Abstract
Rod-dominated transient retinal phototropism (TRP) has been observed in freshly isolated retinas, promising a noninvasive biomarker for high resolution assessment of retinal physiology. However, in vivo mapping of TRP is challenging due to its fast time course and sub-cellular signal magnitude. By developing a line-scanning and virtually structured detection based super-resolution ophthalmoscope, we report here in vivo observation of TRP in frog retina. In vivo characterization of TRP time course and magnitude were implemented by using variable light stimulus intensities.
Keywords: Retina, photoreceptor, functional imaging, super-resolution microscopy, ophthalmology
1. INTRODUCTION
Age-related macular degeneration (AMD) is a leading cause of impaired vision and legal blindness. In the U.S. alone, more than 10 million people have early AMD, and 1.75 million patients suffer from visual impairment due to late AMD [1]. Early detection is one essential step to prevent the sight-threatening damages of late AMD. Optical imaging techniques, such as fundus photography, fluorescein angiography, and optical coherence tomography (OCT) [2,3], can be used to reveal AMD associated morphological distortions, such as drusen in the retinal pigment epithelium (RPE) and Bruch’s membrane complex. However, physiological abnormalities may occur before detectable morphological distortion. It is well known that retinal photoreceptor dysfunction is the key in AMD associated vision loss [4]. Both psychophysical methods, such as the Amsler grid test [5], visual acuity test [6] and dark adaptometry [7,8], and electrophysiological methods, such as focal and multifocal electroretinography (ERG) [9–12], have been explored to provide functional examination of the visual system. However, these methods essentially rely on subjective test, which involves complex neural processing and therefore hampers the signal specificity, without necessary spatial resolution to identify localized retinal dysfunctions. Moreover, rod photoreceptors are known to be affected first, compared to cone photoreceptors, in early AMD [13,14]. A high-resolution method for objective examination of retinal physiology is desirable to advance early diagnosis of AMD.
Transient retinal phototropism (TRP) was recently observed in freshly isolated amphibian and mammal retinas stimulated by oblique visible light illumination [15]. Functional OCT of living eye-cups and time-lapse microscopy of retinal slices revealed that TRP has an anatomic origin within the outer segment (OS) layer [16], presumably caused by an unbalanced shrinkage of rod OSs [17]. Comparative electrophysiological investigation of isolated retina further identified the physiological source of TRP to the phototransduction processes before hyperpolarization of the rod cell membrane [18,19]. Therefore, the rod-dominated TRP promises a noninvasive biomarker for objective assessment of rod function, promising a high-resolution method for early detection of AMD. However, in vivo mapping of the rod-dominated TRP is challenging due to its rapid time course and sub-cellular movement magnitude. In both isolated mouse and frog retinas, the TRP peak magnitude is less than 1 μm, with the onset time within 10 ms after stimulus delivery [15,17,18].
Here, we demonstrated for the first time in vivo observation of TRP using a custom-designed super-resolution ophthalmoscope [20]. The custom-built digital ophthalmoscope employed virtually structured detection (VSD) to achieve a sub-cellular level of spatial resolution, and it combined a rapid line-scanning strategy to realize a millisecond level of temporal resolution. In vivo imaging of frog retinas stimulated by variable light intensities was conducted to characterize the properties of the TRP time course.
2. METHODS AND MATERIALS
2.1 Animal preparation
Adult northern leopard frogs (Rana Pipiens) were used in this study. The frogs were first anesthetized through the skin by immersion in 800 mg/liter tricaine methanesulfonate (TMS, MS-222; MP Biomedicals, Inc.) solution. After confirmation of anesthesia, the frog was fixed in a custom-built holder and the pupils were fully dilated with topical atropine (1%) and phenylephrine (2.5%). The holder provided five degrees of freedom to facilitate adjustment of body orientation and retinal areas for in vivo imaging. All experiments in this research were performed following the protocols approved by the Animal Care Committee (ACC) at the University of Illinois at Chicago, and conformed to the statement on the use of animals in ophthalmic and vision research, established by the Association for Research in Vision and Ophthalmology (ARVO).
