Name: Advancements in In Vivo and Ex Vivo Retinal Imaging for Improved Glaucoma Diagnosis and Treatment (Video) | JoVE
Uploaded: 2023-06-30T13:00:00
Description: Watch this Scientific Journal Video about Author Spotlight: Advancements in In Vivo and Ex Vivo Retinal Imaging for Improved Glaucoma Diagnosis and Treatment at JoVE.com

This study is supported by the Glaucoma Research Foundation Shaffer Grant, 4-CA Cavalier Collaborative Award, R01EY029121, R01EY035088, and Knights Templar Eye Foundation.&#8195;

All animal procedures were approved by the Institutional Animal Care and Use Committee at the University of Virginia and conformed to the guideline on Use of Animals from the National Institute of Health (NIH). See the Table of Materials for details related to all materials, reagents, and instruments used in this protocol.
1. In vivo vis-OCT imaging
<ol>
	<li>The vis-OCT system
	<ol>
		<li>Image the mice eyes using a small animal vis-OCT system that...

Mouse Retina OCT Fibergram Alignment with Confocal Images

<ol>
	<li>Sernagor, E., Eglen, S. J., Wong, R. O. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Development+of+retinal+ganglion+cell+structure+and+function.">Development of retinal ganglion cell structure and function.</a> Progress in Retinal and Eye Research. 20 (2), 139-174 (2001).</li><li>Sanes, J. R., Masland, R. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+types+of+retinal+ganglion+cells:+current+status+and+implications+for+neuronal+classification.">The types of retinal ganglion cells: current status and implications for neuronal classification.</a> Annual Review of Neuroscience. 38, 221-246 (2015).</li><li>Seabrook, T. A., Burbridge, T. J., Crair, M. C., Huberman, A. 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A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Understanding+glaucomatous+optic+neuropathy:+the+synergy+between+clinical+observation+and+investigation.">Understanding glaucomatous optic neuropathy: the synergy between clinical observation and investigation.</a> Annual Review of Vision Science. 2, 235-254 (2016).</li><li>Whitmore, A. V., Libby, R. T., John, S. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Glaucoma:+thinking+in+new+ways-a+role+for+autonomous+axonal+self-destruction+and+other+compartmentalised+processes.">Glaucoma: thinking in new ways-a role for autonomous axonal self-destruction and other compartmentalised processes.</a> Progress in Retinal and Eye Research. 24 (6), 639-662 (2005).</li><li>Syc-Mazurek, S. B., Libby, R. T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Axon+injury+signaling+and+compartmentalized+injury+response+in+glaucoma.">Axon injury signaling and compartmentalized injury response in glaucoma.</a> Progress in Retinal and Eye Research. 73, 100769 (2019).</li><li>Puyang, Z., Chen, H., Liu, X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Subtype-dependent+morphological+and+functional+degeneration+of+retinal+ganglion+cells+in+mouse+models+of+experimental+glaucoma.">Subtype-dependent morphological and functional degeneration of retinal ganglion cells in mouse models of experimental glaucoma.</a> Journal of Nature and Science. 1 (5), (2015).</li><li>Tatham, A. J., Medeiros, F. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Detecting+structural+progression+in+glaucoma+with+optical+coherence+tomography.">Detecting structural progression in glaucoma with optical coherence tomography.</a> Ophthalmology. 124, S57-S65 (2017).</li><li>Shu, X., Beckmann, L., Zhang, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Visible-light+optical+coherence+tomography:+a+review.">Visible-light optical coherence tomography: a review.</a> Journal of Biomedical Optics. 22 (12), 1-14 (2017).</li><li>Miller, D. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Visible-light+optical+coherence+tomography+fibergraphy+for+quantitative+imaging+of+retinal+ganglion+cell+axon+bundles.">Visible-light optical coherence tomography fibergraphy for quantitative imaging of retinal ganglion cell axon bundles.</a> Translational Vision Science and Technology. 9 (11), (2020).