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Bipolar or rectified chromatic detection mechanisms?

It is widely accepted that human color vision is based on two types of cone-opponent mechanism, one differencing L and M cone types (loosely termed "red-green"), and the other differencing S with the L and M cones (loosely termed "blue-yellow"). The traditional view of the early processing of human color vision suggests that each of these cone-opponent mechanisms respond in a bipolar fashion to signal two opponent colors (red vs. green, blue vs. yellow). An alternative possibility is that each cone-opponent response, as well as the luminance response, is rectified, so producing separable signals for each pole (red, green, blue, yellow, light, and dark). In this study, we use psychophysical noise masking to determine whether the rectified model applies to detection by the postreceptoral mechanisms. We measured the contrast-detection thresholds of six test stimuli (red, green, blue, yellow, light, and dark), corresponding to the two poles of each of the three postreceptoral mechanisms. For each test, we determined whether noise presented to the cross pole had the same masking effect as noise presented to the same pole (e.g. comparing masking of luminance increments by luminance decrement noise (cross pole) and luminance increment noise (same pole)). To avoid stimulus cancellation, the test and mask were presented asynchronously in a "sandwich" arrangement (mask-test-mask). For the six test stimuli, we observed that noise masks presented to the cross pole did not raise the detection thresholds of the test, whereas noise presented to the same pole produced a substantial masking. This result suggests that each color signal (red, green, blue, and yellow) and luminance signal, (light and dark) is subserved by a separable mechanism. We suggest that the cone-opponent and luminance mechanisms have similar physiological bases, since a functional separation of the processing of cone increments and cone decrements could underlie both the separation of the luminance system into ON and OFF pathways as well as the splitting of the cone-opponent mechanisms into separable color poles.

Color Perception↗

Geniculocortical relay of blue-off signals in the primate visual system.

A fundamental dichotomy in the subcortical visual system exists between on- and off-type neurons, which respectively signal increases and decreases of light intensity in the visual environment. In primates, signals for red-green color vision are carried by both on- and off-type neurons in the parvocellular division of the subcortical pathway. It is thought that on-type signals for blue-yellow color vision are carried by cells in a distinct, diffusely projecting (koniocellular) pathway, but the pathway taken by blue-off signals is not known. Here, we measured blue-off responses in the subcortical visual pathway of marmoset monkeys. We found that the cells exhibiting blue-off responses are largely segregated to the koniocellular pathway. The blue-off cells show relatively large receptive fields, sluggish responses to maintained contrast, little sign of an inhibitory receptive-field surround mechanism, and negligible functional input from an intrinsic (melanopsin-based) phototransductive mechanism. These properties are consistent with input from koniocellular or "W-like" ganglion cells in the retina and suggest that blue-off cells, as previously shown for blue-on cells, could contribute to cortical mechanisms for visual perception via the koniocellular pathway.

Animals↗

Redefining the optometric examination: addressing the vision needs of older adults.

The aging of America's population will result in an increased number of older adult patients in optometric practices. Although older patients frequently report declines in their vision, the results of high contrast testing procedures often do not correlate with the symptoms. Age-related functional vision decrements can impact upon an individual's ability to perform the activities of daily living. I explored the relation between reported visual complaints and the results of objective tests for older adults (N = 50) as compared with middle-aged adults (N = 20). Decrements in visual acuity, contrast sensitivity, glare sensitivity, color vision, and stereopsis were apparent in the older group and all were significant at alpha = 0.05. Open-ended questions elicited more visual complaints from older adults than from middle-aged adults. However, only the reported complaint of decreased vision was related to visual decrements as determined by clinical testing (chi 2; p = 0.0596). These results indicate that task-specific case history questions may provide greater insight into older adults' visual performance in their normal environment. Additional testing in the areas of contrast sensitivity, glare sensitivity, stereopsis, and color vision should also be included in the optometric examination when warranted.

Adult↗

Ocular toxicology.

This review of recent articles on ocular toxicology concentrates on undesirable effects on the eye induced by systemically used xenobiotics. These include color vision deficiencies or visual field deterioration related to antiepileptic drugs, elevated intraocular pressure associated with inhaled corticosteroids, retinal detachments associated with systemic corticosteroids, rifabutin-induced uveitis, cocaine-related retinal hemorrhagic lesions in utero, deferoxamine-related decreases in vision, ocular allergy to bovine-derived collagen, and a large case study of hydroxychloroquine retinotoxicity. Other publications reviewed include a controlled study showing that glucose levels do not seem to alter color vision, a report that intravenous methotrexate can reach clinically meaningful levels in the aqueous humor, and a study showing the effect of systemic pentoxifylline on ocular blood flow and diabetes. With respect to systemic effects of topical ocular medications, there was a case report of apparent systemic exposure to pilocarpine from an Ocusert (Alza Corp., Palo Alto, CA), generalized urticaria after a single application of 1% cyclopentolate, and asthma induced with topical ketorolac. Readers are reminded that no drug achieves ultimate efficacy or ultimate safety. Thus, the decision to employ a given therapy involves a physician's evaluation of its therapeutic index, that is, the ratio between efficacy and toxicity.

