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28 protocols using phenylephrine

1

Murine Model of Light-Induced Retinal Damage

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A detailed protocol for light damage can be found in Massengill et al.7 (link). Male and female mice were used for experimentation. Briefly, eight- to twelve-week old mice were dark adapted overnight in preparation for light damage. The following day, phenylephrine (Paragon BioTeck Inc., Portland, OR, USA) and atropine (Akorn, Lake Forest, IL, USA) were applied to the eye followed by a fifteen minute incubation, phenylephrine was then applied a second time followed by a second fifteen minute incubation, and phenylephrine was applied a third time immediately prior to challenging the mice with light. Ambulatory mice with maximally dilated eyes were placed into a cage with LED-lights fastened to its roof and the light was modulated to an intensity of 20,000 lx. Mice were exposed to the light for a thirty minute period and were utilized immediately for an experiment or returned to the 12:12-h dim-red light: dark lighting cycle. Light damage occurred between 4:00 PM and 12:00 AM.
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2

In Vivo Imaging of Mouse Retina

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In vivo imaging of the mouse retina was conducted using an SD-OCT system (Bioptigen, Research Triangle Park, NC) optimized for small animals. Mice were anesthetized and placed on a stage with the body of the animal wrapped in a heating blanket. Eyes were dilated with topical phenylephrine (Akorn, Lake Forest, IL) and kept moist with the application of artificial tears (Systane, Alcon, TX). Scans were centered on optic disk and consisted of 100 × 100 (horizontal × vertical) depth scans covering a volume of 1.3 × 1.3 × 1.56 mm3 of the mouse retina. Average photoreceptor layer thicknesses across retinas were obtained through segmentation of the OCT images using MATLAB software and programs developed by the Ophthalmic Biophysics Center at the University of Miami (Ruggeri et al., 2007 (link)).
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3

Retinal Ischemia-Reperfusion Injury Model

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Flash ERG was conducted on all rats one day after I/R and treatment with SAC or a vehicle. The rats were adapted in the dark for a total of 8 h, then anesthetized prior to ERG measurements with pupil dilation with 1% tropicamide and 2.5% phenylephrine (Akorn, Inc., Lake Forest, IL, USA); then, the cornea was applied with 0.5% proparacaine anesthetics (Alcon, ZG, Vernier-Geneva, Switzerland). The rat’s eye was stimulated at a frequency of 0.5 Hz through a torch placed 20 mm in front of the eyes. Fifteen consecutive data points at 10 kH were retrieved at an interval of 2 s. The responses were recorded and totaled using an amplifier P511/regulated power supply 107/stimulator PS22 (Grass-Telefactor; AstroNova, Brossard, QC, Canada). The b-wave ratio regarding the amplitude of the treated ischemic eye versus untreated fellow normal eye was compared [12 (link)]. As for the exclusion criteria, they excluded the rats’ b-wave ratios being above 125% and below 75%.
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4

Retinal Function Evaluation in Bacillus thuringiensis Infection

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ERG was used to quantify retinal function in eyes infected with WT or ΔslpA B. thuringiensis, as previously described.1 (link),33 (link),34 (link),47 (link),48 (link),74 (link)77 (link, no link found, link),83 (link) Scotopic ERGs were performed at 6, 8, 10, and 12 hours postinfection using Espion E2 software (Diagnosys LLC, Lowell, MA, USA). After infection, mice were dark adapted for at least 6 hours. Infected mice were anesthetized as previously described and pupils were dilated with topical phenylephrine (Akorn, Inc.). Two gold wire electrodes were placed on each cornea and reference electrodes were place on the forehead and on the tail. Eyes were then stimulated by five flashes of white light (1200 cd s/m2) and retinal responses were recorded as A-wave and B-wave amplitudes for infected eyes and compared with the uninfected eyes of the same animal.
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5

Awake and Anesthetized Mouse Retinal Imaging

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When imaging with the awake-behaving mouse, no additional procedures were applied in the eye except pupil dilation. Pupil dilation was applied in either the awake or anesthetized mice, which was achieved by putting in eye drops of 1% tropicamide (Sandoz, Basel, Switzerland) and 2.5% phenylephrine (Akorn, Lake Forest, Illinois, USA). Imaging was performed in a dark environment with a 10–15 min dark adaptation phase prior to the start of each imaging session. Because the adjustment of the roll rotation axis with the mouse was limited in our platform, the FOV of AOSLO imaging were mostly at the upper quadrant of the retina. When imaging with anesthetized mice, intraperitoneal injection with a mixture of ketamine hydrochloride (100 mg/kg dosage) and xylazine (10 mg/kg dosage) was applied. An external heating pad and rectal probe thermometer (Physiosuite, Kent) was used to monitor and maintain a body temperature of 37.0 ˚C for the anesthetized mice. To prevent ocular opacification induced by dehydration under anesthesia, a contact lens (Advanced Vision Technologies, Lakewood, Colorado, USA) was placed over the eye being imaged, and an artificial tear (GenTeal, Alcon Laboratories, Inc, Fort Worth, Texas, USA) was routinely applied every 20 minutes during imaging.
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6

