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Biomedical subjects

M L Wolbarsht

Publications and source records attributed to M L Wolbarsht.

At least 37 records · Page 2Linked to original sources

Spectral coding in cat retinal ganglion cell receptive fields.

We have examined the spectral-coding properties of ganglion cell receptive fields in the cat retina. Two classes of spectral coding were found. The first class consists of cells in which color opponency is spatially local. That is, the opponent cone types cover the same (center or surround) region of the receptive field. The second class consists of cells that show color opponency only to large stimuli (relative to center diameter). Center and surround regions of cells of this class have different spectral sensitivities. Individually the regions are nonopponent. When both regions are stimulated, a spectral opponency is revealed. For example, we recorded from one unit in which the ON-center was mediated by the 556-nm cone type and the OFF-surround was mediated by both 450- and 556-nm cone types. Large-field, threshold-level stimulation in the short-wavelength end of the spectrum produced OFF-responses, while in the long-wavelength end produced ON-responses. For a small stimulus, cells of the second class could mediate spatial vision, largely unaffected by the chromatic properties of the stimulus. Cells of the second class (center/surround opponent) were more commonly encountered than cells of the first class (locally opponent). Color-opponent units of X, Y, and W types were all found.

Animals↗

Testing visual capabilities for medical surveillance or to ensure job fitness.

A rationale is presented for designing screening-type eye examinations to document visual capabilities for specific jobs or changes in visual function following exposure to specific ocular hazards. Possible applications to clinical situations are also discussed. A battery of tests that includes contrast (glare) sensitivity, distortions in macular imaging, and color vision is detailed for use with three populations: automobile driver's license applicants, visual display operators, and laser users, including military as well as nonmilitary installers and repairers of optical fibers for communications.

Automobile Driving↗

Neovascularization of the iris: an experimental model in cats.

Neovascularization of the iris was induced in cats by removing the vitreous and lens and creating a rhegmatogenous retinal detachment. The presence of new blood vessels on the anterior surface of the iris was verified from the second month onward by slit lamp examination, as well as by light microscopy six to twelve months after the operation. Control eyes undergoing vitrectomy and lensectomy, but without retinal detachment, did not develop rubeosis iridis. This model may allow investigation into causes and therapy of rubeosis iridis.

Animals↗

Effect of epinephrine on PO2 in anterior chamber.

A polarographic oxygen electrode was inserted through the cornea into the middle of the anterior chamber, and the aqueous humor PO2 was continuously monitored. Epinephrine hydrochloride applied topically to the cornea (1% Epifrin: 0.05 to 0.1 mL) or injected into the anterior chamber (Adrenalin Chloride: 1 mg/mL, 0.05 mL) caused a marked decrease in the anterior chamber PO2. This drop in anterior chamber PO2 was not simply due to mydriasis, since atropine sulfate administered in a similar fashion did not cause a notable drop in anterior chamber PO2, and epinephrine applied to eyes with the pupils previously dilated with atropine still caused the typical drop in anterior chamber PO2. The hypoxic effects of epinephrine were reversed by injection of an alpha-adrenergic blocker, phentolamine mesylate (5 mg/mL, 0.05 mL), into the anterior chamber.

Animals↗

In vivo O2 consumption in rhesus monkeys in light and dark.

The rate of oxygen consumption in retinas in vitro has been measured in a great number of species, but in vitro estimates have varied partly because the rate of O2 uptake depends heavily upon the composition of the buffered solution used to maintain the retina. The in vitro experiments on frog retinas show a greater O2 consumption in dark than in light conditions, and indicate marked differences in metabolism between light and dark conditions. A method was developed to estimate retinal oxygen consumption in vivo. We evaluated the oxygen consumption of the in vivo Rhesus monkey retina with an intraocular oxygen microelectrode. The intact monkey retina consumes more oxygen in darkness than in light.

Animals↗

Functional implications of On-Off response variation in frog retinal ganglion cells.

The variation in the number of spikes in responses of frog retinal ganglion cells has been investigated with correlation and other statistical measures. The On and Off responses produced by the same light flash are either uncorrelated or weakly negatively correlated with each other when their averages are stationary in time. Early parts of the Off response are highly negatively correlated with late parts. A weaker negative correlation exists between the early versus late parts of the On response. A model for response generation is considered in which the On and Off responses are mediated by independent bipolar cell pathways, each with its own sustained and transient amacrine cell inhibition.

Action Potentials↗

Oxygenation and vasodilatation in relation to diabetic and other proliferative retinopathies.

