The mechanism of corneal accommodation in chicks

Bruch's membrane and Brücke's muscle in the pars plana region

PURPOSE

To examine Bruch's membrane (BM) in association with the longitudinal part of the ciliary muscle (LPCM) in the pars plana region.

METHODS

Using light microscopy, we histomorphometrically assessed BM and the LPCM in the pars plana region.

RESULTS

The histomorphometric study included 51 eyes (51 patients; mean age: 60.8 ± 15.0 years; axial length: 26.0 ± 3.3 mm; range: 21.0-36.0 mm). The LPCM (total length: 4.60 ± 1.10 mm) ended 1.15 ± 0.56 mm anterior to the ora serrata. Within the pars plana region, the LPCM (length: 2.58 ± 0.98 mm) had direct contact with BM for 1.95 ± 0.99 mm (71.1 ± 18.4% of the BM undersurface), while a capillary layer was interposed between the BM and the LPCM for 0.70 ± 0.40 mm (29.0 ± 18.4%). In the pars plana region free of LPCM close to the ora serrata, the percentage of BM covered by the capillary layer was higher than in the pars plana region containing the LPCM (63.0 ± 42.1% vs. 29.0 ± 18.4%; p < 0.001). At the LPCM end, BM was in direct contact with a collagenous tissue from the LPCM and was focally thickened as compared to BM with an underlying capillary layer (9.5 ± 5.3 μm vs. 4.3 ± 1.2 μm; p < 0.001).

CONCLUSIONS

The direct contact of BM with the LPCM in the pars plana in association with focal BM thickening at the LPCM end suggests an insertion of LPCM on the BM. Taking into account the biomechanical strength of BM, it may imply a functional unit of the LPCM with BM in the process of accommodation with a secondary movement of the posterior BM and tertiary thickening of the subfoveal choroidal space.

Ciliary Muscle Dimension Changes With Accommodation Vary in Myopia and Emmetropia

Purpose

The purpose of this study was to determine whether accommodation-induced changes in ciliary muscle dimensions vary between emmetropes and myopes, and the effect of the image analysis method.

Methods

Seventy adults aged 18 to 27 years consisted of 25 people with emmetropia (spherical equivalent refraction [SER] +0.21 ± 0.36 diopters [D]) and 45 people with myopia (−2.84 ± 1.72 D). There were 23 people with low myopia (>−3 D) and 22 people with moderate myopia (−3 to −6 D). Right eye ciliary muscles were imaged (Visante OCT; Carl Zeiss Meditec) at 0 D and 6 D demands. Measures included ciliary muscle length (CML), ciliary muscle curved length (CMLarc), maximum ciliary muscle thickness (CMTmax), CMT1, CMT2, and CMT3 (fixed distances 1–3 mm from the scleral spur), CM25, CM50, and CM75 (proportional distances 25%–75%). Linear mixed model analysis determined effects of refractive groups, race, and demand on dimensions. Significance was set at P < 0.05.

Results

Myopic eyes had greater CML and CMLarc nasally than emmetropic eyes. Myopic eyes had thicker muscles than emmetropic eyes at nasal positions, except CM25 and CMT3, and at CM75 temporally. During accommodation and only nasally, CML reduced in emmetropic and myopic eyes, and CMLarc reduced in myopic eyes only. During accommodation, both nasally and temporally, muscles thickened anteriorly (CMT1 and CM25) and thinned posteriorly (CMT3 and CM75) except for temporal CM75. Moderate myopic eyes had greater temporal CMLarc than low myopic eyes, and the moderate myopes had thicker muscles both nasally and temporally using fixed and proportional distances.

Conclusions

People with myopia had longer and thicker ciliary muscles than people with emmetropia. During accommodation, the anterior muscle thickened and the curved nasal muscle length shortened, more in myopic than in emmetropic eyes. The fixed distance method is recommended for repeat measures in the same individual. The proportional distance method is recommended for comparisons between refractive groups.

The choroid-sclera interface: An ultrastructural study

Emmetropization is an active and visually guided process that involves the retina, choroid and sclera, and results in compensatory changes in eye growth. This guided growth is the result of visual cues and possibly mechanical interactions being translated into growth signals via molecular events from the retina into the choroid and sclera, through the choroidal scleral transition zone. If mechanical interactions were a part of the choroid-sclera signaling transduction cascade, specific morphological arrangements should be detectable in this region at the ultrastructural level. The goal of this study was to investigate the ultrastructural features of the choroidal scleral transition zone by comparing avian, non-human primate and human eyes, with the goal to confirm whether specific mechanical structures are present. Choroidal and scleral tissue from chicken, marmoset, and human eyes were imaged using transmission electron microscopy to document the choroid-sclera transition zone. In chicken eyes, fibroblast lamellae bordered the scleral matrix and formed thin end elongated processes that were undercut by scleral collagen fibrils. These processes back-looped into the scleral matrix, and displayed small club-like membrane protrusions. Differences in these arrangements in mature vs young chickens were not detected. The club-like membrane protrusions identified in chickens were rare in marmoset eyes, which instead exhibited two types of collagen fibrils discriminated by size, and were absent in the human eyes investigated. In marmoset and human eyes, elastic components were detected in the transition zone that were absent in chickens. In summary, cellular/membrane specializations indicating a mechanical interaction at the choroid-sclera transition zone were not detected in chicken, non-human primate or human eyes. If mechanotransduction is necessary for scleral growth, matrix integrity or development, alternative structural arrangements might be required.

Visual adaptation and retinal characterization of the Garganey (Anas querquedula): Histological and scanning electron microscope observations

The present study was designed to provide a complete morphological description of the eye of the migratory Garganey duck (Anas querquedula) and its visual adaptation with the different surrounding environmental conditions during its migration journeys using a stereomicroscope, scanning electron microscope (SEM), and light microscope. The current work depends on six adult Garganey ducks that were captured from the area near and on the shores of Edku city. The obtained results revealed that the eye of the migratory Garganey duck has the features of both diurnal and nocturnal birds. The histological examination reveals that the pigmented epithelium of the retina has long prolongations filled with melanin. The cone is the dominant photoreceptor, but simple rods are present. The inner nuclear and ganglion cell layers are thick. SEM examination shows that the arrangement of the collagen fibrils on the external surface was reticular in shape. The radial folds present as pledged structures on the pigmented epithelium covered with circular structures. The main lens body has flat with hexagonal outlines fibers. The edges and surfaces of these hexagonal fibers were studded with protrusions or elevations (balls) and depressions (sockets). The sockets and balls were either rounded or ellipsoid in shape. The balls were more on the edges and the sockets on the surface. In conclusion, our findings indicated a higher degree of functional adaptation between the morphological structure of the eye and the surrounding environmental conditions.

