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Cideciyan AV, Jacobson SG, Swider M, Sumaroka A, Sheplock R, Krishnan AK, Garafalo AV, Guziewicz KE, Aguirre GD, Beltran WA, Heon E. Photoreceptor Function and Structure in Autosomal Dominant Vitelliform Macular Dystrophy Caused by BEST1 Mutations. Invest Ophthalmol Vis Sci 2022; 63:12. [PMID: 36512348 DOI: 10.1167/iovs.63.13.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Purpose The purpose of this study was to evaluate rod and cone function and outer retinal structure within macular lesions, and surrounding extralesional areas of patients with autosomal dominant Best vitelliform macular dystrophy caused by BEST1 mutations. Methods Seventeen patients from seven families were examined with dark- and light-adapted chromatic perimetry and optical coherence tomography. Subsets of patients had long-term follow-up (14-22 years, n = 6) and dark-adaptation kinetics measured (n = 5). Results Within central lesions with large serous retinal detachments, rod sensitivity was severely reduced but visual acuity and cone sensitivity were relatively retained. In surrounding extralesional areas, there was a mild but detectable widening of the subretinal space in some patients and some retinal areas. Available evidence was consistent with subretinal widening causing slower dark-adaptation kinetics. Over long-term follow-up, some eyes showed formation of de novo satellite lesions at retinal locations that years previously demonstrated subretinal widening. A subclinical abnormality consisting of a retina-wide mild thickening of the outer nuclear layer was evident in many patients and thickening increased in the subset of patients with long-term follow-up. Conclusions Outcome measures for future clinical trials should include evaluations of rod sensitivity within central lesions and quantitative measures of outer retinal structure in normal-appearing regions surrounding the lesions.
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Affiliation(s)
- Artur V Cideciyan
- Scheie Eye Institute, Department of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - Samuel G Jacobson
- Scheie Eye Institute, Department of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - Malgorzata Swider
- Scheie Eye Institute, Department of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - Alexander Sumaroka
- Scheie Eye Institute, Department of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - Rebecca Sheplock
- Scheie Eye Institute, Department of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - Arun K Krishnan
- Scheie Eye Institute, Department of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - Alexandra V Garafalo
- Scheie Eye Institute, Department of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - Karina E Guziewicz
- Division of Experimental Retinal Therapies, Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - Gustavo D Aguirre
- Division of Experimental Retinal Therapies, Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - William A Beltran
- Division of Experimental Retinal Therapies, Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - Elise Heon
- Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, University of Toronto, Toronto, Canada
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2
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Kim TH, Ma G, Son T, Yao X. Functional Optical Coherence Tomography for Intrinsic Signal Optoretinography: Recent Developments and Deployment Challenges. Front Med (Lausanne) 2022; 9:864824. [PMID: 35445037 PMCID: PMC9013890 DOI: 10.3389/fmed.2022.864824] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 03/16/2022] [Indexed: 11/13/2022] Open
Abstract
Intrinsic optical signal (IOS) imaging of the retina, also termed as optoretinogram or optoretinography (ORG), promises a non-invasive method for the objective assessment of retinal function. By providing the unparalleled capability to differentiate individual retinal layers, functional optical coherence tomography (OCT) has been actively investigated for intrinsic signal ORG measurements. However, clinical deployment of functional OCT for quantitative ORG is still challenging due to the lack of a standardized imaging protocol and the complication of IOS sources and mechanisms. This article aims to summarize recent developments of functional OCT for ORG measurement, OCT intensity- and phase-based IOS processing. Technical challenges and perspectives of quantitative IOS analysis and ORG interpretations are discussed.
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Affiliation(s)
- Tae-Hoon Kim
- Richard and Loan Hill Department of Biomedical Engineering, University of Illinois at Chicago, Chicago, IL, United States
| | - Guangying Ma
- Richard and Loan Hill Department of Biomedical Engineering, University of Illinois at Chicago, Chicago, IL, United States
| | - Taeyoon Son
- Richard and Loan Hill Department of Biomedical Engineering, University of Illinois at Chicago, Chicago, IL, United States
| | - Xincheng Yao
- Richard and Loan Hill Department of Biomedical Engineering, University of Illinois at Chicago, Chicago, IL, United States
- Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL, United States
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3
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Kim TH, Wang B, Lu Y, Son T, Yao X. Functional optical coherence tomography enables in vivo optoretinography of photoreceptor dysfunction due to retinal degeneration. BIOMEDICAL OPTICS EXPRESS 2020; 11:5306-5320. [PMID: 33014616 PMCID: PMC7510876 DOI: 10.1364/boe.399334] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 08/20/2020] [Accepted: 08/20/2020] [Indexed: 05/16/2023]
Abstract
Stimulus-evoked intrinsic optical signal (IOS), which occurs almost immediately after the onset of retinal stimulus has been observed in retinal photoreceptors, promises to be a unique biomarker for objective optoretinography (ORG) of photoreceptor function. We report here the first-time in vivo ORG detection of photoreceptor dysfunction due to retinal degeneration. A custom-designed optical coherence tomography (OCT) was employed for longitudinal ORG monitoring of photoreceptor-IOS distortions in retinal degeneration mice. Depth-resolved OCT analysis confirmed the outer segment (OS) as the physical source of the photoreceptor-IOS. Comparative ERG measurement verified the phototransduction activation as the physiological correlator of the photoreceptor-IOS. Histological examination revealed disorganized OS discs, i.e. the pathological origin of the photoreceptor-IOS distortion.
