 |
| Volume 5, Number 3, Article 2, Pages 165-176 |
doi:10.1167/5.3.2 |
http://journalofvision.org/5/3/2/ |
ISSN 1534-7362 |
Lenticular accommodation in relation to ametropia: The chick model
Vivian Choh |
School of Optometry, University of California Berkeley, Berkeley, CA, USA |
|
Jacob G. Sivak |
School of Optometry, University of Waterloo, Waterloo, ON, Canada |
|
Abstract
Our goal was to determine whether experimentally induced ametropias have an effect on lenticular accommodation and spherical aberration. Form-deprivation myopia and hyperopia were induced in one eye of hatchling chicks by application of a translucent goggle and +15 D lens, respectively. After 7 days, eyes were enucleated and lenses were optically scanned prior to accommodation, during accommodation, and after accommodation. Accommodation was induced by electrical stimulation of the ciliary nerve. Lenticular focal lengths for form-deprived eyes were significantly shorter than for their controls and accommodation-associated changes in focal length were significantly smaller in myopic eyes compared to their controls. For eyes imposed with +15 D blur, focal lengths were longer than those for their controls and accommodative changes were greater. Spherical aberration of the lens increased with accommodation in both form-deprived and lens-treated birds, but induction of ametropia had no effect on lenticular spherical aberration in general. Nonmonotonicity from lenticular spherical aberration increased during accommodation but effects of refractive error were equivocal. The crystalline lens contributes to refractive error changes of the eye both in the case of myopia and hyperopia. These changes are likely attributable to global changes in the size and shape of the eye.
 |
|
History
Received June 1, 2004; published March 4, 2005
Citation
Choh, V. & Sivak, J. G. (2005). Lenticular accommodation in relation to ametropia: The chick model.
Journal of Vision, 5(3):2, 165-176,
http://journalofvision.org/5/3/2/,
doi:10.1167/5.3.2.
Keywords
accommodation, ciliary nerve, optics, scanning laser, induced ametropia
for related articles by these authors
for papers that cite this paper |
In normal young animals, growth of the eye is modulated
to ensure that the image focal plane coincides with the retina. This process,
called emmetropization, is the underlying basis of an extensive body of work
that shows that induction of specific visual cues can lead to the development of
refractive errors. Ametropias (myopia and hyperopia) have been experimentally
induced in a variety of animals, including, but not limited to, chickens
(Irving, Sivak, & Callender, 1992;
Schaeffel, Glasser, & Howland, 1988), tree shrews (Norton, 1999; Siegwart & Norton, 1993), and monkeys (Hung, Crawford, &
Smith, 1995). Myopia, manifested as an
increased axial length of the globe, is induced by form-deprivation of the eye
or by imposition of a hyperopic defocus using negative (concave) spectacle
lenses, whereas hyperopia, manifested as shorter axial lengths and choroidal
thickening, is induced by exposure to myopic defocus by application of positive
(convex) lenses (Irving et al., 1992;
Schaeffel et al., 1988; Wildsoet &
Wallman, 1995).
Controversy exists over the role that accommodation may
play in mediating emmetropization. Several studies support the idea that
accommodation may be a driving force for growth of the eye to a myopic
refractive state. In humans, near-work, which includes reading, writing, or any
other task requiring accommodation, has been associated with the development of
myopia, and population studies indicate a high prevalence of myopia in students
from some Asian countries, which are known to have exacting educational
standards (Lin et al., 1999; Saw et al., 2000; Wu et al., 2001). While there is support for the idea that
myopia may be genetically inheritable, the Barrow, Alaska, study showed that
school-attending grandchildren of nomadic Inuits tended to be more myopic than
their ancestors, who tended to be hyperopic (Young et al., 1969), suggesting that environmental visual
factors can influence growth of the eye. It has been suggested that in chicks,
accommodation may be the mechanism by which emmetropization is mediated; images
imposed with hyperopic defocus (diverging negative lenses) can become clear with
accommodation, whereas images imposed with a myopic defocus (positive lens)
cannot (Schaeffel et al., 1988).
Observations that chicks imposed with different spectacle lenses accommodated
and become functionally emmetropic while wearing these lenses lend support to
this idea (Schaeffel et al., 1988).
Studies showing that optic nerve-sectioned eyes elongate to become more myopic
in response to both form-deprivation (Troilo, Gottlieb, & Wallman, 1987) and negative lenses (Wildsoet &
Wallman, 1995) indicate that control of
emmetropization is at the level of the retina and that connection to the brain
is not necessary for emmetropization to occur. However, while optic
nerve-sectioned eyes compensated correctly to their respective visual cues, in
both studies, these eyes were shorter prior to lens-wear, which suggests that
the brain, of which the accommodative apparatus is a part, may be required to
regulate ocular growth.
The crystalline lens is a primary contributor to
accommodation, imparting some, if not all, of the refractive power required
during accommodation, depending on the species. However, its role in
experimentally induced ametropias remains unclear. In fact, the effect on the
lens itself remains somewhat controversial, with most investigations showing
little or no effect in lenticular weight, focal length, or axial thickness.
However, while Priolo and colleagues ( 2000) showed no refractive error-associated
differences in lenticular focal lengths, the optics of lenses from form-deprived
eyes and eyes treated with +10 D spectacle lenses were degraded relative to
their controls, showing that the crystalline lens, too, is an intraocular
structure that may be affected by experimentally induced ametropias. Given the
potential importance of accommodation in experimentally induced ametropias and
of the lens in accommodation, this study was undertaken to determine whether
experimentally induced ametropias have an effect on lenticular accommodative
function and on lenticular spherical
aberration.