Biophysical properties of corneal cells reflect high myopia progression

Myopia is a common ocular disorder with significant alterations in the anterior ocular structure, including the cornea. The cell biophysical phenotype has been proposed to reflect the state of various diseases. However, the biophysical properties of corneal cells have not been characterized during myopia progression and their relationship with myopia remains unknown. This study characterizes the biophysical properties of corneal cells in normal, myopic, and recovered conditions, using two classical myopia models. Surprisingly, myopic corneal cells considerably reduce F-actin and microtubule content and cellular stiffness and generate elevated traction force compared with control cells. When myopia is restored to the healthy state, these biophysical properties are partially or fully restored to the levels of control cells. Furthermore, the level of chromatin condensation is significantly increased in the nucleus of myopic corneal cells and reduced to a level similar to healthy cells after recovery. These findings demonstrate that the reversible biophysical alterations of corneal cells reflect myopia progression, facilitating the study of the role of corneal cell biophysics in myopia.

A Comparison of Applanation and Rebound Tonometers in Young Chicks

PURPOSE

To assess the validity of and compare applanation and rebound tonometry readings of intraocular pressure in alert normal chicks from ages 3 to 45 days.

METHODS

Intraocular pressures (IOPs) were measured weekly in awake White Leghorn chicks, from ages 3-45 days (n = 22-30 per age group), with both applanation Tono-Pen and rebound TonoLab tonometers. Three repeated measurements on individual eyes were used to derive variance data for both instruments at each age. Calibration curves were also derived for each instrument and each age, weekly from ages 10-45 days (n = 3-4 per age group), from in situ manometry data collected over IOP settings of 0 to 100 mmHg in 5 mmHg steps in cannulated eyes.

RESULTS

The TonoLab showed less within measurement variability, but more variability with age, than the Tono-Pen. The coefficient of variation ranged from 3.8-8.3% for the TonoLab, compared to 11.0-19.7% for the Tono-Pen across all ages. For the youngest, 3 day-old chicks, mean IOPs recorded with the Tono-Pen and TonoLab were not significantly different (17.0 ± 5.6 and 15.2 ± 3.7 mmHg, respectively, P = .27). However, with increasing age, IOP readings significantly increased for the TonoLab (P < .001), whereas Tono-Pen readings did not. Compared to manometry settings, the Tono-Pen tended to underestimate IOPs while the TonoLab overestimated IOPs over the range 20-60 mmHg, saturating thereafter; there were also age-dependent differences for the TonoLab.

CONCLUSIONS

Both the Tono-Pen and TonoLab gave IOP readings that differed from manometry settings in normal young chicks over some or all of the ages tested. These results reinforce the importance of calibrating clinical tonometers in animal studies involving IOP as a key variable.

Optical mechanisms regulating emmetropisation and refractive errors: evidence from animal models

Our current understanding of emmetropisation and myopia development has evolved from decades of work in various animal models, including chicks, non-human primates, tree shrews, guinea pigs, and mice. Extensive research on optical, biochemical, and environmental mechanisms contributing to refractive error development in animal models has provided insights into eye growth in humans. Importantly, animal models have taught us that eye growth is locally controlled within the eye, and can be influenced by the visual environment. This review will focus on information gained from animal studies regarding the role of optical mechanisms in guiding eye growth, and how these investigations have inspired studies in humans. We will first discuss how researchers came to understand that emmetropisation is guided by visual feedback, and how this can be manipulated by form-deprivation and lens-induced defocus to induce refractive errors in animal models. We will then discuss various aspects of accommodation that have been implicated in refractive error development, including accommodative microfluctuations and accommodative lag. Next, the impact of higher order aberrations and peripheral defocus will be discussed. Lastly, recent evidence suggesting that the spectral and temporal properties of light influence eye growth, and how this might be leveraged to treat myopia in children, will be presented. Taken together, these findings from animal models have significantly advanced our knowledge about the optical mechanisms contributing to eye growth in humans, and will continue to contribute to the development of novel and effective treatment options for slowing myopia progression in children.

Scleral structure and biomechanics

As the eye's main load-bearing connective tissue, the sclera is centrally important to vision. In addition to cooperatively maintaining refractive status with the cornea, the sclera must also provide stable mechanical support to vulnerable internal ocular structures such as the retina and optic nerve head. Moreover, it must achieve this under complex, dynamic loading conditions imposed by eye movements and fluid pressures. Recent years have seen significant advances in our knowledge of scleral biomechanics, its modulation with ageing and disease, and their relationship to the hierarchical structure of the collagen-rich scleral extracellular matrix (ECM) and its resident cells. This review focuses on notable recent structural and biomechanical studies, setting their findings in the context of the wider scleral literature. It reviews recent progress in the development of scattering and bioimaging methods to resolve scleral ECM structure at multiple scales. In vivo and ex vivo experimental methods to characterise scleral biomechanics are explored, along with computational techniques that combine structural and biomechanical data to simulate ocular behaviour and extract tissue material properties. Studies into alterations of scleral structure and biomechanics in myopia and glaucoma are presented, and their results reconciled with associated findings on changes in the ageing eye. Finally, new developments in scleral surgery and emerging minimally invasive therapies are highlighted that could offer new hope in the fight against escalating scleral-related vision disorder worldwide.