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Affiliation(s)
- Tae-Hoon Kim
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Benquan Wang
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
- Janelia Research Campus, Howard Hughes Medical Institute, Ashburn, VA 20147, USA
| | - Yiming Lu
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Taeyoon Son
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Xincheng Yao
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
- Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA
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4
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Yao X, Kim TH. Fast intrinsic optical signal correlates with activation phase of phototransduction in retinal photoreceptors. Exp Biol Med (Maywood) 2020; 245:1087-1095. [PMID: 32558598 DOI: 10.1177/1535370220935406] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
IMPACT STATEMENT As the center of phototransduction, retinal photoreceptors are responsible for capturing and converting photon energy to bioelectric signals for following visual information processing in the retina. This article summarizes experimental observation and discusses biophysical mechanism of fast photoreceptor-intrinsic optical signal (IOS) correlated with early phase of phototransduction. Quantitative imaging of fast photoreceptor-IOS may provide objective optoretinography to advance the study and diagnosis of age-related macular degeneration, retinitis pigmentosa, diabetic retinopathy, and other eye diseases that can cause photoreceptor dysfunctions.
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Affiliation(s)
- Xincheng Yao
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA.,Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA
| | - Tae-Hoon Kim
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
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5
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Lu Y, Kim TH, Yao X. Comparative study of wild-type and rd10 mice reveals transient intrinsic optical signal response before phosphodiesterase activation in retinal photoreceptors. Exp Biol Med (Maywood) 2019; 245:360-367. [PMID: 31852239 DOI: 10.1177/1535370219896284] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Transient intrinsic optical signal (IOS) has been observed in stimulus-evoked retinal photoreceptors. This study is to compare IOS changes in wild-type and retinal degeneration 10 (rd10) mouse retinas, to evaluate the effect of cyclic guanosine monophosphate phosphodiesterase on photoreceptor-IOS. Time-lapse near-infrared light microscopy was employed to monitor the spatiotemporal dynamics of the IOS responses in freshly isolated retinas activated by visible light stimulation. Comparative IOS recordings were conducted at postnatal days 14 (P14) and P16. At P14, intrinsic optical signal magnitudes and spatiotemporal dynamics in wild-type and rd10 retinas were similar, indicating that the phosphodiesterase deficiency in rd10 did not affect the formation of photoreceptor-IOS. At P16, IOS magnitude in rd10 significantly decreased compared to that in wild-type, suggesting the IOS sensitivity to the photoreceptor degeneration in rd10. Our experimental results and theoretical analysis indicate that early disc-based stages of the phototransduction cascade before the activation of phosphodiesterase may contribute to the formation of the photoreceptor-IOS responses; and the IOS can be a sensitive biomarker for objective assessment of retinal function. Impact statement Comparative study of wild-type and rd10 mice was implemented to reveal that transient intrinsic optical signal (IOS) was initiated before the phosphodiesterase activation in stimulus-activated photoreceptors and the IOS magnitude was sensitive to photoreceptor degeneration. The photoreceptor-IOS promises a noninvasive biomarker for objective assessment of age-related macular degeneration, retinitis pigmentosa, and other eye diseases that can produce photoreceptor dysfunctions.
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Affiliation(s)
- Yiming Lu
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Tae-Hoon Kim
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Xincheng Yao
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA.,Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA
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Martins AC, Vohnsen B. Directional light-capture efficiency of the foveal and parafoveal photoreceptors at different luminance levels: an experimental and analytical study. BIOMEDICAL OPTICS EXPRESS 2019; 10:3760-3772. [PMID: 31452973 PMCID: PMC6701552 DOI: 10.1364/boe.10.003760] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 06/24/2019] [Accepted: 06/25/2019] [Indexed: 06/10/2023]
Abstract
A gradual drop in visibility with obliquely incident light on retinal photoreceptors is namely described by the Stiles-Crawford effect of the first kind and characterized by a directionality parameter. Using a digital micromirror device in a uniaxial flicker system, here we report on variations of this effect with luminance levels, wavelengths within the visible and near-infrared spectrum and retinal regions ranging from the fovea to 7.5° parafoveal. Results show a consistent directionality in mesopic and photopic conditions. Higher directionality is measured for longer wavelengths, and a decrease with retinal eccentricity is observed. Results are discussed in relation to an absorption model for the visual pigments taking the outer-segment packing and thickness of the neural retina into account. Good correspondence is found without enforcing photoreceptor waveguiding.
