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Tarnawska D, Jastrzebska M, Chrobak E, Kadela-Tomanek M, Weglarz B, Boryczka G, Dobrowolski D, Chełmecka E, Wrzalik R. Endogenous fluorescence can differentiate the keratoconic cornea. Exp Eye Res 2019; 181:178-184. [PMID: 30735658 DOI: 10.1016/j.exer.2019.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Revised: 01/03/2019] [Accepted: 02/03/2019] [Indexed: 11/15/2022]
Abstract
The purpose of the study was to investigate the endogenous fluorescence of the keratoconic cornea in order to analyze changes in the spectra due to the keratoconic stroma abnormalities. Twenty-two corneal buttons obtained from patients with keratoconus (KC, N = 22) at the time of penetrating keratoplasty were used. As a reference, twelve normal corneas (N = 12): ten from the Eye Bank and two from enucleated eyes due to choroidal melanoma were used. The fluorescence excitation/emission matrices (EEM) in the ranges of 250-400/260-600 nm were recorded. Healthy cornea, keratoconic cornea and sclera showed three main EEM bands, which correspond to the following fluorophores: tryptophan residues in the proteoglycan fraction of corneal/scleral stromas, naturally occurring collagen cross-links and the NAD(P)H fraction present in the metabolically active cells. Relative intensity factors S1, S2 and S3 describing the contribution of each kind of fluorophore to the total fluorescence of the tissue were calculated. Normal and keratoconic corneas show qualitatively similar fluorescence matrices, but the statistically significant differences in the mean values of the S1, S2 and S3 parameters for the KC and normal corneas were observed indicating changes in contribution of different fluorophores to the whole fluorescence of the tissue. Moreover, differences between multidimensional distribution of the relative intensity factors S1, S2 and S3 between these groups were demonstrated (p < 0.001). In conclusions: Differences in the relative intensity factors calculated on a basis of the fluorescence spectra can correspond to the changes found in the KC stroma regarding natural collagen cross-links and the proteoglycan fraction. These parameters well differentiate the KC and normal corneas that could serve as an additional tool for the keratoconus characterization.
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Affiliation(s)
- Dorota Tarnawska
- Department of Biophysics and Molecular Physics, A. Chelkowski Institute of Physics, Silesian Center for Education and Interdisciplinary Research, University of Silesia, 41-500 Chorzów, 75 Pułku Piechoty 1A, Poland; Department of Ophthalmology, District Railway Hospital, Panewnicka 65, 40-760 Katowice, Poland
| | - Maria Jastrzebska
- Department of Solid State Physics, A. Chelkowski Institute of Physics, Silesian Center for Education and Interdisciplinary Research, University of Silesia, 41-500 Chorzów, 75 Pułku Piechoty 1A, Poland.
| | - Elwira Chrobak
- Department of Organic Chemistry, School of Pharmacy with the Division of Laboratory Medicine in Sosnowiec, Medical University of Silesia in Katowice, 41-200 Sosnowiec, Jagiellońska 4, Poland
| | - Monika Kadela-Tomanek
- Department of Organic Chemistry, School of Pharmacy with the Division of Laboratory Medicine in Sosnowiec, Medical University of Silesia in Katowice, 41-200 Sosnowiec, Jagiellońska 4, Poland
| | - Beata Weglarz
- Department of Ophthalmology, District Railway Hospital, Panewnicka 65, 40-760 Katowice, Poland
| | - Grzegorz Boryczka
- Faculty of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, Medyków 18, Poland
| | - Dariusz Dobrowolski
- Department of Ophthalmology with Pediatric Unit & Tissue and Cells Bank, St. Barbara Hospital, Trauma Center, Plac Medyków 1, 41-200 Sosnowiec, Poland; Chair and Clinical Department of Ophthalmology, Faculty of Medicine and Division of Dentistry in Zabrze, Medical University of Silesia, 40-760 Katowice, Panewnicka 65, Poland
| | - Elżbieta Chełmecka
- Department of Statistics, School of Pharmacy with the Division of Laboratory Medicine, Medical University of Silesia, 41-200 Sosnowiec, Ostrogórska 30, Poland; Department of Instrumental Analysis, School of Pharmacy with the Division of Laboratory Medicine, Medical University of Silesia, 41-200 Sosnowiec, Ostrogórska 30, Poland
| | - Roman Wrzalik
- Department of Biophysics and Molecular Physics, A. Chelkowski Institute of Physics, Silesian Center for Education and Interdisciplinary Research, University of Silesia, 41-500 Chorzów, 75 Pułku Piechoty 1A, Poland
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Smedowski A, Weglarz B, Tarnawska D, Kaarniranta K, Wylegala E. Comparison of Three Intraocular Pressure Measurement Methods Including Biomechanical Properties of the Cornea. ACTA ACUST UNITED AC 2014; 55:666-73. [DOI: 10.1167/iovs.13-13172] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Adrian Smedowski
- Department of Ophthalmology, Medical University of Silesia, Railway Hospital, Katowice, Poland
| | - Beata Weglarz
- Department of Ophthalmology, Medical University of Silesia, Railway Hospital, Katowice, Poland
| | - Dorota Tarnawska
- Department of Ophthalmology, Medical University of Silesia, Railway Hospital, Katowice, Poland 2Department of Biophysics and Molecular Physics, Institute of Physics, University of Silesia, Katowice, Poland
| | - Kai Kaarniranta
- Department of Ophthalmology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland 4Department of Ophthalmology, Kuopio University Hospital, Kuopio, Finland
| | - Edward Wylegala
- Department of Ophthalmology, Medical University of Silesia, Railway Hospital, Katowice, Poland
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Moćko L, Zajac M, Roszkowska AM, Weglarz B, Milka M, Dobrowolski D, Wylegała E. [Contemporary applications of wavefront aberrometry in ophthalmology practice]. Klin Oczna 2012; 114:75-78. [PMID: 22783752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The aim of the article is to present and summarize the current knowledge of wavefront aberrations, methods and applications of aberrations measurement. Ideal optical system is stygmatic, which means that object point is imaged by optical system into the image point without deformation. Optical system of the eye is not ideal, it has aberrations. Aberrations limitate and determine visual quality. Wavefront aberrometers measure manochromatic low and high order aberrations. Wavefront aberrations are described by Zernike polinomials. More important wavefront sensor types are described in the article. In their practice authors use KR1W Topcon aberrometer. Authors also present difficulties in taking aberrometric measurements. In recent years quality of vision becomes the point of interest for vision scientists. Correction of high order aberrations is the future of optics.
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Affiliation(s)
- Lucyna Moćko
- Oddział Okulistyki Okregowego Szpitala Kolejowego w Katowicach.
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