- •Contents
- •Foreword
- •Dedication
- •Message
- •About the Editors
- •List of Contributors
- •Acknowledgments
- •Introduction
- •Methodologic Issues
- •Review of Studies (Table 1)
- •Cohort Effects on Myopia
- •Risk Factors for Myopia
- •Near work
- •Education/Income
- •Outdoor activity
- •Race/Ethnicity
- •Nuclear cataract
- •Family aggregation/Genetics
- •Siblings
- •Parent-child
- •Other family members
- •Genetics
- •Comments
- •Acknowledgments
- •References
- •Introduction
- •Definition of Myopia in Epidemiologic Studies
- •Risk Factors for Myopia and Ocular Biometry
- •Family history of myopia
- •Near work
- •Outdoor activity
- •Stature
- •Birth parameters
- •Smoking history
- •Breastfeeding
- •Conclusion
- •References
- •Introduction
- •Aetiological Heterogeneity of Myopia
- •Clearly genetic forms of myopia
- •School or acquired myopia
- •Misunderstandings of Heritability and Twin Studies
- •But Heritability has Its Uses
- •Evidence for Genetic Associations of School Myopia
- •Evidence for the Impact of Environmental Factors on Myopia Phenotypes
- •Gene-Environment Interactions and Ethnicity
- •Gene-Environment Interactions and Parental Myopia
- •Conclusion
- •Acknowledgments
- •References
- •Introduction
- •Economic evaluations
- •Full vs partial evaluations
- •Economic evaluation of myopia
- •The Economic Cost of Myopia: A Burden-of-Disease Study
- •China
- •India
- •Europe
- •Singapore
- •Southeast Asia
- •Africa
- •South America
- •Bangladesh
- •ii. Proportion of myopes paying for correction
- •Uncorrected and undercorrected refractive error, spectacle coverage rate and reasons for spectacles nonwear
- •iii. Amount paid for myopic correction
- •Singapore
- •The burden of myopia
- •Further Directions for Economic Research
- •References
- •Introduction
- •Impact of Myopia in Adults
- •Overall Conclusion
- •Future Studies
- •References
- •Introduction
- •Definition of Pathological Myopia
- •Cataract
- •Glaucoma
- •Myopic Maculopathy
- •Myopic Retinopathy
- •Retinal Detachment
- •Optic Disc Abnormalities
- •References
- •Conclusion
- •Introduction
- •The Association Between Myopia and POAG
- •Information from epidemiological studies
- •Asian populations: Myopia and POAG
- •Myopia in other situations
- •Myopia and ocular hypertension
- •Myopia in angle closure
- •Myopia in Pigment Dispersion Syndrome (PDS)
- •Theories for a Link Between Myopia and POAG
- •Glaucoma Assessment in Myopic Eyes
- •Biometric differences
- •Axial length and CCT
- •Optic disc assessment in myopic eyes
- •Visual fields in myopic eyes
- •Imaging tests and variations with myopia
- •ONH susceptibility to damage
- •The Influence of Myopia on the Clinical Management of the Glaucoma Patient
- •Glaucoma progression and myopia
- •References
- •Posterior Staphyloma
- •Myopic Chorioretinal Atrophy
- •Lacquer Cracks
- •Myopic Choroidal Neovascularization
- •Myopic Foveoschisis
- •Myopic macular hole detachments
- •Lattice degeneration
- •Retinal tears and detachments
- •References
- •Introduction
- •Electroretinography
- •Ganzfeld electroretinography
- •Multifocal electroretinography
- •Assessment of Retinal Function
- •Outer retinal (photoreceptor) function
- •Post-receptoral (bipolar cell) and retinal transmission function
- •Inner retinal function
- •Macular function in myopic retina
- •Effect of Long-Term Atropine Usage on Retinal Function
- •Macular Function Associates with Myopia Progression
- •Factors Associated with ERG Changes in Myopia
- •Conclusion
- •References
- •Introduction
- •Genomic Convergence Using Genomic Content
- •Pathway Analysis
- •Pathway analysis in cancer genomics
- •Pathway analysis in GWAS
- •Non-parametric approaches
- •Parametric approaches
- •P-values combining approaches
- •Conclusion
- •References
- •Introduction
- •Definition of Myopia
- •The Classical Twin Model
- •What is the classical twin model?