IMI - Report on Experimental Models of Emmetropization and Myopia

The results of many studies in a variety of species have significantly advanced our understanding of the role of visual experience and the mechanisms of postnatal eye growth, and the development of myopia. This paper surveys and reviews the major contributions that experimental studies using animal models have made to our thinking about emmetropization and development of myopia. These studies established important concepts informing our knowledge of the visual regulation of eye growth and refractive development and have transformed treatment strategies for myopia. Several major findings have come from studies of experimental animal models. These include the eye's ability to detect the sign of retinal defocus and undergo compensatory growth, the local retinal control of eye growth, regulatory changes in choroidal thickness, and the identification of components in the biochemistry of eye growth leading to the characterization of signal cascades regulating eye growth and refractive state. Several of these findings provided the proofs of concepts that form the scientific basis of new and effective clinical treatments for controlling myopia progression in humans. Experimental animal models continue to provide new insights into the cellular and molecular mechanisms of eye growth control, including the identification of potential new targets for drug development and future treatments needed to stem the increasing prevalence of myopia and the vision-threatening conditions associated with this disease.

On Intraspecific and Interspecific Variation in Teleost Scleral Ossification

Scleral ossicles are bony elements found along the eyes of many fishes, amphibians, and reptiles. These bones provide a superficial layer of support to the eye and may facilitate visual acuity. Previous research has shown that scleral ossicle diversity is generally limited among teleosts, but that scleral ossicles have been lost numerous times among teleosts inhabiting benthopelagic habitats (Franz-Odendaal. Anat Rec 291 (2008) 161-168). In this study, we further investigate these patterns of intraspecific and interspecific variation by examining eyes from multiple individuals of 10 riverine teleosts native to Kentucky as well as one population of the Mexican blind cavefish, Astyanax mexicanus, and by re-analyzing a quantitative database of scleral ossicle number and depth preference from over 100 teleosts using newly resolved teleost phylogenies. Consistent with the limited diversity of most teleost families, we find that intraspecific variation in scleral ossicle number and size is virtually nonexistent among the species sampled, although we do find evidence of additional interspecific variation among the Cyprinodontiformes, as well as dramatic intrapopulation variation among cavefish from Chica Cave. Although our data replicates the negative relationship between scleral ossicle number and the depth preference previously found among teleosts (Franz-Odendaal. Anat Rec 291 (2008) 161-168), even when accounting for phylogenetic relationships, our results further reveal that this relationship is relatively weak. We conclude that further sampling may reveal additional interspecific and even intraspecific variation among some groups of teleosts, and that depth could serve as a proxy for other life history traits that more directly influence teleost scleral ossicle diversity such as prey-capture strategies. Anat Rec, 302:1238-1249, 2019. © 2019 Wiley Periodicals, Inc.

High myopia induced by form deprivation is associated with altered corneal biomechanical properties in chicks

The cornea is a soft, transparent, composite organic tissue, which forms the anterior outer coat of the eyeball. Although high myopia is increasing in prevalence worldwide and is known to alter the structure and biomechanical properties of the sclera, remarkably little is known about its impact on the biomechanics of the cornea. We developed and validated a novel optical-coherence-tomography-indentation probe–to measure corneal biomechanical properties in situ, in chicks having experimentally-induced high myopia, while maintaining intraocular pressure at levels covering the physiological range. We found that the cornea of highly myopic chicks was more steeply curved and softer, at all tested intraocular pressures, than that in contralateral, non-myopic eyes, or in age-matched normal, untreated eyes. These results indicate that the biomechanical properties of the cornea are altered in chicks developing experimentally-induced myopia.

The chick eye in vision research: An excellent model for the study of ocular disease

The domestic chicken, Gallus gallus, serves as an excellent model for the study of a wide range of ocular diseases and conditions. The purpose of this manuscript is to outline some anatomic, physiologic, and genetic features of this organism as a robust animal model for vision research, particularly for modeling human retinal disease. Advantages include a sequenced genome, a large eye, relative ease of handling and maintenance, and ready availability. Relevant similarities and differences to humans are highlighted for ocular structures as well as for general physiologic processes. Current research applications for various ocular diseases and conditions, including ocular imaging with spectral domain optical coherence tomography, are discussed. Several genetic and non-genetic ocular disease models are outlined, including for pathologic myopia, keratoconus, glaucoma, retinal detachment, retinal degeneration, ocular albinism, and ocular tumors. Finally, the use of stem cell technology to study the repair of damaged tissues in the chick eye is discussed. Overall, the chick model provides opportunities for high-throughput translational studies to more effectively prevent or treat blinding ocular diseases.

Clinical, Refractive and Histological Reversibility of Corneal Additive Surgery in Deep Stroma in an Animal Model

PURPOSE

The aim was to evaluate the reversibility of the clinical and histological changes induced in the corneas of an animal model after removing an intracorneal ring segment (ICRS).

METHODS

Surgery for this study was performed in 38 eyes of an experimental animal model (Gallus domesticus) for ICRS surgery (Ferrara technique). The animals without complications were randomized to two groups; in all of them, 1 segment was implanted in each eye and later removed at different times (1 and 3 months after implantation). In each group, after explantation, corneas were processed at different times for histological analysis with hematoxylin and eosin (H&E) stain and electronic microscopy. The refractive state of the eyes was also measured.

RESULTS

In corneas without complications (88.23%), explantation was performed correctly. During the first few days, around the area where the ICRS was implanted we observed deposits of cells and a moderate degree of corneal opacity (haze). These signs decreased progressively without disappearing completely. Histologically, at 7 days, we observed hyperplasia and abnormal arrangement of collagen fibers. Later, these findings also decreased in both groups, albeit at a faster rate in group 1. Minimal changes were observed in electron microscopy up to the end of the study in both groups. Preoperative refractive state was achieved at 1 month after explantation in both groups.

CONCLUSIONS

ICRS can safely be explanted from the cornea. Refractive reversibility was achieved at 1 month after explantation. However, the clinical and histological findings after ICRS explantation depend on the time from implantation to explantation.