</li><li>Beckmann, L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=In+vivo+imaging+of+the+inner+retinal+layer+structure+in+mice+after+eye-opening+using+visible-light+optical+coherence+tomography.">In vivo imaging of the inner retinal layer structure in mice after eye-opening using visible-light optical coherence tomography.</a> Experimental Eye Research. 211, 108756 (2021).</li><li>Grannonico, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Global+and+regional+damages+in+retinal+ganglion+cell+axon+bundles+monitored+non-invasively+by+visible-light+optical+coherence+tomography+fibergraphy.">Global and regional damages in retinal ganglion cell axon bundles monitored non-invasively by visible-light optical coherence tomography fibergraphy.</a> Journal of Neuroscience. 41 (49), 10179-10193 (2021).</li><li>Allen-Worthington, K. H., Brice, A. K., Marx, J. O., Hankenson, F. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Intraperitoneal+Injection+of+Ethanol+for+the+Euthanasia+of+Laboratory+Mice+(Mus+musculus)+and+Rats+(Rattus+norvegicus).">Intraperitoneal Injection of Ethanol for the Euthanasia of Laboratory Mice (Mus musculus) and Rats (Rattus norvegicus).</a> J Am Assoc Lab Anim Sci. 54 (6), 769-778 (2015).</li><li>Boivin, G. P., Bottomley, M. A., Schiml, P. A., Goss, L., Grobe, N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Physiologic,+Behavioral,+and+Histologic+Responses+to+Various+Euthanasia+Methods+in+C57BL/6NTac+Male+Mice.">Physiologic, Behavioral, and Histologic Responses to Various Euthanasia Methods in C57BL/6NTac Male Mice.</a> J Am Assoc Lab Anim Sci. 56 (1), 69-78 (2017).</li><li>Chen, H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Progressive+degeneration+of+retinal+and+superior+collicular+functions+in+mice+with+sustained+ocular+hypertension.">Progressive degeneration of retinal and superior collicular functions in mice with sustained ocular hypertension.</a> Investigative Ophthalmology and Visual Science. 56 (3), 1971-1984 (2015).</li><li>Feng, L., Chen, H., Suyeoka, G., Liu, X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+laser-induced+mouse+model+of+chronic+ocular+hypertension+to+characterize+visual+defects.">A laser-induced mouse model of chronic ocular hypertension to characterize visual defects.</a> Journal of Visualized Experiments: JoVE. 78 (78), (2013).</li><li>Gao, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Differential+effects+of+experimental+glaucoma+on+intrinsically+photosensitive+retinal+ganglion+cells+in+mice.">Differential effects of experimental glaucoma on intrinsically photosensitive retinal ganglion cells in mice.</a> Journal of Comparative Neurology. 530 (9), 1494-1506 (2022).</li><li>Thomson, B. R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Angiopoietin-1+knockout+mice+as+a+genetic+model+of+open-angle+glaucoma.">Angiopoietin-1 knockout mice as a genetic model of open-angle glaucoma.</a> Translational Vision Science and Technology. 9 (4), (2020).</li><li>Feng, L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Sustained+ocular+hypertension+induces+dendritic+degeneration+of+mouse+retinal+ganglion+cells+that+depends+on+cell+type+and+location.">Sustained ocular hypertension induces dendritic degeneration of mouse retinal ganglion cells that depends on cell type and location.</a> Investigative Ophthalmology and Visual Science. 54 (2), 1106-1117 (2013).</li><li>Grannonico, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Longitudinal+analysis+of+retinal+ganglion+cell+damage+at+individual+axon+bundle+level+in+mice+using+visible-light+optical+coherence+tomography+fibergraphy.">Longitudinal analysis of retinal ganglion cell damage at individual axon bundle level in mice using visible-light optical coherence tomography fibergraphy.</a> Translational Vision Science and Technology. 12 (5), (2023).</li></ol>

There are two steps in this protocol that require attention. First, it is necessary to ensure that the animal is under deep anesthesia and that their eyes are fully dilated before vis-OCT imaging. If the mice are not adequately anesthetized, their fast breathing may lead to unstable movements of the en face images, which can adversely affect the quality of the fibergram. Moreover, insufficient dilation can also have a negative impact on image quality since the iris may obstruct the light, preventing it from reac...

