研究目的
To quantify regional changes of conventional out?ow caused by ab interno trabeculectomy (AIT).
研究成果
A quantitative, differential canalography technique was developed that allows us to quantify supraphysiological out?ow enhancement by AIT. The technique showed that nasal ablation of trabecular meshwork increased out?ow not only locally but circumferentially.
研究不足
The study was conducted on enucleated pig eyes, which may not fully replicate the conditions in living human eyes. The method requires further validation in vivo.
1:Experimental Design and Method Selection:
Gonioscopic, plasma-mediated AIT was established in enucleated pig eyes. A program was developed to automatically quantify out?ow changes using a ?uorescent tracer reperfusion technique.
2:Sample Selection and Data Sources:
Trabecular meshwork (TM) ablation was demonstrated with ?uorescent spheres in six eyes before formal out?ow quanti?cation with two-dye reperfusion canalograms in six additional eyes.
3:List of Experimental Equipment and Materials:
Eyes were perfused with a central, intracameral needle at 15 mm Hg. Fluorescent microspheres and two different water soluble dyes (fluorescein and Texas red) were used.
4:Experimental Procedures and Operational Workflow:
TM ablation was performed, followed by perfusion with fluorescent tracers. Canalograms and histology were correlated for each eye.
5:Data Analysis Methods:
A program written in R was used to automatically compute the focal out?ow changes and convergent perilimbal aqueous ?ow.
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FluoSpheres
0.5 μm, yellow-green fluorescent (505/515), 2% solids
Thermo Fisher Scientific
Used as fluorescent microspheres to visualize the collector channels after the TM was removed.
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Olympus SZX16
with GFP filter cube and DP80 monochrome/color camera
Olympus Corp.
Stereo dissecting microscope equipped for fluorescent imaging.
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Trabectome Goniolens
ONT-L, #600010
Neomedix, Inc.
Used to visualize the chamber angle during AIT.
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Trabectome System
#600026
Neomedix, Inc.
Standard microsurgical system used for AIT.
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CellSens
Olympus Life Science
Software used for time lapse analysis.
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AK-FLUOR
10%, fluorescein injection, USP, 100 mg/mL, NDC 17478-253-10
Akorn
Fluorescent dye used in differential canalograms.
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Texas red
sulforhodamine 101 acid chloride, 10 mg
Alfa Aesar
Fluorescent dye used in differential canalograms.
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