]. ...
Chapter
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Dysfunctions and dystrophies severely affect the cornea’s function. In point of fact, cornea diseases are the second major cause of blindness worldwide. Corneal diagnosis in clinical practice heavily relies on imaging techniques such as slit lamp microscopy, confocal microscopy, or optical coherence tomography. However, these fail to provide information on the cell’s metabolic state or the structural organization of the corneal stroma. With two-photon microscopy and fluorescence lifetime imaging this information can be obtained. Therefore, corneal pathology diagnosis may be improved. The feasibility of corneal characterization by two-photon imaging has been demonstrated in ex vivo samples and in vivo animal models. In this chapter, we report on the use of two multiphoton microscopy instruments for imaging the human cornea: a 5D multiphoton laser scanning microscope and the multiphoton tomograph MPTflex. Human corneas unsuitable for transplantation but otherwise normal and pathological samples obtained after surgery were imaged and characterized based on their autofluorescence and second-harmonic generation signals. Two possible clinical applications of two-photon microscopy are discussed: (i) the assessment of tissue viability before corneal transplantation and (ii) the differential diagnosis of corneal pathologies, further demonstrating the advantages of this imaging modality for corneal diagnosis.
... SHG images of ex vivo corneas were first recorded in 2002, by König et al. and Yeh et al., to characterize porcine and rabbit tissue, respectively [165,166]. Ever since, several groups have employed TPEF combined with SHG to assess the morphology of animal corneal tissue ex vivo [167][168][169][170] and in vivo [94,[171][172][173][174][175]. In 2010, Aptel et al. characterized human corneal buttons morphology, over its entire thickness, based on a multimodal approach combining TPEF, SHG, and THG [176]. ...
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Two-photon imaging (TPI) microscopy, namely, two-photon excited fluorescence (TPEF), fluorescence lifetime imaging (FLIM), and second-harmonic generation (SHG) modalities, has emerged in the past years as a powerful tool for the examination of biological tissues. These modalities rely on different contrast mechanisms and are often used simultaneously to provide complementary information on morphology, metabolism, and structural properties of the imaged tissue. The cornea, being a transparent tissue, rich in collagen and with several cellular layers, is well-suited to be imaged by TPI microscopy. In this review, we discuss the physical principles behind TPI as well as its instrumentation. We also provide an overview of the current advances in TPI instrumentation and image analysis. We describe how TPI can be leveraged to retrieve unique information on the cornea and to complement the information provided by current clinical devices. The present state of corneal TPI is outlined. Finally, we discuss the obstacles that must be overcome and offer perspectives and outlooks to make clinical TPI of the human cornea a reality.
... Although these remedies may rescue remaining eyesight, many patients fail to reach intraocular pressure targets [4]. Elevated intraocular pressure is a direct consequence of increased resistance to aqueous humor outflow [5]. It has been recognized that the trabecular meshwork (TM) exerts the main function on aqueous humor circulation [6,7]. ...
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Background: Glaucoma is characterized by elevated intraocular pressure caused by aqueous outflow dysfunction. Trabecular meshwork plays a key role in controlling intraocular pressure by modulating aqueous outflow. This study investigated the protective effects of miR-486-5p in H2O2-stimulated human trabecular meshwork cells (TMCs). Methods: TMCs were disposed with 300 μM H2O2 to establish oxidative damage models in vitro. miR-486-5p mimics and its controls were transfected into TMCs, and cell apoptosis and extracellular matrix production (ECM) genes were measured by flow cytometry, western blotting, and immunofluorescence staining. Activities of superoxide dismutase (SOD) and malondialdehyde (MDA) were also assayed. Online tools and luciferase reporter assays were used to uncover the relationship between miR-486-5p and the TGF-β/SMAD2 pathway. Results: We found that H2O2-induced oxidative damage in TMCs and miR-486-5p was downregulated in H2O2-stimulated TMCs. Overexpression of miR-486-5p mitigated H2O2-induced oxidative damage by inhibiting apoptosis, reducing cleaved caspase-3/9 expression, reducing MDA levels, and increasing SOD levels as well as downregulating ECM genes. SMAD2 was demonstrated to be targeted by miR-486-5p, and miR-486-5p inhibited TGF-β/SMAD2 signaling in H2O2-stimulated TMCs. Additionally, SMAD2 was upregulated by H2O2, and SMAD2 upregulation abrogated the protective effects of miR-486-5p against H2O2-induced injury. Conclusion: miR-486-5p restrains H2O2-induced oxidative damage in TMCs by targeting the TGF-β/SMAD2 pathway.