2.2 Experimental setup
Figure 1 shows a schematic diagram of the line-scanning super-resolution ophthalmoscope. The light source is a near-infrared superluminescent diode (SLD-35-HP; Superlum Ireland, Inc.) with a center wavelength at 830 nm and a bandwidth of 60 nm. A focused line, produced by a cylindrical lens, scanned across the retina under the control of a scanning galvanometer mirror (GVS001; Thorlabs, Inc.). The line profile reflected from the retina was recorded by a high-speed two-dimensional CMOS camera (FastCam Mini AX50; Photron, Inc.). The imaging system provided an optical magnification of 43.55 (the focal length of the frog eye was assumed as 2.87 mm). To achieve fast imaging speed for an in vivo imaging, the line scanning was performed in one dimension for super-resolution imaging. A total of 255 line-profiles were acquired to reconstruct one super-resolution image. In this experiment, the imaging speed of the camera was set at 30,000 frames/s (fps), corresponding to a 100-fps speed for VSD-based super-resolution imaging. The light that entered the frog pupil had a beam diameter of ~2 mm and a power of ~2.5 mW.
Figure 1.
Schematics of the line-scanning ophthalmoscope for in vivo super-resolution imaging. The illumination for retinal imaging is produced by a superluminescent diode (SLD). The line profile of illumination scanned across the retina is produced by the cylindrical lens. L1–L4 are lenses with focal lengths of 80 mm, 400 mm, 80 mm, and 25 mm, respectively. The black-dashed line represents the virtual optical axis for a perpendicular stimulation on the retina. The oblique stimulation is then achieved by moving the green LED away from the axis with a certain angle, i.e., applying an “off-axis” setup in the stimulation path.
The visible light used for retinal stimulation was produced by a fiber-coupled light-emitting diode (LED) with a central wavelength at 505 nm (M505F1; Thorlabs, Inc.), and its incident angle was adjusted by a kinetic mount (KC1; Thorlabs, Inc.) that held both the fiber tip and the collimator. The stimulating power was first measured by a powermeter (PM200; Thorlabs, Inc.) placed at the rear focal plane of the lens before the eye (L4 in Fig. 1) and was then converted to stimulation intensity on retina considering cornea reflection (~4%), ocular media absorption (<10%) and photon loss due to passing through the inner layers of the retina (~20%) [21]. A slit was placed at the conjugate plane of the retina to provide a localized stimulation pattern with sharp boundaries on the retina.
2.3 Image processing and data analysis
The in vivo retinal images acquired by the line-scanning ophthalmoscope were first registered with custom-programmed software to remove the eye movement caused by respiration. Then a rod OS movement magnitude map was generated for each registered image using the optical flow method [22] with the first image as the reference. Time course of the movement magnitude was then obtained with the following procedures. Each point in a time course is an average of all the pixel values that are believed to reflect stimulus-evoked movement in the magnitude map that corresponds to that time point. The pixel value was regarded as a signal when it satisfied the following two requirements. First,
where Ik(xp, yp) is the intensity of the pixel (p) with a coordinate index (xp, yp) on a magnitude map with frame index k, Īpre(xp, yp) is the mean intensity of the pixels with the same index (xp, yp) in all pre-stimulus magnitude maps and δpre (xp, yp) represents the standard deviation. Second, the intensities of the pixels with the same index (xp, yp) in the following n magnitude maps should also be larger than Īpre (xp, yp) + 3δpre (xp, yp), i.e.,
These two procedures efficiently eliminate both the background noise and the random movements that are not elicited robustly by stimulation.
3. RESULTS
3.1 In vivo super-resolution imaging of retinal photoreceptors
The VSD based super-resolution ophthalmoscope was used for this study. In this custom-built instrument, a rapid line-scanning modality was integrated to achieve an imaging speed of 100 frames/s, with a field of view of 100 μm × 200 μm on the retina. The imaging plane was focused on the photoreceptor layer during the experiment. Individual photoreceptors were clearly imaged with subcellular spatial resolution and millisecond temporal resolution (Fig. 2a), which allowed quantitative measurement and dynamic monitoring of photoreceptor movements.
