Citation: Vaghefi E, Kim A, Donaldson PJ. Active maintenance of the gradient of refractive index is required to sustain the optical properties of the lens. Invest Ophthalmol Vis Sci. 2015;56:7195-7208. DOI:10.1167/ iovs.15-17861 PURPOSE. To determine whether the cellular physiology of the lens actively maintains the optical properties of the lens and whether inhibition of lens transport affects overall visual quality.
METHODS.One lens from a pair of bovine lenses was cultured in artificial aqueous humor (AAH), while the other was cultured in either AAH-High-K þ or AAH þ 0.1 mM ouabain for 4 hours. Lens pairs or whole enucleated eyes were then imaged in 4.7 Tesla (T) high-field small animal magnet. Lens surface curvatures, T1 measurements of water content, and T2 measurements of water/protein ratios were extracted from cultured lenses, while the geometrical parameters that define the optical pathway were obtained from whole eyes. Gradients of refractive index (GRIN), calculated from T2 measurements, and the extracted geometric parameters were inputted into optical models of the isolated lens and the whole bovine eye.
RESULTS.Inhibiting circulating fluxes by inhibiting the Na/K-ATPase with ouabain or depolarization of the lens potential by High K þ caused changes to lens water content, the water/protein ratio (GRIN) and surface geometry that manifested as an increase in optical power and a decrease in negative spherical aberration in cultured lenses. Changes to optical properties of the lens resulted in a myopic shift that impaired vision quality in the optical model of the bovine eye.CONCLUSIONS. The cellular physiology of the lens actively maintains its optical properties and inhibiting the Na/K/ATPase induces a myopic shift in vision similar to that observed clinically in patients who go on to develop cataract.Keywords: lens physiology, magnetic resonance imaging, gradient of refractive index, physiological optics, optical modeling, cataract O ur sense of sight is critically dependent on the optical properties of the ocular lens that enables light to be focused onto the retina.1 Like a glass window, the lens allows light rays that enter the eye to pass through it with minimal scattering. However, the lens is more than a simple pane of glass, because its curved surfaces enable it to focus light. In addition, the lens needs to correct for positive spherical aberration introduced to the optical pathway via the cornea. This spherical aberration is an optical error caused by the increased refraction of light rays that strike the periphery of the cornea relative to those that strike its center.2 The lens compensates for this optical error by imposing and maintaining a compensating negative spherical aberration through the establishment an inherent gradient of refractive index (GRIN).
3Being a biological tissue, this gradient is generated by over expressing different subtypes of crystallin proteins with varying refractive indices, 4 thereby ensuring that incoming light is accurately focussed on the retina. While ...