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Biomedical subjects

D M Maurice

Publications and source records attributed to D M Maurice.

At least 37 records · Page 2Linked to original sources

Synchrotron x-ray diffraction studies of the cornea, with implications for stromal hydration.

The intermolecular and interfibrillar spacings of collagen in bovine corneal stroma have been measured as a function of tissue hydration. Data were recorded from low- and high-angle x-ray diffraction patterns obtained using a high intensity synchrotron source. The most frequently occurring interfibrillar spacing varied from 34 nm in dry corneas to 76 nm at H = 5 (the hydration, H, is defined as the ratio of the weight of water to the dry weight). The most frequently occurring intermolecular Bragg spacing increased from 1.15 nm (dry) to approximately 1.60 nm at normal hydration (H approximately 3.2) and continued to increase only slowly above normal hydration. Most of the increase in the intermolecular spacing occurred between H = O and H = 1. Over this hydration range the interfibrillar and intermolecular spacings moved in tandem, which suggests that the initial water goes equally within and between the fibrils. Above H = 1 water goes preferentially between the fibrils. The results suggest that, even at normal hydration, water does not fill the interfibrillar space uniformly, and a proportion is located in another space or compartment. In dried-then-rehydrated corneas, a larger proportion of the water goes into this other compartment. In both cases, it is possible to postulate a second set or population of fibrils that are more widely and irregularly separated and therefore do not contribute significantly to the diffraction pattern.

Animals↗

Cohesive strength of corneal lamellae.

Strips of rabbit stroma were prepared, and the force required to tear them apart along their length was determined. This amounted to an average of 10 g mm-1 width of tissue and it is independent of the depth of the plane in which the splitting of the cornea takes place. It could not be determined, however, whether the cohesive strength of the tissue is due to occasional collagen fibrils binding it together, interweaving of the lamellae or enmeshing of the collagen fibrils by ground substances. Other corneas were split by blunt dissection in vivo and allowed to recover for various periods of time, when the reformed strength of the split was measured. It was found to be negligible for about 5 days and rose quickly to 0.25-0.5 of the value of the untouched cornea. No increase in the force of adhesion of the split stroma was observed if an extract of corneal epithelium or a suspension of platelets was injected into the wound.

Adhesiveness↗

The pH in the precorneal tear film and under a contact lens measured with a fluorescent probe.

The reaction of the precorneal tear film of the human eye was determined non-invasively by instilling pyranine, a pH-sensitive fluorescent dye. The mean value was 7.83 (S.D. +/- 0.10) and it takes up this value immediately on opening the eye after the lids had been kept closed. The HCO3 system seems to be responsible for only a portion of the buffering power of the tear film. When a drop buffered to pH 6.4 with 0.075 M PO4 was instilled, the tears returned to their normal value in about 7 min, consistent with the washout times of solutes in the conjunctival sac. A pH of 7.3 was established in the tear fluid behind contact lenses either gas permeable or impermeable, probably as a result of their restricting the loss of CO2 from the eye.

Adult↗

Staining of the conjunctiva and conjunctival tear film.

Both the distribution of tear fluid over the conjunctiva and any injury to the conjunctival epithelium can be made visible by instilling a fluorescent solution into the eye and observing with an appropriate combination of excitation and barrier filters. Sulphorhodamine B, which has an orange fluorescence that can be separated from the green natural fluorescence of the ocular tissues, gives a greater contrast than fluorescein. The tear film is seen to cover the surface of the conjunctiva and to be concentrated in its folds. Small circular areas of thin tear film appear transiently in the neighbourhood of the limbus after a blink. Occasional cells stain on the normal conjunctiva, particularly in the interpalpebral area. The density of the staining increases in dry eye conditions. Conjunctival trauma is sensitively revealed by the method, and its healing can be followed. Hard contact lenses are seen to traumatize continually the inferior limbal conjunctiva in symptomless wearers.

Conjunctiva↗

The biology of wound healing in the corneal stroma. Castroviejo lecture.

The healing and remodeling of a stromal incision in described at the gross, fibrillar, and cellular levels. The possibility that the healing of the wound and the clearing of the scar can be accelerated by biological interventions is discussed. Castroviejo Lecture was given on November 9, 1986.

Cicatrix↗

Clearing media for the eye.

Non-ionic radiological contrast media have a high refractive index and are not toxic to living cells. They can be used as clearing media for unfixed ocular tissues. Corneal opacities in the rabbit could be made transparent, on a temporary basis, by soaking the stroma in contrast media, and no ill effects on the eye were noted.

Animals↗

Flow of water between aqueous and vitreous compartments in the rabbit eye.

When fluoresceinated dextran (FD) is injected into the vitreous body of the rabbit, it diffuses out of the eye through the anterior chamber so that the ratio of its concentration in the aqueous to that in the vitreous humor remains constant. The rate of loss of the substance from the eye suggests that the vitreous body is stagnant. After penetrating the vitreous body with a 25-gauge needle through the sclera, the FD fluorescence in the aqueous humor is reduced by a factor of three times on the average. This appears to be because the loss of fluid out of the scleral hole sets up a backward seepage of fluid through the anterior vitreous body, which opposes the diffusion of dextran into the anterior chamber. In contrast, making a needle hole has little effect on the level of sulforhodamine B, a more rapidly diffusing molecule, when it has been injected into the vitreous body, and none at all when it has been introduced into the cornea. The changes in the flow across the aqueous-vitreous interface, as well as the changes in aqueous outflow after an experimental intervention to the eye, may be estimated from a comparison of the changes in fluorescence in the anterior chamber of large and small molecular weight compounds injected into the vitreous body.