Eye↗

The ocular phenotype of the Bardet-Biedl syndrome. Comparison to non-syndromic retinitis pigmentosa.

PURPOSE: To investigate 20 patients affected with Bardet-Biedl (BB) syndrome and compare them to an age-matched group of 70 non-syndromic patients with retinitis pigmentosa (RP) to identify hallmarks peculiar to the BB phenotype. METHODS: Patients were examined clinically and with functional tests (color vision, kinetic perimetry, electroretinography, ocular motility tests). Fundus findings were numerically graded for statistical purposes. RESULTS: Recurrent ocular features in BB patients were early and severe reduction of visual acuity, constantly altered color vision, high incidence of strabismus and nystagmus, mild-to-severe atrophic changes of the optic disc, and frequently absent or minimal pigmentary retinal changes. Visual acuity was more closely correlated to optic disc than to macular conditions. These findings were remarkably different from non-syndromic RP. CONCLUSIONS: This investigation further suggests that retinopathy in BB syndrome has features distinctive from those in non-syndromic RP. The early occurrence of optic disc atrophy in the BB syndrome, even in those patients with healthy maculas, suggests that optic atrophy could often be primary in nature and might play a major role in decreasing central vision in BB patients. Variability of some findings is in line with the documented heterogeneity of the BB syndrome.

Abnormalities, Multiple↗

Effects of lights of different color temperature on the nocturnal changes in core temperature and melatonin in humans.

A variety of types of artificial illumination has recently become available, differing in the quality of illumination and range of color temperature. In our previous studies we found that in subjects with normal color vision the nocturnal fall in core temperature and the increase of urinary melatonin excretion were suppressed by bright blue or green light, but not by bright red or dim lights. The aim of our present study was to examine from the view point of chronobiology whether the lights of different color temperature often used in everyday life may affect core temperature and urinary melatonin secretion differently. Experiments were carried out on five subjects with normal color vision. They were exposed for 5 hr (from 21:00 h to 2:00 h) to two kinds of bright (1000 lx) light of different color temperature (6500 K, 3000 K) with dim (50 lx) light as a control; after exposure they slept in darkness. Our main results were as follows: The light with a high color temperature of 6500 K more strongly suppressed the nocturnal fall of the core temperature and the nocturnal increase of melatonin secretion than the light with a low color temperature of 3000 K. This difference was particularly evident for core temperature during the sleep period following experimental illumination.

Adult↗

Blue-light filtering intraocular lens in patients with diabetes: contrast sensitivity and chromatic discrimination.

PURPOSE: To evaluate potential changes in contrast sensitivity and color discrimination in diabetic patients who had cataract surgery and implantation of the blue-light filtering AcrySof Natural (SN60AT) intraocular lens (IOL) compared with an ultraviolet-only filtering (AcrySof SA60AT) IOL. SETTING: Refractive Surgery Unit, Hospital NISA Valencia al Mar, Valencia, Spain. METHODS: Forty-four eyes of 22 diabetic patients were enrolled in a blue-light filtering fellow-eye control study. Patients received yellow-tinted IOLs (AcrySof Natural) in 1 eye and non-yellow-tinted IOLs (AcrySof SA60AT) in the fellow eye. Three months after surgery, monocular contrast sensitivity function was measured with the CSV 1000-E contrast sensitivity chart at distance and color discrimination was tested with the Farnsworth-Munsell 100-hue test. RESULTS: Eyes implanted with the blue-light filtering IOLs showed better contrast sensitivity values than fellow eyes implanted with non-yellow-tinted IOLs (P<.05). The blue-light filtering IOL did not modify chromatic discrimination compared with the non-yellow-tinted IOL (P = .62). In the blue-yellow axis discrimination study, the eyes implanted with the AcrySof Natural IOL had statistically significant better color vision (P = .008). CONCLUSIONS: In diabetic patients, the AcrySof Natural IOL provides better contrast sensitivity than the AcrySof SA60AT. The blue-light filter of the AcrySof Natural IOL did not cause chromatic discrimination defects based on total error scores and improved color vision in the blue-yellow chromatic axis in diabetic patients.

