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E Zrenner

Publications and source records attributed to E Zrenner.

At least 199 records · Page 11Linked to original sources

Slow and fast pathways in the human rod visual system: electrophysiology and psychophysics.

Under most conditions, increasing the intensity of a flickering light makes the flicker more conspicuous. For a light flickering at 15 times per second, however, increasing the intensity can cause the flicker to disappear before reappearing again at higher intensities [Vision Res. 29, 1539 (1989)]. This flicker disappearance or null is also evident in human electrophysiological recordings at the same intensity levels. These results point to a duality within the rod visual pathway, in which flicker signals travel through a slow and a fast pathway and then recombine at a later stage. At 15 Hz the slow rod flicker signals are delayed by half a cycle relative to the fast signals. Thus, when the two signals are recombined, they destructively interfere and diminish the perception of flicker. The dual-pathway interpretation is supported by both electroretinographic and psychophysical evidence showing a phase difference of half a cycle between 15-Hz rod signals just below and just above the null region. These effects are apparent not only in the normal observer but also in an achromat observer who lacks functioning cone vision.

Electrophysiology↗

[Modification of refraction and visual noise perception by suction cup oculocompression].

In 17 ocularly healthy persons the IOP was artificially raised by suction cup oculopression (negative pressure: 65 mmHg [8.67 kPa]) from initially 15.5 +/- 2.2 mmHg (2.07 +/- 0.29 kPa) to 25.2 +/- 4.0 mm Hg (3.36 +/- 0.53 kPa) (mean +/- SD). Continuing the initial refractive correction, visual acuity (Landolt's rings) decreased from initially 1.06 +/- 0.13 to 0.39 +/- 0.22 (P less than 0.001* [*t-test, paired ties each]). A new optical refraction with suction cup in position significantly raised the visual acuity to 0.64 +/- 0.24 (P less than 0.002*). The suction cup itself induced astigmatism of 2.15 +/- 1.46 dpt (Canon Auto-Refractometer RK-1), which significantly differed from the initial astigmatism (0.32 +/- 0.23 dpt) (P less than 0.001*). The minus cylinder axis initially showed no preferential position. During artificial IOP elevation it shifted to 90 degrees...125 degrees (referred to the right eye) and thus ran about perpendicular to the meridian the suction cup was positioned on the eyeball. Effects of such refractive changes on differential light threshold and VEP amplitude are demonstrated. The results presented allow critical interpretation of previous IOP tolerance tests. The influence of suction cup oculopression on the perception of the white-noise field is shown in some glaucoma patients: the speed of the white-noise campimetry allows the increase in field defects during artificial IOP elevation to be followed up directly.

Adult↗

[Relation of visual acuity of test field luminance in glare sensitivity of various origin].

Intolerance to bright light is a nonspecific ophthalmological symptom, originating either in disturbances of the optic apparatus of the eye or caused by functional disturbances of the neuronal network of the retina. Disturbances in brightness and darkness adaptation can often cause considerable decrease in visual acuity, which is not evident in the standardized tests that measure photophobia in conjunction with visual function. If the test field is very bright and the patient has photophobia, the visual acuity is often reduced considerably. The relationship between visual acuity and luminance of the test field was determined in glare--sensitive patients using a relatively simple method and a large range of luminances (0.1-30,000 cd/m2). In contrast to previously used methods, visual acuity was determined in a range where neuronal mechanism can be expected to be responsible for adaptation to brightness. We found disturbances in the relationship between visual acuity and luminance in several diseases, and it was especially pronounced in cone dystrophies. Affections of the optic nerve and opacities of the optic media usually did not cause a marked decrease in visual acuity at high luminances. As a supplemental investigation to mesoptometry and nyctometry, the method described here primarily permits types of photophobia to be determined that are not caused by stray light. The dynamic nature of neuronal adaptation processes determined by this test has therefore considerable influence on visual acuity.

Adaptation, Ocular↗

[Effect of cut off filters on contrast perception in retinitis pigmentosa].

