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Biomedical subjects

D G Birch

Publications and source records attributed to D G Birch.

105 records · Page 6Linked to original sources

Inferred positive phototropic activity in human photoreceptors.

The Stiles-Crawford (S.-C.) function, a measure of the directional sensitivity of the retina, was used to infer the alignment characteristics of the sampled retinal elements. One assumes that the peak of the photopic S.-C. function reflects the central alignment tendency of renal elements sampled, and that the shape of the function reflects, among other factors, distributive qualities. Here two tests were performed to determine whether the function sampled reflected positive phototropic activity. The natural eye pupil was dilated and artificial pupils were substituted having specified eccentricity from the centre of the natural pupil. This was achieved with a displaced iris contact lens. After a series of complex experiments, it was finally shown that the peaks of the S.-C. function shifted towards the displaced aperture of the contact lens. As a second test, individuals were occluded uniocularly with a black patch for periods of time up to 10 days. This caused remarkable flattening of the measured S.-C. function. That flattening occurred in determinations of both photopic and scotopic S.-C. functions. Comparable effects were not seen in the second eye or if a diffuser was substituted for the black patch. Change and recovery in both experiments occurred within 3-5 days. On the basis of these experiments it is inferred that there is an active mechanism behaving in a positive phototropic manner present in the human retina.

Humans↗

Functional analysis of vision in patients after retinal detachment repair.

A number of tests of vision were performed in patients after surgical repair of retinal detachment. The major tests performed were Snellen visual acuity, interferometric acuity, Stiles-Crawford function, and increment-threshold analysis. In two patients it was possible to evaluate all functions preoperatively. Althrough the sample it modest (ten eyes in nine patients), trends in visual recovery are identified and discussed.

Adaptation, Ocular↗

Evidence for alteration in photoreceptor orientation.

The effect of incident light, its point of origin, and its magnitude on receptor orientation was determined. A non-invasive test of vision, the Stiles-Crawford Effect (SCE), was used to investigate retinal directional sensitivity and alignment. The simple act of monocular black patching for a period of three to five days caused marked reduction in directional sensitivity and/or apparent dispersal of alignments. Recovery occurred in a comparable time period in normal adults 20 to 50 years of age. Special painted iris contact lenses with displaced pupillary apertures were worn to investigate the factors influencing alignment. Both light induced effects which caused alignment to shift toward a displaced aperture, and mechanical factors resulting in other alignment shifts were recorded. Thus, retinal receptors and/or associated anatomic components are apparently phototropic and subject to multiple forces influencing their directionality and/or alignment, and the milieu of the retinal receptor is active.

Adult↗

Visual sensitivity, resolution, and Rayleigh matches following monocular occlusion for one week.

Following three to four days of monocular light exclusion, the directional sensitivity of the retina was reduced at all areas tested. Changes in the shape of the Stiles-Crawford (SC) function were evident at both photopic and scotopic adaptation levels. The flattening of the SC functions was primarily a result of increased sensitivity to light entering through the periphery of the eye pupil. Here, concentration is on concomitant changes in other visual functions including an overall increase in visual sensitivity and a decrease in resolution of low-intensity gratings. Anomaloscope settings revealed a modest increase in red required for a yellow match.

Adult↗

Anomalous pigment epithelial photoreceptor relationships and receptor orientation.

In order to further investigate the factors influencing retinal receptor orientation, three patients with local disturbances of the receptor/pigment epithelium (PE) interface have been evaluated. Psychophysical and clinical tests have been used to characterize the observed abnormalities. The following conclusions are made. Receptor orientation is lost following a serous detachment of the neurosensory retina and can recover following reattachment of the retina. Orientation may be retained despite the presence of serous detachment of the PE, loss of the light/dark component of the electro-oculogram, and vitelliform-like lesions between the receptors and the PE.

Adult↗

Monocular light exclusion for a period of days reduces directional sensitivity of the human retina.

Single eyes of young adult observers were occluded for as long as 10 days. Directional sensitivity of the retina (the Stiles-Crawford effect of the first kind) under photopic conditions was dramatically reduced at every retinal location tested in all subjects. The maximum effect was observed within 3 to 5 days, and recovery took place at approximately the same rate after termination of patching.

Humans↗

Effect of uniocular occlusion on selected visual functions.

Uniocular occlusion (dark patching) of adults for a period of days produces marked reduction in the directional sensitivity of the eye (Stiles-Crawford effect). The effect reaches a maximum 3 to 5 days after the onset of patching. Recovery occurs in a comparable period. The second eye is not affected, and a simple light diffuser fails to produce the same effect. Coupled with alteration in directional sensitivity are an overall increase in sensitivity and modest resolution and perceived colour changes. These findings, with other research, suggest that directional sensitivity is at least partially mediated by light and that orientation of photoreceptors is an active process.

Adult↗

The effects of prolonged dark exposure on visual thresholds in young and adult rats.

A comparison of electroretinogram (ERG) thresholds measured on rats reared in continuous darkness and under cyclic lighting conditions shows that by 30 days of age the dark-reared animals have achieved significantly lower thresholds than the animals reared under cyclic illumination. Ten days of continuous dark exposure produces this same increase in sensitivity in adult rats reared in cyclic lighting. These changes in sensitivity appear to reflect structural changes occurring within the rod outer segments.

Age Factors↗

Assessing abnormal rod photoreceptor activity with the a-wave of the electroretinogram: applications and methods.