... In this study, two-photon confocal imaging technology was used to image the trabecular meshwork and its surrounding tissues were obtained. In this study, the infrared wavelength of 800 nm inevitably leads to broad melanin autofluorescence, and previous studies of TPM imaging in TM regions have been discussed [12,13]. Our work extends the study of TM imaging in enucleated rat eyes using the improved techniques [8,11]. ...
Article
Full-text available
Primary open-angle glaucoma (POAG) is an important type of glaucoma, and the pathogenesis is not fully understood. The high intraocular pressure (IOP) is considered as one of the most risk factors. Clinical evidence indicates that increased intraocular pressure is a function of elevated resistance to drainage of the trabecular meshwork (TM) outflow pathways. However, there is still no consensus about exact location of the increased outflow resistance of aqueous humor, and the mechanism is not perfect. The microstructure information of the TM outflow pathways is of great significance for analyzing the outflow resistance distribution of the outflow pathways. Therefore, it is particularly important to strengthen the morphological study of the outflow resistance of aqueous humor in the TM outflow pathways. In this study, the two-photon confocal imaging technique was used to image the TM outflow pathways, and image data of the longitudinal section of the TM outflow pathways were obtained. The image segmentation method based on deep learning was used to further study and analyze the trabecular meshwork, which laid morphological basis for the clinical diagnosis study.
... SHG exploits the non-centrosymmetric, tightly packed arrangement of amino acids in collagen to provide label-free, highly specific imaging of fibrillar collagen at micrometer resolution [19]. Although the conjunctivas of animal models have been imaged by multiphoton technology in both normal [20,21] and wound healing [22] contexts, collagen structural parameters in this tissue have not been quantitated. In this study, progressive changes in postoperative conjunctival collagen structure and morphology in the SHG images were quantified using a morphology-based quantification algorithm [23,24]. ...
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Glaucoma filtration surgery (GFS) commonly fails due to excessive fibrosis. As collagen structure aberrations is implicated in adverse fibrotic progression, this study aims to uncover collagen organization alterations during postoperative scarring. Via quantitative second harmonic generation/ two photon excitation multiphoton imaging, we reveal the scar development and phenotype in the mouse model of conjunctival scarring. We also show that multiphoton imaging corroborated the collagen ultrastructure anomaly characteristic of the SPARC-/- mouse postoperative conjunctiva. These data improve our understanding of postoperative conjunctival scarring and further enhance the utility of this model for the development of anti-fibrotic therapeutics for GFS.
... The elevated intraocular pressure (IOP) is often regarded as the main risk factor of POAG, although up to one-third of POAG patients have relatively normal IOP levels [4]. In POAG, the elevated IOP is mainly caused by the resistance to aqueous humour (AH) outflow increases in the trabecular meshwork (TM), particularly in the juxtacanalicular connective tissue region [5]. And resistance to AH outflow is closely associated with increased deposition of extracellular matrix (ECM) proteins in the TM [6]. ...
Article
Full-text available
Primary open angle glaucoma (POAG) is the most common type of glaucoma. At the mechanistic level, POAG is thought to be caused by extracellular matrix (ECM) deposition in the trabecular meshwork (TM). Growing evidence has shown that long noncoding RNAs (lncRNAs) are involved in the fibrotic process underlying many diseases. This study was undertaken to explore the role of lncRNA‐RP11‐820 in ECM production of human TM cells (HTMCs). Our results revealed that lncRNA‐RP11‐820 was significantly upregulated under oxidative stress in HTMCs. Further investigation revealed that lncRNA‐RP11‐820 directly binds miR‐3178, through which the expression of MYOD1 is regulated. Importantly, MYOD1 can transcriptionally activate ECM genes in HTMCs, in complex with STAT3. Taken together, our data established that oxidative stress‐induced lncRNA‐RP11‐820 plays a key role in regulating the miR‐3178/MYOD1/ECM axis in HTMCs. These findings further elucidate the pathogenic mechanism and provide a novel therapeutic target relevant to POAG.
... Since then, applications of TPEF in combination with SHG to image the cornea have greatly increased. The morphology of rabbit corneas [151,154], the porcine eye [153,[155][156][157] including the sclera, limbus, and conjunctiva [156], the mouse eye without enucleation [158], as well as the human cornea [159,160], were characterized based on the tissue AF intensity and SHG. In vivo imaging of the cornea using TPEF/SHG was demonstrated for rabbits [161][162][163][164], mouse [165], and rats [166] but not in humans. ...