Cut-off filter glasses can protect retinitis pigmentosa (RP) patients from dangerous short-wave light and UV radiation. Subjective improvements in contrast sensitivity and glare sensitivity are additional beneficial effects of such glasses. Because of the relatively high costs the prescription of cut-off filters is limited. To establish an objective criterion for prescription we performed psychophysical tests of contrast sensitivity in 12 RP patients with and without cut-off filters. We used a computerized test (Neuroscientific, New York, NY) in which six spatially different static sinusoidal grid patterns were presented on a high-resolution monitor (Joyce). Contrast-transfer functions were derived by a two-alternative forced choice method. Only 2 of the 12 tested patients--all of whom reported subjective beneficial effects of the cut-off filters on contrast sensitivity--showed significant improvement in the test. In 5 patients we found non-significant improvement while 5 showed nearly no change. Patients with low contrast sensitivity showed a relatively high benefit from the filters, especially with low spatial frequencies. However, in the majority of RP patients the method used here cannot provide objective criteria for the prescription of cut-off filters.

Adult↗

[Ocular side effects of beta-pyridylcarbinol].

Derivatives of nicotinic acid such as beta-pyridylcarbinol play an important role in the therapy of lipoprotein disorders. In 1973, J.D. Gass reported the development of cystoid macular edema provoking metamorphosia during the course of nicotinic acid treatment. The aim of this study was to determine subtle changes in ocular function induced by beta-pyridylcarbinol. We investigated 16 patients prior to and after 6 months of beta-pyridylcarbinol treatment and compared the results of clinical and color vision tests in 9 patients after 2-25 years of continuous beta-pyridylcarbinol treatment. After 6 months, significant blue-yellow color vision changes (total error scores within normal ranges) were detected by the Farnsworth-Munsell 100 hue tests in all patients. One patient demonstrated macular edema. Fluorescein angiography, however, showed no evidence of fluorescein leakage. Beta-pyridylcarbinol treatment lasting for years led to diffuse color vision disturbances (total error score = 195). To the best of our knowledge neither macular edema nor color vision disturbances following beta-pyridylcarbinol treatment have been reported so far.

Adolescent↗

[Vision test device: possibilities and limits of LCD technique].

An automatic visual acuity test examining visual acuity at 5 m distance is presented. An LCD screen with 400 x 640 pixel is used for graphic display. The Landolt rings are selected randomly. The test presented here complies well with the criteria of DIN 58220. Accuracy estimates for representation of the Landolt rings in raster graphics are discussed. With the method suggested, the testing of visual acuity, one of the most important tests in ophthalmological practice, is simplified and its reliability and results are improved. The method allows tests at short time intervals to trace the time dependency of visual acuity. Furthermore, the test may be delegated to support personnel.

Adolescent↗

Rod and cone contribution to adaptation processes in cat retinal ganglion cells.

Extracellular ganglion cell responses were recorded to investigate mechanisms of light adaptation. Monochromatic test spots (575 nm) were projected onto the receptive field center of off-center cells and superimposed on a steady blue-green Ganzfeld background (Schott Filter BG 28), the strength of which was increased in steps of 0.5 log units to adapt rods. Response vs. log intensity functions were determined over a range of 7 log units of test light irradiance at each background level. At higher adaptation levels response thresholds followed the typical Weber function. Surprisingly at lower adaptation levels the sensitivity of the cell increased by about 0.7 log units, most markedly in a range of 1 log unit of moderate light adaptation when the background was changed from dark to the dimmest detectable background (10(-5) lm/m2). In the dark-adapted state a small off-response of long latency (40-100 ms at 10(2) quanta.s-1.microns-2) is observed at low rod stimulating test light irradiances. A transition to a cone-dominated transient response of 2 to 5 ms duration occurred at high intensities (10(5) quanta.s-1.microns-2). At mesopic levels the two responses seem to cancel each other, rendering a delayed off-response that is probably the result of rod-cone interaction. As in psychophysics, saturation can be observed at very high background intensities (10(6) quanta.s-1 microns-2). These data suggest interactions between rods and cones that determine the sensitivity of cat retinal ganglion cells at low levels of adaptation for suprathreshold stimuli.

Action Potentials↗

[Light-induced damage to the eye].

The following review outlines the mechanisms of phototoxicity that are known so far, how they develop, which risk factors are involved, and what the consequences are for ophthalmology. It is necessary to differentiate between photochemical and thermal damage as they differ with regard to etiology and course. Photochemical damage in the lens originates from the absorption of UV-A light; damage caused by oxidation can cause nuclear cataract. Photochemical damage of the retina occurs typically after a longer interval and is mainly due to short-wavelength visible light ("blue light damage"); it entails destruction of membranes of the photoreceptor outer segments and finally photoreceptor death. There are indications that age-related macular degeneration can be accelerated by photochemical light damage. Lipofuscin, photo-sensitizing drugs and prolonged exposure, as well as aphakia and pseudophakia, can increase the risk. Thermal injury is caused mainly by absorption of longer-wavelength light by the retinal pigment epithelium; the effects are usually immediate. The amount of light that can cause threshold damage by common light sources and ophthalmological instruments is given in relation to wavelength, area, and the period of exposure. This information provides the criteria for optimal light-protection glasses. Phototoxic damage can be avoided by awareness, measurement and corresponding action, including the development of better industrial standards for sunglasses and light-emitting devices.