Plasticity in the growth of the chick eye: emmetropization achieved by alternate morphologies

Both refractive properties of the eyes and ambient light conditions affect emmetropization during growth. Exposure to constant light flattens the cornea making chicks hyperopic. To discover whether and how growing chick eyes restore emmetropia after exposure to constant light (CL) for 3, 7, or 11weeks, we returned chicks to normal (N) conditions with 12h. of light alternating with 12h. of darkness (designated the "R", or recovery, condition) for total periods of 4, 7, 11, or 17weeks. The two control groups were raised in CL conditions or raised in N conditions for the same length of time. We measured anterior chamber depths and lens thicknesses with an A-scan ultrasound machine. We measured corneal curvatures with an eight-axis keratometer, and refractions with conventional retinoscopy. We estimated differences in optical powers of CL, R and N chicks of identical age by constructing ray-tracing models using the above measurements and age-adjusted normal lens curvatures. We also computed the sensitivity of focus for small perturbations of the above optical parameters. Full refractive recovery from CL effects always occurred. Hyperopic refractive errors were absent when R chicks were returned to N for as little as 1week after 3weeks CL treatment. In R chicks exposed to CL for 11weeks and returned to N, axial lengths, vitreous chamber depths and radii of corneal curvatures did not return to normal, although their refractions did. While R chicks can usually recover emmetropia, after long periods of exposure to CL, they cannot recover normal ocular morphology. Emmetropization following CL exposure is achieved primarily by adjusting the relationship between corneal curvature and axial length, resulting in normal refractions.

Effects of optically imposed astigmatism on early eye growth in chicks

PURPOSE

To determine the effects of optically imposed astigmatism on early eye growth in chicks.

METHODS

5-day-old (P5) White Leghorn chicks were randomly assigned to either wear, monocularly, a "high magnitude" (H: +4.00DS/-8.00DC) crossed-cylindrical lens oriented at one of four axes (45, 90, 135, and 180; n = 20 in each group), or were left untreated (controls; n = 8). Two additional groups wore a "low magnitude" (L: +2.00DS/-4.00DC) cylindrical lens orientated at either axis 90 or 180 (n = 20 and n = 18, respectively). Refractions were measured at P5 and after 7 days of treatment for all chicks (P12), whereas videokeratography and ex-vivo eyeshape analysis were performed at P12 for a subset of chicks in each group (n = 8).

RESULTS

Compared to controls, chicks in the treatment groups developed significant amounts of refractive astigmatism (controls: 0.03 ± 0.22DC; treatment groups: 1.34 ± 0.22DC to 5.51 ± 0.26DC, one-way ANOVAs, p ≤ 0.05) with axes compensatory to those imposed by the cylindrical lenses. H cylindrical lenses induced more refractive astigmatism than L lenses (H90 vs. L90: 5.51 ± 0.26D vs. 4.10 ± 0.16D; H180 vs. L180: 2.84 ± 0.44D vs. 1.34 ± 0.22D, unpaired two-sample t-tests, both p ≤ 0.01); and imposing with-the-rule (H90 and L90) and against-the-rule astigmatisms (H180 and L180) resulted in, respectively, steeper and flatter corneal shape. Both corneal and internal astigmatisms were moderately to strongly correlated with refractive astigmatisms (Pearson's r: +0.61 to +0.94, all p ≤ 0.001). In addition, the characteristics of astigmatism were significantly correlated with multiple eyeshape parameters at the posterior segments (Pearson's r: -0.27 to +0.45, all p ≤ 0.05).

CONCLUSIONS

Chicks showed compensatory ocular changes in response to the astigmatic magnitudes imposed in this study. The correlations of changes in refractive, corneal, and posterior eyeshape indicate the involvement of anterior and posterior ocular segments during the development of astigmatism.

Pharmacologically and Edinger-Westphal stimulated accommodation in rhesus monkeys does not rely on changes in anterior chamber pressure

This study was undertaken to understand the role of anterior chamber pressure (ACP) during pharmacological and Edinger-Westphal (EW) stimulated accommodation in anesthetized monkeys. Experiments were performed on one iridectomized eye each of 7 anesthetized adolescent rhesus monkeys. Accommodation was induced by EW stimulation (n = 2) and intravenous administration of 0.25-4.0 mg/kg pilocarpine (n = 6). Accommodative refractive and biometric changes were measured with continuous 60 Hz infrared photorefraction (n = 6) and 100 Hz A-scan ultrasound biometry (n = 1). An ocular perfusion system was used to measure and manipulate ACP. Pressure was recorded via a 27-gauge needle in the anterior chamber connected to a pressure transducer (n = 7). The needle was also connected to a fluid reservoir to allow ACP to be manipulated and clamped (n = 4) by raising or lowering the fluid reservoir. In all six pharmacologically stimulated monkeys ACP increased during accommodation, from 0.70 to 2.38 mmHg, four of which showed pressure decreases preceding the pressure increases. Two eyes also showed increases in ACP during EW-stimulated accommodation of 2.8 and 7.2 mmHg. ACP increased with increasing EW stimulus amplitudes (n = 2). Clamping or externally manipulating ACP had no effect on resting refraction or on EW and pharmacologically stimulated accommodation in four eyes. The results show that EW stimulated and pharmacologically stimulated accommodation do not rely on ACP in rhesus monkeys.

An x-ray scattering study into the structural basis of corneal refractive function in an avian model

Avian vision diseases in which eye growth is compromised are helping to define what governs corneal shape and ultrastructural organization. The highly specific collagen architecture of the main corneal layer, the stroma, is believed to be important for the maintenance of corneal curvature and hence visual quality. Blindness enlarged globe (beg) is a recessively inherited condition of chickens characterized by retinal dystrophy and blindness at hatch, with secondary globe enlargement and loss of corneal curvature by 3-4 months. Here we define corneal ultrastructural changes as the beg eye develops posthatch, using wide-angle x-ray scattering to map collagen fibril orientation across affected corneas at three posthatch time points. The results disclosed alterations in the bulk alignment of corneal collagen in beg chicks compared with age-matched controls. These changes accompanied the eye globe enlargement and corneal flattening observed in affected birds, and were manifested as a progressive loss of circumferential collagen alignment in the peripheral cornea and limbus in birds older than 1 month. Progressive remodeling of peripheral stromal collagen in beg birds posthatch may relate to the morphometric changes exhibited by the disease, likely as an extension of myopia-like scleral remodeling triggered by deprivation of a retinal image.

