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10.1172/jci.insight.192799
1Translational Research Core, National Institute of Health (NIH), Bethesda, United States of America
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3Biological Imaging Core, National Institute of Health (NIH), Bethesda, United States of America
4Laboratory of Sensorimotor Research, National Institute of Health (NIH), Bethesda, United States of America
5Waisman Center, The University of Wisconsin-Madison, Medison, United States of America
6Waisman Center, The University of Wisconsin-Madison, Madison, United States of America
7Neuroscience and Ophthalmology, University of Birmingham, Birmingham, United Kingdom
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4Laboratory of Sensorimotor Research, National Institute of Health (NIH), Bethesda, United States of America
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4Laboratory of Sensorimotor Research, National Institute of Health (NIH), Bethesda, United States of America
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4Laboratory of Sensorimotor Research, National Institute of Health (NIH), Bethesda, United States of America
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6Waisman Center, The University of Wisconsin-Madison, Madison, United States of America
7Neuroscience and Ophthalmology, University of Birmingham, Birmingham, United Kingdom
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7Neuroscience and Ophthalmology, University of Birmingham, Birmingham, United Kingdom
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4Laboratory of Sensorimotor Research, National Institute of Health (NIH), Bethesda, United States of America
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7Neuroscience and Ophthalmology, University of Birmingham, Birmingham, United Kingdom
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Published January 13, 2026 - More info
Commotio retinae (CR) resulting from retinal trauma can lead to focal photoreceptor degeneration and permanent vision loss. Currently no therapies exist for CR-induced retinal degeneration, in part due to a lacking large animal model that replicates human injury pathology and allows testing of therapeutics. Severe CR is clinically characterized by subretinal fluid and focal photoreceptor outer nuclear layer thinning. To develop a porcine CR model, we developed a laser-guided projectile apparatus and optimized projectile delivery procedure using porcine cadaveric eyes embedded in a 3D-printed porcine skull. Scleral and corneal impacts, resulted in retinal damage consistent with patient injury but corneal impacts also led to cornea damage and opacification, which precluded follow up imaging. In live porcine eyes, scleral impacts of 39.5 m/s induced transient blood retinal barrier breakdown evidenced by subretinal fluid on optical coherence tomography (OCT), leakage observed on fluorescein and indocyanine green angiography, and transient photoreceptor outer segment disruption seen by OCT and multifocal electroretinography. Impacts above 39.5 m/s induced longer-lasting photoreceptor degeneration, but only transient blood retinal barrier breakdown. This porcine model, combined with clinically relevant imaging and diagnostic modalities will be valuable for testing the safety and efficacy of therapies to restore vision after focal photoreceptor degeneration.