Eye↗

Intraocular in vivo immunofluorescence. A new technique for visualizing structures of the ocular fundus.

A new noninvasive technique for observing structures in the living eye has been developed: the technique is based on intravenous application of specific antibodies, labeled with fluorescein. The immunologically marked substructures of the fundus of the eye, the only transparent organ in mammals, are photographed directly using high speed film. Combined with a digital image processor to enhance low contrast contours, this technique can be used for diagnostic purposes, as shown in rabbits with experimental toxoplasmic chorioretinitis.

Animals↗

Sensitivity distribution in the central and midperipheral visual field determined by pattern electroretinography and harmonic analysis.

To investigate the value of the extrafoveal pattern electroretinogram for evaluation of local retinal defects, electroretinographic responses to contrast reversal stimulation were recorded at various locations in the central and midperipheral retina. Normal values were established in 20 eyes, and spatial selectivity at different retinal eccentricities was determined in four eyes. The response amplitude was found to decrease steeply from the fovea until about 12 degrees eccentricity and to decline only slowly thereafter. For central stimulation a clear attenuation for coarser patterns was observed. At 20 degrees and at 30 degrees eccentricity the spatial tuning function exhibited a bandpass characteristic, with the maximum amplitude shifting to lower spatial frequencies. Despite the relatively low peripheral amplitudes a satisfactory signal to noise ratio of the second harmonic responses can be obtained by Fourier analysis, which improves clinical applicability. The comparison of sensitivity in the upper and lower retina revealed a considerable asymmetry, with responses in the upper retina approximately 20% higher. No significant difference, however, was found when the temporal or nasal retina was stimulated. The reproducibility of these results is high enough to encourage clinical studies. A case of retinal venous branch occlusion exemplifies the applicability of this technique in eccentric fundus lesions.

Adult↗

Recovery after severe ethambutol intoxication--psychophysical and electrophysiological correlations.

Six patients with severe ocular side effects caused by therapeutical doses of the tuberculostatic drug ethambutol were investigated during the course of recovery with psychophysical and electrophysiological methods. Three patients developed an optic atrophy with permanently reduced vision as a likely consequence of additional risk factors such as diabetes, alcohol abuse, and reduced kidney function. The severity of the neuritis of the optic nerve was not related to the total intake of ethambutol. The likelihood of a permanent ocular damage increased sharply if the visual acuity had dropped below a value of 1/10. permanently prolonged latency of the P-100 component was found in visual evoked potentials even in cases with good recovery from ethambutol-induced damage. The recovery of color vision could be monitored very well with the Farnsworth-Munsell 100-Hue Test which revealed a diffuse impairment of color discrimination with a slight prevalence of the red-green axis. In addition to the known disturbances of the red-green antagonistic neurons, it could be demonstrated by measuring transient tritanopia and spectral sensitivity functions that ethambutol also affects the blue-yellow antagonism at the retinal level.

Aged↗

Linkage of X-linked retinitis pigmentosa to the hypervariable DNA marker M27 beta (DXS255).

A hypervariable DNA marker is closely linked to one of the most severe forms of night blindness, X-linked retinitis pigmentosa (RP). Affected individuals with X-linked RP, obligate carriers, and ophthalmologically identifiable carriers of the disease were included in a linkage study. The diagnosis was established in five sibships by funduscopic and electrophysiological investigations. When the X-linked probe M27 beta was used, 2 recombinants out of 29 informative meioses were detected (theta = 0.07 at a maximum lod of 4.75). The hypervariable probe detected two different alleles in 38 of 39 females tested. M27 beta is therefore a potentially very useful probe for carrier detection and prenatal diagnosis, as well as for addressing the question of heterogeneity of X-linked RP.

Female↗

The photoreceptors in atypical achromatopsia.