Animals↗

The mechanical properties of the rabbit and human cornea.

The extensibility of rabbit and human corneas was measured by raising the pressure within the intact globe of the eye and measuring the displacements of two very small mercury drops on the corneal surface. The human cornea showed a negligible extensibility under low stresses. The rabbit tissue, however, underwent a 9% strain under low pressures with a curvilinear relationship between stress and strain. At higher pressures the relationship was linear, and the tissue showed some creep. The low pressure stress-strain relationship of the rabbit could not be explained on the basis that the collagen fibrils were being straightened out from an initial set in a sinusoidal wave. When the stroma was isolated from Descemet's membrane, it showed a negligible low pressure extensibility in rabbit and man. On the other hand, isolated Descemet's membrane was very extensible in both species. The difference between them in the behavior of the intact cornea seems to lie in the relative initial strain in the stroma and Descemet's membrane.

Animals↗

Iontophoresis of fluorescein into the posterior segment of the rabbit eye.

Iontophoresis of appreciable quantities of fluorescein into the vitreous body of the rabbit results from the use of a high electrical current density over a limited area of the globe. This is achieved by passing current through the fluorescein when it is held against the region of the ora serrata in a tube less than 1 mm in diameter. The retina is destroyed over a corresponding area when the current enters the eye. An electrode is described which is held to the eye by suction and could be practical for clinical applications.

Animals↗

The absence of corneal toxicity with low-level topical anesthesia.

By means of an osmotic pump we infused 0.3% proparacaine solution continuously into the central stroma of a rabbit cornea. An area of anesthesia about 6 mm in diameter was maintained for several days. The epithelium remained unaffected and healed normally where it was scraped away in the anesthetic area. Similarly, the repeated instillation into the rabbit's eye of 0.05% proparacaine eyedrops at ten-minute intervals throughout the day resulted in continual anesthesia without signs of epithelial dystrophy. It seems that the toxic level of proparacaine is above that required for anesthesia.

Anesthesia, Local↗

Kinetics of macromolecules injected into the subretinal space.

Small, experimental, non-rhegmatogenous retinal detachments (blebs) in rabbit eyes resorbed 50% more slowly when filled with autologous serum than with Hanks' solution. To study the fate of large molecules in the subretinal space, carboxyfluorescein and several sizes of FITC-dextrans were injected into blebs and their movement followed by fluorophotometry. Carboxyfluorescein diffused quickly into the vitreous and was gone from the space after 8 hr. FITC-dextran 10-S (smaller than albumin) also diffused readily into the vitreous and took about 30 hr to be eliminated from the subretinal space. The diffusion of FITC-dextran 70-S and 150-S (both larger than albumin) was markedly slower, and roughly 80% of the 150-S was still present in the subretinal space after 3 days. Since the subretinal fluid in all of these blebs resorbed within 10 hr, the physiologic mechanisms for fluid resorption and elimination of large substances appear to be independent. Damaging the RPE barrier with sodium iodate allowed even the larger FITC-dextrans to exit from the subretinal space.

Absorption↗

A reevaluation of corneal endothelial permeability to fluorescein.

The permeability of the corneal endothelium and its aqueous-cornea distribution ratio were reevaluated in the rabbit eye. Both parameters were determined in an individual eye by applying the dye first by iontophoresis and then by intravitreal injection, which allows the influence of fluorescein glucuronide on the fluorophotometric measurements to be excluded. The corneal endothelial permeability coefficient was 5.13 +/- 1.64 X 10(-4) cm min-1, and the aqueous-cornea distribution ratio was 0.25 +/- 0.06 (mean +/- S.D., n = 11) on the average, and the former was considerably greater than the previous results, while the latter was considerably smaller.

Animals↗

Passive ion fluxes across the corneal endothelium.

The deepithelialized cornea is mounted in a chamber and perfused on both surfaces by identical closed systems. The technique allows the continuous measurement of the net water flux and the electrical potential across the preparation as well as the steady state flux of radioactive ions. The permeabilities of pairs of ions in the same direction were compared, and they were found to be closely proportional to their free diffusion constants, suggesting that they passed by way of the intercellular spaces. Technical difficulties prevented a valid determination of the existence of active ion transport, but there was no indication of its presence.

Animals↗

Theory and methodology of vitreous fluorophotometry.

The technique of vitreous fluorophotometry is discussed with particular reference to the uncertainty in the measurements resulting from instrumental and biological factors. The methods proposed for reducing the interference from these factors are explained. Various optical systems for carrying out the measurements are described. The suggestion is made that the technique could be much more accurate and safe if fluorescein was replaced by a dye which fluoresced at longer wavelengths and was more rapidly eliminated from the blood.

Animals↗

A fresh look at iontophoresis.

The rate of penetration of fluorescein and gentamicin ions into the anterior chamber of the rabbit was increased more than 100-fold by the passage of 1 mamp; the amount of drug that penetrates is better controlled by iontophoresis than by instillation. The potential value, the safety and the limitations of this procedure are discussed, and a theoretical basis for the increase is provided. Practical methods of using iontophoresis in the clinic are described. A 30-s application should result in a therapeutic level of the antibiotic in the anterior segment over a 12-hour period in eyes with an intact epithelium.

Animals↗

The active and passive transport of water across the corneal endothelium.

The relationship between hydrostatic pressure and water flow across the corneal endothelium of the rabbit was determined at 2 degrees C and 34 degrees C and in each case the layer behaved as if it had a constant leak resistance; the value of the resistances was proportional to the viscosity of water at the temperature in question. Superimposed on this passive flow there appeared to be an active transport of water of 67 microns hr-1 in the warm preparation which completely disappeared when it was cooled.

Animals↗