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Transcript
0042-6989187
$3.00+ 0.00
Copyright0 1987Perpmon JournalsLtd
VisionRes. Vol. 21, No. 2, pp. 241-247, 1987
Printedin Great Britain.All rightsreserved
CHANGES IN CORNEAL CURVATURE
DURING
ACCOMMODATION
IN CHICKS
DAVID TROILO* and JOSH WALLMAN
Department of Biology, City College, City University of New York, New York, NY 10031, U.S.A.
(Received 14 February 1986; in revisedform
23 June 1986)
Abstract-Evidence
is presented for an active cornea1 component of accommodation in chicks. Using
anesthetized chicks, consistent increases in cornea1 curvature were observed during accommodation
produced either by electrical stimulation of the Edinger-Westphal nucleus or by topical application of
0.4% nicotine sulfate to the cornea. Electrical stimulation produced a mean accommodative amplitude
of 9.2 diopters (D) and a change in cornea1 power of 3.9 D whereas nicotine treatment elicited IS.1 D of
accommodation and 6.1 D of change in cornea1 power. The change in cornea1 power increased
proportionately with accommodative amplitude up to about 10D of total accommodation where the
cornea1 power change appeared to level off at approximately 6 D. This limit to cornea1 curvature change
implies that it plays a proportionately greater role in the lower range of accommodation.
Accommodation
Chickens (Gallus gallus domes&us)
INTRODUCTION
Differences in ocular morphology suggest that
birds and mammals may have different accommodative mechanisms. In birds, a subdivision of
the avian ciliary muscle’s longitudinal bundle,
Crampton’s muscle, inserts at the cameo-scleral
border and, when contracted, may increase
cornea1 curvature, thereby increasing refractive
power (Slonaker, 1918; Walls, 1942; Meyer,
1977; but see Suburo and Marcantoni, 1983).
Substantial changes in cornea1 curvature have
been found by some researchers (Beer, 1892/93;
Gundlach et al., 1945; Rosenthal, 1981) but not
by others (Steinbach and Money, 1973; Levy
and Sivak, 1980; Sivak et al., 1986). This study
presents results showing that cornea1 changes
are part of the accommodative
response of
chicks.
To control for methodological artifacts we
used two in uivo methods to produce accommodation:
(a) electrical
stimulation
of the
Edinger-Westphal nucleus (EW) and (b) topical
application of 0.4% nicotine sulfate to the cornea. The EW (also known in birds as the
accessory oculomotor
nucleus) is the only
known source of the pre-ganglionic, parasympathetic neurons which innervate the ciliary
Cornea
Edinger-Westphal
nucleus
ganglion (Narayanan and Narayanan,
1976;
Reiner et al., 1983). The post-ganglionic ciliary
neurons innervate the intraocular musculature
and stimulate both accommodative and pupillary changes. Thus, electrical stimulation of the
EW produces accommodation through the normal neural pathway and does not interfere with
the eye directly.
METHODS
Twenty Cweek-old White Leghorn chickens
(Callus gallus domesticus) were used. All ocular
measurements were made before and during
induced accommodation and took place while
the birds were anesthetized with urethane
(2 g/kg i.p.), an anesthetic that almost entirely
eliminates spontaneous eye movements (Bums
and Wallman, 1981). During both sets of measurements the eyelids were held open with lidretractors that produced no apparent deformation of the cornea.
Total accommodative change was defined as
the difference in refractive error measured with
a Hartinger refractometer
(Aus Jena Coincidence Refractometer) before and during induced accommodation.
Because of the small
pupils of chicks (about 3 mm in diameter at rest
and 2 mm when accommodated), the refractometer was adapted with a supplemental lens
*Please address all correspondence to: David Troilo,
(about + 11 D) to reduce the width of the
Department of Biology, City College of New York,
we
138th St. and Convent Ave., New York, NY 10031, light beam. To calibrate the refractometer
U.S.A.
used two methods. In one method we used a
241
242
DAVID TROILO
“mechanical” eye, which was simply a planoconvex lens of known power mounted parallel
to a screen on a movable platform. By placing
the screen at different distances from the lens,
different degrees of “ametropia”
were produced. Because the accuracy of this technique is
limited by lens aberrations, we also refracted a
single lens reflex camera focussed either at
infinity, to simulate emmetropia, or at various
other distances, to simulate varying amounts
of myopia. To simulate hyperopic refractive
errors, we simply moved a screen alone to
varying distances from the refractometer. At a
distance of 1 m, hyperopia of f 1 D is simulated, at l/2 m, f 2 D of hyperopia is produced
and so on. The data from these 3 methods of
simulating refractive errors were fitted with a
third order polynomial which served as a calibration curve.