1. The receptoral mechanisms underlying the vision of two atypical achromats of the complete variety were studied with standard psychophysical procedures. 2. Under scotopic conditions the spectral sensitivity of each achromat was well described by the CIE (Commission Internationale de l'Eclairage) scotopic sensitivity function and the recovery of sensitivity after a retinal bleach showed characteristic duplex behaviour with the time constant of recovery of the slower phase matching that of normal rod vision for both foveal and peripheral stimulation. 3. Their spectral sensitivity was measured under conditions of chromatic adaptation in order to reveal any residual middle or long wavelength cone activity. Only one photopic spectral responses was found and this was adequately described by the spectral sensitivity function of Stiles pi 3 mechanism of normal vision. 4. Increment threshold measurements as a function of background intensity revealed a double-branched function in the fovea. The lower branch was found to have the spectral sensitivity of the rods; the upper branch that of Stiles' pi 3 mechanism. Stiles-Crawford measurements of directional sensitivity confirmed that the branch with the rhodopsin action spectrum had the directional sensitivity of rods and that the branch with the action spectrum of pi 3 had the directional sensitivity of cones. 5. These was no evidence for hue discrimination under photopic conditions. Regions of apparently normal performance on hue discrimination tests on more careful examination could be explained by luminosity judgements mediated by short wavelength-absorbing receptors. 6. We reject the notion of there being rhodopsin-filled cones in the fovea of these subjects. The foveal and peripheral vision of each of these achromats can be adequately described in terms of the participation of only two types of receptor, namely normally functional rods under scotopic conditions and normally functioning short wavelength-absorbing cones under photopic conditions. They are therefore functional blue mono-cone monochromats, an explanation which was originally proposed by Blackwell & Blackwell (1957) over thirty years ago.

Color Vision Defects↗

Human photopic vision with only short wavelength cones: post-receptoral properties.

1. Spatial and temporal contrast sensitivities were investigated in two subjects whose photopic vision has been previously shown to be subserved by only short wavelength cones. 2. Spatial contrast sensitivity was uniformly reduced compared with that of the normal trichromatic observer. Peak contrast sensitivity reached 40 which is a factor of 2-3 better than previous estimates and extrapolated acuity was around 15 cycles deg-1. Central, non-aliased grating acuity was between 6-9 cycles deg-1. This declined with eccentricity such that at 20 deg it was around 1 cycle deg-1. 3. The variation in contrast sensitivity across the visual field was measured for a range of different spatial frequencies. It was found to be of the same form as that for the normal trichromat but reduced in overall sensitivity. 4. Temporal contrast sensitivity was measured for two different spatial frequencies and found to exhibit the spatio-temporal covariation which is typical of normal trichromatic vision. Temporal acuity exhibited a strong dependence on illuminance and reached asymptotic values of around 40-45 Hz. While this is more than a factor of two above most previous estimates for the short wavelength receptors of normal vision it agrees with some more recent estimates obtained using a different technique. Temporal resolution was found to be evenly distributed across the visual field. 5. Similarities were found between the post-receptoral properties of these achromats and the properties of the isolated blue mechanism of normal vision and also the properties of normal luminance contrast processing in general. The present results provide an upper bound on the contribution of the short wavelength mechanism to normal vision and also provide a suitable model of its possible contribution to the processing of luminance contrast in the normal visual system.

Adaptation, Ocular↗

[Recording of visual evoked potentials in infants: characteristics and optimization of the method].

As the capacities for concentration and fixation are limited in infants and young children it is necessary to adapt the method of VEP measurement. An appropriate stimulus presentation is the appearance, disappearance mode with sequentially presented gratings of different spatial frequencies. Variation in the conditions such as fixation, attention or electrode properties, during a recording session affects all cortical responses equally. The duration of VEP examination is shortened by using rapid sequences of stimuli. The purpose of our study was to improve the presentation of the stimuli. We used a small bright monitor (9 x 9 cm) for stimulation; the test distance was 60 cm, and the mean luminance 60 cd/m2. Stimuli were achromatic gratings. These parameters were chosen in order to compare the results of our method with psychophysical measurements, such as preferential looking (PL) with Teller acuity cards. The gratings with increasing spatial frequencies were presented in a sequence of 7 steps. In order to control the influence of artefacts and the variability of the responses summation/subtraction curve of the responses, was displayed simultaneously with the VEP on the control monitor. By increasing the temporal stimulus frequency in steps from 2.5 Hz (transient stimulus) to higher values we got excellent responses from on/off-stimuli at 5 Hz frequency. Thus the signal-to-noise-ratio was improved without alteration of the spatial transfer function which is found when using higher frequencies due to the Brücke-Bartley-effect.(ABSTRACT TRUNCATED AT 250 WORDS)

Child, Preschool↗

[Animal experiment studies of the ocular toxicity of cardiac glycosides].