Topical and intravenous pilocarpine stimulated accommodation in anesthetized rhesus monkeys

Many studies have used pilocarpine to stimulate accommodation in both humans and monkeys. However, the concentrations of pilocarpine used and the methods of administration vary. In this study, three different methods of pilocarpine administration are evaluated for their effectiveness in stimulating accommodation in rhesus monkeys. Experiments were performed in 17 iridectomized, anesthetized rhesus monkeys aged 4-16 years. Maximum accommodation was stimulated in all these monkeys with a 2% pilocarpine solution maintained on the cornea for at least 30 min in a specially designed perfusion lens. In subsequent topical pilocarpine experiments, baseline refraction was measured with a Hartinger coincidence refractometer and then while the monkeys were upright and facing forward, commercially available pilocarpine (2, 4, or 6%) was applied topically to the cornea as 2 or 4 drops in two applications or 6 drops in three applications over a five minute period with the eyelids closed between applications. Alternatively, while supine, 10-12 drops of pilocarpine were maintained on the cornea in a scleral cup for 5 min. Refraction measurements were begun 5 min after the second application of pilocarpine and continued for at least 30 min after initial administration until no further change in refraction occurred. In intravenous experiments, pilocarpine was given either as boluses ranging from 0.1mg/kg to 2mg/kg or boluses followed by a constant infusion at rates between 3.06 mg/kg/h and 11.6 mg/kg/h. Constant 2% pilocarpine solution on the eye in the perfusion lens produced 10.88+/-2.73 D (mean+/-SD) of accommodation. Topically applied pilocarpine produced 3.81 D+/-2.41, 5.49 D+/-4.08, and 5.55 D+/-3.27 using 2%, 4%, and 6% solutions respectively. When expressed as a percentage of the accommodative response amplitude obtained in the same monkey with constant 2% pilocarpine solution on the eye, the responses were 34.7% for 2% pilocarpine, 48.4% for 4% pilocarpine, and 44.6% for 6% pilocarpine. Topical 4% and 6% pilocarpine achieved similar, variable accommodative responses, but neither achieved maximum accommodation. IV boluses of pilocarpine achieved near maximal levels of accommodation at least ten times faster than topical methods. Doses effective for producing maximum accommodation ranged from 0.25mg/kg to 1.0mg/kg. IV pilocarpine boluses caused an anterior movement of the anterior lens surface, a posterior movement of the posterior lens surface, and a slight net anterior movement of the entire lens. Considerable variability in response amplitude occurred and maximum accommodative amplitude was rarely achieved with topical application of a variety of concentrations of commercially available pilocarpine. Intravenous infusion of pilocarpine was a rapid and reliable method of producing a nearly maximal accommodative response and maintaining accommodation when desired.

The use of X-ray scattering techniques to quantify the orientation and distribution of collagen in the corneal stroma

The bulk of the corneal stroma is comprised of a layered network of fibrillar collagen. Determining the architecture of this unique structure may help us to better understand the cornea's biomechanical and optical function. The analysis of diffraction patterns obtained when X-rays are passed through the regularly arranged collagen molecules and fibrils of the stromal matrix yields quantitative data on fibrillar organisation, including the orientation and distribution of collagen lamellae within the corneal plane. In recent years, by exploiting the radiation from powerful synchrotron sources, techniques have been developed to enable the mapping of collagen fibril, and therefore lamellar, directions across whole corneas. This article aims to summarise the use of X-ray diffraction to map the orientation and distribution of collagen in the corneal stroma. The implications of the knowledge gained so far are discussed in relation to the optical and biomechanical properties of the cornea, and their alteration due to disease and surgical intervention.

Morphometrics of corneal growth in chicks raised in constant light

In this study we wish to augment our understanding of the effect of environment on corneal growth and morphology. To understand how corneal development of chicks raised in constant light differs from that of 'normal' eyes exposed to cyclic periods of light and dark, white Leghorn chicks were raised under either constant light (approximately 700 lux at cage top) or in 12 h light/12 h dark conditions for up to 12 weeks after hatching. To determine whether corneal expansion is uniform, some birds from each group received corneal tattoos for periodic photographic assessment. By 16 days of age, constant light corneas weighed less than light/dark regimen corneas [7.39 +/- 0.35 mg (SE) vs. 8.47 mg +/- 0.26 mg SE wet weight, P < or = 0.05], and corresponding differences were seen in corneal dry weights. Spatial expansion of the corneal surface was uniform in both groups, but the rate of expansion was slower in constant light chicks [0.0327 +/- 0.009 (SE) vs. 0.144 +/- 0.018 (SE) mm(2) day(-1) for normal chicks, P < or = 0.001]. At 1 day of age, there were 422 +/- 12.5 (SE) stromal cells 0.01 mm(-2) in the central cornea and 393 +/- 21.5 (SE) stromal cells 0.01 mm(-2 )peripherally. Although this difference is not statistically significant, the cell densities in the central cornea were always larger than those of the peripheral cornea in all eight measurements over a 10.5-week period, and this difference is significant (P < or = 0.008, binomial test). Light/dark regimen birds show no such consistent difference in cell densities between central and peripheral corneas. Thus, the density distribution of corneal stromal cells of chicks grown in constant light differs from that of normal chicks. Taken together, all these observations suggest that diurnal cycles of light and darkness are necessary for normal corneal growth.

Emmetropization and eye growth in young aphakic chickens

PURPOSE

To establish a chick model to investigate the trends of eye growth and emmetropization after early lensectomy for congenital cataract.

METHODS

Four monocular treatments were applied: lens extraction (LX); sham surgery/-30 D lens; LX/+20 D lens; and LX/+30-D lens (nine per group). Lens powers were selected to slightly undercorrect or overcorrect the induced hyperopia in LX eyes and to induce comparable hyperopia in sham-surgery eyes. Refractive errors and axial ocular dimensions were measured over a 28-day period. External ocular dimensions were obtained when the eyes were enucleated on the last day.

RESULTS

The growth patterns of experimental (Exp) eyes varied with the type of manipulation. All eyes experiencing hyperopia initially grew more than their fellow eyes and exhibited myopic shifts in refraction. The sham/-30 D lens group showed the greatest increase in optical axial length, followed by the LX group, and then the LX/+20 D lens group. The Exp eyes of the LX/+30 D lens group, which were initially slightly myopic, grew least, and showed a small hyperopic shift. Lensectomized eyes enlarged more equatorially than axially (i.e., oblate), irrespective of the optical treatment applied.