Cornea1 curvature (measured as the radius of
curvature) was assessed with a keratometer
(Topcon OM-3) and with a photographic
method described below. To adapt the keratometer for the highly curved corneas of chicks,
a supplemental lens (i-8 D) was attached in
front of the keratometer along its optic axis.
The keratometer was calibrated by measuring
the curvatures of steel balls of known diameter.
Approximately 4.0 mm2 of cornea was sampled
using the keratometer.
Both the refractometer and the keratometer
were aligned with the pupillary axis, which, in
chicks, closely approximates the optic axis (unpublished observations
based on Purkinjeimages). To align the refractometer, a circular
fluorescent lamp was placed concentric with the
refractometer’s optical axis. With the refractometer IO-15 cm from the eye, the reflected
image of the circular lamp was clearly visible
and could be placed coaxial with the pupil by
adjusting the position of the chick’s head. Following alignment, the refractometer was translated along its optic axis toward the eye to the
proper measurement distance, the circular lamp
was turned off, and the refractive error was
measured. We aligned the keratometer with a
similar procedure. By disengaging the instrument’s image doubling prisms, only a single
reflection of the keratometer’s circular mire is
left, which can be concentrically aligned with
the pupil.
Once aligned, spherical equivalents for both
refractive error and cornea1 curvature were
computed by averaging the two orthogonal
measurements taken on the principal meridians.
JOSH WALLMAX
and
The data from refractometry and keratometry
were the average of 6~8 repeated measures of
the spherical equivalent refractive error or corneal curvature. The instruments were realigned
after every second or third measurement. Since
each datum was a mean, the standard error of
the mean provides an estimate of the precision
of our techniques. The average standard error
determined
for refractometry
was about
+0.3 D while that for keratometry was within
kO.02 mm (about 1 D). Our precision of keratometry is similar to those reported in several
studies reviewed by Ludlam, Witten~rg and
Rosenthal (1965).
Besides keratometry. cornea1 curvature was
measured by photographing the first Purkinjeimages of three fiber optic light guides arranged
in an equilateral triangle centered on the camera’s optic axis. The area of cornea sampled by
this technique was approximately 0.3 mm’. The
device was easily aligned with the eye’s optic
axis by moving the chick’s head until the
reflected triangles arising from the first, third
and fourth Purkinje-images were concentric
(Fig. 1). The following calibration technique
was repeated before each eye was measured.
With the camera’s lens-to-film distance fixed, a
ruler was photographed
to determine the
ma~ification; then several steel balls were individually placed at the camera’s anterior focal
point and the images of the three light sources
were photographed to permit construction of
a calibration curve. The chick’s eye was then
i
1
Iris
n
Fig. 1. Representation of the view through the Purkinjeimage camera when all three sets of Purkinje-images form
equilateral triangles which are concentrically aligned with
the eye’s optic axis. In reality, all three sets of images are not
in focus simultaneously. The large. outer images are the
third Purkinje-images which arise from the anterior lens
surface. The middle images are the first Purkinje-images
reflected from the cornea1 surface. The small, inverted inner
images represent the fourth Purkinje-images reflected from
the posterior lens surface.
Comeal accommodation
aligned as discussed above and the distance Of
the eye to the camera was adjusted by moving
the bird toward or away from the camera until
the first Purkinje-images were brought into
sharp focus. The photographic images were
later projected onto a digitizing tablet to determine the diameter of the circle drawn from the
Purkinje-images. This technique yields a single
estimate of cornea1 curvature by determining
the diameter of a circle with a circumference
which passes through each light’s first Purkinjeimage. The standard errors of repeated measurements of photographs of the first Purkinjeimages
for
individual
eyes were,
like
within f0.02 mm. Since the
keratometry,
Purkinje-image camera’s depth of field (about
f 1 mm) was larger than that of the keratometer
( < +0.25 mm), this could produce errors of
approximately f 0.05 mm (& 1.5 D) (see Bennett and Francis, 1962).
Edinger- Westphal stimulation
Monopolar electrodes (Rhodes SNEX-300:
tips 0.25 mm long and 0.1 mm in diameter) were
stereotaxically placed into the EW and their
position adjusted to produce accommodative
responses to electrical stimulation. Typically,
large accommodative
changes were accompanied by brisk pupillary effects (either dilations
or contractions),
iris bulge, and noticeable
changes in light reflected from both cornea1 and
lenticular surfaces. If vertical eye movements
were produced, the electrode was moved dorsally since the oculomotor nucleus lies ventral to
the EW; if torsional eye movements were produced the electrode was moved anteriorly.