Aged↗

Visual function in recovered ethambutol optic neuropathy.

The visual acuity of the patient with ethambutol optic neuropathy will recover within 3 to 4 months after discontinuing the drug. We studied the extent of the recovery of other visual functions. Thirty-six axial type ethambutol optic neuropathy patients, who visited our neuro-ophthalmology clinic from January, 1990, to December, 1993, were included in this study. Fifteen patients (29 eyes) regained their visual acuity to better than 1.0. The average follow-up period following the recovery is 21.7 months. Pattern reversal VEP, Farnsworth-Munsell 100-Hue color vision test, critical flicker frequency (CFF), visual field perimetry, contrast sensitivity and edge-light pupil cycle time were assessed for every affected eye. Latency (P100) of visually evoked potential was delayed in 34.5% (10/29) of eyes. In color vision, 48.3% (14/29) of eyes had deutan or tritan defect. An abnormality of red CFF with value lower than 31 Hz was revealed 51.7% (15/29) eyes. In the visual field, 58.6% (17/29) of eyes had paracentral scotoma, arcuate scotoma, or enlargement of physiologic blind spot. Contrast sensitivity was depressed in 62.1% (18/29) of eyes, mainly at middle and low spatial frequency. Pupil cycle time was prolonged in 72.4% (21/29) of eyes. Aside from visual acuity, other visual functions of the recovered ethambutol optic neuropathy patients were incomplete. The extent of recovery of the visual function is as follows: visual acuity-VEPs-color sense-CFF-visual field-contrast sensitivity-pupil cycle time.

Adult↗

Comparison of visual function in fellow eyes after bilateral nonarteritic anterior ischemic optic neuropathy.

PURPOSE: Although previous studies have examined the risk of bilaterality of nonarteritic ischemic optic neuropathy (NAION), none have compared extensively the extent of visual loss between fellow eyes. The authors examined cases of bilateral NAION to determine the extent of vision loss in the second eye compared with that in the first eye. METHODS: Thirty-one cases of bilateral NAION were reviewed. Variables included age, gender, and the presence of comorbid disease. Visual function was assessed by Snellen visual acuity, color vision, and pattern and mean deviation of the visual fields. RESULTS: No correlation was detected between the extent or pattern of visual loss in fellow eyes. No significant difference in visual function existed between first and second eyes for the patients overall. Patients who retained better visual function in the second eye were significantly older than those who retained better visual function in the first eye (visual acuity, P = 0.0005; color vision, P = 0.07; mean deviation, P = 0.02). In patients older than 50 years of age (25 of 31 cases), the second eye had significantly better visual acuity (P = 0.04) and less Humphrey visual field mean deviation (P = 0.04) than the first eye. CONCLUSION: Visual function in the second eye correlated poorly with that of the first eye. Older patients with bilateral NAION retained better visual function in the second eye than in the first eye. For younger patients, the extent of visual loss in the second eye could not be predicted based on the visual loss in the first eye.

Adult↗

Optic neuritis secondary to Angiostrongylus cantonensis infection.

PURPOSE: To describe a case of optic neuritis secondary to Angiostrongylus cantonensis infection. METHOD: Case report of a patient with eosinophilic meningitis secondary to A. cantonensis infection. The patient developed a sudden decrease in visual acuity with a visual field defect and color vision loss in his left eye. Both visual evoked potential and clinical manifestations suggested the diagnosis of optic neuritis (os). RESULT: After two weeks of larvicidal drugs and steroid treatment, the patient's visual acuity and color vision had dramatically improved. CONCLUSION: Optic neuritis may occur in patients with A. cantonensis meningitis. Treatment with a combination of steroid and larvicidal agents may be beneficial to these patients.

Adult↗

U.S. Army sunglasses: issues and solutions.

BACKGROUND: Some military aviators have reported difficulty discriminating the color of cockpit warning lights when wearing plastic sunglasses. This difficulty could be due to lenses that are too dark or are nonneutral and thus alter color vision. A study was performed to identify the origin of this problem, recommend solutions, and determine a sunglass transmittance that optimizes visual performance. METHODS: Five pairs of plastic sunglasses (-4 to +4 D) were ordered from each of seven military optical laboratories (70 lenses total). Each laboratory was instructed to dye the lenses neutral gray with 21 percent transmittance. Light transmittance and color distortion were evaluated across laboratory and lens power. Spatial and color vision were assessed through a range of sunglass transmittances. RESULTS: There was no systematic effect of lens power, but light transmittance and color distortion varied widely across laboratories (transmittance = 1 to 30 percent; p < 0.001). CONCLUSIONS: Because light transmittance and color distortion were related inversely, it was believed that both factors could be corrected by accurate verification of transmittance, but commercial transmittance meters proved to be inaccurate. The high transmittance of deep red and infrared light through plastic lens dyes is read as visible light by transmittance meters, making readings too high. A filter was identified that provides accurate readings when used with transmittance meters. A sunglass transmittance of 23 percent resulted in minimal decrease in visual performance relative to normal clinical test conditions.

