Two-photon excitation fluorescence in ophthalmology: safety and improved imaging for functional diagnostics

Two-photon excitation fluorescence (TPEF) is emerging as a powerful imaging technique with superior penetration power in scattering media, allowing for functional imaging of biological tissues at a subcellular level. TPEF is commonly used in cancer diagnostics, as it enables the direct observation o...

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Main Authors: Vineeta Kaushik, Michał Dąbrowski, Luca Gessa, Nelam Kumar, Humberto Fernandes
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1293640/full
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author Vineeta Kaushik
Michał Dąbrowski
Michał Dąbrowski
Luca Gessa
Nelam Kumar
Humberto Fernandes
author_facet Vineeta Kaushik
Michał Dąbrowski
Michał Dąbrowski
Luca Gessa
Nelam Kumar
Humberto Fernandes
author_sort Vineeta Kaushik
collection DOAJ
description Two-photon excitation fluorescence (TPEF) is emerging as a powerful imaging technique with superior penetration power in scattering media, allowing for functional imaging of biological tissues at a subcellular level. TPEF is commonly used in cancer diagnostics, as it enables the direct observation of metabolism within living cells. The technique is now widely used in various medical fields, including ophthalmology. The eye is a complex and delicate organ with multiple layers of different cell types and tissues. Although this structure is ideal for visual perception, it generates aberrations in TPEF eye imaging. However, adaptive optics can now compensate for these aberrations, allowing for improved imaging of the eyes of animal models for human diseases. The eye is naturally built to filter out harmful wavelengths, but these wavelengths can be mimicked and thereby utilized in diagnostics via two-photon (2Ph) excitation. Recent advances in laser-source manufacturing have made it possible to minimize the exposure of in vivo measurements within safety, while achieving sufficient signals to detect for functional images, making TPEF a viable option for human application. This review explores recent advances in wavefront-distortion correction in animal models and the safety of use of TPEF on human subjects, both of which make TPEF a potentially powerful tool for ophthalmological diagnostics.
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spelling doaj.art-9806235082944d41bca24cfe4d12b5262025-02-19T14:49:52ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-01-011010.3389/fmed.2023.12936401293640Two-photon excitation fluorescence in ophthalmology: safety and improved imaging for functional diagnosticsVineeta Kaushik0Michał Dąbrowski1Michał Dąbrowski2Luca Gessa3Nelam Kumar4Humberto Fernandes5Institute of Physical Chemistry, Polish Academy of Sciences, Warsaw, PolandInstitute of Physical Chemistry, Polish Academy of Sciences, Warsaw, PolandInternational Centre for Translational Eye Research, Institute of Physical Chemistry, Polish Academy of Sciences, Warsaw, PolandInternational Centre for Translational Eye Research, Institute of Physical Chemistry, Polish Academy of Sciences, Warsaw, PolandInternational Centre for Translational Eye Research, Institute of Physical Chemistry, Polish Academy of Sciences, Warsaw, PolandInternational Centre for Translational Eye Research, Institute of Physical Chemistry, Polish Academy of Sciences, Warsaw, PolandTwo-photon excitation fluorescence (TPEF) is emerging as a powerful imaging technique with superior penetration power in scattering media, allowing for functional imaging of biological tissues at a subcellular level. TPEF is commonly used in cancer diagnostics, as it enables the direct observation of metabolism within living cells. The technique is now widely used in various medical fields, including ophthalmology. The eye is a complex and delicate organ with multiple layers of different cell types and tissues. Although this structure is ideal for visual perception, it generates aberrations in TPEF eye imaging. However, adaptive optics can now compensate for these aberrations, allowing for improved imaging of the eyes of animal models for human diseases. The eye is naturally built to filter out harmful wavelengths, but these wavelengths can be mimicked and thereby utilized in diagnostics via two-photon (2Ph) excitation. Recent advances in laser-source manufacturing have made it possible to minimize the exposure of in vivo measurements within safety, while achieving sufficient signals to detect for functional images, making TPEF a viable option for human application. This review explores recent advances in wavefront-distortion correction in animal models and the safety of use of TPEF on human subjects, both of which make TPEF a potentially powerful tool for ophthalmological diagnostics.https://www.frontiersin.org/articles/10.3389/fmed.2023.1293640/fulltwo-photon excitation fluorescencediagnosticsophthalmologyfunctional imagingnon-invasiveadaptive optics
spellingShingle Vineeta Kaushik
Michał Dąbrowski
Michał Dąbrowski
Luca Gessa
Nelam Kumar
Humberto Fernandes
Two-photon excitation fluorescence in ophthalmology: safety and improved imaging for functional diagnostics
Frontiers in Medicine
two-photon excitation fluorescence
diagnostics
ophthalmology
functional imaging
non-invasive
adaptive optics
title Two-photon excitation fluorescence in ophthalmology: safety and improved imaging for functional diagnostics
title_full Two-photon excitation fluorescence in ophthalmology: safety and improved imaging for functional diagnostics
title_fullStr Two-photon excitation fluorescence in ophthalmology: safety and improved imaging for functional diagnostics
title_full_unstemmed Two-photon excitation fluorescence in ophthalmology: safety and improved imaging for functional diagnostics
title_short Two-photon excitation fluorescence in ophthalmology: safety and improved imaging for functional diagnostics
title_sort two photon excitation fluorescence in ophthalmology safety and improved imaging for functional diagnostics
topic two-photon excitation fluorescence
diagnostics
ophthalmology
functional imaging
non-invasive
adaptive optics
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1293640/full
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