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7
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Lu Y, Benedetti J, Yao X. Light-Induced Length Shrinkage of Rod Photoreceptor Outer Segments. Transl Vis Sci Technol 2018; 7:29. [PMID: 30619649 PMCID: PMC6314056 DOI: 10.1167/tvst.7.6.29] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Accepted: 10/23/2018] [Indexed: 12/20/2022] Open
Abstract
Purpose This study was designed to verify light-induced outer segment (OS) length shrinkage of rod photoreceptors and to characterize its anatomic source at disc-level resolution. Methods Frog (Rana pipiens) retinas were used for this study. Time-lapse light microscopy of freshly isolated OSs was employed to test transient rod OS changes at 10 ms temporal resolution. Histological light microscopy of dark- and light-adapted retinas was used to confirm light-induced rod OS length changes; and transmission electron microscopy (TEM) was used to quantify light-driven structural perturbation of rod OSs at disc level resolution. Results Time-lapse light microscopy images verified transient length shrinking responses in freshly isolated rod OSs. Histological light microscopy images confirmed reduced rod OS lengths in light-adapted retinas, compared to that of dark-adapted retinas. TEM images disclosed shortened inter-disc distances in light-adapted retinas compared to dark-adapted retinas. Conclusions Light-induced rod OS length shrinkage was confirmed using time-lapse light microscopy of isolated rod OSs and histological light microscopy of dark- and light-adapted retinas. TEM revealed that the rod OS length shrinkage was correlated to the light-driven decrease of the space between individual discs, not the disc thickness itself. Translational Relevance Light-induced transient rod response promises a noninvasive biomarker for early diagnosis of age-related macular degeneration and retinitis pigmentosa, in which the rod photoreceptors are known to be more vulnerable than cone photoreceptors.
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Affiliation(s)
- Yiming Lu
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA
| | - Jacopo Benedetti
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA
| | - Xincheng Yao
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA.,Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL, USA
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8
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Yao X, Son T, Kim TH, Lu Y. Functional optical coherence tomography of retinal photoreceptors. Exp Biol Med (Maywood) 2018; 243:1256-1264. [PMID: 30482040 DOI: 10.1177/1535370218816517] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
IMPACT STATEMENT Retinal photoreceptors are the primary target of age-related macular degeneration (AMD) which is the leading cause of severe vision loss and legal blindness. An objective method for functional assessment of photoreceptor physiology can benefit early detection and better treatment evaluation of AMD and other eye diseases that are known to cause photoreceptor dysfunctions. This article summarizes in vitro study of IOS mechanisms and in vivo demonstration of IOS imaging of intact animals. Further development of the functional IOS imaging may provide a revolutionary solution to achieve objective assessment of human photoreceptors.
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Affiliation(s)
- Xincheng Yao
- 1 Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA.,2 Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA
| | - Taeyoon Son
- 1 Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Tae-Hoon Kim
- 1 Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Yiming Lu
- 1 Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
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9
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Lu Y, Liu C, Yao X. In vivo super-resolution imaging of transient retinal phototropism evoked by oblique light stimulation. JOURNAL OF BIOMEDICAL OPTICS 2018; 23:1-4. [PMID: 29752801 PMCID: PMC5946809 DOI: 10.1117/1.jbo.23.5.050502] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Accepted: 04/19/2018] [Indexed: 05/28/2023]
Abstract
Rod-dominated transient retinal phototropism (TRP) has been observed in freshly isolated retinas, promising a noninvasive biomarker for objective assessment of retinal physiology. However, in vivo mapping of TRP is challenging due to its subcellular signal magnitude and fast time course. We report here a virtually structured detection-based super-resolution ophthalmoscope to achieve subcellular spatial resolution and millisecond temporal resolution for in vivo imaging of TRP. Spatiotemporal properties of in vivo TRP were characterized corresponding to variable light intensity stimuli, confirming that TRP is tightly correlated with early stages of phototransduction.
