Levodopa inhibits the development of lens-induced myopia in chicks.

Animal models have demonstrated a link between dysregulation of the retinal dopamine system and the development of myopia (short-sightedness). We have previously demonstrated that topical application of levodopa in chicks can inhibit the development of form-deprivation myopia (FDM) in a dose-dependent manner. Here, we examine whether this same protection is observed in lens-induced myopia (LIM), and whether levodopa's protection against FDM and LIM occurs through a dopamine D1- or D2-like receptor mechanism. To do this, levodopa was first administered daily as an intravitreal injection or topical eye drop, at one of four ascending doses, to chicks developing LIM. Levodopa's mechanism of action was then examined by co-administration of levodopa injections with D1-like (SCH-23390) or D2-like (spiperone) dopamine antagonists in chicks developing FDM or LIM. For both experiments, levodopa's effectiveness was examined by measuring axial length and refraction after 4 days of treatment. Levodopa inhibited the development of LIM in a dose-dependent manner similar to its inhibition of FDM when administered via intravitreal injections or topical eye drops. In both FDM and LIM, levodopa injections remained protective against myopia when co-administered with SCH-23390, but not spiperone, indicating that levodopa elicits its protection through a dopamine D2-like receptor mechanism in both paradigms.

A highly efficient murine model of experimental myopia.

Despite the global pandemic of myopia, the precise molecular mechanism of the onset of myopia remains largely unknown. This is partially because of the lack of efficient murine myopic models that allow genetic manipulation at low cost. Here we report a highly practical and reproducible lens-induced myopia model by specially designed frames and lenses for mice. A lens power dependent myopic induction in mice was shown until minus 30 diopter lenses. The phenotype was significantly stronger than form-deprivation myopia. We presented the protocol for precise evaluations of the state of myopia, including refraction, corneal curvature and axial length using up-to-date devices. We also found that myopic mouse eyes showed decreased visual acuity on optokinetic response examination. Finally, we confirmed the anti-myopic effect of 1% atropine using this model, which showed its potential in drug screening. The strong phenotype, stable evaluation and the potential for gene manipulation utilizing the presented method in mice will accelerate the translational research of myopia.

Isotope-coded protein label based quantitative proteomic analysis reveals significant up-regulation of apolipoprotein A1 and ovotransferrin in the myopic chick vitreous.

This study used isotope-coded protein label (ICPL) quantitative proteomics and bioinformatics analysis to examine changes in vitreous protein content and associated pathways during lens-induced eye growth. First, the vitreous protein profile of normal 7-day old chicks was characterized by nano-liquid chromatography electrospray ionization tandem mass spectrometry. A total of 341 unique proteins were identified. Next, myopia and hyperopia were induced in the same chick by attaching -10D lenses to the right eye and +10D lenses to the left eye, for 3 and 7 days. Protein expression in lens-induced ametropic eyes was analyzed using the ICPL approach coupled to LCMS. Four proteins (cystatin, apolipoprotein A1, ovotransferrin, and purpurin) were significantly up-regulated in the vitreous after 3 days of wearing -10D lenses relative to +10D lens contralateral eyes. The differences in protein expression were less pronounced after 7 days when the eyes approached full compensation. In a different group of chicks, western blot confirmed the up-regulation of apolipoprotein A1 and ovotransferrin in the myopic vitreous relative to both contralateral lens-free eyes and hyperopic eyes in separate animals wearing +10D lenses. Bioinformatics analysis suggested oxidative stress and lipid metabolism as pathways involved in compensated ocular elongation.

Risk of lens cloudiness during colorectal endoscopic submucosal dissection and ability of a novel lens cleaner to maintain and restore endoscopic view.