When accommodative responses were observed,
the electrode was fixed in place with skull screws
and dental acrylic. The bird was then removed
from the stereotaxic instrument for testing.
Measurements during electrically induced accommodation were paired with, and recorded
immediately after, a measurement of the eye at
rest. Electrical stimulation (20-30 PA, 110 Hz,
0.5 msec pulse duration) was produced using a
Grass SD-9 stimulator and CCU-1-A constant
current isolation unit. At the end of each experi-
243
in chicks
ment, marking lesions were made in order to
verify electrode placement. The birds were then
sacrificed, perfused with Heidenhain’s solution
and their brains sectioned at 50 pm and stained
with neutral red for histological inspection. We
used only those birds in which stimulation sites
were verified to have been in the EW.
Nicotine treatment
Because avian ciliary muscle is striated and
contains nicotinic receptors, application of nicotine sulfate to ciliary muscle produces accommodation. Two drops of 0.4% nicotine sulfate
were applied to the cornea 3 min before measurements were made of the refractive state of
the eye and of the curvature of the cornea
(technique of Rosenthal, 1981). Typically, we
observed the maximum effect of the drug
4-5 min following application. All effects began
to drop off sharply at 10-12 min and varying
degrees of cornea1 clouding were often observed
at different points along the drug’s time course.
Because of the brief action of the drug and its
tendency to cause cornea1 clouding, all accommodation measurements were completed within
ten minutes of application.
Unlike measurements made during EW stimulation, those
taken during nicotine-induced accommodation
were not paired with the resting state measurements. All of the resting state measurements
for a given eye were recorded together before
the application of nicotine. The short timecourse of nicotine-induced effects necessitated
measuring cornea1 changes only by keratometry
(7 chicks, 13 eyes) whereas the cornea1 changes
of the EW-stimulated chicks (13 chicks, 13 eyes)
were measured by both cornea1 measurement
techniques. In order to randomize the order of
the measurement procedures with respect to the
temporal effects of nicotine, 6 of the 13 nicotinetreated eyes were measured by refraction first,
and 7 by keratometry first.
RESULTS
A consistent increase in cornea1 curvature (i.e.
a decrease in the radius of curvature) was
Table 1. Cornea1 radius of curvature measurements for electrically-stimulated
chicks (means in mm f SD)
and nicotine-treated
&fore stimulation
Durina stimulation
Difference
EW-stimulated chicks
Keratometry (n = 13)
Purkinje Images (n = 12)
3.63 (0.11)
3.58 (0.10)
3.49 (0.13)
3.48 (0.12)
-0.13(0.06)
- 0.10 (0.07)
Nicotine-treated chicks
Keratometrv (n = 13)
3.71 (0.11)
3.4910.11)
-0.22 (0.08)
244
DAVID
TROILOand hS.HWALLMAN
observed during accommodation for all the
animals tested (Fig, 2). The change in cornea1
curvature from the resting to accommodated
state (summarized in Tabie 1) was significant in
all cases (paired f-tests: nicotine-treated [keratometry], I (12) = -9.93, P <0.0001; EW2 (12) = -8.38,
stimulated
[keratometry],
P < 0.0001; EW-stimulated [Furkinje-image
photography], t (11) = -5.38,
P < 0.0001).
There was no statistically significant difference
in the comeal curvature measurements obtained
using keratometry or Purkinje-image photography on the same EW-s~rnu~at~ eyes [paired
t-test, t (23) = 1.67, P = 0.1 I].
In order to determine cornea1 power changes
produced by the increase in curvature, the cor-
neal radius of curvature was converted to refracting power using the general ray-tracing
formula for a single refractive surface
where:
F, = refracting power of the anterior surface of
the cornea.
q = refractive index of chicken cornea = 1.362
(Sivak et ul., 1978).
rC= anterior cornea1 surface radius of curvature
(in meters).
Figure 3 shows the relationship between corneal power change and the amplitude of accommodation for individual birds undergoing either
Nicotine-Treated
(Kefatometry)
EW-Stimulated (Keratometryj
EW-Stimulated (Purkinje-Image Photography)
Fig.2. Change in cornea1 radius ofcu~aiure measured by keratomet~ and ~rkmje-image
during accommodation. A reduction in radius of curvature is equivalent to an increase
Top: rank& change in cornea1 radius of curvature for nicotine-treated eyes measured by
&Me: ranked change in comeal radius of curvature during Edinger-Westphal stimulation
keratometry. Borrow: Change in corneal radius of curvature measured by Purkinje-image
and aligned with the same eyes shown in the middle panel.
pbotog~pby
in curvature.
keratometry.
measured by
photography
Comeal accommodation
“0
12A
g IO8
=
0
t
:
.