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Affiliation(s)
- Yiming Lu
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois, United States
| | - Changgeng Liu
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois, United States
| | - Xincheng Yao
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois, United States
- University of Illinois at Chicago, Department of Ophthalmology and Visual Sciences, Chicago, Illinois, United States
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10
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Tschulakow AV, Oltrup T, Bende T, Schmelzle S, Schraermeyer U. The anatomy of the foveola reinvestigated. PeerJ 2018; 6:e4482. [PMID: 29576957 PMCID: PMC5853608 DOI: 10.7717/peerj.4482] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2018] [Accepted: 02/20/2018] [Indexed: 01/22/2023] Open
Abstract
Objective In the foveola of the eye, photoreceptors and Müller cells with a unique morphology have been described, but little is known about their 3D structure and orientation. Considering that there is an angle-dependent change in the foveolar photoreceptor response for the same light beam, known as the Stiles Crawford Effect of the first kind (SCE I), which is still not fully understood, a detailed analysis of the anatomy of the foveolar cells might help to clarify this phenomenon. Methods Serial semithin and ultrathin sections, and focused ion beam (FIB) tomography were prepared from 32 foveolae from monkeys (Macaca fascicularis) and humans. Foveolae were also analyzed under the electron microscope. Serial sections and FIB analysis were then used to construct 3D models of central Müller and photoreceptor cells. In addition, we measured the transmission of collimated light under the light microscope at different angles after it had passed through human foveae from flat mounted isolated retinae. Results In monkeys, outer segments of central foveolar cones are twice as long as those from parafoveal cones and do not run completely parallel to the incident light. Unique Müller cells are present in the central foveolae (area of 200 µm in diameter) of humans and monkeys. Light entering the fovea center, which is composed only of cones and Müller cells, at an angle of 0° causes a very bright spot after passing through this area. However, when the angle of the light beam is changed to 10°, less light is measured after transpasssing through the retina, the foveolar center becomes darker and the SCE-like phenomenon is directly visible. Measurements of the intensities of light transmission through the central foveola for the incident angles 0 and 10° resemble the relative luminance efficiency for narrow light bundles as a function of the location where the beam enters the pupil as reported by Stiles and Crawford. The effect persisted after carefully brushing away the outer segments. Conclusion We show that unique cones and Müller cells with light fibre-like properties are present in the center of the fovea. These unique Müller cells cause an angle dependent, SCE-like drop in the intensity of light guided through the foveola. Outer segments from the foveolar cones of monkeys are not straight.
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Affiliation(s)
- Alexander V Tschulakow
- Division of Experimental Vitreoretinal Surgery, Centre for Ophthalmology, University Hospital Tübingen, Tübingen, Germany
| | - Theo Oltrup
- Division of Experimental Ophthalmic Surgery, Centre for Ophthalmology, University Hospital Tübingen, Tübingen, Germany
| | - Thomas Bende
- Division of Experimental Ophthalmic Surgery, Centre for Ophthalmology, University Hospital Tübingen, Tübingen, Germany
| | - Sebastian Schmelzle
- Ecological Networks, Department of Biology, Technische Universität Darmstadt, Darmstadt, Germany
| | - Ulrich Schraermeyer
- Division of Experimental Vitreoretinal Surgery, Centre for Ophthalmology, University Hospital Tübingen, Tübingen, Germany.,Ocutox (www.ocutox.com), Hechingen, Germany
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11
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BEST1 gene therapy corrects a diffuse retina-wide microdetachment modulated by light exposure. Proc Natl Acad Sci U S A 2018; 115:E2839-E2848. [PMID: 29507198 PMCID: PMC5866594 DOI: 10.1073/pnas.1720662115] [Citation(s) in RCA: 52] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
One of the most common forms of monogenic macular degeneration worldwide is caused by dominant or recessive bestrophinopathies associated with mutations in the BEST1 gene. Disease expression is known to start with a retina-wide electrophysiological defect leading to localized vitelliform and atrophic lesions and vision loss. To develop lasting therapies for this incurable disease, there is a need for greater understanding of the early pathophysiology before lesion formation. Here we find that the loss of retinal pigment epithelium apical microvilli and resulting microdetachment of the retina represent the earliest features of canine bestrophinopathies. We show that retinal light exposure expands, and dark adaptation contracts, the microdetachments. Subretinal adeno-associated virus-based gene therapy corrects both the vitelliform lesions and the light-modulated microdetachments. Mutations in the BEST1 gene cause detachment of the retina and degeneration of photoreceptor (PR) cells due to a primary channelopathy in the neighboring retinal pigment epithelium (RPE) cells. The pathophysiology of the interaction between RPE and PR cells preceding the formation of retinal detachment remains not well-understood. Our studies of molecular pathology in the canine BEST1 disease model revealed retina-wide abnormalities at the RPE-PR interface associated with defects in the RPE microvillar ensheathment and a cone PR-associated insoluble interphotoreceptor matrix. In vivo imaging demonstrated a retina-wide RPE–PR microdetachment, which contracted with dark adaptation and expanded upon exposure to a moderate intensity of light. Subretinal BEST1 gene augmentation therapy using adeno-associated virus 2 reversed not only clinically detectable subretinal lesions but also the diffuse microdetachments. Immunohistochemical analyses showed correction of the structural alterations at the RPE–PR interface in areas with BEST1 transgene expression. Successful treatment effects were demonstrated in three different canine BEST1 genotypes with vector titers in the 0.1-to-5E11 vector genomes per mL range. Patients with biallelic BEST1 mutations exhibited large regions of retinal lamination defects, severe PR sensitivity loss, and slowing of the retinoid cycle. Human translation of canine BEST1 gene therapy success in reversal of macro- and microdetachments through restoration of cytoarchitecture at the RPE–PR interface has promise to result in improved visual function and prevent disease progression in patients affected with bestrophinopathies.
