The vitreous is an optically clear, collagenous extracellular matrix that fills the inside of the eye and overlies the retina.1,2 Abnormal interactions between vitreous substructures and the retina underlie several vitreoretinal diseases, including retinal tear and detachment, macular pucker, macular hole, age-related macular degeneration, vitreomacular traction, proliferative vitreoretinopathy, proliferative diabetic retinopathy, and inherited vitreoretinopathies. 1,2 The molecular composition of the vitreous substructures is not known. Since the vitreous body is transparent with limited surgical access, it has been difficult to study its substructures at the molecular level. We developed a method to separate and preserve these tissues for proteomic and biochemical analysis. The dissection technique in this experimental video shows how to isolate vitreous base, anterior hyaloid, vitreous core, and vitreous cortex from postmortem human eyes. One-dimensional SDS-PAGE analyses of each vitreous component showed that our dissection technique resulted in four unique protein profiles corresponding to each substructure of the human vitreous body. Identification of differentially compartmentalized proteins will reveal candidate molecules underlying various vitreoretinal diseases.
Video LinkThe video component of this article can be found at https://www.jove.com/video/2455/ Protocol 1. Anterior Segment Dissection.1. The cornea is removed by first making an incision at the limbus into the anterior chamber using a 15° blade (Figure 1). Then one blade of curved cornea-scleral scissors is inserted into the anterior chamber. Circumferential cuts are made in the cornea, just anterior to the limbus. 2. 0.12 Colibri forceps and Westcott scissors are used to cut the iris circumferentially anterior to the ciliary body. 3. The lens nucleus is removed with 0.12 Colibri forceps or a 15° blade (supersharp) and the cortex and capsule with forceps.
Vitreous Core Aspiration.1. A 23-gauge needle on a 5-cc syringe is inserted into the mid-vitreous (Figure 1). 2. Approximately 1 mL or more of vitreous core is gently aspirated. 3. The sample is then placed in a microfuge tube and then into liquid nitrogen.
Anterior Hyaloid Dissection.1. The anterior hyaloid is seen as a semi-transparent ring by adjusting the incident light from a goose neck microscope light. Previous aspiration of the vitreous core separates the anterior hyaloid from other structures for easier identification. 2. The sheet of elastic tissue is carefully pulled away from the ciliary body with Colibri or dressing forceps and cut with Vannas scissors. This maneuver is repeated. 3. The sample is then placed in a microfuge tube and then into liquid nitrogen.
Vitreous Base Dissection.1. Using 0.12 forceps to stabilize the eye cup, Westcott scissors are used to "flower" the eye by making four equally spaced stress-relieving cuts from the ciliary body towards the optic nerve head. 2. The pars plicata of the ciliary body (Figure 2) is removed from each of the quadrants using ...