Article
The purpose of this study is to provide an intravital noninvasive multiphoton microscopic platform for long-term ocular imaging in transgenic fluorescent mice with subcellular resolution. A multiphoton microscopic system with tunable laser output was employed. We designed a mouse holder incorporated with stereotaxic motorized stage for in vivo three-dimensional imaging of ocular surface in 3 transgenic mouse line with fluorescent protein (FP) expression to visualize distinct structures. With our imaging platform and the expression of FPs, we obtained the three-dimensional images across the whole cornea from epithelium to endothelium and in conjunctiva with subcellular resolution in vivo. Specified EGFP expression in corneal epithelium of K5-H2B-EGFP mice helped to identify both corneal and limbal epithelial cells while ubiquitous nuclear FP expression in R26R-GR mice allowed us to visualized nuclei of all cell types. Universal membrane-localized FP in mT/mG mice outlined all cell boundaries, nerve fibers, and capillaries. The simultaneously collected second harmonic generation signals from collagenous stroma provided architectural contrast. Time-lapsed recording enabled monitoring the mitotic activity of corneal epithelial cells and limbal epithelial cells. We developed an intravital multiphoton microscopic stereotaxic imaging platform and showed that, by incorporating FP-expressing transgenic mice, this platform enables in vivo 4-dimensional ophthalmic study at subcellular resolution.
Book
Full-text available
• Focuses on nonlinear microscopy methods • Starts with a tutorial chapter • Combines treatment of microscopy techniques with a major focus on clinical applications Aims and Scope This monograph focuses on modern femtosecond laser microscopes for two photon imaging and nanoprocessing, on laser tweezers for cell micromanipulation as well as on fluorescence lifetime imaging (FLIM) in Life Sciences. The book starts with an introduction by Dr. Wolfgang Kaiser, pioneer of nonlinear optics and ends with the chapter on clinical multiphoton tomography, the novel high resolution imaging technique. It includes a foreword by the nonlinear microscopy expert Dr. Colin Sheppard. © 2018 Karsten König (Ed.), published by Walter de Gruyter GmbH, Berlin/Boston.
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We summarize the problem of measuring an ultrashort laser pulse and describe in detail a technique that completely characterizes a pulse in time: frequency-resolved optical gating. Emphasis is placed on the choice of experimental beam geometry and the implementation of the iterative phase-retrieval algorithm that together yield an accurate measurement of the pulse time-dependent intensity and phase over a wide range of circumstances. We compare several commonly used beam geometries, displaying sample traces for each and showing where each is appropriate, and we give a detailed description of the pulse-retrieval algorithm for each of these cases. © 1997 American Institute of Physics.
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This article reviews the latest instrumentation used in high resolution nonlinear microscopy and techniques for the temporal and spatial calibration of this instrumentation. This includes an overview of currently available ultrashort laser sources, the dispersion characteristics of microscopes, methods for pulse measurement at high numerical aperture, dispersion compensation techniques, and finally a brief overview of a number of nonlinear imaging methods presently used in these systems. © 2001 American Institute of Physics.
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To develop an in situ model to study biological responses and glaucoma pathology in the human trabecular meshwork (TM). Characteristic TM cell- and glaucoma-associated markers were localized in situ in relation to the tissue's autofluorescent structural extracellular matrix (ECM) by two-photon excitation fluorescence optical sectioning (TPEF). Human donor corneoscleral (CS) tissue containing the intact aqueous drainage tract was incubated with dexamethasone (Dex) or TGF-β1, and immunostained for epifluorescence (EF) microscopy with antibodies to myocilin and alpha smooth muscle (α-SMA). Separate specimens were labeled for Type-IV collagen and fibronectin. Nuclei were stained with Hoechst 33342. Multimodal TPEF was used to visualize EF, intravital dyes, and autofluorescence (AF) in situ. Three-dimensional (3D) localization of fluorescence within the TM was analyzed using reconstruction software. Autofluorescent beams, perforated sheets, and fibers, consistent with the uveal (UV), CS, and juxtacanalicular (JCT) meshwork, respectively, were captured at different depths of the TM. Type-IV collagen EF distinctly outlined the AF beams in a location consistent with basement membrane. Fibronectin EF showed a diffuse reticular pattern throughout the TM. TGF-β1-induced α-SMA expression, which was distributed perinuclearly in cells among autofluorescent structures. Dex-induced myocilin expression had both cytosolic and extracellular distributions. The authors have localized markers that are characteristic of TM cells and relevant to glaucoma pathogenesis in situ using multimodal TPEF without conventional histological embedding and sectioning. Protein expression was inducible in situ and could be analyzed with respect to cells and the ECM within the 3D environment of the human TM.