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12
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Lu Y, Liu C, Yao X. In vivo observation of transient photoreceptor movement correlated with oblique light stimulation. PROCEEDINGS OF SPIE--THE INTERNATIONAL SOCIETY FOR OPTICAL ENGINEERING 2018; 10497:104971M. [PMID: 29950751 PMCID: PMC6016829 DOI: 10.1117/12.2287262] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Rod-dominated transient retinal phototropism (TRP) has been observed in freshly isolated retinas, promising a noninvasive biomarker for high resolution assessment of retinal physiology. However, in vivo mapping of TRP is challenging due to its fast time course and sub-cellular signal magnitude. By developing a line-scanning and virtually structured detection based super-resolution ophthalmoscope, we report here in vivo observation of TRP in frog retina. In vivo characterization of TRP time course and magnitude were implemented by using variable light stimulus intensities.
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Affiliation(s)
- Yiming Lu
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Changgeng Liu
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Xincheng Yao
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
- Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA
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13
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Abstract
Zebrafish (Danio rerio) provide many advantages as a model organism for studying ocular disease and development, and there is great interest in the ability to non-invasively assess their photoreceptor mosaic. Despite recent applications of scanning light ophthalmoscopy, fundus photography, and gonioscopy to in vivo imaging of the adult zebrafish eye, current techniques either lack accurate scaling information (limiting quantitative analyses) or require euthanizing the fish (precluding longitudinal analyses). Here we describe improved methods for imaging the adult zebrafish retina using spectral domain optical coherence tomography (OCT). Transgenic fli1:eGFP zebrafish were imaged using the Bioptigen Envisu R2200 broadband source OCT with a 12-mm telecentric probe to measure axial length and a mouse retina probe to acquire retinal volume scans subtending 1.2 × 1.2 mm nominally. En face summed volume projections were generated from the volume scans using custom software that allows the user to create contours tailored to specific retinal layer(s) of interest. Following imaging, the eyes were dissected for ex vivo fluorescence microscopy, and measurements of blood vessel branch points were compared to those made from the en face OCT images to determine the OCT lateral scale as a function of axial length. Using this scaling model, we imaged the photoreceptor layer of five wild-type zebrafish and quantified the density and packing geometry of the UV cone submosaic. Our in vivo cone density measurements agreed with measurements from previously published histology values. The method presented here allows accurate, quantitative assessment of cone structure in vivo and will be useful for longitudinal studies of the zebrafish cone mosaics.
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14
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Thapa D, Wang B, Lu Y, Son T, Yao X. Enhancement of intrinsic optical signal recording with split spectrum optical coherence tomography. JOURNAL OF MODERN OPTICS 2017; 64:1800-1807. [PMID: 29129961 PMCID: PMC5679439 DOI: 10.1080/09500340.2017.1318966] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Functional optical coherence tomography (OCT) of stimulus-evoked intrinsic optical signal (IOS) promises to be a new methodology for high-resolution mapping of retinal neural dysfunctions. However, its practical applications for non-invasive examination of retinal function have been hindered by the low signal-to-noise ratio (SNR) and small magnitude of IOSs. Split spectrum amplitude-decorrelation has been demonstrated to improve the image quality of OCT angiography. In this study, we exploited split spectrum strategy to improve the sensitivity of IOS recording. The full OCT spectrum was split into multiple spectral bands and IOSs from each sub-band were calculated separately and then combined to generate a single IOS image sequence. The algorithm was tested on in vivo images of frog retinas. It significantly improved both IOS magnitude and SNR, which are essential for practical applications of functional IOS imaging.
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Affiliation(s)
- Damber Thapa
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA
| | - Benquan Wang
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA
| | - Yiming Lu
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA
| | - Taeyoon Son
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA
| | - Xincheng Yao
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL, USA
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15
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Lu Y, Wang B, Yao X. Comparative investigation of stimulus-evoked rod outer segment movement and retinal electrophysiological activity. PROCEEDINGS OF SPIE--THE INTERNATIONAL SOCIETY FOR OPTICAL ENGINEERING 2017; 10068. [PMID: 28867866 DOI: 10.1117/12.2249548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Transient retinal phototropism (TRP) has been observed in rod photoreceptors activated by oblique visible light flashes. Time-lapse confocal microscopy and optical coherence tomography (OCT) revealed rod outer segment (ROS) movements as the physical source of TRP. However, the physiological source of TRP is still not well understood. In this study, concurrent TRP and electroretinogram (ERG) measurements disclosed a remarkably earlier onset time of the ROS movements (≤10 ms) than that (∼38 ms) of the ERG a-wave. Furthermore, low sodium treatment reversibly blocked the photoreceptor ERG a-wave, which is known to reflect hyperpolarization of retinal photoreceptors, but preserved the TRP associated rod OS movements well. Our experimental results and theoretical analysis suggested that the physiological source of TRP might be attributed to early stages of phototransduction, before the hyperpolarization of retinal photoreceptors.