CONCLUSIONS

The refractive changes observed in young, aphakic eyes are consistent with compensation for the defocus experienced, and thus emmetropization. However, differences in the effects of lensectomy compared to those of sham surgery raise the possibility that the lens is a source of essential growth factors. Alterative optical and mechanical explanations are offered for the oblate shapes of aphakic eyes.

Restoration of accommodation: surgical options for correction of presbyopia

Accommodation is a dioptric change in the power of the eye to see clearly at near. Ciliary muscle contraction causes a release in zonular tension at the lens equator, which permits the elastic capsule to mould the young lens into an accommodated form. Presbyopia, the gradual age-related loss of accommodation, occurs primarily through a gradual age-related stiffening of the lens. While there are many possible options for relieving the symptoms of presbyopia, only relatively recently has consideration been given to surgical restoration of accommodation to the presbyopic eye. To understand how this might be achieved, it is necessary to understand the accommodative anatomy, the mechanism of accommodation and the causes of presbyopia. A variety of different kinds of surgical procedures has been considered for restoring accommodation to the presbyopic eye, including surgical expansion of the sclera, using femtosecond lasers to treat the lens or with so-called accommodative intraocular lenses (IOLs). Evidence suggests that scleral expansion cannot and does not restore accommodation. Laser treatments of the lens are in their early infancy. Development and testing of accommodative IOLs are proliferating. They are designed to produce a myopic refractive change in the eye in response to ciliary muscle contraction either through a movement of an optic or through a change in surface curvature. Three general design principles are being considered. These are single optic IOLs that rely on a forward shift of the optic, dual optic IOLs that rely on an increased separation between the two optics, or IOLs that permit a change in surface curvature to produce an increase in optical power in response to ciliary muscle contraction. Several of these different IOLs are available and being used clinically, while many are still in research and development.

Emmetropization and optical aberrations in a myopic corneal refractive surgery chick model

We studied the potential of myopic corneal refractive laser surgery to induce myopia (axial elongation) and potential interactions between aberrations (generally resulting from the procedure) and myopia development in chicks (Gallus domesticus). Ten white Leghorn chicks were monolaterally treated one day post-hatching with photorefractive keratectomy (PRK), with a nominal dioptric change of -9.9 D (imposed hyperopia). Axial length was measured using an adapted ultrasonic biometer; corneal radius of curvature was measured using a custom-built videokeratometer and spherical error and high order aberrations were measured using custom-built Hartmann-Shack aberrometer post-operatively on days 9, 12, 14 and 16 after hatching. Two-weeks after surgery, there were no significant differences in corneal radius of curvature between treated and control eyes. Astigmatism increased on average by a factor of 2.6 and 3rd and higher order aberrations by a factor of 4.3 after PRK. Both treated and control eyes were close to emmetropia, and no axial elongation was found in the treated eyes. The inability of the refractive procedure to achieve significant reductions in the corneal power could be attributed to the biomechanical properties of the chick eye. High order aberrations induced significant contrast decrease (by a factor of 1.7 at 4.5c/deg). However, reduced image quality neither produced myopic refractive error nor axial elongation in the treated eyes. Both normal and treated eyes emmetropized, indicating that increased amounts of aberrations do not appear to be a risk factor for myopia.

Limits of visual acuity in the frontal field of the rock pigeon (Columba livia)

The eye of the rock pigeon is typical of a granivorous lateral-eyed bird, in that it has both a laterally projecting central fovea and a second high-density cellular area in peripheral retina (area dorsalis) which projects to the binocular frontal field below the beak. Such a dual system is faced with potentially different optical restraints arising from central and peripheral vision. We asked whether the frontal axis can support high resolution vision from a refractive resting position (predicted to be 25-33 cm; Fitzke et al, 1985 Journal of Physiology 369 33-44) to some near point of accommodation. We measured the visual acuity on the frontal axis in five pigeons using an operant discrimination of high-contrast square-wave gratings at a series of distances from 7 to 80 cm from the eye. The peak average acuity was 11.04 cycles deg(-1), which occurred 10 cm from the eye. The average of the maximum acuity of each bird at 10 cm was 12.8 +/- 1.1 cycles deg(-1), a value equal to the Nyquist frequency calculated from the peak ganglion cell density of the area dorsalis. However, this maximum acuity was restricted to a narrow depth in space, located around 10 cm from the eye, and at greater distances fell exponentially such that acuity was 50% of its maximum at 35 cm and less than 1 cycle deg(-1) at 100 cm. We propose that the range of high-acuity vision is limited in the frontal field by either increased refractive power and/or inaccuracy in frontal accommodation, and is optimized for a preferred far point located 10 cm from the eye.

Visual accommodation in vertebrates: mechanisms, physiological response and stimuli

The mechanism and stimulation of the accommodative reflex in vertebrate eyes are reviewed. Except for lampreys, accommodation is brought about by intraocular muscles that mediate either a displacement or deformation of the lens, a change of the corneal radius of curvature or a combination of these mechanisms. Elasmobranchs have little accommodation and are emmetropic in water rather than hyperopic as commonly stated. Accommodation in teleosts and amphibians is well understood and achieved by lens displacement. The accommodative mechanism of amniotes is of considerable diversity and reflects different lifestyles rather than phylogenetical relationships. In all amniotes, the ciliary muscle never has a direct impact on the lens. It relaxes the tension applied to the lens by zonular fibers and/or ligaments. In birds and reptiles the ciliary muscle is usually split into two parts, of which the anterior portion changes the corneal radius of curvature. The deformation of the lens is generally achieved either by its own elasticity (humans, probably other mammals and sauropsids) or by the force of circular muscle fibers in the iris (reptiles, birds, aquatic mammals). In the second part of the paper, some of the current hypotheses about the accommodative stimulus are reviewed together with physiological response characteristics.