Retinal ganglion cells (RGCs) play a critical role in visual information processing, receiving synaptic inputs through their dendritic trees in the inner plexiform layer (IPL) and transmitting the information via their axons in the retinal nerve fiber layer (RNFL) to the brain1,2,3,4. In diseased conditions such as glaucoma, early RGC degeneration may result in subtle changes in the RNFL, the ganglion cell layer (GCL), the IPL, and the optic nerve in both patients and rodent models5,6,7,8,9. Early detection of these morphological changes in RGCs is thus essential for timely intervention to prevent RGC and vision loss.
We have recently developed a new clinical-ready imaging technology called visible-light optical coherence tomography (vis-OCT) to satisfy the need for in vivo monitoring of RGC damage. Vis-OCT improved the axial resolution, reaching 1.3 &#181;m in the retina10, 11, allowing for the visualization of individual RGC axon bundles in the RNFL. Subsequently, vis-OCT fibergraphy (vis-OCTF) was established to track and quantify RGC damage at the single axon bundle level in mice11,12,13. However, ex vivo confocal imaging of the same retina as the gold standard is often necessary to validate the in vivo findings. Therefore, this study will demonstrate how to align in vivo images acquired by vis-OCTF with ex vivo confocal images of the same mouse retina. The protocol aims to validate the in vivo findings by ex vivo confocal imaging and establish a foundation for examining the molecular and cellular changes underlying RGC damage in diseased conditions.

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>Equipment</td>
			<td></td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Halo 100</td>
			<td>Opticent Health, Evanston, IL</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Zeiss LSM800 microscope</td>
			<td>Carl Zeiss</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Drugs and antibodies</td>
			<td></td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>4% paraformaldehyde (PFA)</td>
			<td>Santz Cruz Biotechnology, SC-281692</td>
			<td></td>
			<td>1-2 drops</td>
		</tr>
		<tr>
			<td>Bovine serum albumin powder</td>
			<td>Fisher Scientific, BP9706-100</td>
			<td></td>
			<td>1:10</td>
		</tr>
		<tr>
			<td>Donkey anti Mouse Alexa Fluor 488 dye</td>
			<td>Thermo Fisher Scientific, Cat# A-21202</td>
			<td></td>
			<td>1:1,000</td>
		</tr>
		<tr>
			<td>Donkey anti rat Alexa Fluor 594 dye</td>
			<td>Thermo Fisher Scientific, Cat# A-21209</td>
			<td></td>
			<td>1:1,000</td>
		</tr>
		<tr>
			<td>Euthasol (a mixture of pentobarbital sodium (390 mg/mL) and phenytoin sodium (50 mg/mL))</td>
			<td>Covetrus, NDC 11695-4860-1</td>
			<td></td>
			<td>15.6 mg/mL</td>
		</tr>
		<tr>
			<td>Ketamine</td>
			<td>Covetrus, NADA043304</td>
			<td></td>
			<td>114 mg/kg</td>
		</tr>
		<tr>
			<td>Mouse anti-Tuj1</td>
			<td>A gift from Anthony J. Spano, University of Virginia</td>
			<td></td>
			<td>1:200</td>
		</tr>
		<tr>
			<td>Normal donkey serum(NDS)</td>
			<td>Millipore Sigma, S30-100 mL</td>
			<td></td>
			<td>1:100</td>
		</tr>
		<tr>
			<td>Phosphate-buffered saline (PBS, 10x), pH 7.4 
			(Contains 1370 mM NaCl, 27 mM KCl, 80 mM Na2HPO4, and 20 mM KH2PO4)</td>
			<td>Thermo Fisher Scientific, Cat# J62036.K3</td>
			<td></td>
			<td>1:10</td>
		</tr>
		<tr>
			<td>Rat anti-ICAM-2</td>
			<td>BD Pharmingen, Cat#553325</td>
			<td></td>
			<td>1:500</td>
		</tr>
		<tr>
			<td>Tropicamide drops&#160;</td>
			<td>Covetrus, NDC17478-102-12</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Triton X-100 
			(Reagent Grade)</td>
			<td>VWR, CAS: 9002-93-1</td>
			<td></td>
			<td>1:20</td>
		</tr>
		<tr>
			<td>Vectashield mounting medium</td>
			<td>Vector Laboratories Inc. H2000-10</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Xylazine</td>
			<td>Covetrus, NDC59399-110-20</td>
			<td></td>
			<td>17 mg/kg</td>
		</tr>
	</tbody>
</table>