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The role of lymphatic vessels in tissue and organ transplantation as well as in tumor growth and metastasis has drawn great attention in recent years. We now developed a novel method using non-invasive two-photon microscopy to simultaneously visualize and track specifically stained lymphatic vessels and autofluorescent adjacent tissues such as collagen fibrils, blood vessels and immune cells in the mouse model of corneal neovascularization in vivo. The mouse cornea serves as an ideal tissue for this technique due to its easy accessibility and its inducible and modifiable state of pathological hem- and lymphvascularization. Neovascularization was induced by suture placement in corneas of Balb/C mice. Two weeks after treatment, lymphatic vessels were stained intravital by intrastromal injection of a fluorescently labeled LYVE-1 antibody and the corneas were evaluated in vivo by two-photon microscopy (TPM). Intravital TPM was performed at 710 nm and 826 nm excitation wavelengths to detect immunofluorescence and tissue autofluorescence using a custom made animal holder. Corneas were then harvested, fixed and analyzed by histology. Time lapse imaging demonstrated the first in vivo evidence of immune cell migration into lymphatic vessels and luminal transport of individual cells. Cells immigrated within 1-5.5 min into the vessel lumen. Mean velocities of intrastromal corneal immune cells were around 9 µm/min and therefore comparable to those of T-cells and macrophages in other mucosal surfaces. To our knowledge we here demonstrate for the first time the intravital real-time transmigration of immune cells into lymphatic vessels. Overall this study demonstrates the valuable use of intravital autofluorescence two-photon microscopy in the model of suture-induced corneal vascularizations to study interactions of immune and subsequently tumor cells with lymphatic vessels under close as possible physiological conditions.
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To image the human trabecular meshwork (TM) using a non-invasive, non-destructive technique without the application of exogenous label. Flat-mounted TM samples from a human cadaver eye were imaged using two nonlinear optical techniques: coherent anti-Stokes Raman scattering (CARS) and two-photon autofluorescence (TPAF). In TPAF, two optical photons are simultaneously absorbed and excite molecules in the sample that then emit a higher energy photon. The signal is predominately from collagen and elastin. The CARS technique uses two laser frequencies to specifically excite carbon-hydrogen bonds, allowing the visualization of lipid-rich cell membranes. Multiple images were taken along an axis perpendicular to the surface of the TM for subsequent analysis. Analysis of multiple TPAF images of the TM reveals the characteristic overlapping bundles of collagen of various sizes. Simultaneous CARS imaging revealed elliptical structures of ~7×10 µm in diameter populating the meshwork which were consistent with TM cells. Irregularly shaped objects of ~4 µm diameter appeared in both the TPAF and CARS channels, and are consistent with melanin granules. CARS techniques were successful in imaging live TM cells in freshly isolated human TM samples. Similar images have been obtained with standard histological techniques, however the method described here has the advantage of being performed on unprocessed, unfixed tissue free from the potential distortions of the fine tissue morphology that can occur due to infusion of fixatives and treatment with alcohols. CARS imaging of the TM represents a new avenue for exploring details of aqueous outflow and TM cell physiology.
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To image the conventional aqueous outflow pathway and adjacent structures within the intact enucleated mouse eye using a noninvasive microscopy technique. Two-photon microscopy (2PM) techniques, including two-photon autofluorescence (2PAF) and second harmonic generation (SHG), were used to obtain images of the trabecular meshwork (TM) region within an intact mouse eye. Cardiac perfusion of fluorescein-conjugated dextran was used to label blood vessels within the eye to serve as an anatomic reference. Eyes were subsequently fixed, paraffin embedded, sectioned, and stained for comparison to the 2PM images. Three-dimensional analyses of multiple 2PM images revealed a well-defined region adjacent to the iris and cornea that is free of SHG signal and consistent with the location of Schlemm's canal. This open region is continuous with smaller tube structures consistent with collector channels. These structures do not label in mice perfused with the vascular probe dextran, supporting the hypothesis that the enclosed spaces are filled with aqueous humor rather than circulating blood. The TM region in the mouse eye was also visible, with a clear SHG signal representing collagen fibers. These results support the hypothesis that 2PM may be useful for noninvasively imaging the conventional aqueous outflow pathway in mouse models of glaucoma. Studies are ongoing to validate our methodology in live animals.