White leghorn ( Gallus
gallus domesticus) hatchling chicks (Maple Leaf Poultry, New Hamburg, ON)
were unilaterally fitted with a velcro ring and either a translucent or a +15 D
lens goggle to induce myopia and hyperopia, respectively. Translucent goggles
were used because they have been previously shown to induce the greatest amounts
of myopia. Additional experiments with –15 D lenses were not done in the
interests of reducing the number of chicks used and because how the myopias are
ultimately manifested (increased vitreous chamber depth and thinner choroid) is
the same regardless of method of induction (Wallman et al., 1995; Wildsoet & Wallman, 1995). Ungoggled, contralateral eyes served
as controls for the goggling procedure. Chickens were cared for according to the
Guidelines of the Canadian Council on Animal Care; therefore, their management
conforms to the ARVO Statement for the Use of Animals in Ophthalmic and Vision
Research. After 7 days, both eyes were measured for refractive errors using
streak retinoscopy; then chickens were killed by decapitation. Eyes were
enucleated in oxygenated (95% oxygen, 5% carbon dioxide) Tyrode's solution
(TS:134 mM NaCl, 3 mM KCl, 20.5 mM NaHCO 3,
1 mM MgCl, 3mM CaCl 2) and the back of the eye was removed except for
the portion containing the ciliary nerves and ganglion ( Figure 1). Equatorial and axial lengths were
measured using calipers for a subset of eyes (23 of 31 pairs for form-deprived
birds, 33 of 38 pairs for +15 D-treated birds) prior to removal of the posterior
portion.
Figure 1.
Schematic drawings of the scanning laser monitor preparation. The anterior
segment of the eye is placed cornea facing down onto a washer and into a
scanning chamber (not shown) containing Tyrode's solution. The ciliary nerve is
suctioned into the tip of a suction electrode to allow investigator-controlled
accommodation. Laser beams enter the eye through the bottom of the chamber,
passing through the pupil and lens at various eccentricities from the optical
center. Refracted beams are captured by a camera. Note that because the eye is
surrounded by Tyrode's solution, optical effects of the cornea are neutralized
(please see text).
Eyes were pinned cornea facing down to a Sylgard®
(Dow Corning) washer ( Figure 1) and were then
placed into a silicone mould that formed the bottom of a chamber. The base mould
was fitted with a rectangular glass tube that had a second smaller, open-ended
tube attached. A hand-made silver chloride suction electrode with Tygon®
tubing tip was passed through the smaller tube, and the ciliary nerve was
suctioned into the electrode tip. The rest of the open-ended tube was plugged
with petroleum jelly. The chamber was filled with 8% (v/v) fetal bovine serum in
Tyrode's solution to visualize the refracted
beams.
Lenses were scanned as previously described (Choh,
Sivak, & Meriney, 2002). A low-power
helium-neon laser entered through the front of each eye at 0.13-mm steps from
the optical axis, with the number of beams recorded dependent on irideal
aperture size ( Figure 1). Images of the
refracted beams leaving the back of the eye were recorded using software
included with the scanning laser device developed at the University of Waterloo.
Back vertex focal length was calculated as the distance from the back vertex of
the lens, which was previously determined from a camera image of the posterior
lens surface, to the point where a refracted beam crossed the optical axis. For
each eye, a baseline, prestimulus scan was made, followed by a scan during
accommodation. Accommodation of the intact lens and ciliary apparatus was
induced by electrical stimulation of the ciliary nerve (30 Hz, 0.1-1.5 mA; Figure 2). These parameters, which induced maximal
irideal contractions, were chosen on the basis of previous work (Choh et al., 2002; Pilar, Nunez, McLennan, & Meriney,
1987). A third, final scan was made to
measure back vertex focal lengths during a poststimulus unaccommodated state.
The scans across all eccentricities were between 1 and 2 min in duration. During
collection of the data, the three most central rays were omitted to avoid
spurious variability associated with sutural regions of the lens (Bantseev,
Herbert, Trevithick, & Sivak, 1999;
Kuszak, Peterson, Sivak, & Herbert, 1994; Sivak, Herbert, Peterson, & Kuszak,
1994). As the lens is a radially
symmetrical organ, inferences of the magnitudes for lenticular focal lengths,
spherical aberrations, and nonmonotonicity from spherical aberration were based
on the two-dimensional scans.
Figure 2. Slightly angled top view of a dissected accommodating chicken eye. Note ciliary
muscle movement, contraction of the crystalline lens, and constriction of the
pupil during nerve-stimulated accommodation.
Note that because eyes were submerged in physiological
saline, the corneal power from differences in corneal surface curvatures must be
small and differences during corneal accommodation even smaller. Calculations
using a schematic chicken eye (Schaeffel & Howland, 1988) show that the maximum corneal
accommodative change in air (9 D) (Glasser, Troilo, & Howland, 1994) is equivalent to 0.10 D in water, a
magnitude that is beyond the resolving power of most keratometers ( Appendix). Thus, the back vertex focal lengths
measured were taken to represent lenticular back vertex focal lengths.
Although all eyes were optically scanned at 0.13-mm
intervals, the number of eccentric points across the lens varied as a result of
differences in pupil aperture sizes ( Table 1). Pupil size differences arose due
to natural or inherent pupil size variation, or due to accommodation-associated
pupillary constriction ( Figure 2). As different
pupil sizes can artificially increase or decrease the mean lenticular focal
length if any spherical aberration exists (Jenkins & White, 1957; Smith, 2000), means were calculated for a constant
irideal aperture size prior to comparisons; focal lengths at eccentricities for
which corresponding data did not exist in the fellow eye nor during
accommodation were eliminated from calculations of the mean.
|
|
Number of beams (mean:range) entering the pupil for each
accommodative state
|
|
pre
|
stim
|
post
|
|
Translucent goggle
|
control
|
16:
|
14 to 19
|
13:
|
10 to 17
|
15:
|
12 to 19
|
|
treated
|
15:
|
14 to 17
|
12:
|
10 to 15
|
15:
|
12 to 17
|
|
+15 D goggle
|
control
|
16:
|
13 to 17
|
12:
|
10 to 15
|
15:
|
13 to 17
|
|
treated
|
16:
|
13 to 18
|
12:
|
10 to 15
|
15:
|
13 to 17
|
Table 1. The number of beams (mean:range) entering
the pupil for form-deprived myopic and +15 D-treated hyperopic chicks for each
state of accommodation.