- •Historical perspective
- •Statistical approaches
- •Twins, Myopia and Heritability Studies
- •Heritability studies for myopia using twins
- •Limitations of using twins in heritability studies
- •Twins and Myopia — Other Studies
- •The Importance of Twin Registries
- •Concluding Comments
- •Acknowledgments
- •References
- •Introduction
- •Candidate Gene Selection Strategies for Myopia
- •Genes Associated With Myopia-Related Phenotypes
- •The HGF/cMET ligand-receptor axis
- •The collagen family of genes
- •Concluding Remarks
- •Acknowledgments
- •References
- •Introduction
- •Phenotypes for Myopia Genetic Studies
- •Study Design
- •Genotyping and Quality Controls
- •Population Structure
- •Association Tests
- •Correlated Phenotypes
- •Imputation and Meta-Analysis
- •Visualization Tools
- •Drawing Conclusions
- •Acknowledgments
- •References
- •Introduction
- •The Search for Error Signals
- •The blur hypothesis
- •Bidirectional lens-compensation
- •Recovery from ametropia vs. compensation for lenses
- •The complication of the emmetropization end-point
- •Optical aberrations as error signals
- •Other possible visual error signals
- •How Important is Having a Fovea?
- •Mechanisms of Emmetropization
- •Scleral similarities and differences between humans and chickens
- •Retinal signals
- •Glucagon-insulin
- •Retinoic acid
- •Dopamine
- •Acetylcholine
- •Choroidal signals
- •The Role of the Choroid in the Control of Ocular Growth
- •Diurnal rhythms and control of ocular growth
- •Conclusions
- •References
- •Introduction
- •Gross Scleral Anatomy
- •Structural organization of the sclera
- •Cellular content of the sclera
- •Mechanical properties of the sclera
- •Structural Changes to the Sclera in Myopia
- •Development of structural and ultrastructural scleral changes in myopia
- •Scleral pathology and staphyloma
- •Biochemical Changes in the Sclera of Myopic Eyes
- •Structural biochemistry of the sclera in myopia
- •Degradative processes in the sclera of myopic eyes
- •Cellular changes in the sclera in myopia
- •Biomechanical Changes in the Sclera of Myopic Eyes
- •Regulators of scleral myofibroblast differentiation
- •Myofibroblast-extracellular matrix interactions
- •Cellular and matrix contributions to altered scleral biomechanics and myopia
- •Scleral Changes in Myopia are Reversible
- •Eye growth regulation during recovery from induced myopia
- •Summary and Conclusions
- •Acknowledgments
- •References
- •Introduction
- •Spatial Visual Performance and Optical Features of the Eye
- •Axial eye growth and development of refractive state
- •Lens thickness and vitreous chamber depth
- •Corneal radius of curvature
- •Schematic eye data
- •Techniques Currently Available for Myopia Studies in the Mouse, Both for Its Induction and Measurement
- •Devices to induce refractive errors
- •Techniques to measure the induced refractive errors and changes in eye growth
- •Refractive state
- •Corneal radius of curvature
- •Axial length measurements and ocular biometry
- •Measurements of the optical aberrations of the mouse eye
- •Behavioral measurement of grating acuity and contrast sensitivity in the mouse
- •Recent Studies on Myopia in the Mouse Model: Some Examples
- •Magnitudes of experimentally induced refractive errors in wild-type mice
- •Refractive development in mutant mice
- •Pharmacological studies to inhibit axial eye growth in mice
- •Image processing and regulation of retinal genes and proteins
- •Summary
- •Acknowledgments
- •References
- •Introduction
- •A Brief Introduction to Comparative Genomics
- •Comparative Expression
- •Genes in Retina and Sclera in Animal Models of Myopia
- •ZENK (EGR-1)
- •Scleral Gene Expression in a Mouse Model of Myopia
- •RNA, Target cDNA and Microarray Chip Preparation
- •Microarray Data Analysis
- •Scleral Gene Expression in the Myopic Mouse
- •Summary
- •References
- •Introduction
- •Possible Mechanisms of Pharmacological Treatment
- •Efficacy Studies
- •Other Issues Related to Drugs
- •Potential Side Effects
- •The Future of Drug Treatment in Myopia
- •Conclusions
- •References
- •Introduction
- •Accommodation
- •Close work
- •Physical characteristics of the retinal image
- •Visual deprivation
- •Compensatory changes in refraction
- •Intensity and periodicity of light exposure
- •Spatial frequency
- •Light periodicity
- •Image clarity
- •Outdoor activity and retinal image blur
- •Light vergence and photon catch
- •Chromaticity
- •Therapeutic implications
- •References
- •Index
304 F. Schaeffel
already after one to two days, but two to three weeks are necessary in the mouse. Furthermore, treatment of mice with diffusers or lenses is demanding, compared to chicks, and experiments often fail because the mice had removed their eye occluders or lenses. Finally, the small size of the eye of the mouse (little more than 3 mm in diameter in adult mice7; and Fig. 1) requires new technology to measure ocular dimensions and optical properties with sufficient precision.
