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Stokolosa AM, Thomas-Colwell J, Dilley KK, Qu Y, Cullip C, Heidari AE, Huang M, Kerrigan N, Hsu K, Leonard J, Prasad KR, Wong BJ, Hill MG. Electromechanical Cornea Reshaping for Refractive Vision Therapy. ACS Biomater Sci Eng 2023; 9:595-600. [PMID: 36634100 PMCID: PMC9930080 DOI: 10.1021/acsbiomaterials.2c01177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
The corneal stroma consists of orthogonally stacked collagen-fibril lamellae that determine the shape of the cornea and provide most of the refractive power of the eye. We have applied electromechanical reshaping (EMR), an electrochemical platform for remodeling cartilage and other semirigid tissues, to change the curvature of the cornea as a potential procedure for nonsurgical vision correction. EMR relies on short electrochemical pulses to electrolyze water, with subsequent diffusion of protons into the extracellular matrix of collagenous tissues; protonation of immobilized anions within this matrix disrupts the ionic-bonding network, leaving the tissue transiently responsive to mechanical remodeling. Re-equilibration to physiological pH restores the ionic matrix, resulting in persistent shape change of the tissue. Using ex vivo rabbit eyes, we demonstrate here the controlled change of corneal curvature over a wide range of refractive powers with no loss of optical transparency. Optical coherence tomography (OCT), combined with second-harmonic generation (SHG) and confocal microscopy, establish that EMR enables extremely fine control of corneal contouring while maintaining the underlying macromolecular collagen structure and stromal cellular viability, positioning electrochemical vision therapy as a potentially simple and ultralow-cost modality for correcting routine refractive errors.
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Affiliation(s)
- Anna M. Stokolosa
- Department
of Chemistry, Occidental College, Los Angeles, California 90041, United States
| | - Jack Thomas-Colwell
- Department
of Chemistry, Occidental College, Los Angeles, California 90041, United States
| | - Katelyn K. Dilley
- Beckman
Laser Institute & Medical Clinic, University
of California, Irvine, Irvine, California 92697, United States
| | - Yueqiao Qu
- Beckman
Laser Institute & Medical Clinic, University
of California, Irvine, Irvine, California 92697, United States,Department
of Biomedical Engineering, University of
California, Irvine, Irvine, California 92697, United States
| | - Charlotte Cullip
- Department
of Chemistry, Occidental College, Los Angeles, California 90041, United States
| | - Andrew E. Heidari
- Beckman
Laser Institute & Medical Clinic, University
of California, Irvine, Irvine, California 92697, United States,Department
of Biomedical Engineering, University of
California, Irvine, Irvine, California 92697, United States
| | - Michelle Huang
- Department
of Chemistry, Occidental College, Los Angeles, California 90041, United States
| | - Nathalie Kerrigan
- Department
of Chemistry, Occidental College, Los Angeles, California 90041, United States
| | - Kellie Hsu
- Department
of Chemistry, Occidental College, Los Angeles, California 90041, United States
| | - Jack Leonard
- Department
of Chemistry, Occidental College, Los Angeles, California 90041, United States
| | | | - Brian J.F. Wong
- Beckman
Laser Institute & Medical Clinic, University
of California, Irvine, Irvine, California 92697, United States,Department
of Biomedical Engineering, University of
California, Irvine, Irvine, California 92697, United States,Department
of Otolaryngology-Head and Neck Surgery, School of Medicine, University of California, Irvine, Orange, California 92617, United States,
| | - Michael G. Hill
- Department
of Chemistry, Occidental College, Los Angeles, California 90041, United States,
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Dilley KK, Borden PA, Qu Y, Heidari AE, Prasad KR, Li Y, Sun CH, Chen Z, Kim S, Hill MG, Wong BJF. Potential-Driven Electrochemical Clearing of Ex Vivo Alkaline Corneal Injuries. Transl Vis Sci Technol 2022; 11:32. [PMID: 35061010 PMCID: PMC8787648 DOI: 10.1167/tvst.11.1.32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Purpose Corneal chemical injuries (CCI) obscure vision by opacifying the cornea; however, current treatments may not fully restore clarity. Here, we investigated potential-driven electrochemical treatment (P-ECT) to restore clarity after alkaline-based CCI in ex vivo rabbit corneas and examined collagen fiber orientation changes using second harmonic generation (SHG). Methods NaOH was applied to the corneas of intact New Zealand white rabbit globes. P-ECT was performed on the opacified cornea while optical coherence tomography (OCT) imaging (∼35 frames per second) was simultaneously performed. SHG imaging evaluated collagen fiber structure before NaOH application and after P-ECT. Irrigation with water served as a control. Results P-ECT restored local optical clarity after NaOH exposure. OCT imaging shows both progression of NaOH injury and the restoration of clarity in real time. Analysis of SHG z-stack images show that collagen fibril orientation is similar between control, NaOH-damaged, and post-P-ECT corneas. NaOH-injured corneas flushed with water (15 minutes) show no restoration of clarity. Conclusions P-ECT may be a means to correct alkaline CCI. Collagen fibril orientation does not change after NaOH exposure or P-ECT, suggesting that no irreversible matrix level fiber changes occur. Further studies are required to determine the mechanism for corneal clearing and to ascertain the optimal electrical dosimetry parameters and electrode designs. Translational Relevance Our findings suggest that P-ECT is a potentially effective, low-cost treatment for alkaline CCI.