alignment of visible-light optical coherence tomography fibergrams with confocal images of the same mouse retina

In recent years, in vivo retinal imaging, which provides non-invasive, real-time, and longitudinal information about biological systems and processes, has been increasingly applied to obtain an objective assessment of neural damage in eye diseases. Ex vivo confocal imaging of the same retina is often necessary to validate the in vivo findings especially in animal research. In this study, we demonstrated a method for aligning an ex vivo confocal image of the mouse retina with its in vivo images. A new clinical-ready imaging technology called visible light optical coherence tomography fibergraphy (vis-OCTF) was applied to acquire in vivo images of the mouse retina. We then performed the confocal imaging of the same retina as the &#34;gold standard&#34; to validate the in vivo vis-OCTF images. This study not only enables further investigation of the molecular and cellular mechanisms but also establishes a foundation for a sensitive and objective evaluation of neural damage in vivo.

Alignment of Visible-Light Optical Coherence Tomography Fibergrams with Confocal Images of the Same Mouse Retina

The composite vis-OCT fibergram is compared with the corresponding confocal image of flat-mounted retina immunostained with Tuj-1 for RGC axons (Figure 1D, top panel). Axon bundles imaged by vis-OCTF can be matched with the Tu-j1-labeled axon bundles on the confocal image. Blood vessels usually exhibit distinguishable branching structures compared with surrounding axon bundles in fibergram images, which can be matched with the ICAM-2-labeled blood vessels on the confocal image (<strong class...

Watch this Scientific Journal Video about Author Spotlight: Advancements in In Vivo and Ex Vivo Retinal Imaging for Improved Glaucoma Diagnosis and Treatment at JoVE.com 

Advancements in In Vivo and Ex Vivo Retinal Imaging for Improved Glaucoma Diagnosis and Treatment (Video) | JoVE

The present protocol outlines the steps for aligning in vivo visible-light optical coherence tomography fibergraphy (vis-OCTF) images with ex vivo confocal images of the same mouse retina for the purpose of verifying the observed retinal ganglion cell axon bundle morphology in the in vivo images.

In recent years, in vivo retinal imaging, which provides non-invasive, real-time, and longitudinal information about biological systems and processes, has ...

We present a protocol for aligning in vivo VIS-OCT images with ex vivo immunostained retinal nerve fibers to validate our novel imaging technology. VIS-OCT enables visualization of retinal nerve fibers in vivo, and this process confirms the accuracy of our findings. Our protocol combines in vivo and ex vivo imaging to provide a real time visualization of retina structure and confirm findings.The process is applicable to mouse models of eye diseases, provided the anterior eye portion allows for optical imaging. This includes diabetic retinopathy and retinal ischemia models. These studies lay the foundation for establishing an objective evaluation of neuro damage in humans, which can significantly improve glaucoma diagnosis and treatment in the future.