6..
A
0
6..
.
0
A
.
B
4 ..
:
h
2
v
.
.
0
.
A
.
‘0
D
q
2468
10
of
.
D
c
Amplitude
lOn
*cl
12
14
accommodation
16
16
1
20
(D)
Fig. 3. Scatter plot showing cornea1 power change versus the
amplitude of accommodation for Edinger-Westphal stimulation (solid symbols) and nicotine treatment (open symbols). Cornea1 power change was calculated from keratometric readings. For some nicotine-treated
eyes,
keratometry was the first measurement made (triangles); for
others, refractometry was first.
nicotine treatment or EW stimulation. The maximum refractive change during accommodation
induced by each stimulation method was about
19 D. The mean amplitude of accommodation
for the nicotine-treated eyes was significantly
greater than for the EW-stimulated chicks
(15.1 D [SD = 2.71 vs 9.2 D [SD = 4.71; two
sample t-test, t (24) = -3.92, P < 0.001). The
mean change in cornea1 power for nicotinetreated
eyes was also greater
than in
EW-stimulated
birds (6.1 D [SD = 2.31 vs
3.9 D [SD = 1.1; two sample t-test, t (24) =
-2.92, P < 0.01).
DISCUSSION
The results of this study strongly argue for an
active cornea1 component of accommodation in
chicks. Using either EW stimulation or nicotine
treatment and either measurement technique,
increases in cornea1 curvature are observed
throughout the range of accommodative responses produced (up to 19 D). Furthermore, in
the lower range of the accommodation amplitudes resulting from EW stimulation (Fig. 3,
solid symbols), there is a linear relationship
between cornea1 power change and accommodative amplitude. Above 10 D of accommodation, however, the cornea1 power change appears to level off at about 6 D suggesting a
ceiling effect for cornea1 curvature change.
It appears unlikely that these cornea1 changes
could be a consequence of either errors in
positioning the eye during keratometry or of
eye movements (such as retractions) during
stimulation. We believe that such artifacts
“R
272--H
in chicks
245
could not result in the proportionality between
the magnitudes of cornea1 curvature change
and of accommodative
amplitude. Furthermore, the depth of field of the keratometer is
too shallow to permit position-related errors
of more than + 1.5 D. The poor correlation
between the two techniques of cornea1 curvature
measurement (Fig. 2 middle and bottom) may
be because the Purkinje-image method samples
a much smaller area and has a larger depth
of field. Despite this poor correlation, the
salient feature of the data presented here is that
both methods show significant and consistent
increases in cornea1 curvature during induced
accommodation.
In contrast to the EW stimulations, there is
no apparent relationship between the magnitude
of cornea1 power change and the amplitude of
accommodation produced with nicotine (Fig. 3,
open symbols) probably because of a ceiling
effect. The nicotine always elicited amplitudes
of accommodation above that at which maximal curvature changes are produced by EW
stimulation.) The greater scatter of the nicotine
data may have several explanations. Variability
resulting from the drug’s brief action is suggested by the relatively greater cornea1 effects
observed when keratometric readings are made
prior to refractometry (open triangles) compared to when refractometry is performed first
(open squares). Since the results of EW stimulation suggest that accommodation greater than
10 D is associated with maximal cornea1 change,
and since nicotine always produced at least
this level of accommodation, individual differences in maximal cornea1 change could produce
some scatter of the data. Furthermore, variability in drop size and retention of the drop on
the cornea1 surface, as well as measurement
difficulties because of cornea1 clouding, may
also contribute to the scatter of the nicotine
data points. Finally, the presence of cornea1
clouding suggests that nicotine may have direct
effects on the cornea possibly contributing to
curvature changes. The mean nicotine-induced
cornea1 power change of 6 D is, nevertheless,
consistent with the ceiling effect suggested by
EW stimulation.
