June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Dynamic contrast microscopic optical coherence tomography as a novel method for assessing corneal epithelium during exposure to benzalkonium chloride
Author Affiliations & Notes
  • Gwen Musial
    Ophthalmology-Medical Faculty UniKlinik Cologne, Universitat zu Koln, Koln, Nordrhein-Westfalen, Germany
  • Tabea Kohlfaerber
    Medizinisches Laserzentrum Lübeck GmbH, Universitat zu Lubeck, Lubeck, Schleswig-Holstein, Germany
  • Hinnerk Schulz-Hildebrandt
    Institut fur Biomedizinische Optik, Universitat zu Lubeck, Lubeck, Schleswig-Holstein, Germany
  • Gereon Hüttmann
    Institut fur Biomedizinische Optik, Universitat zu Lubeck, Lubeck, Schleswig-Holstein, Germany
  • Philipp Steven
    Ophthalmology-Medical Faculty UniKlinik Cologne, Universitat zu Koln, Koln, Nordrhein-Westfalen, Germany
  • Footnotes
    Commercial Relationships   Gwen Musial None; Tabea Kohlfaerber None; Hinnerk Schulz-Hildebrandt None; Gereon Hüttmann None; Philipp Steven None
  • Footnotes
    Support  DFG FOR 2240, DFG HU 629/6-1, BMBF DZL-ARCN (82DZL00102)
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 4078 – F0042. doi:
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    • Get Citation

      Gwen Musial, Tabea Kohlfaerber, Hinnerk Schulz-Hildebrandt, Gereon Hüttmann, Philipp Steven; Dynamic contrast microscopic optical coherence tomography as a novel method for assessing corneal epithelium during exposure to benzalkonium chloride. Invest. Ophthalmol. Vis. Sci. 2022;63(7):4078 – F0042.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Microscopic optical coherence tomography (mOCT) has an imaging resolution of 1 µm in all voxel dimensions but individual epithelial cells are difficult to resolve due to lack of scattering contrast. Adding dynamic contrast processing to mOCT (dmOCT) scans enables visualization of individual cells and quantification of subcellular motion to evaluate cell function. We propose this technique as a novel method of evaluating the ocular surface after exposure to a toxic chemical, benzalkonium chloride (BAK).

Methods : Ex-vivo cross-section images were acquired with a custom-built frequency domain mOCT system. A dynamic contrast (dmOCT) scan consists of 150 B-scans with 512 A-scans. Five sets of dmOCT scans were consecutively taken at each imaging time point per eye. Eyes were explanted from healthy adult (21 weeks) C57BL/6 mice (n = 6; 6 control group, 6 BAK group), glued to cell culture dishes, and immersed in cell culture media. After baseline images were acquired in all eyes, BAK group media was replaced with 0.005% BAK media. Eyes were imaged every 30 min and were incubated at 37C between imaging sessions. Total epithelium and stroma thickness were measured from a single mOCT B-Scan while measures of cell motility and hue were acquired from dmOCT scans. Cellular motility was calculated by the normalized intensity standard deviation over time. Hue was created from the frequency spectra of the dmOCT signal with the blue channel for slow (0-0.5 Hz), green for medium (0.5-5 Hz), and red fast motion (5-25 Hz).

Results : After 30min exposure to 0.005% BAK, epithelium thickness increased and cell motility decreased compared to controls (Fig 1). Basal cell motility decreased after 60min exposure and the hue shifted red after 90min. Stroma thickness did not significantly swell until 120min exposure to BAK.

Conclusions : dmOCT allows us to view the behavior of the cornea epithelium under toxic stress due to BAK, showing changes to subcellular motion and swelling of the extracellular matrix.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

 

Fig 1. Effect of constant exposure to 0.005% BAK on dmOCT ex-vivo cornea Single mOCT B-scan in healthy ex-vivo cornea (A) and after 30 min in 0.005% BAK (B). C) dmOCT B-scan of (A) shows superficial and basal epithelium with uniform cell density D) dmOCT B-scan of (B) shows superficial epithelium cells separating from deeper layer and swelling of the cornea epithelium

Fig 1. Effect of constant exposure to 0.005% BAK on dmOCT ex-vivo cornea Single mOCT B-scan in healthy ex-vivo cornea (A) and after 30 min in 0.005% BAK (B). C) dmOCT B-scan of (A) shows superficial and basal epithelium with uniform cell density D) dmOCT B-scan of (B) shows superficial epithelium cells separating from deeper layer and swelling of the cornea epithelium

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