Corneal power and underwater accommodation in great cormorants (Phalacrocorax carbo sinensis)

In great cormorants (Phalacrocorax carbo sinensis), corneal refractive powers, determined by photokeratometry, ranged between 52.1 diopters (52.1 D) and 63.2 D. Photorefractive reflexes, determined by infrared video photorefraction, indicated that in voluntary dives the cormorants accommodate within 40-80 ms of submergence and with myopic focusing relative to the photorefractor attained when prey was approximately one bill length from the plane of the eye. Underwater, the pupils were not constricted and retained diameters similar to those in air. These results support previously reported capacities of lenticular changes in amphibious birds yet do not fully correspond with earlier reports in terms of the coupling of iris constriction with accommodation, and time course.

Ultrasound biomicroscopy of the anterior segment of the enucleated chicken eye during accommodation

Ultrasound biomicroscopy produces real-time two-dimensional images of ocular structures measured non-invasively. Given recent work which shows that lenses from myopic eyes show shorter focal lengths and reduced accommodative amplitudes compared with controls, this study was undertaken to determine the structural characteristics of the anterior segment of chicken eyes during accommodation using the ultrasound biomicroscope (UBM). Form-deprivation myopia and hyperopia were induced in hatching chicks by the application of either translucent or +15 D defocus goggles. After 7 days, eyes were enucleated and ultrasound biomicrographs of the eye, at rest and during ciliary nerve-stimulated accommodation, were collected. For all eyes, accommodation was associated with a decrease in anterior chamber depth, an increase in lenticular thickness and a steepening of the front lenticular surface curvature. Changes related to refractive error were more difficult to detect. Myopic eyes showed deeper anterior chamber depths and differences in lenticular thicknesses just above the resolution limit for detection. In +15 D lens-treated eyes, anterior chamber differences were opposite but smaller, just at the limit of resolution, while differences in mean lenticular thickness were not resolvable at a pixel or above. The UBM is a good tool for measuring robust changes during accommodation, but is limited in its ability to detect subtle changes associated with experimentally induced ametropias.

Development of the visual system of the chick. II. Mechanisms of axonal guidance

The quest to understand axonal guidance mechanisms requires exact and multidisciplinary analyses of axon navigation. This review is the second part of an attempt to synthesise experimental data with theoretical models of the development of the topographic connection of the chick retina with the tectum. The first part included classic ideas from developmental biology and recent achievements on the molecular level in understanding cytodifferentiation and histogenesis [J. Mey, S. Thanos, Development of the visual system of the chick. (I) Cell differentiation and histogenesis, Brain Res. Rev. 32 (2000) 343-379]. The present part deals with the question of how millions of fibres exit from the eye, traverse over several millimetres and spread over the optic tectum to assemble a topographic map, whose precision accounts for the sensory performance of the visual system. The following topics gained special attention in this review. (i) A remarkable conceptual continuity between classic embryology and recent molecular biology has revealed that positional cellular specification precedes and determines the formation of the retinotectal map. (ii) Graded expression of asymmetric genes, transcriptional factors and receptors for signal transduction during early development seem to play a crucial role in determining the spatial identity of neurons within surface areas of retina and optic tectum. (iii) The chemoaffinity hypothesis constitutes the conceptual framework for development of the retinotopic organisation of the primary visual pathway. Studies of repulsive factors in vitro developed the original hypothesis from a theoretical postulate of chemoattraction to an empirically supported concept based on chemorepulsion. (iv) The independent but synchronous development of retina and optic tectum in topo-chronologically corresponding patterns ensures that ingrowing retinal axons encounter receptive target tissue at appropriate locations, and at the time when connections are due to be formed. (v) The growth cones of the retino-fugal axons seem to be guided both by local cues on glial endfeet and within the extracellular matrix. On the molecular level, the ephrins and their receptors have emerged as the most likely candidates for the material substrate of a topographic projection along the anterior-posterior axis of the optic tectum. Yet, since a number of alternative molecules have been proposed for the same function, it remains the challenge for the near future to define the proportional contribution of each one of the individual mechanisms proposed by matching theoretical predictions with the experimental evidence.

Ultrasound biomicroscopy of the aging rhesus monkey ciliary region

Ultrasound biomicroscopy of the living rhesus monkey ocular ciliary region was undertaken to identify age-dependent changes that might relate to the progression of presbyopia. Monkeys were anesthetized and pharmacologically cyclopleged, the eyelids were held open with a lid speculum, and sutures were placed beneath the medial and lateral rectus muscles. Ultrasound biomicroscopy imaging of the nasal and temporal quadrants of the eye were performed, and the live images were recorded to videotape. Subsequent image analysis was performed to obtain objective morphometric measurements of the ciliary body region. The ciliary body inner radius of curvature, outer radius of curvature, inner arc length, area, thickness, perimeter, zonular fiber length, and circumlental space were measured. Zonular space was calculated. The circumlental space decreased with increasing age in the temporal quadrant. The other morphologic measurements were not significantly correlated with age or body weight. Most morphologic measurements were significantly different comparing temporal vs. nasal quadrants. Bifurcation of the posterior zonular fibers was frequently observed. Although temporal circumlental space was the only measurement found to change with age, ultrasound biomicroscopy of the living rhesus ciliary region did identify distinct nasal vs. temporal asymmetries, which may reflect anatomical requirements for convergence-associated accommodation.

Animal Models of Myopia: Learning How Vision Controls the Size of the Eye

As they grow up, approximately 25% of children in the United States become myopic (nearsighted). A much smaller fraction become significantly hyperopic (farsighted), while the majority develop little or no refractive error and are emmetropic. The causes of refractive error, especially myopia, have been the subject of debate for more than a century. Some have held that myopia is primarily an inherited disorder, and others, that myopia is caused by protracted near work and, especially, by accommodation during protracted near work. It has not been possible, based solely on clinical observations, to resolve the relative roles of heredity versus environment in the development of refractive error. In the mid-1970s, several animal models were developed to study the mechanisms underlying refractive error. Using animal models, it was found that the visual environment exerts a powerful influence on refractive state by controlling the axial length of the eye during the postnatal developmental period. Although several species have been examined, three have emerged as primary models and have played complementary roles: tree shrews (mammals closely related to primates), chicks, and monkeys. Each has advantages and disadvantages. Collectively, research on animal models has provided evidence on three issues, namely that (1) the visual environment can produce refractive error; (2) an emmetropization mechanism normally guides eyes to low refractive error; and (3) under-accommodation, rather than excessive accommodation, may cause myopia. Two decades of research on animal models have provided criteria that may be used to evaluate the usefulness of additional species as models of emmetropization.

