Volume 3, Number 3, Article 5, Pages 240-251 doi:10.1167/3.3.5 http://journalofvision.org/3/3/5/ ISSN 1534-7362
Extraocular connective tissue architecture
Joel M. Miller
The Smith-Kettlewell Eye Research Institute, San Francisco, CA, USA
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Joseph L. Demer
Departments of Ophthalmology and Neurology, University of California, Los Angeles, USA
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Vadims Poukens
Department of Ophthalmology, University of California, Los Angeles, USA
Dmitri S. Pavlovski
The Smith-Kettlewell Eye Research Institute, San Francisco, CA, USA
Hien N. Nguyen
The Smith-Kettlewell Eye Research Institute, San Francisco, CA, USA
Ethan A. Rossi
The Smith-Kettlewell Eye Research Institute, San Francisco, CA, USA
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Abstract

Extraocular muscle pulleys, now well known to be kinematically significant extraocular structures, have been noted in passing and described in fragments several times over the past two centuries. They were late to be fully appreciated because biomechanical modeling of the orbit was not available to derive their kinematic consequences, and because pulleys are distributed condensations of collagen, elastin and smooth muscle (SM) that are not sharply delineated. Might other mechanically significant distributed extraocular structures still be awaiting description?An imaging approach is useful for describing distributed structures, but does not seem suitable for assessing mechanical properties. However, an image that distinguished types and densities of constituent tissues could give strong hints about mechanical properties. Thus, we have developed methods for producing three dimensional (3D) images of extraocular tissues based on thin histochemically processed slices, which distinguish collagen, elastin, striated muscle and SM. Overall tissue distortions caused by embedding for sectioning, and individual-slice distortions caused by thin sectioning and subsequent histologic processing were corrected by ordered image warping with intrinsic fiducials.We describe an extraocular structure, partly included in Lockwood’s ligament, which contains dense elastin and SM bands, and which might refine horizontal eye alignment as a function of vertical gaze, and torsion in down-gaze. This active structure might therefore be a factor in strabismus and a target of therapeutic intervention.

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History
Received August 22, 2002; published April 29, 2003
Citation
Miller, J. M., Demer, J. L., Poukens, V., Pavlovski, D. S., Nguyen, H. N., & Rossi, E. A. (2003). Extraocular connective tissue architecture. Journal of Vision, 3(3):5, 240-251, http://journalofvision.org/3/3/5/, doi:10.1167/3.3.5.
Keywords
3D reconstruction, connective tissue, elastin, extraocular muscle, Lockwood’s ligament, orbit, smooth muscle, strabismus
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