PMID- 22499987 OWN - NLM STAT- MEDLINE DCOM- 20121024 LR - 20240323 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 53 IP - 9 DP - 2012 Aug 7 TI - Morphometric analysis of aqueous humor outflow structures with spectral-domain optical coherence tomography. PG - 5198-207 LID - 10.1167/iovs.11-9229 [doi] AB - PURPOSE: To describe morphometric details of the human aqueous humor (AH) outflow microvasculature visualized with 360-degree virtual castings during active AH outflow in cadaver eyes and to compare these structures with corrosion casting studies. METHODS: The conventional AH outflow pathways of donor eyes (n = 7) and eyes in vivo (n = 3) were imaged with spectral-domain optical coherence tomography (SD-OCT) and wide-bandwidth superluminescent diode array during active AH outflow. Digital image contrast was adjusted to isolate AH microvasculature, and images were viewed in a 3D viewer. Additional eyes (n = 3) were perfused with mock AH containing fluorescent tracer microspheres to compare microvasculature patterns. RESULTS: Observations revealed components of the conventional outflow pathway from Schlemm's canal (SC) to the superficial intrascleral venous plexus (ISVP). The superficial ISVP in both our study and corrosion casts were composed of interconnected venules (10-50 mum) forming a hexagonal meshwork. Larger radial arcades (50-100 mum) drained the region nearest SC and converged with larger tortuous vessels (>100 mum). A 360-degree virtual casting closely approximated corrosion casting studies. Tracer studies corroborated our findings. Tracer decorated several larger vessels (50-100 mum) extending posteriorly from the limbus in both raw and contrast-enhanced fluorescence images. Smaller tracer-labeled vessels (30-40 mum) were seen branching between larger vessels and exhibited a similar hexagonal network pattern. CONCLUSIONS: SD-OCT is capable of detailed morphometric analysis of the conventional outflow pathway in vivo or ex vivo with details comparable to corrosion casting techniques. FAU - Francis, Andrew W AU - Francis AW AD - Department of Ophthalmology, Boston University School of Medicine, Boston, Massachusetts, USA. FAU - Kagemann, Larry AU - Kagemann L FAU - Wollstein, Gadi AU - Wollstein G FAU - Ishikawa, Hiroshi AU - Ishikawa H FAU - Folz, Steven AU - Folz S FAU - Overby, Darryl R AU - Overby DR FAU - Sigal, Ian A AU - Sigal IA FAU - Wang, Bo AU - Wang B FAU - Schuman, Joel S AU - Schuman JS LA - eng GR - P30 EY008098/EY/NEI NIH HHS/United States GR - R01 EY013178/EY/NEI NIH HHS/United States GR - P30-EY08098/EY/NEI NIH HHS/United States GR - R01-EY13178/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120807 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - Anterior Chamber/blood supply MH - *Aqueous Humor MH - Cadaver MH - Corrosion Casting MH - Fluorescein Angiography MH - Humans MH - Imaging, Three-Dimensional MH - Microvessels/*anatomy & histology MH - Tomography, Optical Coherence/methods MH - Venules/anatomy & histology PMC - PMC3727668 COIS- Disclosure: A.W. Francis, None; L. Kagemann, None; G. Wollstein, None; H. Ishikawa, None; S. Folz, None; D.R. Overby, None; I.A. Sigal, None; B. Wang, None; J.S. Schuman, P EDAT- 2012/04/14 06:00 MHDA- 2012/10/25 06:00 PMCR- 2013/02/01 CRDT- 2012/04/14 06:00 PHST- 2012/04/14 06:00 [entrez] PHST- 2012/04/14 06:00 [pubmed] PHST- 2012/10/25 06:00 [medline] PHST- 2013/02/01 00:00 [pmc-release] AID - iovs.11-9229 [pii] AID - 10.1167/iovs.11-9229 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2012 Aug 7;53(9):5198-207. doi: 10.1167/iovs.11-9229.