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Affiliation(s)
- Yiming Lu
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Benquan Wang
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Xincheng Yao
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA.,Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA
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16
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Lu Y, Wang B, Pepperberg DR, Yao X. Stimulus-evoked outer segment changes occur before the hyperpolarization of retinal photoreceptors. BIOMEDICAL OPTICS EXPRESS 2017; 8:38-47. [PMID: 28101399 PMCID: PMC5231306 DOI: 10.1364/boe.8.000038] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Revised: 11/02/2016] [Accepted: 11/09/2016] [Indexed: 05/22/2023]
Abstract
Transient retinal phototropism (TRP) has been predominantly observed in rod photoreceptors activated by oblique visible light stimulation. Dynamic confocal microscopy and optical coherence tomography (OCT) have revealed rod outer segment (ROS) movement as the physical source of TRP. However, the physiological source of ROS movement is still not well understood. In this study, concurrent near-infrared imaging of TRP and electroretinogram (ERG) measurement of retinal electrophysiology revealed that ROS movement occurs before the onset of the ERG a-wave, which is known to reflect the hyperpolarization of retinal photoreceptors. Moreover, substitution of normal superfusing medium with low-sodium medium reversibly blocked the photoreceptor ERG a-wave, but largely preserved the stimulus-evoked ROS movements. Our experimental results and theoretical analysis indicate that early, disc-based stages of the phototransduction cascade, which occur before the hyperpolarization of retinal photoreceptors, contribute to the TRP associated ROS movement.
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Affiliation(s)
- Yiming Lu
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - Benquan Wang
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
| | - David R. Pepperberg
- Lions of Illinois Eye Research Institute, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA
| | - Xincheng Yao
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607, USA
- Lions of Illinois Eye Research Institute, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA
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17
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Liu C, Zhi Y, Wang B, Thapa D, Chen Y, Alam M, Lu Y, Yao X. In vivo super-resolution retinal imaging through virtually structured detection. JOURNAL OF BIOMEDICAL OPTICS 2016; 21:120502. [PMID: 27992630 PMCID: PMC5167560 DOI: 10.1117/1.jbo.21.12.120502] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2016] [Accepted: 11/28/2016] [Indexed: 06/01/2023]
Abstract
High resolution is important for sensitive detection of subtle distortions of retinal morphology at an early stage of eye diseases. We demonstrate virtually structured detection (VSD) as a feasible method to achieve in vivo super-resolution ophthalmoscopy. A line-scanning strategy was employed to achieve a super-resolution imaging speed up to 127 ?? frames / s with a frame size of 512 × 512 ?? pixels . The proof-of-concept experiment was performed on anesthetized frogs. VSD-based super-resolution images reveal individual photoreceptors and nerve fiber bundles unambiguously. Both image contrast and signal-to-noise ratio are significantly improved due to the VSD implementation.
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Affiliation(s)
- Changgeng Liu
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgen Street, Chicago, Illinois 60607, United States
| | - Yanan Zhi
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgen Street, Chicago, Illinois 60607, United States
| | - Benquan Wang
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgen Street, Chicago, Illinois 60607, United States
| | - Damber Thapa
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgen Street, Chicago, Illinois 60607, United States
| | - Yanjun Chen
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgen Street, Chicago, Illinois 60607, United States
| | - Minhaj Alam
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgen Street, Chicago, Illinois 60607, United States
| | - Yiming Lu
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgen Street, Chicago, Illinois 60607, United States
| | - Xincheng Yao
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgen Street, Chicago, Illinois 60607, United States
- University of Illinois at Chicago, Department of Ophthalmology and Visual Sciences, 1905 West Taylor Street, Chicago, Illinois 60612, United States
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18
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Wang B, Lu Y, Yao X. In vivo optical coherence tomography of stimulus-evoked intrinsic optical signals in mouse retinas. JOURNAL OF BIOMEDICAL OPTICS 2016; 21:96010. [PMID: 27653936 PMCID: PMC5030472 DOI: 10.1117/1.jbo.21.9.096010] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Accepted: 08/26/2016] [Indexed: 05/22/2023]
Abstract
Intrinsic optical signal (IOS) imaging promises a noninvasive method for advanced study and diagnosis of eye diseases. Before pursuing clinical applications, it is essential to understand anatomic and physiological sources of retinal IOSs and to establish the relationship between IOS distortions and eye diseases. The purpose of this study was designed to demonstrate the feasibility of <italic<in vivo</italic< IOS imaging of mouse models. A high spatiotemporal resolution spectral domain optical coherence tomography (SD-OCT) was employed for depth-resolved retinal imaging. A custom-designed animal holder equipped with ear bar and bite bar was used to minimize eye movements. Dynamic OCT imaging revealed rapid IOS from the photoreceptor’s outer segment immediately after the stimulation delivery, and slow IOS changes were observed from inner retinal layers. Comparative photoreceptor IOS and electroretinography recordings suggested that the fast photoreceptor IOS may be attributed to the early stage of phototransduction before the hyperpolarization of retinal photoreceptor.
