The experimental design was reviewed at the Department of Medical Statistics (Chair: Univ.-Prof. Dr. rer. nat. Ralf-Dieter Hilgers). For the comparison of spectral domain optical coherence tomography (sd-OCT) and full-field electroretinography (ffERG) between the treated and the untreated eye, a linear mixed effects model with point in time, eye, baseline (0d), and interaction between point in time and eye as fixed effects and animals as random effect was fitted to the data, using unstructured as covariance structure. Test results were considered statistically significant when p < 0.05; we adjusted for multiplicity with Holm-Scheffe procedure. Post hoc tests compared the treated and untreated eyes for fixed points in time and the points in time among each other separately for both eyes. All other outcomes were analyzed using two-sample or one-sample Student t-test. All statistical analyses were performed using SAS V9.4 Software (SAS Institute Inc., Cary, NC) and GraphPad Prism 6 (GraphPad Software Inc., La Jolla, CA).
In the dose escalation study, a suitable dosage of UV radiation was sought. Therefore, dosages between 2.8 J/cm2 and 9.3 J/cm2 were tested. Eight animals were tested with 2.8, 3.7, 5.6, 6.5, 6.5, 9.0, 9.3, and 9.3 J/cm2. Dosages are always given as measured on the corneal surface, not on the retinal surface, if not explicitly stated otherwise.
For the calculation of retinal dosages, the following formula from
28 was used:
\begin{eqnarray*}
E_{ret}=E_{cor}\cdot \frac{\pi D^2}{4} \cdot \frac{\tau}{A_{ret}}
\end{eqnarray*}
Corneal irradiance (
Ecor) can be converted into retinal irradiance (
Eret) with
D as pupil diameter (= 1.9 mm; from
39),
Aret as irradiated retinal area (= 4.0 mm
2; from
Fig. 2C) and
\( \tau\) as the transmittance of the ocular media (= 0.35; from
34). For example, a corneal irradiance of 7.5 J/cm
2 in our case equals a retinal irradiance of 1.87 J/cm
2.
In the dose escalation study, pre-examinations (slit lamp examination, sd-OCT, ffERG, macroscopic images) were performed. One week later, the left eye was irradiated with the respective dosage and 1, 2, and 3 weeks after the irradiation, follow-up examinations (macroscopic images, ffERG, sd-OCT) were performed. Three weeks after irradiation, the animals were sacrificed and the eyes prepared for hematoxylin and eosin (H&E) staining.
The characterization study involved four experimental groups. All groups received a pre-examination one week before irradiation (0d), involving macroscopy, ffERG, and sd-OCT. Follow-up examinations included macroscopy, ffERG, and sd-OCT as well. The groups differed in total follow-up time span (5 days, 6 weeks, 8 weeks, 12 weeks) after irradiation with 7.5 J/cm2. Within the short-term group, animals were examined 5 days after irradiation and single animals (n = 1) received follow-up examinations at 1 day, 2 days, and 4 days. These single animals served to find the point in time, where one-half of the PRs were gone. For 1, 2, and 4 days after irradiation, only exemplary data are shown, because statistical evaluation was not possible. A middle term group received follow-up examinations at 1, 2, 4, and 6 weeks, and two long-term groups received follow-up examinations at 8 as well as at 8 and 12 weeks after irradiation, respectively. All animals were sacrificed in the end. The eyes of one-half of each group (n = 4) were prepared for multielectrode array (MEA) recordings, the other one-half (n = 4) for immunohistochemical stainings.