Trabecular meshwork ultrastructural changes in primary and secondary glaucoma
Abstract To examine ultrastructural changes in the trabecular meshwork (TM) in patients with primary and secondary glaucoma using scanning electron microscopy (SEM). This was a qualitative descriptive hospital-based study on the ultrastructure of the TM. Pure TM samples were collected after microinc...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2025-01-01
|
| Series: | Scientific Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1038/s41598-024-83834-1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841559664009936896 |
|---|---|
| author | Aparna Rao Tirupathi Rao Nagapriya Banka Sirisha Senthil Saumya Jaketi |
| author_facet | Aparna Rao Tirupathi Rao Nagapriya Banka Sirisha Senthil Saumya Jaketi |
| author_sort | Aparna Rao |
| collection | DOAJ |
| description | Abstract To examine ultrastructural changes in the trabecular meshwork (TM) in patients with primary and secondary glaucoma using scanning electron microscopy (SEM). This was a qualitative descriptive hospital-based study on the ultrastructure of the TM. Pure TM samples were collected after microincisional trabeculectomy from 26 patients with primary or secondary glaucoma and 10 control samples from eye bank donor corneas. SEM was used to analyze structural changes in the TM beams, corneoscleral meshwork (CSM), and juxtacanalicular (JCT) regions. Morphological features were compared between groups and correlated with histopathological findings. SEM revealed flattened and broadened TM beams in the JCT, resembling controls, often with a dumbbell configuration. Histopathological examination (HPE) and SEM showed rounded TM beams with considerable thinning, especially in primary angle-closure glaucoma (PACG), compared to primary open-angle (POAG) and pseudoexfoliation glaucoma (XFG). Maximum thinning in all primary glaucoma occurred in the CSM region, with minimal changes in the JCT region despite a reduction in cellularity in both regions. In steroid glaucoma, amorphous, glistening material was found on the TM beams in the JCT and CSM. XFG eyes displayed vesicular bodies adjacent to fibrillar material scattered diffusely over the TM beams, particularly in the CSM, differing from the platelet clumps seen in regular blood clots. TM beam thinning in primary glaucoma primarily affects the CSM region, sparing the JCT region. Amorphous deposits or vesicular bodies, seen only in steroid-induced glaucoma and XFG, suggest different mechanisms of TM damage in these glaucoma types. |
| format | Article |
| id | doaj-art-6805f1c5a0ec40b992af2d33b15ea49e |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-6805f1c5a0ec40b992af2d33b15ea49e2025-01-05T12:17:38ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-024-83834-1Trabecular meshwork ultrastructural changes in primary and secondary glaucomaAparna Rao0Tirupathi Rao1Nagapriya Banka2Sirisha Senthil3Saumya Jaketi4Glaucoma Service, LV Prasad Eye InstituteProf Krothapalli Ophthalmic Research Biorepository, L V Prasad Eye InstituteProf Krothapalli Ophthalmic Research Biorepository, L V Prasad Eye InstituteGlaucoma Service, LV Prasad Eye InstituteOphthalmic Pathology Laboratory, L V Prasad Eye InstituteAbstract To examine ultrastructural changes in the trabecular meshwork (TM) in patients with primary and secondary glaucoma using scanning electron microscopy (SEM). This was a qualitative descriptive hospital-based study on the ultrastructure of the TM. Pure TM samples were collected after microincisional trabeculectomy from 26 patients with primary or secondary glaucoma and 10 control samples from eye bank donor corneas. SEM was used to analyze structural changes in the TM beams, corneoscleral meshwork (CSM), and juxtacanalicular (JCT) regions. Morphological features were compared between groups and correlated with histopathological findings. SEM revealed flattened and broadened TM beams in the JCT, resembling controls, often with a dumbbell configuration. Histopathological examination (HPE) and SEM showed rounded TM beams with considerable thinning, especially in primary angle-closure glaucoma (PACG), compared to primary open-angle (POAG) and pseudoexfoliation glaucoma (XFG). Maximum thinning in all primary glaucoma occurred in the CSM region, with minimal changes in the JCT region despite a reduction in cellularity in both regions. In steroid glaucoma, amorphous, glistening material was found on the TM beams in the JCT and CSM. XFG eyes displayed vesicular bodies adjacent to fibrillar material scattered diffusely over the TM beams, particularly in the CSM, differing from the platelet clumps seen in regular blood clots. TM beam thinning in primary glaucoma primarily affects the CSM region, sparing the JCT region. Amorphous deposits or vesicular bodies, seen only in steroid-induced glaucoma and XFG, suggest different mechanisms of TM damage in these glaucoma types.https://doi.org/10.1038/s41598-024-83834-1Trabecular meshworkUltrastructureScanning electron microscopePrimary glaucomaSecondary glaucoma |
| spellingShingle | Aparna Rao Tirupathi Rao Nagapriya Banka Sirisha Senthil Saumya Jaketi Trabecular meshwork ultrastructural changes in primary and secondary glaucoma Scientific Reports Trabecular meshwork Ultrastructure Scanning electron microscope Primary glaucoma Secondary glaucoma |
| title | Trabecular meshwork ultrastructural changes in primary and secondary glaucoma |
| title_full | Trabecular meshwork ultrastructural changes in primary and secondary glaucoma |
| title_fullStr | Trabecular meshwork ultrastructural changes in primary and secondary glaucoma |
| title_full_unstemmed | Trabecular meshwork ultrastructural changes in primary and secondary glaucoma |
| title_short | Trabecular meshwork ultrastructural changes in primary and secondary glaucoma |
| title_sort | trabecular meshwork ultrastructural changes in primary and secondary glaucoma |
| topic | Trabecular meshwork Ultrastructure Scanning electron microscope Primary glaucoma Secondary glaucoma |
| url | https://doi.org/10.1038/s41598-024-83834-1 |
| work_keys_str_mv | AT aparnarao trabecularmeshworkultrastructuralchangesinprimaryandsecondaryglaucoma AT tirupathirao trabecularmeshworkultrastructuralchangesinprimaryandsecondaryglaucoma AT nagapriyabanka trabecularmeshworkultrastructuralchangesinprimaryandsecondaryglaucoma AT sirishasenthil trabecularmeshworkultrastructuralchangesinprimaryandsecondaryglaucoma AT saumyajaketi trabecularmeshworkultrastructuralchangesinprimaryandsecondaryglaucoma |