Figure 2.
Spatiotemporal characteristics of in vivo TRP evoked by a localized oblique stimulation. (a) Representative in vivo super-resolution image of the photoreceptor layer. Yellow arrowheads indicate retinal blood vessels. (b) Cartoon illustration of the retinal photoreceptors and oblique stimulation. A collimated green light beam obliquely illuminates retinal photoreceptors. The sub-window shows the sagittal plane of a stimulated photoreceptor and the definition of the stimulation angle. IS: inner segment; OS: outer segment. (c) Representative magnitude map of photoreceptor movement recorded at time 0.4 s after the onset of stimulation. Temporal dynamics of photoreceptors before (d1 – d2), during (d3) and after (d4 – d6) the stimulation. The stimulation started at time 0 s and lasted for 500 ms. Red-dashed rectangles in (a) and (c) represent the retinal area illuminated by the green stimulus. The color bar is applied to both (c) and (d).
3.2 In vivo mapping of TRP evoked by oblique retinal stimulation
To elicit TRP, a collimated green light beam was delivered to the retina at ~12° with respect to the axial direction of the photoreceptors (Fig. 2b). Ocular differences among individual samples were neglected. Only a portion of the retina that was ~50 μm in width at the center of the field of view was exposed to the oblique stimulation for TRP recording (red-dashed rectangle in Fig. 2a).
The magnitudes of photoreceptor movements were employed to quantify TRP. Figure 2c shows a representative magnitude map of photoreceptor movement acquired when the retina was exposed to localized stimulation. As Fig. 2c matches Fig. 2a, the red-dashed rectangle shown in Fig. 2c also represents the stimulated retinal area. Fig. 2c reveals the oblique stimulation elicited robust photoreceptor movements were primarily confined within the stimulated retinal region. Representative magnitude maps acquired from different phases of the experiment are presented in Fig. 2d to illustrate the spatiotemporal dynamics of TRP. As the stimulation onset was set as 0 s and the stimulation period lasted for 0.5 s, Fig. 2d covers the photoreceptor movements before, during, and after the stimulation. Robust photoreceptor movements were observed after the onset of stimulation.
3.3 Temporal dynamics of photoreceptor correlated with stimulation intensity
Having demonstrated the capability of recording photoreceptor movement using the super-resolution ophthalmoscope, we further employed stimulations with different intensities to investigate their effects on movement magnitudes. The line-scanning modality of the super-resolution ophthalmoscope made it possible to monitor the dynamic changes in the movement magnitude map (Fig. 2d) with a temporal resolution of 10 ms. A time-magnitude course was then used to reflect the dynamics of photoreceptors. Three stimulation intensities, i.e., 1.97×105, 0.67×105, and 0.197×105 photons·μm−2·ms−1, were employed in this study. The flash duration was set to 500 ms with the purpose of eliciting robust photoreceptor movement. For each stimulation intensity, 12 time-magnitude courses were acquired from 6 samples. Each trace in Fig. 3a is the mean of the time-magnitude courses and is accompanied by the standard deviations of data about the mean (colored area). The relationship of the standard deviation amplitudes to the waveform in each trace indicates a general similarity between the temporal dynamics of photoreceptors obtained from different samples. The waveforms of all three traces exhibit a stable and flat stage prior to the flash presentation, a rapid rise upon the onset of the stimulation, and a recovery phase after the peak. Two parameters of the waveform, peak amplitude (the maximum value of photoreceptor movement magnitude) and time-to-peak (time taken to reach the peak amplitude), were compared to assess the difference caused by increasing the stimulation intensity. The results show that the difference between peak amplitudes of the three traces was statistically insignificant, suggesting the peak amplitude is irrelevant to the variation of stimulation intensities within a certain range (Fig. 3b). However, the time-to-peak values show a remarkable correlation with stimulus intensities, indicating brighter intensity results in earlier saturation of the photoreceptor movement (Fig. 3c). These results together further demonstrated that higher intensities initiated a much more rapid photoreceptor movement. Moreover, brighter stimulation also initiated a faster falling phase of the waveform. The movement magnitude started to decrease even during the stimulation period when the brightest stimulation was applied (orange trace in Fig. 3a).