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Affiliation(s)
- Katelyn K Dilley
- Beckman Laser Institute & Medical Clinic, University of California-Irvine, Irvine, CA, USA.,Department of Biomedical Engineering, University of California-Irvine, Irvine, CA, USA
| | - Pamela A Borden
- Beckman Laser Institute & Medical Clinic, University of California-Irvine, Irvine, CA, USA.,Department of Biomedical Engineering, University of California-Irvine, Irvine, CA, USA
| | - Yueqiao Qu
- Beckman Laser Institute & Medical Clinic, University of California-Irvine, Irvine, CA, USA.,Department of Biomedical Engineering, University of California-Irvine, Irvine, CA, USA
| | - Andrew E Heidari
- Beckman Laser Institute & Medical Clinic, University of California-Irvine, Irvine, CA, USA.,Department of Biomedical Engineering, University of California-Irvine, Irvine, CA, USA
| | - Karthik R Prasad
- Beckman Laser Institute & Medical Clinic, University of California-Irvine, Irvine, CA, USA.,School of Medicine, University of California-Irvine, Irvine, CA, USA
| | - Yan Li
- Beckman Laser Institute & Medical Clinic, University of California-Irvine, Irvine, CA, USA.,Department of Biomedical Engineering, University of California-Irvine, Irvine, CA, USA
| | - Chung Ho Sun
- Beckman Laser Institute & Medical Clinic, University of California-Irvine, Irvine, CA, USA
| | - Zhongping Chen
- Beckman Laser Institute & Medical Clinic, University of California-Irvine, Irvine, CA, USA.,Department of Biomedical Engineering, University of California-Irvine, Irvine, CA, USA
| | - Sehwan Kim
- Beckman Laser Institute-Korea, Department of Biomedical Engineering, Dankook University, Cheonan-si, Chungnam, Republic of Korea
| | - Michael G Hill
- Department of Chemistry, Occidental College, Los Angeles, CA, USA
| | - Brian J F Wong
- Beckman Laser Institute & Medical Clinic, University of California-Irvine, Irvine, CA, USA.,Department of Biomedical Engineering, University of California-Irvine, Irvine, CA, USA.,Department of Otolaryngology-Head and Neck Surgery, University of California-Irvine, School of Medicine, Orange, CA, USA
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Taudt C, Nelsen B, Baselt T, Koch E, Hartmann P. High-dynamic-range areal profilometry using an imaging, dispersion-encoded low-coherence interferometer. OPTICS EXPRESS 2020; 28:17320-17333. [PMID: 32679942 DOI: 10.1364/oe.389839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Accepted: 04/19/2020] [Indexed: 06/11/2023]
Abstract
This work presents the design and characterization of an approach for areal surface profilometry with sub-nm axial resolution. The developed approach is based on a low-coherence interferometer enhanced by an dispersive element to control the axial resolution and measurement range. Optical path differences are detected by an imaging spectrometer where equalization wavelengths are determined as a basis for fitting spectra. This enables the acquisition of surface profiles with a length of up to 1.5 mm without mechanical scanning where a minimal resolution of 0.1 nm in an axial measurement range of nearly 80 µm was achieved. The resolution calculation was based on the standard deviation of measured feature heights. In addition to the system design, its capabilities are demonstrated on samples such as height standards.