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Full-text available
To image the native (unfixed) human trabecular meshwork (TM) through the overlying sclera using a non-invasive, non-destructive technique. Two-photon microscopic (2PM) methods, including two-photon autofluorescence (2PAF) and second harmonic generation (SHG), were used to image through the sclera of a human cadaver eye into the TM region. Multiple images were analyzed along the tissue axis (z-axis) to generate a three-dimensional (3D) model of the region. The tissue was subsequently fixed, paraffin embedded, and histological sections were photographed for comparison to the 2PM images. 3D analysis of multiple 2PM SHG images revealed an open region deep within the TM consistent with the location of Schlemm's canal (SC). Images of the scleral spur and surrounding tissues were also obtained. The SC, TM, scleral spur, and surrounding tissue images obtained with 2PM matched with histologically stained sections of the same tissue. 2PM imaging of the outflow system of the human eye documented collagenous structures solely from inherent optical properties. 2PM successfully imaged through the sclera into the SC/TM without the need for fixation, embedding, or histological processing. This work reveals that 2PM imaging has potential as a new metric for evaluating the aqueous outflow region of the human eye and is worthy of further exploration.
Article
purpose. To assess aqueous humor dynamics in mouse eyes. methods. Aqueous humor dynamics of NIH Swiss White mouse were assessed with an injection and aspiration system, using fine glass microneedles. Intraocular pressure (IOP) was measured by a microneedle connected to a pressure transducer. Episcleral venous pressure (EVP) was measured by gradually lowering intracameral pressure until blood reflux into Schlemm’s canal was observed. Outflow facility (C) was determined based on constant pressure perfusion measurements obtained at two different IOPs. Aqueous volume (V a) was determined by direct measurement of aspirated aqueous humor. Aqueous humor production (F a) was measured by the dilution method with rhodamine-dextran. Conventional and uveoscleral outflow (F c and F u, respectively), as well as the turnover rate of aqueous humor, were also calculated. results. IOP and EVP were 15.7 ± 2.0 and 9.5 ± 1.2 mm Hg, respectively (n = 20). F a was 0.18 ± 0.05 μL/min (mean ± SD; n = 8). C was 0.0051 ± 0.0006 μL/min per mm Hg (n = 8). Estimated F c and F u were 0.032 and 0.148 μL/min, respectively. F c was 18% of F a. F u was 82% of F a. V a was 5.9 ± 0.5 μL (n = 8). The calculated turnover rate of aqueous humor was 2.5%. conclusions. The mouse eye has similar aqueous production and aqueous humor turnover rate as the human eye. The presence of both conventional and uveoscleral outflow suggests that the mouse is a useful model system for further investigations of the biology of aqueous dynamics.
Article
Aqueous humor (AH) exiting the eye via the trabecular meshwork and Schlemm's canal (SC) passes through the deep and intrascleral venous plexus (ISVP) or directly through aqueous veins. The purpose of this study was to visualize the human AH outflow system 360° in three dimensions (3D) during active AH outflow in a virtual casting. The conventional AH outflow pathways of 7 donor eyes were imaged with a modified Bioptigen spectral-domain optical coherence tomography system (Bioptigen Inc, USA; SuperLum LTD, Ireland) at a perfusion pressure of 20 mmHg (N = 3), and 10 mmHg (N = 4). In all eyes, 36 scans (3 equally distributed in each clock hour), each covering a 2 × 3 × 2 mm volume (512 frames, each 512 × 1024 pixels), were obtained. All image data were black/white inverted, and the background subtracted (ImageJ 1.40 g, http://rsb.info.nih.gov/ij/). Contrast was adjusted to isolate the ISVP. SC, collector channels, the deep and ISVP, and episcleral veins were observed throughout the limbus. Aqueous veins could be observed extending into the episcleral veins. Individual scan ISVP castings were rendered and assembled in 3D space in Amira 4.1 (Visage Imaging Inc. USA). A 360-degree casting of the ISVP was obtained in all perfused eyes. The ISVP tended to be dense and overlapping in the superior and inferior quadrants, and thinner in the lateral quadrants. The human AH outflow pathway can be imaged using SD-OCT. The more superficial structures of the AH outflow pathway present with sufficient contrast as to be optically isolated and cast in-situ 360° in cadaver eye perfusion models. This approach may be useful as a model in future studies of human AH outflow.