Loewen, Ralitsa T and Roy, Pritha and Kola, Sushma and Schuman, Joel S and Loewen, Nils A
(2016)
Live outflow imaging in porcine eyes.
In: The Association for Research and Vision in Ophthalmology (ARVO) Meeting 2015, 03 May 2015 - 07 May 2015, Denver, Colorado, United States.
Abstract
Purpose: Although outflow of aqueous humor can be estimated using fluorophotometry and tonography, no method exists to assess segmental outflow directly. This has hindered investigations into outflow resistance elements that are downstream of the trabecular meshwork and into causes of failure of canal-based minimally invasive glaucoma surgeries (MIGS). Here, we describe a method to observe and quantify conventional outflow directly in ex vivo whole eyes and an organotypic culture model using standard fluorescence visualization equipment. Results: Aqueous outflow paths could be distinguished from venous and arterial vessels. Intricate vascular tree filling patterns were observed down to estimated 50 micrometer diameter. Whole eyes demonstrated significantly earlier filling of the nasal (SN, IN) than of the temporal quadrants (ST, IT). The fastest, superonasal quadrant filled 1.6 times faster than the slowest, superotemporal quadrant (p≤0.05). The inferotemporal quadrant also filled faster than the superotemporal quadrant. In contrast, perfused anterior segment cultures had lost these characteristic filling time differences (p>0.05). One eye showed no outflow after 20 minutes of pressurization. After three days of culture, the same quadrant that was the fastest in whole eyes (SN), was 2.2 times as fast as the slowest (ST) but this did not reach statistical significance with the number of eyes tested. The eye without flow at 20 minutes did not recuperate during 3 days of culture. Reverse filling was occasionally seen in d3 anterior segments (bottom row, red arrowhead). Whole eyes could not be reliably cultured for 3 days. Discussion: Canalograms using a green fluorescent chromophore can be obtained with standard visualization equipment to estimate the local outflow function. Regionally different outflow patterns and filling times can be observed that match channel size equivalents in human eyes. Outflow is impaired in fresh anterior segment cultures but then normalizes to the pattern seen in whole eyes. The nasally increased flow may have implications for placement and study of MIGS.
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Details
| Item Type: |
Conference or Workshop Item
(Poster)
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| Status: |
Published |
| Creators/Authors: |
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| Date: |
18 March 2016 |
| Date Type: |
Publication |
| Journal or Publication Title: |
F1000 Research |
| Publisher: |
F1000 Research Ltd. |
| Event Title: |
The Association for Research and Vision in Ophthalmology (ARVO) Meeting 2015 |
| Event Dates: |
03 May 2015 - 07 May 2015 |
| Event Type: |
Conference |
| Schools and Programs: |
School of Medicine > Medicine
School of Medicine > Ophthalmology |
| Refereed: |
No |
| Uncontrolled Keywords: |
aqueous, humor, outflow, glaucoma, canalogram, porcine, eyes, pig, eyes, anterior, segment, perfusion, culture |
| ISSN: |
2046-1402 |
| Official URL: |
https://f1000research.com/posters/5-372 |
| Additional Information: |
Competing Interests: No competing interests were disclosed |
| Date Deposited: |
29 Nov 2016 20:00 |
| Last Modified: |
31 Jul 2020 19:12 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/30125 |
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