In general, nicotine produces larger effects
than EW stimulation. Perhaps the ciliary muscle
is able to contract more powerfully than it does
when normally stimulated by the nervous system. Alternatively, electrode placement or the
stimulation parameters used may not have been
maximally effective in driving all accom-
246
DAVIDTROILOand JOSH WALLMAN
modation-producing neurons. This is suggested
by the greater variability in a~ommodative
amplitude produced by EW stimulation than by
nicotine treatment
{SD = 4.7 and 2.7 respectively) although the two techniques produce
comparable maximum responses. Despite the
greater variability, EW stimulation has the advantage of providing a more reliable method for
studying a~omm~ation
because, unlike nicotine, it is easy to control the accommodative
responses, there is no critical temporal element,
and it does not involve manipulation of the eye
directly.
Cornea1 curvature changes during accommodation in various bird species have found by
others. Beer (1892/93) also reported increases in
cornea1 curvatures in electrically stimulated excised eyes of pigeons, chickens, ducks, hawks,
and owls; the largest cornea1 effects being observed in the predatory species. Cornea1 curvature changes were measured by the movements
of pins inserted into the cornea or by changes in
Purkinje-images. Gundlach et al. (1945) reported instances of a pigeon spontaneously
showing 17 D of cornea1 accommodation and of
4-5 D of cornea1 change being produced by
nicotine applied to the cornea. Unfortunately,
Gundlach et a/. did not perform systematic
experiments and the refractive changes of the
eyes were not measured.
In contrast, Steinbach and Money (1973)
reported no cornea1 curvature changes in the
Great Horned Owl on the basis of the movements of light reflected from a mirror attached
to the cornea. Accommodation was assumed to
occur when a mouse was moved toward the
subject, but was not directly measured. In addition, in several species of diving ducks, no
cornea1 curvature changes were seen during high
levels of nicotine-indu~d
a~ommodation
(Levy and Sivak, I980), although Crampton’s
muscle is typically reduced in waterfowl, and a
cornea1 accommodation mechanism would be
of little use for vision underwater because of the
nearly equal refractive indices of water and
cornea.
Unlike Gundlach e? al. (1945) Levy and
Sivak (1980) could find no cornea1 curvature
changes during 5 D of nicotine-induced accommodation. In preliminary experiments we observed no consistent cornea1 effects in several
l-2 month old pigeons (Columba liuia) although
only 2 D of accommodation was elicited with
the same nicotine treatment used on the chicks.
The higher amplitude of accommodation pro-
duced by Levy and Sivak is probably due to
their use of a more concentrated nicotine sulfate
solution (2% vs 0.4%). These results do not rule
out the possibility that a cornea1 component
of accommodation exists in the pigeon, which
could not be measured because of the small
amplitudes of accommodation in both studies.
There has also been some disagreement regarding the existence of cornea1 accommodation
in chickens. Rosenthal (1981). using Purkinjeimage photography, reported cornea1 curvature
changes amounting to about 8 D of corneai
power change during 21 D of nicotine-induced
accommodation in chickens. Sivak et al. (I 986)
however, found no cornea1 effects in the electrically stimulated eyes of chickens in cirro. They
measured the change in ocular focal length by
projecting parallel laser beams along the optic
axis emerging through a window cut in the back
of the globe. The change in focal length of the
eye was not significantly different when the
cornea was immersed in water than when it was
exposed directly to air. If cornea1 accommodation had occurred, the change in focal length
would have been less when the cornea was in
water. One possible reconciliation of our results
with those of Sivak ef al. is that the normal
intraocular pressure, which would be eliminated
by opening the eye, may be important for the
expression of accommodation-related
cornea1
curvature changes. Coleman (1970) proposed a
mechanism for human accommodation in which
hydrostatic forces are an integral component.
Suburo and Marcantoni (1983) have suggested,
based on anatomical evidence, that a similar
mechanism exists in chicks.
Regardless of the mechanism of accommodation in chicks, the results presented here
indicate that cornea1 change plays an integral
role. The maximum change in cornea1 curvature
produces a change in cornea1 refractive power
of about 6 D and typically occurs at levels of
accommodation greater than IO D. Since we
observed up to 19 D of accommodation
in
our chicks, this implies that at amplitudes of
accommodation greater than 10 D, lenticular
changes become progressively more important
than cornea1 changes. In related work, using
Purkinje-image photography and A-scan ultrasonography, we have observed large lenticular
changes during a~ommodation and have found
that the amplitude of both the cornea1 curvature
changes and the total amplitude of accommodation decline with age (Troilo and Wallman,
1985).
Cornea1 accomml odation in chicks
Acknowledgements-We
are grateful to Michael D. Gottlieb, William Hodos, Gonzalo Marin, and Lisa Wise for
their comments and suggestions. This research was supported by NIH Grant EY-02727.
247
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