All optical scans showed negative spherical aberration
(SA), regardless of refractive error or accommodation state (see Results). For each scan, back vertex focal
lengths at each eccentricity were converted to dioptric values (vergences) prior
to being fitted to second-order polynomial regression functions
( y
=
Ax2
=
Bx
= C). The
A-coefficient, which defines the shape (i.e., steepness) of the parabola, was
used to quantify lenticular spherical aberration, where steeper parabolas
represent scans with greater spherical aberration (Jenkins & White, 1957). Most of the scans (91.8% or 190 of
207) were significantly correlated to the quadratic polynomial equation
( p < .05). Not unexpectedly, the 17
scans with poorer regression correlations were those for stimulated eyes, with
10 from form-deprived birds and 7 from +15 D-treated birds; poorer correlations
were expected for these eyes because accommodation was associated with pupillary
constriction and therefore a lower number of beams passing through the pupil.
These results indicate that although not perfect, lenticular spherical
aberrations fit well with the parabolic function. Although this method of
determining the spherical aberration is not traditional, it has worth in
allowing comparisons over a range of eccentricities from the optical axis rather
than exclusively at a specific point or marginal ray. This is an advantage in
the work presented here, given the differences in aperture size (Smith, 2000) and absence of paraxial back vertex
focal lengths. Moreover, spherical aberrations calculated for specific pupil
sizes (in the traditional manner) revealed exactly the same relative
associations within the groups and yielded exactly identical statistical results
(see Results).
Nonmonotonicity from spherical aberration was assessed
using the residual root mean square (RMS) of each scan against the best-fitting
quadratic function. As the RMS is a measure of the amount of deviation from the
ideal, or best-fitting function, higher RMS values indicate greater amounts of
deviation and therefore more aberrant rays.
The effects of induced ametropias and accommodation
were analyzed using two-way repeated measures ANOVA (analysis of variance) tests
at two-tailed α levels of p ≤ 0.05
with both refractive error and accommodative state as repeated, dependent
within-subjects factors. Comparisons between ametropia-induced eyes and their
respective controls were analyzed using paired
t tests. Changes associated with
accommodation were assessed using one-way repeated measures ANOVA, followed by
paired t tests with Bonferroni
corrections (Bonferroni multiple comparison test) to account for multiple
testing.
Effects of refractive error and accommodation
Form-deprivation resulted in induction of myopia, an
observation that is consistent with other reports. After 7 days of
goggle-wear and prior to enucleation, refractive errors in form-deprived eyes
(n = 31) ranged from –4.50 to
–24.50 D and averaged (±SD)
–13.63 ± 5.53 D (mean change from day 0: –19.69 ± 5.76 D),
whereas the contralateral (control) ungoggled eyes
(n = 31) were hyperopic, with
refractive errors ranging from +1.50 to +6.75 D and averaging +3.81 ± 1.16
D (mean change from day 0: –1.79 ± 3.15 D). As expected, axial
lengths for form-deprived eyes
(n = 23) were longer, at a
mean length of 9.63 ± 0.36 mm, compared to those for control eyes, which
averaged 8.88 ± 0.22 mm (n = 23).
The mean equatorial diameters of myopic eyes (12.23 ± 0.32 mm;
n = 23) were greater
(p < .0001) than those for
their controls (12.01 ± 0.24 mm; n
= 23). Eyes imposed with +15 D lenses
(n = 38) became hyperopic, ranging from
+6.25 to +19.00 D and averaging to +14.36 ± 2.50 D (mean change from day 0:
+9.01 ± 3.66 D), whereas refractive errors for their contralateral,
ungoggled eyes (n = 38) ranged from
+1.75 to +6.00 D and averaged to +3.45 ± 0.90 D (mean change from day 0:
–1.53 ± 2.90 D). Axial lengths of defocus-imposed eyes
(n = 34) were shorter, at 8.58 ±
0.18 mm, compared to their controls (n
= 34), at 8.85 ± 0.20 mm. Mean equatorial diameters in lens-treated eyes
(11.90 ± 0.24 mm; n = 33) were
statistically similar (p = 0.4604) to
those of their controls (11.88 ± 0.22 mm;
n = 33).
Differences in the mean back vertex focal length were
detected as a function of accommodative state
( p < .0001). For both form-deprived
and control eyes, mean lenticular focal lengths for stimulated eyes were shorter
than for those at rest ( Figure 3), an
indication that, as expected, stimulation of the ciliary nerve was able to
induce a lenticular accommodative response. Poststimulus focal lengths were also
shorter than their prestimulus counterparts, an indication that there were
significant hysteresis effects in both treated and control groups
( p < .0001 for both).
Figure 3. Mean back vertex focal lengths
(±SEM) for lenses from
form-deprived eyes (filled squares) and from their controls (open circles) at
each accommodative state. For each eye, focal lengths denoted by asterisks were
shorter than for those not marked (p
< .05; Bonferroni multiple comparison test). Means denoted by double
asterisks were significantly shorter than those for control eyes at the same
accommodative state (p < .05;
Bonferroni multiple comparison test).
Overall, mean lenticular focal lengths for
form-deprived eyes were shorter than for their controls
( p = 0.0003; two-way repeated
measures ANOVA) but significant interaction was also detected
( p = .0028), indicating that
differences between eyes were dependent on the accommodative state of the eye.
Specifically, for both the pre- and poststimulus accommodative states, mean
focal lengths for form-deprived eyes were significantly shorter than for their
controls ( p < .0001 for both
accommodative states), with differences in mean length at about 1 mm (for both
accommodative states; Figure 3) or in power at
about 3 D (assuming thin lens in water,
nw
= 1.33; calculation not shown). However, mean lenticular focal lengths for
stimulated form-deprived eyes were similar to those for stimulated control eyes
( p = .4721). Together with the finding
that focal lengths for lenses from myopic eyes are inherently shorter ( Figure 3), the results indicate that lenticular
accommodation was also affected by induction of myopia. Indeed, changes in
accommodative amplitudes were affected by both refractive error
( p = .0138) and by the hysteresis
effects ( p < .0001), with treated
eyes showing smaller accommodative amplitudes than their controls, and with
amplitudes during recovery from accommodation smaller than those for
accommodation ( Figure
4).
Figure 4. Mean
accommodative and recovery amplitudes
(±SEM) for lenses from myopic eyes
(filled bars) and their controls (open bars). For each accommodative state,
means denoted by double asterisks were significantly reduced compared to those
not marked (p < 0.05; paired
t test).