Murine Adaptive Optics Retinal Imaging

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Mice underwent anesthetic induction with intraperitoneal Ketamine (100 mg/kg) and Xylazine (10 mg/kg) before maintenance on 1% v/v isofluorane and supplemental oxygen through a nose cone. Pupils were dilated with a single drop of 1% Tropicamide and 2.5% phenylephrine (Akorn, Lake Forest, IL, USA). Internal temperature was controlled using an external heating pad adjusted to maintain continuous 37.0 degrees Celsius with monitoring via a rectal probe electrical thermometer (Physiosuite, Kent). A rigid contact lens of 1.6mm base curve and +10 Dioptre correction was placed centrally on the cornea and lubrication of the eye maintained by aqueous lubricant (GenTeal, Alcon Laboratories, Fort Worth, TX, USA) during imaging. The eye was imaged in free space meaning there was no physical contact with the AOSLO, ensuring no compression causing alteration of intraocular pressure.
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7

Retinal Imaging in Hyperglycemic Mice

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Nine hyperglycemic male mice and 10 age-matched euglycemic male littermates were used for this study. Mice were anesthetized using an intraperitoneal injection of ketamine and xylazine (100 mg/kg ketamine, 10 mg/kg xylazine). Anesthesia was then sustained throughout the imaging session by delivering 1% v/v isoflurane with supplemental oxygen through a nose cone. Pupil dilation was achieved with eye drops of 1% tropicamide (Sandoz, Basel, Switzerland) and 2.5% phenylephrine (Akorn, Lake Forest, IL). Mice were placed on a stereotactic stage with five degrees of freedom that allowed both the centration of the pupil and the navigation towards the desired retinal location. A +10 D rigid contact lens with base curvature of 1.6 mm (Advanced Vision Technologies, Lakewood, CO) was placed over the cornea to maintain eye hydration while providing an optical interface for retinal imaging. GenTeal (Alcon Laboratories, Inc, Fort Worth, TX) was administered around the contact lens every 20 minutes during the imaging session to sustain eye hydration. A heat pad was used to maintain mouse body temperature at 37°C.
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8

Anesthesia and Retinal Imaging in Tree Shrews

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Animals used for retinal imaging are shown in Supplementary Table 1. Animals were anesthetized with inhaled isoflurane (5% induction, 1-4% maintained by nose-cone) in 1L/min 100% oxygen flow using a non-rebreathing system (VetEquip, Inc., Livermore, CA, USA), placed on a heated rodent alignment stage with two rotational and three translational degrees of freedom. One drop each of 1% tropicamide and 2.5% phenylephrine (Akorn, Inc., Lake Forest, IL, USA) was applied to the eye to induce dilation and cycloplegia. A bent pediatric ocular speculum was used to keep the eyelids open and wetting drops were applied as needed (about every 2 minutes) to maintain corneal hydration. This species occasionally stops breathing under isoflurane anesthesia (common in 1/3 tree shrews in this study), so the animal’s respiratory rate was constantly monitored by a dedicated researcher to adjust or stop isoflurane flow as needed. Imaging and euthanasia were performed under anesthesia between the hours of 10AM-3PM. Imaging sessions under anesthesia often lasted up to an hour; during this time, none of the tree shrews developed transient cataracts.
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9

Optical Coherence Tomography for Murine Retinal Layer Evaluation

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Retina layer thickness was measured in vivo using spectral domain optical coherence tomography (SD-OCT) (Bioptigen, Research Triangle Park, NC) that is optimized for rodents, as described [13 (link)]. Mice were anesthetized with ketamine/xylazine cocktail, and then pupils were dilated with topical phenylephrine (Akorn, Lake Forest, IL) and kept moist using artificial tears. A 1.3×1.3×1.56 mm3 volume of the mouse retina centered on the optic disk was imaged, generating 100 b-scans. The average photoreceptor thickness was measured by segmenting the OCT images in 70-80 cross-sectional b-scans across the retina from the outer nuclear layer (ONL) to the inner and outer segments, inclusive, using MATLAB software and analytical programs developed by the Ophthalmic Biophysics Center at the University of Miami (OBC Segmentation).
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10

Molecular Radius Impact on Subconjunctival Clearance

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To study effects of molecular radius on clearance from SCS, a 50-μL microneedle injection of the following formulations was tested: (1) 0.025% (wt/vol) fluorescein sodium; (2) 0.5% (wt/vol) 70 kDa FITC-dextran; (3) 0.5% (wt/vol) 500 kDa FITC-dextran; (4) 0.5% (wt/vol) 2 MDa FITC-dextran; (5) 1.5% (wt/vol) FITC-bevacizumab; and (6) 1% (wt/vol) 20 nm green-fluorescent particles (Excitation: 505 nm, Emission: 515 nm; FluoSpheres; Life Technologies, Carlsbad, CA, USA), all formulated in HBSS. These concentrations were chosen so the fluorescent intensity did not oversaturate the fundus camera sensor. Before injection, FITC was tagged to bevacizumab using methods described in the Supplementary Material.
The clearance rate of injected fluorescent material from SCS was estimated by taking fluorescence fundus images over time. Topical eye drops of tropicamide and phenylephrine (Akorn, Lake Forest, IL, USA) were administered before each imaging session to dilate the pupil. A RetCam II (Clarity Medical Systems, Pleasanton, CA, USA) with the 130° lens attachment and the built-in fluorescein angiography module was used to acquire images. Serial fundus collages were acquired for ≤28 days.
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