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Related Experiment Video

Updated: Jun 7, 2025

Three Different Protocols of Corneal Collagen Crosslinking in Keratoconus: Conventional, Accelerated and Iontophoresis
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Collagen crosslinking-induced corneal morphological changes: a three-dimensional light sheet Microscopy-based

Axel Stoecker1, Diana Pinkert-Leetsch2, Timea Koch3

  • 1Faculty of Engineering and Health, University of Applied Science and Arts, 37085, Goettingen, Germany.

Scientific Reports
|November 16, 2024
PubMed
Summary
This summary is machine-generated.

Three-dimensional light sheet fluorescence microscopy (LSFM) visualizes unlabeled corneal tissue stiffness changes. This label-free method aids in examining diseases like keratoconus by assessing altered tissue morphology and stiffness.

Keywords:
3D virtual histologyAutofluorescenceCorneal stromaExtracellular matrix stiffnessLight sheet microscopyTomographic microscopy

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Area of Science:

  • Ophthalmology
  • Biomedical Engineering
  • Biophysics

Background:

  • Stiffness-related eye diseases, such as keratoconus, involve complex changes in the corneal matrix.
  • Accurate visualization of these morphological changes is crucial for diagnosis and treatment.

Purpose of the Study:

  • To utilize three-dimensional (3D) light sheet fluorescence microscopy (LSFM) for label-free analysis of corneal tissue stiffness.
  • To qualitatively visualize morphological matrix changes in corneal tissue samples.

Main Methods:

  • Porcine corneal tissue samples were treated with NaCl or glutaraldehyde (GTA) to alter stiffness.
  • Samples were cleared using benzyl alcohol/benzyl benzoate (BABB) and scanned with LSFM.
  • LSFM data was validated using conventional paraffin embedding and planar microscopy.

Main Results:

  • LSFM successfully identified 2D/3D morphology of unlabeled corneal tissue via autofluorescence.
  • Glutaraldehyde treatment enhanced collagen crosslinking, inducing detectable morphological changes in autofluorescence signals.
  • LSFM findings correlated with conventional histology, confirming the method's validity.

Conclusions:

  • LSFM enables label-free, 3D autofluorescence assessment of corneal morphology within its anatomical context.
  • This technique provides a basis for examining pathologically altered corneas and related diseases based on tissue stiffness.
  • LSFM facilitates ophthalmologic examinations of corneal diseases characterized by altered tissue stiffness.