Accommodation effects on mean focal lengths for +15
D-treated eyes and their controls were significant
( p < .0001) and similar to
those observed for form-deprived eyes. For both +15 D-treated and control eyes,
lenticular focal lengths for stimulated eyes were shorter than for their
respective eyes at rest, and hysteresis effects were also significant
( p < .0001 for treated and control
eyes). An overall refractive error effect
( p = .0178; two-way repeated measures
ANOVA) and significant interaction ( p =
.0190) of the refractive error and accommodation effects were also detected,
again indicating that differences between +15 D-treated and control eyes were
dependent on the accommodative state of the eye ( Figure 5). Induction of hyperopia resulted in
opposite effects to those observed for form-deprivation. For both the pre- and
poststimulus accommodative states, focal lengths for the +15 D-treated eyes were
longer than for their respective control eyes
( p = .0069 and
p = .0053, respectively), by about 0.5
mm, or 1.75 D in power for both accommodative states. The findings that focal
lengths for stimulated +15 D-treated were similar to those for stimulated
control eyes ( p = .3956) but that means
for resting eyes +15 D-treated eyes were inherently longer suggests that
induction of hyperopic refractive error also affects lenticular accommodation.
In contrast to results for form-deprived chickens, accommodative changes were
greater, rather than smaller, for treated eyes than for their controls
( p = .0415; Figure 6). As in form-deprived birds, however, the
amplitudes for recovery from accommodation in +15 D-treated birds were smaller
than the amplitudes observed during accommodation
( p < .0001).
Figure 5. Mean back vertex focal lengths
(±SEM) for lenses from +15 D
lens-treated eyes (filled squares) and from their controls (open circles) at
each accommodative state. For each eye, focal lengths denoted by asterisks were
shorter than for those not marked (p
< .05; Bonferroni multiple comparison test). Means denoted by double
asterisks were significantly longer than those for control eyes at the same
accommodative state (p < .05;
Bonferroni multiple comparison test).
Figure 6. Mean
accommodative and recovery amplitudes
(±SEM) for lenses from +15 D
lens-treated eyes (filled bars) and their controls (open bars). Mean amplitudes
denoted by double asterisks were significantly longer than those for control
eyes at the same accommodative state (p
< .05; Bonferroni multiple comparison test).
The results suggest that resting, baseline lenticular
focal lengths are correlated to the refractive error of the eye. Prestimulus
lenticular focal lengths were linearly regressed as a function of refractive
error. For both form-deprived and +15 D-treated birds, correlations were
extremely poor
(R2
= 0.027 and
R2
= 0.038, respectively; data not shown) but significant
(p < .0001 and
p = .0510,
respectively). Effects of refractive error and accommodation on lenticular spherical aberration and optical quality
In general, optical scans showed negative spherical
aberration ( Figure 7). For both form-deprived
and +15 D-treated chickens, refractive error had no effect on the amount of
lenticular spherical aberration ( Figures 8 and
9, respectively;
p = .8937 and
p = .8068, respectively). In myopic
birds, mean lenticular spherical aberration (SA) in stimulated eyes were greater
than those in the pre- and poststimulus states ( Figure 8;
p < .0001 and
p = .0001, respectively), whereas no
differences were detected between the means for the pre- and poststimulus states
( p = .3798). Eyes for hyperopic birds
showed a similar pattern; spherical aberrations were similar for pre- and
poststimulus eyes
( p = .9611), but
significantly increased in stimulated eyes compared to the pre- and poststimulus
states ( Figure 9;
p < .0001 for both states).
Figure 7. Mean back vertex focal lengths
(±SEM) of lenses from
form-deprived myopic (A) and +15 D lens-treated hyperopic chicks (B), plotted as
a function of eccentricity from the optical center. Each data point represents a
mean of a minimum of 3 values measured at that eccentricity. Lenses from treated
(filled) and control (empty) eyes were optically scanned prior to stimulation
(squares), during stimulation (triangles), and after stimulation (circle). Note
that for all accommodative states, spherical aberrations are monotonic and
clearly negative.
Figure 8. Mean parabolic A-coefficient value
(±SEM) representing spherical
aberrations for lenses from form-deprived eyes (filled squares) and their
controls (empty circles). For each eye, means denoted by asterisks were
significantly greater than those not marked
(p < .05; Bonferroni multiple
comparison test).
Figure 9. Mean
parabolic A-coefficient value
(±SEM) representing spherical
aberrations for lenses from +15 D lens-treated eyes (filled squares) and their
controls (empty circles). For each eye, means denoted by asterisks were
significantly greater than those not marked
(p < .05; Bonferroni multiple
comparison test).
To test the suitability of using the second-order
function in the manner described above, SA was calculated in the traditional
manner for resting (2.29 mm) and accommodating (1.63 mm) pupil sizes from the
vertex of the polynomial function ( Table 2).
The pupil sizes were calculated by multiplying the eccentricity step size (0.13
mm; see above) by the mean number of beams passing through the pupil in
prestimulus eyes and accommodating eyes, respectively ( Table 1). The relationships between the all
groups and accommodative states were found to be exactly the same statistically
as calculations for the A-coefficient ( Figures
8 and 9; statistical data not
shown).
|
|
Pupil size (mm)
|
Lenticular spherical aberration
±SD (dioptres) for each
accommodative state
|
|
pre
|
stim
|
post
|
|
Translucent goggle
|
control
|
1.63
|
-8.31 ± 3.65
|
-10.78 ± 4.82*
|
-8.85 ± 4.29
|
|
treated
|
-8.07 ± 1.70
|
-11.56 ± 7.91*
|
-8.58 ± 2.04
|
|
control
|
2.29
|
-16.40 ± 7.20
|
-21.27 ± 9.52*
|
-17.48 ± 8.47
|
|
treated
|
-15.93 ± 3.35
|
-22.82 ± 15.62*
|
-16.93 ± 4.02
|
|
+15 D lens
|
control
|
1.63
|
-7.76 ± 1.89
|
-11.02 ± 4.10*
|
-7.79 ± 1.66
|
|
treated
|
-7.92 ± 1.86
|
-10.53 ± 3.50*
|
-7.93 ± 1.94
|
|
control
|
2.29
|
-15.31 ± 3.74
|
-21.76 ± 8.08*
|
-15.37 ± 3.28
|
|
treated
|
-15.63 ± 3.67
|
-20.78 ± 6.91*
|
-15.65 ± 3.84
|
|
*Significantly different than prestimulus state
(p < .05).
|
Table 2. Lenticular spherical aberrations
±SD (dioptres) for
accommodation-sized (1.63 mm) and resting state-sized (2.29 mm) pupils in
form-deprived and +15 D-treated birds at each accommodative state.