The features of proliferative retinopathies are reviewed with reference to the vasodilatation that is a common stage in their pathogenesis. Vasodilatation in the retina is discussed in terms of a model in which vessel wall stretch in the retinal venules leads to leakage and proliferation. The beneficial effects of treatments such as panretinal photocoagulation and vitrectomy on the retinal hemodynamics are shown to agree with the hypothetical model.

Animals↗

Retinopathy of prematurity: a new look at an old disease.

The neovascular changes of the retinopathy of prematurity can occur in premature infants in three settings: (1) when high levels of supplemental oxygen are administered, neovascularization usually commences shortly after cessation of oxygen therapy; (2) when supplemental oxygen is given for long periods of time, neovascularization can develop while the infant is still receiving oxygen; and (3) neovascularization can occur without exposure to any supplemental oxygen. We propose a model which can explain the occurrence of the retinopathy of prematurity in all these settings. Our model demonstrates that whenever the retinopathy of prematurity occurs, arterial oxygen levels are inappropriately high in relation to the stage of retinal vessel development, even in premature neonates not given supplemental oxygen. The inhibitory effect of these elevated oxygen tensions upon carbon dioxide removal is indicated as a possible cause of neovascularization by leading to tissue acidosis and vasodilatation.

Carbon Dioxide↗

The corneal contact lens and aqueous humor hypoxia in cats.

The cornea normally receives its oxygen from both the atmosphere and the aqueous humor. When a thick polymethylmethacrylate contact lens is placed on the cat cornea, access of atmospheric oxygen to the cornea is restricted, and the outer part of the cornea becomes hypoxic. This results in an increase in the oxygen flux from the aqueous humor into the cornea, and the oxygen tension in the aqueous humor decreases, as is demonstrated in this study. This increased oxygen flux from the aqueous into the cornea tends to alleviate the hypoxia caused by a corneal contact lens. Thus, the cornea can tolerate a thicker contact lens with less hypoxia than would be expected if only the oxygen supply from the atmosphere were considered.

Animals↗

Vitrectomy, lensectomy, and ocular oxygenation.

The effect of vitrectomy and lensectomy upon the anterior chamber oxygen tension of the cat eye was measured polarographically. After vitrectomy and lensectomy alone, a reduction of 12 mm Hg (35%) was observed and when retinal veins were also partially occluded, a reduction of 17 mm Hg (50%) was measured as compared with the normal oxygen tension (PO2) of 34 mm Hg. If vitrectomy and lensectomy allow aqueous to deliver oxygen from the anterior part of the eye to the retina, the poorer oxygenation of the iris and the improved oxygenation of the retina might explain both the development of rubeosis iridis and stabilization of proliferative diabetic retinopathy so commonly seen following vitrectomy.

Animals↗

Panretinal photocoagulation and retinal oxygenation.

Panretinal photocoagulation destroys some of the photoreceptors and thereby reduces the oxygen consumption in the outer retina and allows more O2 to flow from the choroid to the inner retina. Measurements of the preretinal oxygen tension were made in rhesus monkeys that had portions of their retinas photocoagulated. With the animal breathing one atmosphere O2, the oxygen tension over photocoagulated areas of retina was significantly higher than the PO2 over normal, untreated areas of retina. It is proposed that the therapeutic effect of panretinal photocoagulation in diabetic retinopathy lies in the oxygenation of the inner retina from the choroid.

Animals↗

The optics of vitreous surgery.

We calculated the refractive power of the human eye in the various optical configurations that may occur during vitreous surgery. We found that a biconcave corneal contact lens with an anterior surface refractive power of -63 to -98 diopters allowed the fundus to be seen when the vitreous cavity was filled with air, as did a weak minus lens attached to the bottom of the operating microscope. Our tests showed that the unsymmetrical biconcave lenses were superior.

Contact Lenses↗

Vasodilation and the etiology of diabetic retinopathy: a new model.

The evidence in support of the theory that retinal vascular stretching leads to leakage, formation of microaneurysms, and neovascularization is reviewed. The efficacy of photocoagulation and vitrectomy in controlling retinal microangiopathy accompanying diabetes is shown to depend upon reduction of the vascular dilatation. It is possible that the vascular dilatation in diabetes results from high blood glucose levels increasing oxygen consumption in the inner retina, with a resulting vascular dilatation to supply increased oxygen to the retina. This retinal vascular dilatation is the initial cause of the vascular pathology in diabetes.

Blood Glucose↗