Analysis of Variance↗

Multicenter clinical trial for evaluating methylprednisolone pulse treatment of idiopathic optic neuritis in Japan. Optic Neuritis Treatment Trial Multicenter Cooperative Research Group (ONMRG).

BACKGROUND: A randomized, controlled clinical trial was conducted in 1991 to compare an intravenous megadose of methylprednisolone with a control drug (mecobalamin) for treating acute idiopathic optic neuritis. CASES: Sixty-six cases from 22 clinical centers throughout Japan were examined to evaluate the treatment on visual function parameters, such as visual acuity, visual field, color vision, contrast sensitivity, and critical flicker frequency. OBSERVATIONS: The methylprednisolone pulse treatment group showed faster recovery of visual function, particularly the visual acuity at 1 week (P<.05), Humphrey field analyzer mean deviation at 3 weeks (P<.05), and color vision at 1 week (P<.05). Recovery of contrast sensitivity at several different spatial frequencies was significant in the pulse treatment group at 1 (P<.01), 2 (P<.05), and 4 weeks (P<.05) after the start of treatment. Visual function test results at 12 weeks and 1 year were essentially the same in the two treatment groups. Side effects appeared more frequently in the pulse treatment group than in the control (P<.05). CONCLUSIONS: Pulse treatment does not appear effective for idiopathic optic neuritis even though visual function in the pulse treatment group of this trial recovered more quickly during the initial phase compared to the controls. More effective and specific treatment should be established for optic neuritis.

Adolescent↗

Loratadine in the high performance aerospace environment.

BACKGROUND: Authors have unanimously reported that 10 mg of loratadine does not produce sedation. A small risk of sedation may exist and may not have been discovered by those studies due to their small sample size. HYPOTHESIS: Using combined data, there is no increased risk of sedation over placebo for patients using 10 mg of loratadine daily. METHODS: Literature search and meta-analysis of published data was performed. RESULTS: Pooled data showed sedation in 25 of 517 patients given 10 mg of loratadine, and 24 of 510 patients given placebo. The relative risk was 1.03, with a confidence interval from 0.59 to 1.77. Sleepiness was objectively studied using the multiple sleep latency test. Patients treated with 10 mg of loratadine did not have excess sleepiness induced; patients treated with 40 mg of loratadine did. Using 10 different methods, 20 studies did not find performance impairment in subjects given 10 mg of loratadine. Two performance studies, digit substitution and driving, showed impairment with 20 mg and 40 mg of loratadine, respectively. Physiologic studies using resting EEG had conflicting reports. There was no impairment detected in altitude studies or vestibular studies. No centrifuge or color vision data were found. CONCLUSION: Ingesting 10 mg of loratadine daily does not have sedative effects or impair cognitive-motor performance. Higher doses have demonstrated impairment. Aviation concerns that have not been addressed include centrifuge studies and color vision studies. It would be reasonable to employ loratadine in the high performance aerospace environment if these latter tests prove to be negative.

Adult↗

Optic nerve sheath decompression for nonarteritic ischemic optic neuropathy improves multiple visual function measurements.

Optic nerve sheath decompression was performed in seven patients with nonarteritic anterior ischemic optic neuropathy. Visual function was evaluated by measurement of visual acuity with standardized Early Treatment Diabetic Retinopathy Study charts, color vision testing, quantitation of relative afferent pupillary defects with neutral-density filters, and Goldmann and Humphrey perimetry. Visual acuity improved markedly in all patients (at least doubling of the visual angle); the peripheral visual field expanded by at least 20 degrees (as measured by Goldmann perimetry) in six patients. Three patients also experienced marked improvement in color vision, relative afferent pupillary defect, and foveal sensitivity. Our experience supports the possible beneficial effect of optic nerve sheath decompression in patients with nonarteritic anterior ischemic optic neuropathy.

Aged↗

Optimization, constraint, and history in the evolution of eyes.