For both form-deprived and +15 D-treated birds,
analysis of the mean residual RMS against the best-fitting quadratic function
revealed an overall accommodation effect, with both groups of birds showing
increased nonmonotonicity with accommodation ( Figures 10 and 11; p
< .0001 for both). However, refractive error effects were slightly different;
overall, the mean RMS in form-deprived eyes
( n = 31) was greater than in their
controls ( p = .0513), but while the
optical quality in +15 D-treated eyes was also slightly poorer than in their
controls, the differences in the RMS were attenuated
( p = .1325; Figure 11). Together the results indicate that
lenticular optical quality is degraded during accommodation, while the effects
of refractive error are
equivocal.
Figure 10. Mean residual root mean squares (RMS)
of the best-fitting quadratic function for form-deprived (filled square) and
their control (empty circles) eyes. Overall, the RMS for stimulated lenses were
greater than those for the pre- and poststimulus states
(p < .0001 and
p = .0002; Bonferroni multiple
comparison test), indicating increased nonmonotonicity with accommodation.
Figure 11. Mean residual root mean squares (RMS)
of the best-fitting quadratic function for +15 D-treated eyes (filled square)
and their controls (empty circles). Overall, the RMS for accommodating lenses
were greater than those for eyes at rest
(p < .0001; Bonferroni multiple
comparison test), indicating increased nonmonotonicity with accommodation.
Given that intraocular structures remained in their
natural anatomical configurations and that stimulation of the ciliary nerve
resulted in accommodation, as measured by shorter focal lengths ( Figures 3 and 5),
the results presented here were taken to be representative of the functional
optics of intact eyes. The fact that we have found a refractive error-associated
difference in lenticular focal length while others have not (Priolo et al., 2000) would seem to indicate that
measurements made with the lens in situ differ than when it is in vitro.
The results clearly indicate that much of the loss of
lenticular accommodation in myopic eyes ( Figure
4) may be attributed to the inherently shorter lenticular focal lengths
exhibited by myopic lenses at rest ( Figure 3).
Shorter lenticular focal lengths may be attributed to changes in the lenticular
refractive index or in the shape of the lens, or both. To date, no
ametropia-associated changes to the total lenticular protein content nor to
lenticular αA- and δ-crystallin levels have been found
(Pickett-Seltner, Sivak, & Pasternak, 1988; Zaidi, Senchyna, & Sivak,
2002). Instead, the focal length
differences in the present study are likely influenced by the shape of the lens.
An ultrasound biomicroscopy (UBM) study of lenses from ametropic chickens of the
same age that were similarly treated showed that of 12 monocularly
form–deprived chicks, all of the resting lenses in situ of the myopic eyes
were thicker than in their controls, although differences were too small to be
significantly different (Choh, Sivak, Irving, & Wong, 2002). While the results for lenticular
thicknesses in hyperopic eyes in the UBM study were equivocal, other studies
show that lenses from hyperopic eyes, made so by constant light exposure or
optic nerve section, tend to be thinner (Li, Troilo, Glasser, & Howland, 1995; Wildsoet, 2003). Together, the results suggest that
if there are lenticular shape changes, they are likely associated with
refractive error-associated global changes to the eye.
The shorter lenticular focal lengths in myopic eyes in
the present study might be related to contraction of the ciliary muscle (the
ciliary muscle tone is increased in these eyes). It should be noted that others
have shown that accommodation in myopes is reduced compared to emmetropes
(Gilmartin & Bullimore, 1991;
Gwiazda, Thorn, Bauer, & Held, 1993),
a finding that is consistent with our results. However, in their study
(Gilmartin & Bullimore, 1991) and
in a separate study (Gwiazda, Bauer, Thorn, & Held, 1995), these investigators found that tonic
accommodation levels in myopes were lower compared to emmetropes, which is
opposite to our results if we consider resting lenticular focal lengths of the
present study to be comparable to tonic accommodation. Perhaps the mode of
accommodation may be a factor, given that accommodation in chickens is achieved
by the ciliary body directly pushing on the lens, whereas in humans,
accommodation occurs by relaxation of zonules attached to the ciliary muscle.
However, several studies indicate that the ciliary muscle is not involved in
experimentally induced ametropias (Schwahn & Schaeffel, 1994; West, Sivak, & Doughty, 1991).
Lenticular shape differences may be independent of the
accommodative apparatus. Ronkina, Chabrova, Borisova, Vasin, and Bagrova ( 1989)
suggest that the posterior capsule in myopic eyes is thicker than in emmetropic
eyes. It is possible that the lens capsules in the myopic eyes of the present
study were also thicker, although capsular changes were never tested. Although
less likely, it must be considered that putative changes to the crystalline lens
shape are cellular in nature. Given that the lens is enclosed within the eye, it
is constantly exposed to and cannot avoid any factors that may be released or
up-regulated by the retina in response to the imposed blurs. Changes to the lens
may therefore be a side effect of the growth changes that are occurring within
the eye. That the lens responds in a specific manner to distinct visual cues,
contributing to the final refractive error of the eye rather than reducing its
effect, may imply that the crystalline lens is genetically pre-programmed to
respond to specific putative retinal factors, or that the lens itself is capable
of distinguishing and up- or down-regulating its own growth changes. It
currently remains unknown what these putative signals are, if they exist, and
whether regulation involves up- or down-regulation of receptors in the lens or
not. It must be noted that there are inherent limitations with altered
lenticular fiber growth as a mechanism for lens thinning. Unlike the rest of the
eye, the lens grows throughout life, with "shells" or concentric layers of fiber
cells continuously added to preexisting layers of the lens, and under normal
circumstances, fiber cells do not die or become phagocytosed; the lens contains
all of its original cells, with the oldest cells compacted toward the center of
the lens. There is no additional mechanism to alleviate growth changes, unlike
the eye itself, which can rely on thickening of the choroid to further reduce
retinal distance from the anterior of the eye. Moreover, thinning of the lens
cannot rely on compaction of fiber cells toward the center of the lens because
the refractive power of the lens would increase and the eye would become more
myopic.