Figure 3.
Temporal characteristics of photoreceptor movement correlated with stimulation intensities. (a) The time-magnitude courses of photoreceptor movement corresponded to three descending stimulation intensities as respectively indicated by the legend. Each trace is an average of 12 datasets recorded from 6 different retinal samples. No repeated or overlapped stimulation occurred at the same retinal location. The colored area that accompanies each trace illustrates the standard deviations. Shaded area in grey represents the 500-ms stimulation. PR: photoreceptor. (b) The mean and standard deviation of peak amplitudes of the traces in (a) are shown. (c) The mean and standard deviation of the time-to-peak of the traces in (a) are shown. Significance was determined by a one-way ANOVA with post-hoc Tukey honestly significant difference test for multiple comparisons, *p<0.05, **p<0.01, NS, not significant, n = 12 retinal locations for each stimulus intensity.
4. DISCUSSION
In this study, we demonstrated for the first time in vivo observation of TRP. The VSD-based super-resolution imager allowed direct observation of individual photoreceptors with subcellular resolution, which enabled quantitative measurement of photoreceptor changes evoked by oblique light stimulation. Robust photoreceptor movements were observed within the localized stimulation pattern. The line-scanning super-resolution imager provided 10 ms temporal resolution to investigate the time course of photoreceptor dynamics. The photoreceptors presented a rapid response after the onset of the stimulation and persisted during and after the stimulation period for at least 1.5 seconds (Figs. 2d and 3a), which is consistent with our previous observation with isolated retinas [18] and retinal slices [17].
Different stimulus intensities were used to characterize TRP magnitudes and time courses (Fig. 3). The time-magnitude profiles suggest an intimate correlation between in vivo TRP and phototransduction. As shown in Fig. 3a, strong stimulation produced accelerated TRP time course, which might reflect more rhodopsin and additional amounts of cascaded reactions activated [23]. Similar effects were also observed in our previous intrinsic optical signal (IOS) and rod OS shrinkage studies, supporting that photoreceptor movement is a major component of IOS and the unbalanced rod OS shrinkage is the mechanical source of TRP [17,24,25]. It is also interesting to note that increased stimulation intensity corresponds to a shortened saturation stage and an accelerated recovery process in the time-magnitude courses of in vivo TRP. Moreover, for the stimulation with the photon flux of 1.97×105 photons·μm−2·ms−1, the photoreceptor movement magnitude started to decrease before stimulus offset (orange trace in Fig. 3a). The accelerated TRP recovery process might reflect extra deactivation processes of phototransduction, such as the quenching of activated rhodopsin, the hydrolysis of transducin, and/or the synthesis of cytoplasmic cyclic guanosine monophosphate [26–28], triggered by strong light stimulation. Time-lapse microscopy of living retinal tissues has revealed light stimulus-evoked rod OS shrinkage [17]. Comparative study of isolated retinas with low sodium treatment showed that TRP begins before hyperpolarization of the rod in the phototransduction cascade [18]. These observations suggest that physical source of the movement/shrinkage of the rod OS might be located on or adjacent to the discs [23,29–31]. Further TRP studies with mutant mouse models may provide insights about biophysical source and mechanism of TRP [32,33].
In summary, in vivo imaging of TRP demonstrates its potential to work as a biomarker of rod functionality. We anticipate that further development of in vivo imaging of TRP may provide a high spatial resolution method for functional evaluation of rod physiology, allowing early diagnosis of rod photoreceptor dysfunction due to AMD and other eye diseases.
Acknowledgments
This research was supported in part by NIH grants R01 EY023522, R01 EY024628, and P30 EY001792; by unrestricted grant from Research to Prevent Blindness; by Richard and Loan Hill endowment.