Despite these obstacles, the number of publications on myopia in the mouse model increases continuously, and the results were surprisingly clear in some cases.
This chapter will review: (1) the spatial visual performance of the mouse and the optical features of its eye; (2) the techniques that are now available for myopia studies in the mouse, both for induction and its measurement; and (3) examples of results that were recently obtained using the mouse model. This review extends and updates a previous analysis of the mouse as a model of myopia,8 but will still not cover all studies that were published on this topic.
Spatial Visual Performance and Optical Features of the Eye
The mouse eye, scaled to body weight, is five times larger than the human eye and therefore cannot be considered vestigial. A basic question is whether it also provides “scaled visual acuity.” In a human eye, one degree of the visual field maps on 0.29 mm linear distance on the retina. In a 28-day-old mouse, the image magnification is only a tenth (0.03 mm/deg). Accordingly, even with the best possible optics, a mouse eye can achieve only a tenth in angular resolution — about 5 cyc/deg — since the “pixels” of the image, the photoreceptors, cannot be made much smaller. Behavioral (see detailed descriptions below) and electrophysiological studies9 show, however, that the spatial resolution of the mouse eye is considerably lower by another factor of 10 — only about 0.5 cyc/deg.
Although the optics of the mouse eye are far from diffraction-limited,10 it does not seem to be the final limiting factor in visual acuity. Also, cone photoreceptor diameters do not vary much between human and mouse (mouse >2–3 m; humans 2–8 m),11,12 and it remains to be explained why the mouse has such poor spatial resolution. Unexpectedly, there is also no clear evidence for a higher level of convergence of photoreceptor
305 The Mouse Model of Myopia
signals in the mouse retina. The ratio of optic nerve fibers in human and mouse (about 1,100,000 in human versus 66,000 in mouse)13 is about 16:1, and matches roughly the ratio of the retinal areas (14:1) — definitely different, for instance, from the cat (fiber number for human to cat is about 13:1 vs retinal area ratio 1.4:1), suggesting that a much higher level of photoreceptor convergence exists in the cat retina, compared to mouse or human. These findings suggest that mouse spatial vision is not optimized for low illuminances, unlike in the cat. In fact, Schmucker et al.14 found that the spatial resolution of mice in an optomotor task increased with increasing illuminances (up to 400 lux), but was very poor at 4 lux. Given poor visual acuity, depth of focus should be large and it is possible that emmetropization (the developmental matching of axial eye length to the focal length of the eye optics) may not be as precise as in some birds or primates. To focus an image of the environment onto the retina of a mouse eye, a refractive power of cornea and lens of more than 500 diopters [D] is necessary in air (a third of the power is lost because the vitreous cavity is, like in all vertebrate eyes, filled with water-like fluid). Relative to the 500 diopters of optical power, refractive errors of a few diopters may be negligible, and imperfections in the optics of the mouse eye may have less impact on vision than in humans. However, regarding emmetropization, one should keep in mind that a change in axial length of only about 5 m in the mouse changes the refractive state already by about one diopter.15 Even if the depth of focus of the mouse eye is as large as 10 diopters (see below), the absolute axial growth, determined by the growth of the scleral tissue, needs to be regulated with a precision of 50 m in axial direction, which is similar to that in the chicken, where this value converts to about one diopter.16
Remtulla and Hallett7 were the first to present a schematic eye model for the adult C57B1/6J mouse, based on frozen sections of 14 eyes of 20–23-week-old animals. Later, Schmucker and Schaeffel15 developed a paraxial schematic eye model for C57BL/6J mice at different ages, also based on frozen sections. Although frozen sections have limited resolution due to distortions that may occur during freezing and sectioning, it is always possible to take averages from several eyes, and to fit the biometrical data from different ages by polynomials. The averaging procedure reduces the impact of measurement variability, and a few general statements could be made about the optics of the mouse eye, which are now compared to more recent measurements with other techniques.