Given that positive spectacle lenses were able to
induce crystalline lenticular responses, and moreover, that these responses were
opposite to those for myopic birds, it may be speculated that imposition of a
hyperopic defocus, by a negative or concave lens, would result in similar
effects as for form-deprivation myopia. Although studies exist that show that
the eye is capable of discriminating between, and responds differently to,
form-deprivation and lens-induced myopia (Bartmann, Schaeffel, Hagel, &
Zrenner, 1994; Kee, Marzani, &
Wallman, 2001; Schaeffel, Bartmann, Hagel,
& Zrenner, 1995; Schaeffel, Hagel,
Bartmann, Kohler, & Zrenner, 1994),
the majority of studies indicate that the ultimate overall growth effects
(enlarged vitreous chamber, thinner choroids) of the two treatments are similar
(Irving et al., 1992; Norton, 1999; Troilo & Wallman, 1991; Wallman et al., 1995; Wildsoet & Wallman, 1995). However, as this paradigm was
untested, the effects of hyperopic defocus on lenticular accommodation remain
unknown.
The results presented here clearly show that lenticular
focal lengths are affected by form-deprivation and by myopic defocus, whereas in
a previous study, Priolo and colleagues ( 2000) did not find any refractive
error-related differences in lenticular focal length. It should be noted that in
addition to the greater number of chickens tested here, there are a couple of
other differences between the study here and the other report (Priolo et al., 2000). In the present study, focal lengths
were measured from lenses in situ, whereas previously, lenses were excised. It
has been shown that excision of lenses causes them to "round up" (Glasser,
Murphy, Troilo, & Howland, 1995).
Given the possibility that the refractive error-associated differences in focal
length reported here may be attributable to ciliary muscle-associated changes of
the eye, isolation of the lens from the accommodative apparatus may have
inadvertently caused neutralizing effects in the prior study. Calculations of
mean lenticular focal lengths also differ; unlike in the previous study, focal
lengths at the lens sutures were omitted because of the unpredictably variable
focal lengths associated with this region (Bantseev et al., 1999; Kuszak et al., 1994; Sivak et al., 1994), which can result in the masking of
smaller effects. The combination of these experimental and analytical
modifications may together account for the different results observed for this
and the previous study (Priolo et al., 2000).
The findings that the already negative lenticular
spherical aberrations increase with accommodation in both myopic and hyperopic
birds are consistent with several studies showing more negative spherical
aberrations with accommodation in human eyes (Collins, Wildsoet, & Atchison,
1995; Ninomiya et al., 2003; Ninomiya et al., 2002) and with a wavefront aberration study
by He and colleagues ( 2003) showing that RMS
values for lenticular spherical aberrations increase with accommodation.
However, we could not find a refractive error association for mean spherical
aberrations, a result that is also consistent with the report by Collins et al.
( 1995).
Our finding that lenticular optical errors were greater
in form-deprived but not so much in +15 D-treated birds differs slightly from a
previous report that showed lenticular optical quality was degraded in lenses of
both form-deprived and +10 D-treated eyes (Priolo et al., 2000). Again there are some differences in
the calculations between the two studies; Priolo and colleagues ( 2000) used focal length variability as a
measure of optical quality, where high variability indicated poor optical
quality, whereas we have used the deviation (residual RMS) from the best-fitting
parabola to indicate the amount of nonmonotonicity. The advantage of using
parabola-based calculations lies in the ability to account for the sign and
amount of the spherical aberration, which may be important when considering
aberrations of the whole eye.
Because refractive effects of the cornea were
neutralized in the work presented here, it remains unknown whether the cornea
would otherwise play a role in counteracting or augmenting spherical aberration
in chicken eyes in toto. Several studies report that aberrations of the
crystalline lens are eliminated by equal and opposite aberrations of the cornea,
resulting in zero aberrations for the whole eye (Artal, Guirao, Berrio, &
Williams, 2001; Sivak, 1982). Chickens also undergo corneal
accommodation (in air), which has additional implications in the amount of
spherical aberration of the whole eye during accommodation. Glasser and
colleagues found a steepening of the central portion of the cornea and a
flattening at the peripheral portion in
electrically stimulated, excised chick eyes (Glasser et al., 1994), indicating that (in air) the
accommodating cornea would contribute negative spherical aberration to the whole
eye. Interestingly, He and colleagues ( 2003)
also report an accommodation-associated change in corneal shape and wavefront
aberrations in humans, a species in which corneal accommodation has
traditionally been thought to be nonexistent. While the contributions of the
corneal aberrations in humans were found to be very small in comparison to the
contribution of the lens, the shape changes of the cornea (steeper center and
flatter periphery) that accompanied accommodation again indicate a negative
spherical aberration contribution to the whole eye (He et al., 2003).
The question of the relationship between ametropia and
accommodation has a very long history, going back to at least the time of
Donders ( 1864), and the matter is still
unresolved. The chick eye model described in this work shows that the lenticular
accommodative apparatus is affected by ametropia. Thus, this accommodation model
may be a useful approach in the effort to resolve this
issue.