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Affiliation(s)
- Benquan Wang
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgan Street, Chicago, Illinois 60607, United States
| | - Yiming Lu
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgan Street, Chicago, Illinois 60607, United States
| | - Xincheng Yao
- University of Illinois at Chicago, Department of Bioengineering, 851 South Morgan Street, Chicago, Illinois 60607, United States
- University of Illinois at Chicago, Department of Ophthalmology and Visual Sciences, 1855 West Taylor Street, Chicago, Illinois 60612, United States
- Address all correspondence to: Xincheng Yao, E-mail:
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19
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Zhao X, Thapa D, Wang B, Lu Y, Gai S, Yao X. Stimulus-evoked outer segment changes in rod photoreceptors. JOURNAL OF BIOMEDICAL OPTICS 2016; 21:65006. [PMID: 27334933 PMCID: PMC4917604 DOI: 10.1117/1.jbo.21.6.065006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2016] [Accepted: 06/01/2016] [Indexed: 05/21/2023]
Abstract
Rod-dominated transient retinal phototropism (TRP) has been recently observed in freshly isolated mouse and frog retinas. Comparative confocal microscopy and optical coherence tomography revealed that the TRP was predominantly elicited from the rod outer segment (OS). However, the biophysical mechanism of rod OS dynamics is still unknown. Mouse and frog retinal slices, which displayed a cross-section of retinal photoreceptors and other functional layers, were used to test the effect of light stimulation on rod OSs. Time-lapse microscopy revealed stimulus-evoked conformational changes of rod OSs. In the center of the stimulated region, the length of the rod OS shrunk, while in the peripheral region, the rod OS swung toward the center region. Our experimental observation and theoretical analysis suggest that the TRP may reflect unbalanced rod disc-shape changes due to localized visible light stimulation.
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Affiliation(s)
- Xiaohui Zhao
- Hebei University, College of Physics Science and Technology, Hebei Key Lab of Optic-Electronic Information Materials, Baoding 071002, China
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois 60607, United States
| | - Damber Thapa
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois 60607, United States
| | - Benquan Wang
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois 60607, United States
| | - Yiming Lu
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois 60607, United States
| | - Shaoyan Gai
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois 60607, United States
| | - Xincheng Yao
- Hebei University, College of Physics Science and Technology, Hebei Key Lab of Optic-Electronic Information Materials, Baoding 071002, China
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois 60607, United States
- University of Illinois at Chicago, Department of Ophthalmology and Visual Sciences, Chicago, Illinois 60612, United States
- Address all correspondence to: Xincheng Yao, E-mail:
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20
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Zhao X, Thapa D, Wang B, Gai S, Yao X. Biophysical mechanism of transient retinal phototropism in rod photoreceptors. PROCEEDINGS OF SPIE--THE INTERNATIONAL SOCIETY FOR OPTICAL ENGINEERING 2016; 9706:97061O. [PMID: 28163347 PMCID: PMC5289741 DOI: 10.1117/12.2209144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Oblique light stimulation evoked transient retinal phototropism (TRP) has been recently detected in frog and mouse retinas. High resolution microscopy of freshly isolated retinas indicated that the TRP is predominated by rod photoreceptors. Comparative confocal microscopy and optical coherence tomography (OCT) revealed that the TRP predominantly occurred from the photoreceptor outer segment (OS). However, biophysical mechanism of rod OS change is still unknown. In this study, frog retinal slices, which open a cross section of retinal photoreceptor and other functional layers, were used to test the effect of light stimulation on rod OS. Near infrared light microscopy was employed to monitor photoreceptor changes in retinal slices stimulated by a rectangular-shaped visible light flash. Rapid rod OS length change was observed after the stimulation delivery. The magnitude and direction of the rod OS change varied with the position of the rods within the stimulated area. In the center of stimulated region the length of the rod OS shrunk, while in the peripheral region the rod OS tip swung towards center region in the plane perpendicular to the incident stimulus light. Our experimental result and theoretical analysis suggest that the observed TRP may reflect unbalanced disc-shape change due to localized pigment bleaching. Further investigation is required to understand biochemical mechanism of the observed rod OS kinetics. Better study of the TRP may provide a noninvasive biomarker to enable early detection of age-related macular degeneration (AMD) and other diseases that are known to produce retinal photoreceptor dysfunctions.