BACKGROUND AND AIM: Generally, colorectal endoscopic submucosal dissection (ESD) cannot be carried out with severe lens cloudiness. We examined the occurrence of lens cloudiness during ESD as well as the efficacy of a novel cleaner for it. METHODS: This study was a prospective study compared to historical control. First, we analyzed 103 ESD cases using standard cleaner at the Kyoto Prefectural University of Medicine in 2012. Relationship between lens cloudiness and clinical characteristics of lesions was analyzed. Lens cloudiness was recorded as grade 0 (clear) to grade 2 (very unclear). Then, we recruited 92 consecutive patients who underwent colorectal ESD using the novel cleaner from August 2013 to July 2014. The cleaner was applied on top of the lens before procedure and ability to prevent lens cloudiness was tested. Additionally, the novel cleaner was injected from endoscopic channel into a space created by endoscopic hood and colonic wall in seven cases with grade 1 or 2 of lens cloudiness and the ability to clean lens cloudiness inside the colon was tested. RESULTS: Rate of severe lens cloudiness was 8.7%. Multivariate analysis showed that severe lens cloudiness was related with severe submucosal fatty tissue (P < 0.001). The novel cleaner had significantly less cloudiness cases compared to the standard cleaner (14.1% vs 33.0%, P = 0.002). Additionally, the novel cleaner enabled us to clean lens cloudiness in all seven cases. CONCLUSION: Lens cloudiness during ESD was associated with submucosal fatty tissue. Effective lens cleaner should be used to prevent and clean lens cloudiness.

The effect of spectral property and intensity of light on natural refractive development and compensation to negative lenses in guinea pigs.

PURPOSE: To investigate the effect of spectral composition and light intensity on refractive development in guinea pigs. METHODS: One-week-old guinea pigs were randomly assigned to groups exposed to broad-spectrum Solux halogen light (BS) or spiked-spectrum fluorescent light (FL) at both high (Hi, 10,000 lux) and low (Lo, 500 lux) intensities under a 12:12 light/dark cycle. Half of the animals in each group were used as controls (n = 24, 20, 22, and 20, respectively), and half were fitted with binocular -4-diopter (D) lenses (L, lenses; n = 22, 20, 24, and 22, respectively). Refractive error, corneal curvature, and axial dimensions were determined by cycloplegic retinoscopy, photokeratometry, and A-scan ultrasonography, respectively. RESULTS: Guinea pigs exposed to FL and BS showed similar changes in refraction under both high (HiFL: 2.26 ± 0.55 D versus HiBS: 2.17 ± 0.65 D, P > 0.05)- and low-intensity lighting (LoFL: 1.39 ± 0.88 D versus LoBS: 1.40 ± 0.93 D, P > 0.05). This was also true for the groups wearing lenses (HiFL-L: -1.81 ± 0.73 D versus HiBS-L: -1.45 ± 0.99 D, P > 0.05; LoFL-L: -2.58 ± 0.65 D versus LoBS-L: -2.29 ± 0.50 D, P > 0.05). Nevertheless, animals under high-intensity lighting exhibited a significantly larger hyperopic shift compared with those under low-intensity lighting (HiFL versus LoFL: P < 0.01; HiBS versus LoBS: P < 0.05). Similarly, a significantly smaller myopic shift was observed with brighter light in the lens condition (HiFL-L versus LoFL-L: P < 0.05; HiBS-L versus LoBS-L: P < 0.05). CONCLUSIONS: In guinea pigs, spectrally spiked light and broad-spectrum light have similar effects on natural refractive development and negative lens compensation. As found in other species, effects of light intensity on refractive development were also observed in guinea pigs in both illuminants.

Spherical lenses and prisms lead to postural instability in both dyslexic and non dyslexic adolescents.