The addition of different types of cardiac glycosides (strophanthin, digoxin, digitoxin) to the perfusion medium of isolated cat eyes, kept alive by extracorporeal perfusion, leads to changes in ERG. There is a dose-dependent reduction of the b-wave amplitude in scotopic and photopic electroretinogram (ERG). At the same time the implicit time of the potentials increases. In the scotopic-isolated P III component, both amplitude and implicit time increase. The concentrations inducing ERG changes that are fully reversible after cessation of drug application correlate well with the known toxic drug blood levels in humans. The disappearance rate of the drug induced effects was almost equal under these conditions (extracorporeal perfusion) for the different glycosides. In conclusion, our results indicate that at least part of the visual symptoms of glycoside intoxication are already evident at the retinal level.

Animals↗

[Blue cone monochromasia: diagnosis, genetic counseling and optical aids].

Cone and rod functions of three blue cone monochromats (age 13-20, male) from three different families were investigated. In contrast to rod monochromats, they lack prominent nystagmus. Color matches as determined using the Nagel anomaloscope came close to those of rod monochromats but the green primary appeared slightly brighter to them. In color discrimination tests (Farnsworth-Munsell 100-hue and Panel D-15 desaturated), maximum confusion followed protan rather than scotopic axes. Measurements of spectral sensitivity revealed action spectra exclusively of blue sensitive cones, even under conditions that should isolate green- or red-sensitive cones. After 20 minutes of dark adaptation, rods determined the spectral sensitivity function. Transient tritanopia, which in normals results from the interaction between cones sensitive to short and long wavelengths, was completely absent in blue cone monochromats. Visual acuity (Snellen charts and contrast gratings) revealed values between 20/200 and 20/60. Recognition of high-spatial low-contrast gratings was improved by blue cut-off filters (Schott BG 28) and considerably worsened by yellow cut-off filters (Schott OG 510). Since alteration of visual acuity induced by cut-off filters was not found in rod monochromats, this two-filter test is a means of differentiating quickly between rod achromats and blue cone monochromats. As the mode of inheritance is autosomal recessive in rod achromats and x-linked recessive in blue cone monochromats, differential diagnosis is important for correct genetic counseling.

Adult↗

Current source density analysis of linear and non-linear components of the primate electroretinogram.

1. We have used the method of current source density analysis to locate the generators of harmonic electroretinogram (ERG) responses to contrast-modulated pattern and uniform-field stimuli in the primate retina. 2. Sinusoidal steady-state analysis was used, with a stimulus temporal frequency of 8 Hz. Fundamental and second-harmonic response components were measured for the uniform-field response. The second harmonic of the average of contrast-reversal pattern responses obtained at a series of spatial phases was also determined in the same experiments. In addition, retinal tissue resistance was measured. All of these measurements were obtained at a series of equally spaced depths in the retina. 3. Retinal resistivity was not observed to vary systematically with depth. In addition, any plausible undetected inhomogeneities of resistivity with depth were found to slightly affect the relative magnitudes of estimated current sources and sinks, but to have little effect on their localization. 4. In a given penetration, the phase lag of each harmonic component was relatively constant with depth in most cases; however the magnitude of this phase lag sometimes varied in different penetrations. To compare data from different penetrations, the constant phase lag for each harmonic was estimated, and the response data phase-shifted so as to bring all data into a standard (cosine) phase. 5. The resulting current source density analyses were found to be quite consistent in overall form for different penetrations and in different animals. These data were averaged to obtain a final estimate of the depth profiles for generators of different ERG components. 6. The uniform-field fundamental response was found to have a predominant source-sink pair in the distal half of the retina (receptor layer to outer plexiform layer). The pattern (second-harmonic) response generators had a quite different depth profile, consisting mainly of a source-sink pair in the proximal 20% of the retina (encompassing the nerve fibre layer to the middle of the inner plexiform layer). The uniform-field second-harmonic response showed a current source density (CSD) depth profile with multiple sources/sinks, as if it contained contributions from the other two.

Action Potentials↗