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Affiliation(s)
- Xiaohui Zhao
- College of Physics Science and Technology, Hebei University, Baoding, China 071002
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL USA 60607
| | - Damber Thapa
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL USA 60607
| | - Benquan Wang
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL USA 60607
| | - Shaoyan Gai
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL USA 60607
| | - Xincheng Yao
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL USA 60607
- Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL USA 60612
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21
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Yao X, Wang B. Intrinsic optical signal imaging of retinal physiology: a review. JOURNAL OF BIOMEDICAL OPTICS 2015; 20:090901. [PMID: 26405819 PMCID: PMC4689108 DOI: 10.1117/1.jbo.20.9.090901] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 08/31/2015] [Indexed: 05/09/2023]
Abstract
Intrinsic optical signal (IOS) imaging promises to be a noninvasive method for high-resolution examination of retinal physiology, which can advance the study and diagnosis of eye diseases. While specialized optical instruments are desirable for functional IOS imaging of retinal physiology, in depth understanding of multiple IOS sources in the complex retinal neural network is essential for optimizing instrument designs. We provide a brief overview of IOS studies and relationships in rod outer segment suspensions, isolated retinas, and intact eyes. Recent developments of line-scan confocal and functional optical coherence tomography (OCT) instruments have allowed in vivo IOS mapping of photoreceptor physiology. Further improvements of the line-scan confocal and functional OCT systems may provide a feasible solution to pursue functional IOS mapping of human photoreceptors. Some interesting IOSs have already been detected in inner retinal layers, but better development of the IOS instruments and software algorithms is required to achieve optimal physiological assessment of inner retinal neurons.
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Affiliation(s)
- Xincheng Yao
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois 60607, United States
- University of Illinois at Chicago, Department of Ophthalmology and Visual Sciences, Chicago, Illinois 60612, United States
| | - Benquan Wang
- University of Illinois at Chicago, Department of Bioengineering, Chicago, Illinois 60607, United States
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22
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Zhang Q, Lu R, Wang B, Messinger JD, Curcio CA, Yao X. Functional optical coherence tomography enables in vivo physiological assessment of retinal rod and cone photoreceptors. Sci Rep 2015; 5:9595. [PMID: 25901915 PMCID: PMC4894434 DOI: 10.1038/srep09595] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2014] [Accepted: 03/05/2015] [Indexed: 11/09/2022] Open
Abstract
Transient intrinsic optical signal (IOS) changes have been observed in retinal photoreceptors, suggesting a unique biomarker for eye disease detection. However, clinical deployment of IOS imaging is challenging due to unclear IOS sources and limited signal-to-noise ratios (SNRs). Here, by developing high spatiotemporal resolution optical coherence tomography (OCT) and applying an adaptive algorithm for IOS processing, we were able to record robust IOSs from single-pass measurements. Transient IOSs, which might reflect an early stage of light phototransduction, are consistently observed in the photoreceptor outer segment almost immediately (<4 ms) after retinal stimulation. Comparative studies of dark- and light-adapted retinas have demonstrated the feasibility of functional OCT mapping of rod and cone photoreceptors, promising a new method for early disease detection and improved treatment of diseases such as age-related macular degeneration (AMD) and other eye diseases that can cause photoreceptor damage.
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Affiliation(s)
- Qiuxiang Zhang
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL 35294
| | - Rongwen Lu
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL 35294
| | - Benquan Wang
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL 35294
| | - Jeffrey D. Messinger
- Department of Ophthalmology, University of Alabama at Birmingham, Birmingham, AL 35294
| | - Christine A. Curcio
- Department of Ophthalmology, University of Alabama at Birmingham, Birmingham, AL 35294
| | - Xincheng Yao
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL 35294
- Department of Ophthalmology, University of Alabama at Birmingham, Birmingham, AL 35294
- Department of Bioengineering, University of Illinois at Chicago, Chicago, IL 60607
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23
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Wang B, Zhang Q, Lu R, Zhi Y, Yao X. Functional optical coherence tomography reveals transient phototropic change of photoreceptor outer segments. OPTICS LETTERS 2014; 39:6923-6. [PMID: 25503031 PMCID: PMC4428573 DOI: 10.1364/ol.39.006923] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Dynamic near infrared microscopy has revealed transient retinal phototropism (TRP) correlated with oblique light stimulation. Here, by developing a hybrid confocal microscopy and optical coherence tomography (OCT), we tested sub-cellular source of the TRP in living frog retina. Dynamic confocal microscopy and OCT consistently revealed photoreceptor outer segments as the anatomic source of the TRP. Further investigation of the TRP can provide insights in better understanding of Stiles-Crawford effect (SCE) on rod and cone systems, and may also promise an intrinsic biomarker for early detection of eye diseases that can produce photoreceptor dysfunction.
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Affiliation(s)
- Benquan Wang
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AAlabama 35294, USA
- Department of Bioengineering, University of Illinois at Chicago, Chicago, Illinois 60607, USA
| | - Qiuxiang Zhang
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AAlabama 35294, USA
| | - Rongwen Lu
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AAlabama 35294, USA
| | - Yanan Zhi
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AAlabama 35294, USA
- Department of Bioengineering, University of Illinois at Chicago, Chicago, Illinois 60607, USA
| | - Xincheng Yao
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AAlabama 35294, USA
- Department of Bioengineering, University of Illinois at Chicago, Chicago, Illinois 60607, USA
- Department of Ophthalmology and Vision Sciences, University of Illinois at Chicago, Chicago, Illinois 60612, USA
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