Several features of the evolution of eyes and photoreceptors are examined in an effort to explore the relative roles of adaptation and historical and developmental constraints. Optical design shows clear evidence of adaptation, which in some respects approaches optima predictable from physics. The primate fovea, on the other hand, illustrates how adaptation can be channeled by developmental heritage. The primary structures of opsins reveal multiple evolutionary lineages within both Drosophila and humans. The pigments of vertebrae rods comprise a subset of opsins whose evolutionary relationships map onto the phylogeny of the parent species. The evolutionary reasons for why most rod pigments absorb maximally at 500 +/- 10 nm are obscure, as there is no convincing explanation based on adaptation alone. Rods are appropriately distinguished from cones on the basis of which opsin gene is expressed. This criterion is likely to be in conflict with other definitions in phyletic lines (e.g., geckos, snakes) that have long diurnal or nocturnal histories accompanied by loss of one or more opsin genes, followed by a secondary adaptation to life in a different photic environment. Color vision--a generalizable perception associated with the spectral composition of light--is usefully distinguished from wavelength-specific behaviors. The latter are also based on multiple visual pigments and more than one spectral class of receptors but cannot be altered by learning. The distinction is particularly forceful in bees, which exhibit both kinds of behavior. The evolution of primate color vision has been shaped by historical factors involving an extensive period of early mammalian nocturnality. Birds, by contrast, have more elaborate cones and a richer set of visual pigments. Avian color space can be represented in a tetrahedron.

Amino Acid Sequence↗

Evaluation of side effects of sildenafil in group of young healthy volunteers.

We evaluated the safety and side effects of sildenafil in a group of sexually active volunteers younger than 40 years under conditions without sexual stimulation. Single oral dose of 50 mg dildenafil (n = 20) or placebo (n = 20) was randomly administered to 40 sexually active volunteers with the mean age of 26.80 +/- 5.29 in sildenafil group and 25.70 +/- 4.95 in placebo group. All the subjects were informed about the study, but not about the medicine. The following tests were performed immediately before and 90 minutes after the administration of the medicine: resting heart rate, blood pressure, electrocardiogram, visual acuity, color vision. The subjects were also asked to describe any discomfort or difference. Mann Whitney U test was used for statistical analyses. The only statistically significant difference was between heart rates before and after the administration of the sildenafil (p = 0.02). Color vision, visual acuity tests yielded no differences. The decrease in blood pressure was not significant. The most common side effects were flushing (75% and 0%), headache (50% and 5%), dyspepsia (15% and 5%), unintentional incomplete sexual arousal (15% and 0%) and palpitation (15% and 10%) in groups of sildenafil and placebo, respectively. The only serious side effect requiring medical treatment was arthralgia on the knee in one subject. Although these side effects can be acceptable, the likelihood of these side effects needs to be made clear to potential users of this medication.

3',5'-Cyclic-GMP Phosphodiesterases↗

Spatial contrast sensitivity of birds.

Contrast sensitivity (CS) is the ability of the observer to discriminate between adjacent stimuli on the basis of their differences in relative luminosity (contrast) rather than their absolute luminances. In previous studies, using a narrow range of species, birds have been reported to have low contrast detection thresholds relative to mammals and fishes. This was an unexpected finding because birds had been traditionally reported to have excellent visual acuity and color vision. This study reports CS in six species of birds that represent a range of visual adaptations to varying environments. The species studied were American kestrels (Falco sparverius), barn owls (Tyto alba), Japanese quail (Coturnix coturnix japonica), white Carneaux pigeons (Columba livia), starlings (Sturnus vulgaris), and red-bellied woodpeckers (Melanerpes carolinus). Contrast sensitivity functions (CSFs) were obtained from these birds using the pattern electroretinogram and compared with CSFs from the literature when possible. All of these species exhibited low CS relative to humans and most mammals, which suggests that low CS is a general characteristic of birds. Their low maximum CS may represent a trade-off of contrast detection for some other ecologically vital capacity such as UV detection or other aspects of their unique color vision.

Adaptation, Physiological↗

[Sensory physiology and biomorphology of the optic papilla: analysis of correlation in normal persons].

BACKGROUND: The aim of the present study was to investigate whether the morphological variability of the optic disc has an influence on sensory test procedures. PATIENTS AND METHODS: In 52 eyes of 52 normal persons psychophysical (perimetry, color vision, contrast sensitivity) and electrophysiological (pattern-ERG and pattern-VEP) tests and planimetric papillometry were performed. A correlation analysis was made between sensory tests and area of optic disc (1.79 to 5.2 mm2) and neuroretinal rim. RESULTS: There was no significant correlation between perimetry, color vision, pattern-ERG, pattern-VEP, spatio-temporal and temporal contrast sensitivity on the one hand and optic disc area or neuroretinal rim area on the other. CONCLUSION: Results of psychophysical and electrophysiological tests do not have to be corrected with respect to the neuroretinal rim area.

Adult↗