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Aim: Since the internal structural changes that occur during the lens accommodation process are not fully understood, in this
study we aimed to analyze lens fibre widths during simulated accommodation.
Methods: Porcine eyes (n=11) were dissected and attached to a lens stretcher. 3D image stacks (between 120 渭m to 240/270
渭m depth) of the anterior and posterior surfaces of five lenses, while immersed in artificial aqueous humour solution, were
acquired using confocal microscopy in the un-stretched configuration and then the stretched configuration. Three lenses
remained in the un-stretched configuration and three lenses were subjected to stretching. All six lenses were fixed with 4%
paraformaldehyde, snap frozen and then serially cut into cryosections of 25 渭m in thickness. 1 mm interval sections were
incubated in PBS- wheat germ agglutinin-Hoechst 33342 solution. Lens fibre widths were measured following acquisition of
fluorescent images of each lens at different depths.
Result: From the confocal images, there was a significant difference between unstretched and stretched configurations in
both anterior (mean lens fibre width: 5.1卤0.589 渭m versus 5.625卤0.345 渭m, p<0.0001) and posterior surfaces (5.55卤0.16 渭m
versus 5.67卤0.25 渭m, p<0.0001). In fluorescent images, lens fibre widths were unchanged between unstretched and stretched
configurations at depths of 1 mm (mean lens fibre width: 5.7卤0.29 渭m, versus 5.7卤0.52 渭m, p=0.411), and at 5 mm (7.7卤1.89
渭m, versus 7.9卤2.14 渭m, p=0.2309 and at 6 mm (6卤1.08 渭m, versus 5.97卤0.89 渭m, p=0.814). An increase in mean lens fibre
widths was observed in stretched lenses at depths 2 mm (mean lens fibre width: 6.9卤1.76 渭m, versus 7.9卤1.9 渭m, p<0.0001),
and at 3 mm (8.9卤2.42 渭m, versus 8.98卤2.326 渭m, p=0.0002), lastly at 4 mm (8.45卤2.8 渭m versus 9.1卤2.2 渭m, p=0.033). A
decrease in cortical lens fibre widths occurred (mean lens fibre width: 6.67卤1.37 渭m versus 5.65卤0.29 渭m, p<0.0001) at 7 mm.
Conclusion: Controversy exists as to whether nuclear lens fibres are altered during accommodation. This study shows that lens
fibre width alters at some depths, but not in others during accommodation.
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