Estimate of corneal radius of curvature for 7-day
chicks (Schaeffel & Howland, 1988):
 | (1) |
Total corneal power in air (effective index =
1.332):  | (2) |
True front corneal surface power
(n′ = 1.373) in air:
 | (3) |
Back corneal surface power, from lensmaker’s
equation
( FT
=
F1+F2–F1F2δ),
Equation 2, Equation
3, and corneal thickness,
δ
= 0.24 mm, independent of age (Schaeffel & Howland, 1988):  | (4) |
Back corneal radius of curvature:
 | (5) |
Power of front and back corneal surfaces for eye in
water,
respectively:  | (6) |
 | (7) |
Total corneal power
( n′ = 1.373) for eye in water
using Equations 6 and 7:
 | (8) |
Maximal corneal accommodative change (9 D) (Glasser et
al., 1994) plus normal corneal power in
air:  | (9) |
Front corneal radius of curvature from effective index
(n′ = 1.332):
 | (10) |
True front corneal surface power
(n′ = 1.373) in air:
 | (11) |
Back corneal surface power in air, using Equations 9, 10, and 11:
| (12) |
Back corneal radius of
curvature:  | (13) |
Power of front and back corneal surfaces for eye in
water,
respectively:
| (14) |
| (15) |
Total corneal power for eye in water using Equation 14 and 15:
| (16) |
Maximal corneal power of an accommodating eye in water
from Equations 8 and 16:
| (17) |
The authors would like to thank Murchison Calender,
Trefford Simpson, Natalie Hutchings, Steve Meriney, Alice Banh, Winnie Wong,
Kelley Moran, and Christine Wildsoet for helpful discussions and assistance.
This work was supported in part by the Natural Sciences and Engineering Council
of Canada (JGS) and the Ontario Graduate Scholarship
(VC). Commercial relationships:
none.
Corresponding author: Vivian Choh.
Email: vchoh@berkeley.edu.
Address: 588 Minor Hall, University of
California Berkeley, Berkeley, CA, USA
94720-2020.
Artal, P., Guirao, A., Berrio,
E., & Williams, D. R. (2001). Compensation of corneal aberrations by the
internal optics in the human eye. Journal of
Vision, 1(1), 1-8,
http://journalofvision.org/1/1/1/, doi:10.1167/1.1.1. [ PubMed][ Article]
Bantseev, V. L., Herbert,
K. L., Trevithick, J. R., & Sivak, J. G. (1999). Mitochondria of rat lenses:
Distribution near and at the sutures. Current
Eye Research, 19(6), 506-516. [ PubMed]
Bartmann, M., Schaeffel,
F., Hagel, G., & Zrenner, E. (1994). Constant light affects retinal dopamine
levels and blocks deprivation myopia but not lens-induced refractive errors in
chickens. Visual Neuroscience, 11(2),
199-208. [ PubMed]
Choh, V., Sivak, J. G., Irving,
E. L., & Wong, W. (2002). Ultrasound biomicroscopy of the anterior segment
of the enucleated chicken eye during accommodation.
Ophthalmic and Physiological Optics,
22(5), 401-408. [ PubMed]
Choh, V., Sivak, J. G., &
Meriney, S. D. (2002). A physiological model to measure effects of age on
lenticular accommodation and spherical aberration in chickens.
Investigative Ophthalmology and Visual
Science, 43(1), 92-98. [ PubMed]
Collins, M. J., Wildsoet, C.
F., & Atchison, D. A. (1995). Monochromatic aberrations and myopia.
Vision Research, 35(9), 1157-1163. [ PubMed]
Donders, F. C. (1864).
On the anomalies of accommodation and
refraction of the eye: With a preliminary essay on physiological
dioptrics. London: The New Sydenham Society.
Gilmartin, B., &
Bullimore, M. A. (1991). Adaptation of tonic accommodation to sustained visual
tasks in emmetropia and late-onset myopia.
Optometry and Vision Science, 68(1),
22-26. [ PubMed]
Glasser, A., Murphy, C. J.,
Troilo, D., & Howland, H. C. (1995). The mechanism of lenticular
accommodation in chicks. Vision Research,
35(11), 1525-1540. [ PubMed]
Glasser, A., Troilo, D.,
& Howland, H. C. (1994). The mechanism of corneal accommodation in chicks.
Vision Research, 34(12), 1549-1566. [ PubMed]
Gwiazda, J., Bauer, J.,
Thorn, F., & Held, R. (1995). Shifts in tonic accommodation after near work
are related to refractive errors in children.
Ophthalmic and Physiological Optics,
15(2), 93-97. [ PubMed]
Gwiazda, J., Thorn, F.,
Bauer, J., & Held, R. (1993). Myopic children show insufficient
accommodative response to blur. Investigative
Ophthalmology and Visual Science, 34(3), 690-694. [ PubMed]
He, J. C., Gwiazda, J., Thorn,
F., Held, R., & Huang, W. (2003). Change in corneal shape and corneal
wave-front aberrations with accommodation.
Journal of Vision, 3(7),
456-463, http://journalofvision.org/3/7/1/, doi:10.1167/3.7.1. [ PubMed][ Article]
Hung, L. F., Crawford, M. L.,
& Smith, E. L. (1995). Spectacle lenses alter eye growth and the refractive
status of young monkeys. Nature Medicine,
1(8), 761-765. [ PubMed]
Irving, E. L., Sivak, J. G.,
& Callender, M. G. (1992). Refractive plasticity of the developing chick
eye. Ophthalmic and Physiological Optics,
12(4), 448-456. [ PubMed]
Jenkins, F. A., & White,
H. E. (1957). Fundamentals of optics [by]
Francis A. Jenkins [and] Harvey E. White (3d ed.). New York:
McGraw-Hill.
Kee, C. S., Marzani, D., &
Wallman, J. (2001). Differences in time course and visual requirements of ocular
responses to lenses and diffusers.
Investigative Ophthalmology and Visual
Science, 42(3), 575-583. [ PubMed]
Kuszak, J. R., Peterson, K.
L., Sivak, J. G., & Herbert, K. L. (1994). The interrelationship of lens
anatomy and optical quality. II. Primate lenses.
Experimental Eye Research, 59(5),
521-535. [ PubMed]
Li, T., Troilo, D., Glasser, A.,
& Howland, H. C. (1995). Constant light produces severe corneal flattening
and hyperopia in chickens. Vision Research,
35(9), 1203-1209. [ PubMed]
Lin, L. L., Shih, Y. F., Tsai,
C. B., Chen, C. J., Lee, L. A., Hung, P. T., et al. (1999). Epidemiologic study
of ocular refraction among schoolchildren in Taiwan in 1995.