The impact of a disease on phototransduction can be assessed by fitting the leading edge of the rod a-wave to high-energy flashes with a quantitative expression. Two parameters of rod receptor activity are obtained, S (sensitivity) and Rm (maximum response). In this study, the meaning of these parameters and examples of conditions that change them were examined. In addition, a new protocol was developed for obtaining these parameters. A set of three to five white flashes were first presented in the dark and then on an adapting field (30 cd/m2). Subtracting the light-adapted responses from the dark-adapted responses yielded isolated rod a-wave responses. A clinical protocol was developed based on a single white flash energy. It is possible to determine whether a disease is producing a change in S and/or Rm with this single flash energy without the use of any equations.

Electroretinography↗

Submicrovolt full-field cone electroretinograms: artifacts and reproducibility.

The clinical utility of submicrovolt full-field 30-Hz (cone) electroretinograms was assessed by quantifying their contamination by electrical and photoelectric artifacts from xenon-flash stimulators and their test-retest variation in patients with retinitis pigmentosa. Artifacts obtained in saline with four commonly used electrodes varied with electrode type and consisted of an early, brief electrical component and a superimposed, extended photoelectric component. Techniques for minimizing these artifacts are described. Electroretinogram recordings from patients with advanced retinitis pigmentosa or congenital rod monochromatism indicate that these artifacts can be virtually eliminated with bipolar lenses. To assess test-retest variation, narrow-band-filtered responses were obtained twice during 6 weeks from patients with amplitudes less than 1 microV; threshold criteria for significant (p < 0.05) change in amplitude with this technique were approximately 0.25 log unit for each of two different systems.

Adolescent↗

Human cone receptor activity: the leading edge of the a-wave and models of receptor activity.

The leading edge of the a-wave of the electroretinogram (ERG) was evaluated as a measure of human cone photoreceptor activity. The amplitude of the cone a-wave elicited by flashes of different energy was compared to the predictions of a class of models from in vitro studies of cone photoreceptors. These models successfully describe the leading edge of the a-wave. Thus, the human cone a-wave can be used to test hypotheses about normal and abnormal cone receptors. The ability of the human cone to adjust its sensitivity in the presence of steady adapting lights was assessed by recording cone a-waves to flashes on adapting fields up to 3.9 log td in intensity and by comparing these responses to quantitative models of adaptation. The first 10 ms of the cone's response is little affected by field intensities up to 2.9 log td. The 3.9 log td field reduced the response to weak flashes by about a factor of 2.5 (0.4 log unit). This relatively small reduction in sensitivity can be attributed to a combination of response compression, pigment bleaching, and an adaptation mechanism that changes the gain without changing the time course. We conclude that either the human cones show relatively little adaptation or that they have an adaptation mechanism that involves a time-course change. That is, as we are limited with the a-wave to the first 10 ms or so of the cone's response, we cannot rule out a gain mechanism linked to a time-course change.

Adaptation, Ocular↗

Photoresponses of human rods in vivo derived from paired-flash electroretinograms.

In the human eye, domination of the electroretinogram (ERG) by the b-wave and other postreceptor components ordinarily obscures all but the first few milliseconds of the rod photoreceptor response to a stimulating flash. However, recovery of the rod response after a bright rest flash can be analyzed using a paired-flash paradigm in which the test flash, presented at time zero, is followed at time t by a bright probe flash that rapidly saturates the rods (Birch et al., 1995). In ERG experiments on normal subjects, the hypothesis that a similar method can be used to obtain the full time course of the rod response to test flashes of subsaturating intensity was tested. Rod-only responses to probe flashes presented at varying times t after the test flash were used to derive a family of amplitudes A(t) that represented the putative rod response to the test flash. These rod-only responses to the probe flash were obtained by computational subtraction of the cone-mediated component of each probe flash response. With relatively weak test flashes (11-15 scot-td-s), the time course of the rod response to the test flash derived in this manner was consistent with a four-stage impulse response function of time-to-peak approximately 170 ms. A(170), the amplitude of the derived response at 170 ms, increased with test flash intensity (Itest) to a maximum value Amv and exhibited a dependence on Itest given approximately by the relation, A(170)/Amo = 1 - exp(-kItest), where k = 0.092 (scot-td-s)-1. In steady background light, the falling (i.e. recovery) phase of the derived response began earlier, and the sensitivity parameter k was reduced several-fold from its dark-adapted value. As the sensitivity, sensitivity, kinetics, and light-adaptation properties of the derived response correspond closely with those of photocurrent flash responses previously obtained from isolated rods in vitro, it was concluded that the response derived here from the human ERG approximates the course of the massed in vivo rod response to a test flash.

Adaptation, Ocular↗

Rod ERGs in children with hereditary retinal degeneration.

Rod ERGs were obtained over a broad range of stimulus intensities from young patients with retinitis pigmentosa and progressive cone-rod degeneration. Intensity-response functions suggest that children with retinitis pigmentosa have reductions in the number of functioning rods and that surviving rods generating the ERG have reduced sensitivity. Children with cone-rod degeneration also have reduced numbers of rods, but the remaining rods have normal sensitivity. These findings suggest that the underlying mechanisms of rod degeneration differ in these two forms of disease and demonstrate that insights into the pathogenesis of hereditary retinal degeneration can be obtained by testing children. The ability to distinguish between retinitis pigmentosa and cone-rod degeneration in children is also important because of differences in the rates of progression between the two classes of progressive retinal degeneration.

Child↗