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Spectral Domain Optical Coherence Tomography Imaging Performance Improvement Based on Field Curvature Aberration-Corrected Spectrometer. APPLIED SCIENCES-BASEL 2020. [DOI: 10.3390/app10103657] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
We designed and fabricated a telecentric f-theta imaging lens (TFL) to improve the imaging performance of spectral domain optical coherence tomography (SD-OCT). By tailoring the field curvature aberration of the TFL, the flattened focal surface was well matched to the detector plane. Simulation results showed that the spot in the focal plane fitted well within a single pixel and the modulation transfer function at high spatial frequencies showed higher values compared with those of an achromatic doublet imaging lens, which are commonly used in SD-OCT spectrometers. The spectrometer using the TFL had an axial resolution of 7.8 μm, which was similar to the theoretical value of 6.2 μm. The spectrometer was constructed so that the achromatic doublet lens was replaced by the TFL. As a result, the SD-OCT imaging depth was improved by 13% (1.85 mm) on a 10 dB basis in the roll-off curve and showed better sensitivity at the same depth. The SD-OCT images of a multi-layered tape and a human palm proved that the TFL was able to achieve deeper imaging depth and better contrast. This feature was seen very clearly in the depth profile of the image. SD-OCT imaging performance can be improved simply by changing the spectrometer’s imaging lens. By optimizing the imaging lens, deeper SD-OCT imaging can be achieved with improved sensitivity.
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MOON SUCBEI, MIAO YUSI, CHEN ZHONGPING. Fiber-based polarization-sensitive optical coherence tomography of a minimalistic system configuration. OPTICS LETTERS 2019; 44:3150-3153. [PMID: 31199403 PMCID: PMC6922310 DOI: 10.1364/ol.44.003150] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Accepted: 05/13/2019] [Indexed: 05/19/2023]
Abstract
We present a very simple method of constructing a polarization-sensitive optical coherence tomography (PS-OCT) system. An ordinary fiber-based swept-source OCT system was reconfigured for PS-OCT by adding a long section of polarization-maintaining fiber in the sample arm. Two polarization modes of a large group-delay difference formed spatially distinguished polarization channels. The depth-encoded information on the polarization states was retrieved by an amplitude-based analysis. We found that our method provides an economic scheme of PS-OCT. It demonstrates that an ordinary OCT system can be easily reconfigured for PS-OCT imaging if it has sufficient margins in the imaging range.
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Affiliation(s)
- SUCBEI MOON
- Beckman Laser Institute, University of California, Irvine, Irvine, California 92612, USA
- Department of Physics, Kookmin University, Seoul 02707, South Korea
| | - YUSI MIAO
- Beckman Laser Institute, University of California, Irvine, Irvine, California 92612, USA
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92697, USA
| | - ZHONGPING CHEN
- Beckman Laser Institute, University of California, Irvine, Irvine, California 92612, USA
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California 92697, USA
- Corresponding author:
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Moon S, Chen Z. Phase-stability optimization of swept-source optical coherence tomography. BIOMEDICAL OPTICS EXPRESS 2018; 9:5280-5295. [PMID: 30460128 PMCID: PMC6238911 DOI: 10.1364/boe.9.005280] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 09/21/2018] [Accepted: 09/25/2018] [Indexed: 05/18/2023]
Abstract
Phase-resolved imaging of swept-source optical coherence tomography (SS-OCT) is subject to phase measurement instabilities involved with the sweep variation of a frequency-swept source. In general, optically generated timing references are utilized to track the variations imposed on OCT signals. But they might not be accurately synchronized due to relative time delays. In this research, we investigated the impact of the signal delays on the timing instabilities and the consequent deviations of the measured phases. We considered two types of timing signals utilized in a popular digitizer operation mode: a sweep trigger from a fiber Bragg grating (FBG) that initiates a series of signal sampling actions clocked by an auxiliary Mach-Zehnder interferometer (MZI) signal. We found that significant instabilities were brought by the relative delays through incoherent timing corrections and timing collisions between the timing references. The best-to-worst ratio of the measured phase errors was higher than 200 while only the signal delays varied. Noise-limited phase stability was achieved with a wide dynamic range of OCT signals above 50 dB in optimized delays. This demonstrated that delay optimization is very effective in phase stabilization of SS-OCT.
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Affiliation(s)
- Sucbei Moon
- Beckman Laser Institute, University of California, Irvine, Irvine, CA 92617, USA
- Department of Physics, Kookmin University, Seoul 02707, South Korea
| | - Zhongping Chen
- Beckman Laser Institute, University of California, Irvine, Irvine, CA 92617, USA
- Department of Biomedical Engineering, University of California, Irvine, Irvine, CA 92697, USA
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