Movement of the inner retina complex during the development of primary full-thickness macular holes: implications for hypotheses of pathogenesis.

BACKGROUND: The inner retinal complex is a well-defined layer in spectral-domain OCT scans of the retina. The central edge of this layer at the fovea provides anatomical landmarks that can be observed in serial OCT scans of developing full-thickness macular holes (FTMH). Measurement of the movement of these points may clarify the mechanism of FTMH formation. METHOD: This is a retrospective study of primary FTMH that had a sequence of two OCT scans showing progression of the hole. Measurements were made of the dimensions of the hole, including measurements using the central edge of the inner retinal complex (CEIRC) as markers. The inner retinal separation (distance between the CEIRC across the centre of the fovea) and the Height-IRS (average height of CEIRC above the retinal pigment epithelium) were measured. RESULTS: Eighteen cases were identified in 17 patients. The average increase in the base diameter (368 microns) and the average increase in minimum linear dimension (187 microns) were much larger than the average increase in the inner retinal separation (73 microns). The average increase in Height-IRS was 103 microns. CONCLUSION: The tangential separation of the outer retina to produce the macular hole is much larger than the tangential separation of the inner retinal layers. A model based on the histology of the Muller cells at the fovea is proposed to explain the findings of this study.

Asymmetric vitreomacular traction and symmetrical full thickness macular hole formation.

BACKGROUND: A Full Thickness Macular Hole (FTMH) is often associated with vitreomacular traction, and this can be asymmetric with vitreomacular traction on one side of the hole but not the other. In cross-section, the elevated retinal rim around a developed FTMH is seen as a drawbridge elevation, and this drawbridge elevation may be used as a measure of morphological change. Examination of the drawbridge elevation of the retinal rim in FTMH with asymmetric vitreomacular traction may help to clarify the role of vitreomacular traction in the development of FTMH. METHOD: Cases of FTMH were identified with an initial OCT scan showing vitreomacular traction on one side of the hole only and that had a follow-up OCT scan showing progression of the hole. A tangent to the retinal surface at a distance of 700 microns from the axis of the hole was used as a marker of the drawbridge elevation of the retinal rim around the macular hole. Comparisons of the drawbridge elevation and change in drawbridge elevation between the sides with and without initial vitreomacular traction were made. RESULTS: There was no significant difference between the drawbridge elevation, or change in drawbridge elevation, on the side of the hole with initial vitreomacular traction compared to the side without initial traction. CONCLUSION: There is some intrinsic mechanism within the retina to link the morphological changes on the two sides of a FTMH. A bistable hypothesis of FTMH formation and closure is postulated to explain this linkage.

Estimating the mechanical properties of retinal tissue using contact angle measurements of a spreading droplet.

When a drop of liquid is placed on the surface of a soft material, the surface deformation and the rate of spreading of the triple contact point is dependent on the mechanical properties of the substrate. This study seeks to use drop spreading behavior to infer the mechanical properties of soft biological materials. As an illustration of the value of this technique we have compared the spreading behavior of a liquid droplet on two viscoelastic, soft materials, namely, an elastomer and a low concentration agar gel. The ratio of the mechanical properties of these soft materials obtained in this way is confirmed by atomic force microscopy (AFM) nanoindentation. By comparing the spreading behavior of a liquid on the retina with that of the same liquid on each of two viscoelastic materials, we can then estimate the elastic moduli of the retina: an estimate that is extremely difficult to carry out using AFM.

Surface characterisation and biomechanical analysis of the sclera by atomic force microscopy.

The sclera is an important collagenous based connective tissue that gives the eye its shape and protects the sensitive layers within the globe. The elasticity and resilience of the sclera mainly come from the stroma, which contains a dense network of collagen fibrils comprising 90% of the thickness of the tissue. However, the outermost layer of the scleral tissue (∼10 µm) is known as the episclera, which is mostly uncharacterised and seldom investigated. Here, we use AFM scanning of porcine eyes to show that the surfaces of these two distinctive layers are structurally different. Furthermore, we use AFM nanoindentation to show that the episclera has significantly different mechanical properties than the stroma. The mechanical properties of the stroma are shown to be distributed between its two component parts (proteoglycan matrix and collagen fibrils).

Exchange bias using a spin glass.

Exchange bias is commonly manifested as the hysteresis-loop shift observed when a ferromagnet is in contact with an antiferromagnet. Here, we report observations of exchange bias with unusual features of a ferromagnet in contact with a spin glass, demonstrating that this is a phenomenon of greater generality. The easily measured properties of the ferromagnet allow access to the internal magnetic degrees of freedom of the glass to which they are coupled. Our results show that a Co/CuMn bilayer system exhibits all the rich phenomena of coercivity enhancement, bias-field shifts and training effects associated with a conventional ferromagnet/antiferromagnet system. Nevertheless, striking differences arise, such as an orientation reversal of the bias field in a small temperature range just below the blocking temperature. We argue that all features can be understood within the context of a random-field model for long-ranged oscillatory Ruderman-Kittel-Kasuya-Yosida (RKKY) coupled spins.