References
- 1.Klein R, Chou CF, Klein BE, et al. Prevalence of age-related macular degeneration in the US population. Archives of ophthalmology. 2011;129(1):75–80. doi: 10.1001/archophthalmol.2010.318. [DOI] [PubMed] [Google Scholar]
- 2.Bressler NM, Silva JC, Bressler SB, et al. Clinicopathologic correlation of drusen and retinal pigment epithelial abnormalities in age-related macular degeneration. Retina. 1994;14(2):130–142. [PubMed] [Google Scholar]
- 3.Jager RD, Mieler WF, Miller JW. Age-related macular degeneration. New England Journal of Medicine. 2008;358(24):2606–2617. doi: 10.1056/NEJMra0801537. [DOI] [PubMed] [Google Scholar]
- 4.Curcio CA, Medeiros NE, Millican CL. Photoreceptor loss in age-related macular degeneration. Investigative ophthalmology & visual science. 1996;37(7):1236–1249. [PubMed] [Google Scholar]
- 5.Tolentino MJ, Miller S, Gaudio AR, et al. Visual field deficits in early age-related macular degeneration. Vision research. 1994;34(3):409–413. doi: 10.1016/0042-6989(94)90099-x. [DOI] [PubMed] [Google Scholar]
- 6.Siderov J, Tiu AL. Variability of measurements of visual acuity in a large eye clinic. Acta Ophthalmologica. 1999;77(6):673–676. doi: 10.1034/j.1600-0420.1999.770613.x. [DOI] [PubMed] [Google Scholar]
- 7.Owsley C, Huisingh C, Clark ME, et al. Comparison of visual function in older eyes in the earliest stages of age-related macular degeneration to those in normal macular health. Current eye research. 2016;41(2):266–272. doi: 10.3109/02713683.2015.1011282. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Owsley C, McGwin G, Clark ME, et al. Delayed rod-mediated dark adaptation is a functional biomarker for incident early age-related macular degeneration. Ophthalmology. 2016;123(2):344–351. doi: 10.1016/j.ophtha.2015.09.041. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Seiple WH, Siegel IM, Carr RE, et al. Evaluating macular function using the focal ERG. Investigative ophthalmology & visual science. 1986;27(7):1123–1130. [PubMed] [Google Scholar]
- 10.Billson F, Kemp S, Morgan M, et al. Macular electroretinograms: their accuracy, specificity and implementation for clinical use. Clinical & Experimental Ophthalmology. 1984;12(4):359–372. doi: 10.1111/j.1442-9071.1984.tb01182.x. [DOI] [PubMed] [Google Scholar]
- 11.Bearse MA, Sutter EE. Imaging localized retinal dysfunction with the multifocal electroretinogram. JOSA A. 1996;13(3):634–640. doi: 10.1364/josaa.13.000634. [DOI] [PubMed] [Google Scholar]
- 12.Li J, Tso MO, Lam TT. Reduced amplitude and delayed latency in foveal response of multifocal electroretinogram in early age related macular degeneration. British journal of ophthalmology. 2001;85(3):287–290. doi: 10.1136/bjo.85.3.287. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Medeiros NE, Curcio CA. Preservation of ganglion cell layer neurons in age-related macular degeneration. Investigative Ophthalmology & Visual Science. 2001;42(3):795–803. [PubMed] [Google Scholar]
- 14.Jackson GR, Owsley C, Curcio CA. Photoreceptor degeneration and dysfunction in aging and age-related maculopathy. Ageing research reviews. 2002;1(3):381–396. doi: 10.1016/s1568-1637(02)00007-7. [DOI] [PubMed] [Google Scholar]