306 F. Schaeffel
Axial eye growth and development of refractive state
In line with an observation by Zhou and Williams,17 Schmucker and Schaeffel15 observed that the eyes grew about linearly in C57BL/6 mice over the first 100 days with no signs of saturation. Axial length grew from 3.0 mm at P22 by 4.4 m per day. Zhou et al.18 used a custom-built low coherence interferometer with focal plane advancement (described in detail in Zhou et al.)19 to measure axial eye growth in another strain of C57BL/6 mice. They found that axial eye growth was most rapid between P22 and P35 (about 17 m per day) and slowed down to about 3 m per
day between P53 and P100. The average growth rate over the whole period was similar, however (5.9 m/day).
Another developmental study in C57BL/6 mice was recently conducted using high resolution small animal MRI20. These authors also found nonlinear growth functions, with a fast growth phase followed by a slower phase. Axial length increased rapidly from P22 to P40, from 2.95 mm to 3.17 mm, followed by a slower increase to about 3.3 mm until P90.
Barathi et al.,21 who studied axial eye growth Balb/cJ albino mice in excised eyes with digital calipers, also observed the most rapid axial eye
growth between P1 and P56 (about 21 m per day), and a slower growth rate of only 1.8 m thereafter (average: 9.6 m/day). No saturation of
axial eye growth was obvious even beyond 100 days of age in any of these studies.
It is interesting that the growth rates were variable in the two studies using C57BL/6 mice, in particular between P22 and P35, but frozen sections and low coherence interferometry may give slightly different results in small and soft eyes. Axial eye growth, as measured in these studies, is shown in Fig. 1A, and development of refractive states in Fig. 1B. While axial eye growth was similar in all studies, there were large differences in refractive development, even though the refractions were determined with copies of the original infrared photorefractor,22 at least in the four studies on black mice. It is a question to be answered in the future, why different C57BL/6 strains show different refractive development, and whether this is genetically determined or due to environmental differences in the animal facilities. Large difference in refractive development were recently also found in guinea pigs: a Chinese tricolor guinea pig strain had a significant proportion of spontaneously myopic animals23 — a condition that was not found in other guinea pig studies (e.g. Ref. 24).
307 The Mouse Model of Myopia
Figure 1. (A) Axial eye growth in mice with normal visual experience as measured in four studies, using either C57BL/6 mice (Zhou et al.18 — using a custom-built low coherence interferometer; Schmucker and Schaeffel15 — using frozen sections, Tkatchenko et al.20 — using high resolution small animal MRI) or Balb/cJ albino mice (Barathi et al.21 — using digital calipers in freshly excised eyes). (B) Development of refractive states in these four studies (same symbols denote same study) with data added from the study by Pardue et al.25 Infrared photorefraction was used in the studies on black mice and streak retinoscopy in the albino mice (Barathi et al.).21 Note that axial eye growth was similar in all studies, but that there were considerable differences in refractive development.
Lens thickness and vitreous chamber depth
Because the lens grew in thickness from 1.74 mm at P22 by 5.5 m per day, vitreous chamber depth declined from 0.83 mm at 22 days, by 3.2 m per day15 (illustrated in Fig. 2). In the study by Zhou et al.,18 lens thickness was
1.47 mm at P22 and increased daily by about 7.9 m until P53, and grew slower (about 1.8 m/day) thereafter. Again, vitreous chamber depth
declined with age by 1.4 m per day between P22 to P102.
Corneal radius of curvature
A recent study, using video photokeratometry in Egr1 –/– mice and their wild type littermates27 showed that corneal radius of curvature grows from 1.35 mm to 1.53 mm from day 22 to 100 — an average daily growth rate of 2.3 m. Zhou et al.18 observed a rapid increase in corneal radius of curvature by 9 m per day between P22 and P35, and a slower phase with a
daily increase of 0.8 m thereafter (average growth rate over the whole period: 2.8 m/day, similar to Ref. 27).