There is controversy as to whether dyslexic children present systematic postural deficiency. Clinicians use a combination of ophthalmic prisms and proprioceptive soles to improve postural performances. This study examines the effects of convergent prisms and spherical lenses on posture. Fourteen dyslexics (13-17 years-old) and 11 non dyslexics (13-16 years-old) participated in the study. Quiet stance posturography was performed with the TechnoConcept device while subjects fixated a target at eye-level from a distance of 1_m. Four conditions were run: normal viewing; viewing the target with spherical lenses of -1 diopter (ACCOM1) over each eye; viewing with -3 diopters over each eye (ACCOM3); viewing with a convergent prism of 8 diopters per eye. Relative to normal viewing, the -1 lenses increased the surface of body sway significantly whereas the -3 diopter lenses only resulted in a significant increase of antero-posterior body sway. Thus, adolescents would appear to cope more effectively with stronger conflicts rather than subtle ones. The prism condition resulted in a significant increase in both the surface and the antero-posterior body sway. Importantly, all of these effects were similar for the two groups. Wavelet analysis (time frequency domain) revealed high spectral power of antero-posterior sway for the prism condition in both groups. In the ACCOM3 condition, the spectral power of antero-posterior sway decreased for non dyslexics but increased for dyslexics suggesting that dyslexics encounter more difficulty with accommodation. The cancelling time for medium range frequency (believed to be controlled by the cerebellum), was shorter in dyslexics, suggesting fewer instances of optimal control. We conclude that dyslexics achieve similar postural performances albeit less efficiently. Prisms and lenses destabilize posture for all teenagers. Thus, contrary to adults, adolescents do not seem to use efferent, proprioceptive ocular motor signals to improve their posture, at least not immediately when confronted to convergence accommodation conflict.

Aberrations and spherocylindrical powers within subapertures of freeform surfaces.

A method is described for the derivation of refractive properties and aberration structure of subapertures of freeform surfaces. Surface shapes are described in terms of Zernike polynomials. The method utilizes matrices to transform between Zernike and Taylor coefficients. Expression as a Taylor series facilitates the translation and size rescaling of subapertures of the surface. An example operation using a progressive addition lens surface illustrates the method.

Long-term follow-up of hydrogel intracorneal lenses in 2 aphakic eyes.

We report the outcome of hydrogel intracorneal lens implantation in 2 patients. The lenses were implanted at approximately 50% depth in the cornea to correct high hyperopic refractive errors of 10.5 diopters (D) and 14.0 D, respectively. Both patients were contact lens intolerant and not suitable for intraocular lens implantation. Surgery was performed in 1988, and the patients were followed until early 2010. The patients showed good tolerance for the intracorneal lenses, but both developed opacities around the implant, leading to reduced visual acuity in 1 patient. Long-term patient monitoring is essential since corneal opacities can develop after many years. Removing the implant is not necessary as the lens can easily be rinsed by lifting the corneal cap.

Comparison of the visual effects of Fresnel prisms in normal and amblyopic eyes.

PURPOSE: To assess the effects of Fresnel prisms on visual acuity and peak contrast sensitivity in the amblyopic and sound eyes of participants with amblyopia and to determine whether these functions were affected by Fresnel prisms to a different degree than those of controls. METHODS: The LogMAR visual acuity and peak contrast sensitivity of 10 unilateral amblyopic participants (mean age, 22.6 years) and 9 controls (mean age, 26.2 years) were tested with Fresnel prisms of powers 5(Delta), 10(Delta), 15(Delta), 20(Delta), and 25(Delta) and without a Fresnel prism. RESULTS: A statistically significant reduction in visual acuity with increasing prism power was found for all 3 groups, with the visual acuity of the amblyopic eyes being the least affected by the prisms. No statistically significant differences were found between the control and the sound eyes. No statistically significant differences in the effects of the prisms on peak contrast sensitivity could be detected between the 3 groups. Fresnel prisms were found to have a smaller effect on those amblyopic eyes with a poorer baseline visual acuity, indicating that these eyes may tolerate strong prisms without substantially impairing their visual acuity. CONCLUSIONS: Fresnel prisms have a lesser effect on the visual acuity of amblyopic eyes than on controls. In contrast, results for peak contrast sensitivity were very similar for each of the groups tested, and no significant differences were evident between the amblyopic, sound, and control eyes.