- 15.Lu R, Levy AM, Zhang Q, et al. Dynamic near-infrared imaging reveals transient phototropic change in retinal rod photoreceptors. J Biomed Opt. 2013;18(10):106013. doi: 10.1117/1.JBO.18.10.106013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Wang B, Zhang Q, Lu R, et al. Functional optical coherence tomography reveals transient phototropic change of photoreceptor outer segments. Opt Lett. 2014;39(24):6923–6. doi: 10.1364/OL.39.006923. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Zhao X, Thapa D, Wang B, et al. Stimulus-evoked outer segment changes in rod photoreceptors. Journal of biomedical optics. 2016;21(6):065006–065006. doi: 10.1117/1.JBO.21.6.065006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Lu Y, Wang B, Pepperberg DR, et al. Stimulus-evoked outer segment changes occur before the hyperpolarization of retinal photoreceptors. Biomedical optics express. 2017;8(1):38–47. doi: 10.1364/BOE.8.000038. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Lu Y, Wang B, Yao X. Comparative investigation of stimulus-evoked rod outer segment movement and retinal electrophysiological activity. doi: 10.1117/12.2249548. 10068, 100680C-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Liu C, Zhi Y, Wang B, et al. In vivo super-resolution retinal imaging through virtually structured detection. Journal of biomedical optics. 2016;21(12):120502–120502. doi: 10.1117/1.JBO.21.12.120502. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Douglas R, Marshall N. A review of vertebrate and invertebrate ocular filters. Springer; 1999. [Google Scholar]
- 22.Sun D, Roth S, Black MJ. Secrets of optical flow estimation and their principles. :2432–2439. [Google Scholar]
- 23.Arshavsky VY, Lamb TD, Pugh EN., Jr G proteins and phototransduction. Annual review of physiology. 2002;64(1):153–187. doi: 10.1146/annurev.physiol.64.082701.102229. [DOI] [PubMed] [Google Scholar]
- 24.Zhang QX, Lu RW, Curcio CA, et al. In vivo confocal intrinsic optical signal identification of localized retinal dysfunction. Invest Ophthalmol Vis Sci. 2012;53(13):8139–45. doi: 10.1167/iovs.12-10732. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Wang B, Lu Y, Yao X. In vivo optical coherence tomography of stimulus-evoked intrinsic optical signals in mouse retinas. Journal of biomedical optics. 2016;21(9):096010–096010. doi: 10.1117/1.JBO.21.9.096010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Burns ME, Pugh EN. Lessons from photoreceptors: turning off g-protein signaling in living cells. Physiology. 2010;25(2):72–84. doi: 10.1152/physiol.00001.2010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Krispel CM, Chen D, Melling N, et al. RGS expression rate-limits recovery of rod photoresponses. Neuron. 2006;51(4):409–416. doi: 10.1016/j.neuron.2006.07.010. [DOI] [PubMed] [Google Scholar]
- 28.Kühn H, Wilden U. Deactivation of photoactivated rhodopsin by rhodopsin-kinase and arrestin. Journal of receptor research. 1987;7(1–4):283–298. doi: 10.3109/10799898709054990. [DOI] [PubMed] [Google Scholar]
- 29.Pugh E, Lamb T. Amplification and kinetics of the activation steps in phototransduction. Biochimica et Biophysica Acta (BBA)-Bioenergetics. 1993;1141(2–3):111–149. doi: 10.1016/0005-2728(93)90038-h. [DOI] [PubMed] [Google Scholar]
- 30.Pugh EN, Lamb TD. Phototransduction in vertebrate rods and cones: molecular mechanisms of amplification, recovery and light adaptation. Handbook of biological physics. 2000;3:183–255. [Google Scholar]
- 31.Molday R. Photoreceptor membrane proteins, phototransduction, and retinal degenerative diseases. The Friedenwald Lecture. Investigative Ophthalmology & Visual Science. 1998;39(13):2491–2513. [PubMed] [Google Scholar]
- 32.Krispel CM, Chen CK, Simon MI, et al. Novel form of adaptation in mouse retinal rods speeds recovery of phototransduction. The Journal of general physiology. 2003;122(6):703–712. doi: 10.1085/jgp.200308938. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Gargini C, Terzibasi E, Mazzoni F, et al. Retinal organization in the retinal degeneration 10 (rd10) mutant mouse: a morphological and ERG study. Journal of Comparative Neurology. 2007;500(2):222–238. doi: 10.1002/cne.21144. [DOI] [PMC free article] [PubMed] [Google Scholar]



