- •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
319 The Mouse Model of Myopia
several times larger. Schmucker and Schaeffel50 elicited optomotor responses in mice by drifting 0.03 cyc/deg square wave gratings when mice were wearing trial lenses. Significant responses were found with +10 D of imposed defocus. In summary, at least for lower spatial frequencies, the depth of field of the mouse would exceed ±10 D.
Behavioral measurement of grating acuity and contrast sensitivity in the mouse
There were several approaches to measuring spatial visual performance in mice behaviorally. These approaches can be divided into two principles, testing forced choice behavior in a swimming task, the “Visual Water Task, VWT”51,52 or measuring the optomotor response to drifting gratings that are either presented as printed on paper and attached to the inner wall of a rotating drum, or more sophisticatedly, presented on computer monitors that are arranged in a square (the “virtual optomotor system, VOS”) that permitted better control of the stimulus variables.53–57 The first approach measures visual acuity for stationary targets, and the second for moving targets. Processing of the two stimulations involves different brain areas. While acuity for stationary targets is largely determined by geniculo-cor- tical processing, moving targets are processed in the subcortical accessory optic system.55 Prusky and Douglas58 have shown that ablation of the cortex did not change the cut-off spatial frequency measured with the visual water task (VWT) and the virtual optomotor system (VOS), but the contrast sensitivity functions were changed. Contrast sensitivity was increased in the VOS but the range of high contrast sensitivity was found at lower spatial frequencies (contrast sensitivity of about 20 at 0.05 cyc/deg with the VOS, but only about two with the VWT). Another interesting aspect observed in the VOS was that tracking occurred only in the temporal-to- nasal direction for each eye, similar to the condition in infants (e.g. Ref. 59). This means that, depending on the direction of motion of the stripes, each eye can be independently tested.55
Different body movements, elicited by the drifting gratings, can be studied: head tracking,53,60 optokinetic nystagmus of the eye,61,62 or whole body optomotor responses.14,27
It could be expected from the very bright retinal images of the mouse (see above — schematic eye data) that mice also have good spatial vision at low ambient illuminances. However, optomotor experiments in an
320 F. Schaeffel
Figure 8. Automated optomotor drum. The mouse is placed in a small inner perspex drum in the center of a larger drum, which is covered inside with the square wave stripe pattern (black arrow). The large drum is mechanically rotated by a DC motor. Both the center of mass of the mouse and the angular orientation of its body axis are automatically tracked by a video system (black arrow: small surveillance firewire camera that images the mouse, see also laptop screen). The net angular movement is statistically evaluated and compared to the stripe pattern’s direction of movement.14
automated optomotor drum suggest that this is not the case. Individual mice were placed in a small perspex drum in the center of a larger drum that was rotated with vertical square wave patterns of adjustable fundamental spatial frequency (Fig. 8).
Their movements were recorded from above by a little surveillance video camera. Movement analysis was fully automated. Both the angular movement of the center of mass of the mouse and angular changes in the orientation of the body axis were tracked by image processing
321 The Mouse Model of Myopia
software and automatically statistically analyzed. Even though the mice often ignored the visual stimuli when they cleaned themselves, the objective video tracking procedure produced statistically meaningful results. An advantage of the procedure was that the mice experienced no further behavioral restriction, causing little stress. The disadvantages are that the “whole body optomotor response” is less reliable than the eye61,62 or head63 optomotor response, and that the data is therefore more noisy.
The automated version of the “whole body optomotor analysis”14 provided some new results: Grating acuity reached its limit at about 0.4 to 0.5 cyc/deg, similar to other published optomotor experiments in which eye movements were evaluated. Grating acuity declined continuously when the illuminance (or luminance) was reduced: The “relative responses” were 100% at 400 lux (about 30 cd/m²), 76% at 40 lux (about
0.1cd/m²), and 46% at 4 lux (about 0.005 cd/m²). A similar decline in visual acuity with decreasing illuminances was also described by Abdeljalil et al.63 Mutant mice lacking either rods or cones, or both, showed reduced visual acuity in cone-only models (0.10 cyc/deg in Rho –/– and 0.20 cyc/deg in CNGB1–/– compared to 0.30 cyc/deg in C57BL/6 wild-type mice). The “all-rod-mouse” (CNGA3 –/–) performed similarly in the optomotor test as the wild-type, both under photopic and scotopic conditions. This observation suggests that the rod system is not saturated, even at illuminances of 400 lux (about 30 cd/m²). It should also be kept in mind that rods represent about 95% of the photoreceptors in most vertebrates,64 including the mouse. Since the remaining 5% of cones are not clustered in a fovea but rather more evenly distributed across the retina, they may not reach a sampling density necessary for good spatial vision. In mice without any functional photoreceptors (CNGA3 –/– Rho –/–), no optomotor response could be elicited, suggesting that the light sensitive, melanopsin-containing ganglion cells do not contribute to spatial vision.
In summary, the considerable number of behavioral studies have provided surprisingly consistent results: The highest contrast sensitivity of BL57J/6 mice is about 20 (equivalent to a threshold contrast of 5%) or even better (up to 10061), and is reached at high illuminances between 30 cd/m² 14 and 63 cd/m² 56 at spatial frequencies of between 0.1 and
0.2cyc/deg. The highest detected spatial frequency (denoted as “grating acuity”) is around 0.5 cyc/deg.
