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Slit-lamp assessment of onset of cataracts in black-eyed, black-hooded retinal dystrophic rats.

Various types of hereditary retinal degeneration have associated posterior subcapsular cataract (PSC). It has been claimed that in the Royal College of Surgeons (RCS) rat model of hereditary retinal dystrophy, the cataract is manifested unpredictably and does not display Mendelian inheritance. It ws shown previously, however, that 100% of pink-eyed retinal dystrophic RCS rats had an onset of bilateral PSC at 7 to 8 weeks of postnatal age, and by 9 to 11 months, 23% of the animals had cataracts visible to the unaided eye. The congenic black-eyed retinal dystrophic RCS rat, however, is a better model for the generally more pigmented human eye. In the present work, it was found that 100% of black-eyed RCS rats had bilateral slit-lamp-detectable PSC beginning at 8 weeks of postnatal age, just as the pink-eyed rats did, despite the fact that dark-eye pigmentation is associated with a 10- to 35-day delay in the rate of degeneration in retinal areas other than the peripheral part of the inferior hemisphere. A higher incidence of mature cataracts in pink-eyed rats (23%) as compared with black-eyed rats (3%) suggests that the amount or intensity of light reaching the lens, retina, and pigmented epithelium may influence maturation of the cataract. However, if light is important in initiating the PSC, its influence was not decreased by dark pigmentation of the eye. RCS rats may be a model for an early onset type of human autosomal recessive retinal degeneration having a constant association of PSC.

Animals↗

Basic slit lamp techniques.

Get the patient comfortable in the chin rest by manipulating the machine distance, elevation of the chair, and correct angling of the machine to the patient. Elderly patients need time and assistance to get positioned. Make sure they are elevated enough to get their foreheads against the headrest with comfort, or they will tend to easily drift backward during the exam, and your focusing power will be inaccurate. A little time taken positioning the patient can mean a more expedient and efficient exam. Align the eye marker on the headrest to the lateral canthus of the eye. Always speak calmly and logically to your patient. As soon as you have positioned the patient's chin on the rest, tell the patient to look at your right ear when examining the patient's right eye, and vice versa. The patient needs something to concentrate on as soon as positioned. Practice makes perfect. If you can visualize the three main components that make up the slit lamp--the head and chin rest for the patient, the microscope, and a housing for the illumination and the diaphragm controls--the machine becomes less overwhelming and better understood. Utilizing the biomicroscope effectively can allow great views of the dynamics in ocular anatomy and physiology.

Humans↗