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September 17, 2026Investigative Ophthalmology & Visual ScienceOpen Access

Characterization of Leukocyte Crawling in the Living Human Retina Using Adaptive Optics Scanning Light Ophthalmoscopy

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Authors

LGLily GreenbergLDLuis Muncharaz DuranABAaron Brown

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Overview

Observational imaging study reveals distinct leukocyte crawling dynamics in human retinal microvessels, highlighting a noninvasive method to monitor localized ocular immune responses.

Key Points

  • To visualize and characterize in vivo leukocyte crawling dynamics within human retinal microvasculature using adaptive optics scanning light ophthalmoscopy.
  • Imaged 23 healthy volunteers (aged 20–75 years) and three patients with systemic conditions (diabetes, sickle cell disease, and syphilis) using commercial adaptive optics scanning light ophthalmoscopy (AOSLO).
  • Recorded consecutive phase-contrast time-lapse videos over 5 minutes across two to four temporal retinal regions of interest to manually quantify leukocyte speed, vessel diameter, and movement patterns.
  • Identified 232 intraluminal leukocyte crawling events in healthy subjects, with significantly greater occurrence in venules (89.66%) than arterioles (9.92%) across lumen diameters of 10.2 to 67.8 µm.
  • Measured a mean ± SD crawling speed of 0.3 ± 0.1 µm/s, which did not differ significantly between venules and arterioles (P = 0.67) or across four directional crawling patterns relative to blood flow (P = 0.197).
  • Observed complex immune cell behaviors in systemic disease patients, including firm leukocyte adhesions, reverse transmigration, and extravascular motilities.

Cite This Study

Greenberg et al. (2026) studied this question.

synapsesocial.com/papers/6aabb6b55f706d05830e5487https://doi.org/10.1167/iovs.67.11.30
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