A behavioral study of refraction, corneal curvature, and accommodation in raptor eyes

Since there is much speculation in the literature regarding the accommodative abilities of raptors, we undertook a behavioral study of accommodation in the five families of raptors. The resting refractive state and amplitude of accommodation were measured using infrared video photorefraction in a variety of wild-caught and captive-bred raptors. The resting corneal curvature and the extent of changes in corneal curvature during accommodation (corneal accommodation) were measured using video keratometry. External ocular and head dimensions were measured with calipers to look for correlates with accommodative amplitude. In general, all eyes examined were of high optical quality and relatively free of aberrations. No significant refractive errors were recorded in any of the birds examined (< 1.0 diopters (D)). In general, significant amplitudes of accommodation were measured in the hawks (up to 25.0 D), but little accommodation was seen in the owls. Corneal accommodation ranging from 2.8 to 6.2 D in magnitude was recorded in a number of the hawks. These differences in the accommodative behaviors of the owls and hawks are discussed with respect to the limitations of the behavioral techniques used, differences in the degree of cooperation of the different species, and real differences in the accommodative abilities of the owls and hawks in relation to their accommodative needs, such as when feeding.

Natural and imposed astigmatism and their relation to emmetropization in the chick

This study investigated the ocular response of young chicks to astigmatic errors imposed by spectacle lenses and as a related issue, we examined the nature and prevalence of astigmatism in young chicks, and its relation to corneal development and natural emmetropization. Normal hatchling chicks exhibited significant against-the-rule refractive astigmatism (approx. 8 D) of which 60-90% was corneal. Both types of astigmatism decreased in magnitude with normal corneal development as part of emmetropization. The apparent association with corneal growth is consistent with two further observations: (1) that smaller corneas, induced by constant light rearing, had higher than normal astigmatism (1.5 D greater at 15 days), (ii) that enlarged corneas, due to form deprivation, had reduced astigmatism (2.4 D less). When astigmatism was artificially imposed with (+/-10 DC spectacle lenses), altered ocular growth patterns were observed, although the changes were not consistent with the chicks having emmetropized to the imposed astigmatism. Irrespective of the axis setting used in positioning the lenses (45 degrees, 90 degrees, 180 degrees), eyes became hyperopic with +10 DC lenses (+8.8 +/- 1.3 D), and became slightly myopic with 10 DC lenses (-1.8 +/- 1.9 D). These refractive changes are consistent with the chicks having emmetropized to the more myopic meridian rather than the equivalent mean spherical error imposed (responses of control groups to +5 D and -5 D spherical lenses were +5.2 +/- 1.0 D and -5.1 +/- 0.8 D resp.). The same was true for chicks first prevented from accommodating by prior ciliary nerve section, except for one group wearing the 10 DC lens at 45 degrees axis where astigmatic changes consistent with partial compensation were seen, although this may represent an artefact of the surgery. These results argue against 'astigmatic emmetropization' as a normal phenomenon. Also consistent with this finding was the lack of significant astigmatic changes with accommodation-stimulating and inhibiting drugs (nicotine and vercuronium resp.), for normal chicks. These results imply that accommodation, while the most likely mechanism for astigmatic emmetropization, has little capacity to compensate for imposed astigmatic focussing errors.

In vitro changes in back vertex distance of chick and pigeon lenses: species differences and the effects of aging

We have used a scanning laser technique to measure in vitro changes in back vertex distance of chick and pigeon lenses. Enucleated eyes were dissected, leaving the lens naturally suspended by the ciliary body and intraocular muscles. Ray tracing techniques were used to measure the resting back vertex distance of the lenses by passing a laser beam through the lens and scanning it across the pupillary aperture. The pupil diameter was measured videographically. The measurements were repeated while the intraocular muscles were pharmacologically stimulated with increasing concentrations of either nicotine or carbachol. Drug stimulation caused changes in pupil diameter and changes in the back vertex distance of the lenses. These experiments were conducted on the eyes of young chicks, young pigeons, and on the eyes of three pigeons older than 10 yr. The lenses from the eyes of the old pigeons had the greatest resting back vertex distance, followed by those of the young pigeons and finally those of the young chicks. Lenses from the eyes of young chicks and young pigeons underwent similar drug-induced changes in back vertex distance, but the lenses from old pigeon eyes showed an almost complete absence of such changes. Further, we demonstrated that, just as in the chick eye, lenticular changes in pigeon eyes are due to a contraction of the iris muscle. This is evident because after the iris has been removed the lens undergoes no change in back vertex distance during stimulation. We conclude with a discussion of the lenticular accommodative ability of the pigeon eye with reference to the recently reported accommodative mechanism of the chick eye and a comparison of chick and pigeon iris morphology.

The mechanism of lenticular accommodation in chicks

In the chick eye, accommodation for near objects is brought about by changes in the focal length of the lens and by changes in the corneal radius of curvature. Several different mechanisms of lenticular accommodation have been proposed for the avian eye. These include a role for the ciliary muscle, a role for the iris muscle, and a role for changes in intraocular pressure. We have studied accommodation in the chick eye using electrical stimulation of the Edinger-Westphal nucleus, electric-field stimulation of enucleated eyes, in vitro measurement of changes in back vertex distance of the lens, and histology. We present evidence showing that, in the chick eye, lenticular accommodation is induced primarily by a contraction of the muscle fibers at the peripheral edge of the iris. During accommodation, the peripheral muscle fibers of the iris contract to apply a force through the ciliary processes to the anterior equatorial surface of the lens. This increases the focal power of the lens. When accommodation is relaxed, the lens is returned to its unaccommodated state by the elasticity of the pectinate ligament and the ciliary body. Contractions of the posterior ciliary muscle and changes in intraocular pressure, forces that have previously been proposed to play major roles in lenticular accommodation, are shown to be of secondary importance only.