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Abstract #0384

In vivo characterization of the optic nerve glymphatic system

Muneeb A Faiq1, Vishnu Adi1, Anoop Sainulabdeen1, Sophia Khoja1, Carlos Parra1, Giles Hamilton-Fletcher1, Choong H Lee2, Jiangyang Zhang2, Gadi Wollstein1, Joel S Schuman1, and Kevin C Chan1,2
1Department of Ophthalmology, New York University Grossman School of Medicine, New York, NY, United States, 2Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States

To date, it remains unclear if a functional glymphatic system exists in the optic nerve (ON), partly because of limited in vivo methods for characterizing the cerebrospinal fluid (CSF) dynamics in the deeper brain regions. Here, we measured the spatiotemporal profiles in the ON using contrast-enhanced MRI after intrathecal gadolinium infusion, and observed indications for the existence of a molecular size-dependent and aquaporin-4 (AQP4) modulated glymphatic-like system in the ON. These findings may provide imperative insights into the waste clearance mechanisms of the visual system in health and disease.

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