Optometry and Vision Science, 76(5),
275-281. [ PubMed]
Ninomiya, S., Fujikado, T.,
Kuroda, T., Maeda, N., Tano, Y., Hirohara, Y., et al. (2003). Wavefront analysis
in eyes with accommodative spasm. American
Journal of Ophthalmology, 136(6), 1161-1163. [ PubMed]
Ninomiya, S., Fujikado, T.,
Kuroda, T., Maeda, N., Tano, Y., Oshika, T., et al. (2002). Changes of ocular
aberration with accommodation. American
Journal of Ophthalmology, 134(6), 924-926. [ PubMed]
Norton, T. T. (1999). Animal
models of myopia: Learning how vision controls the size of the eye.
ILAR Journal, 40(2), 59-77. [ PubMed]
Pickett-Seltner, R.
L., Sivak, J. G., & Pasternak, J. J. (1988). Experimentally induced myopia
in chicks: Morphometric and biochemical analysis during the first 14 days after
hatching. Vision Research, 28(2),
323-328. [ PubMed]
Pilar, G., Nunez, R.,
McLennan, I. S., & Meriney, S. D. (1987). Muscarinic and nicotinic synaptic
activation of the developing chicken iris.
Journal of Neuroscience, 7(12),
3813-3826. [ PubMed]
Priolo, S., Sivak, J. G.,
Kuszak, J. R., & Irving, E. L. (2000). Effects of experimentally induced
ametropia on the morphology and optical quality of the avian crystalline lens.
Investigative Ophthalmology and Visual
Science, 41(11), 3516-3522. [ PubMed]
Ronkina, T. I., Chabrova, L.
S., Borisova, L. M., Vasin, V. I., & Bagrova, S. N. (1989). The
biomechanical properties of the crystalline lens capsule in emmetropia and
myopia. Oftalmologicheskii Zhurna, 7,
420-425. [ PubMed]
Saw, S. M., Chua, W. H., Wu, H.
M., Yap, E., Chia, K. S., & Stone, R. A. (2000). Myopia: Gene-environment
interaction. Annals of the Academy of
Medicine, Singapore, 29(3), 290-297. [ PubMed]
Schaeffel, F., Bartmann,
M., Hagel, G., & Zrenner, E. (1995). Studies on the role of the retinal
dopamine/melatonin system in experimental refractive errors in chickens.
Vision Research, 35(9), 1247-1264. [ PubMed]
Schaeffel, F., Glasser,
A., & Howland, H. C. (1988). Accommodation, refractive error and eye growth
in chickens. Vision Research, 28(5),
639-657. [ PubMed]
Schaeffel, F., Hagel, G.,
Bartmann, M., Kohler, K., & Zrenner, E. (1994). 6-Hydroxy dopamine does not
affect lens-induced refractive errors but suppresses deprivation myopia.
Vision Research, 34(2), 143-149. [ PubMed]
Schaeffel, F., &
Howland, H. C. (1988). Visual optics in normal and ametropic chickens.
Clinical Vision Science, 3(2), 83-98.
Schwahn, H. N., &
Schaeffel, F. (1994). Chick eyes under cycloplegia compensate for spectacle
lenses despite six-hydroxy dopamine treatment.
Investigative Ophthalmology and Visual
Science, 35(9), 3516-3524. [ PubMed]
Siegwart, J. T., &
Norton, T. T. (1993). Refractive and ocular changes in tree shrews raised with
plus or minus lenses. Investigative
Ophthalmology and Visual Science, 34, S1208.
Sivak, J. G. (1982). The
contribution of the crystalline lens to chromatic and spherical aberrations of
the eye. Canadian Journal of Optometry,
44(2), 89-91.
Sivak, J. G., Herbert, K. L.,
Peterson, K. L., & Kuszak, J. R. (1994). The interrelationship of lens
anatomy and optical quality. I. Non-primate lenses.
Experimental Eye Research, 59(5),
505-520. [ PubMed]
Smith, W. J. (2000).
Modern optical engineering: The design of
optical systems (3rd ed.). New York: McGraw-Hill.
Troilo, D., Gottlieb, M. D.,
& Wallman, J. (1987). Visual deprivation causes myopia in chicks with optic
nerve section. Current Eye Research,
6(8), 993-999. [ PubMed]
Troilo, D., & Wallman, J.
(1991). The regulation of eye growth and refractive state: An experimental study
of emmetropization. Vision Research,
31(7-8), 1237-1250. [ PubMed]
Wallman, J., Wildsoet, C., Xu, A., Gottlieb, M. D.,
Nickla, D. L., Marran, L., et al. (1995). Moving the retina: Choroidal
modulation of refractive state. Vision
Research, 35(1), 37-50. [ PubMed]
West, J. A., Sivak, J. G.,
& Doughty, M. J. (1991). Role of accommodation in experimental myopia in
chicks. Optometry and Vision Science,
68(11), 847-852. [ PubMed]
Wildsoet, C. (2003). Neural
pathways subserving negative lens-induced emmetropization in chicks--insights
from selective lesions of the optic nerve and ciliary nerve.
Current Eye Research, 27(6), 371-385.
[ PubMed]
Wildsoet, C., &
Wallman, J. (1995). Choroidal and scleral mechanisms of compensation for
spectacle lenses in chicks. Vision Research,
35(9), 1175-1194. [ PubMed]
Wu, H. M., Seet, B., Yap, E. P.,
Saw, S. M., Lim, T. H., & Chia, K. S. (2001). Does education explain ethnic
differences in myopia prevalence? A population-based study of young adult males
in Singapore. Optometry and Vision Science,
78(4), 234-239. [ PubMed]
Young, F. A., Leary, G. A.,
Baldwin, W. R., West, D. C., Box, R. A., Harris, E., et al. (1969). The
transmission of refractive errors within Eskimo families.
American Journal of Optometry and Archives of
American Academy of Optometry, 46(9), 676-685. [ PubMed]
Zaidi, S., Senchyna, M., &
Sivak, J. G. (2002). Quantification of chick lens alphaA- and delta-crystallins
in experimentally induced ametropia. Molecular
Vision, 8, 472-476. [ PubMed][ Article]
|
|