Chromatic pupil responses: preferential activation of the melanopsin-mediated versus outer photoreceptor-mediated pupil light reflex.

Details

Serval ID
serval:BIB_21F0D7C6E1F4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Chromatic pupil responses: preferential activation of the melanopsin-mediated versus outer photoreceptor-mediated pupil light reflex.
Journal
Ophthalmology
Author(s)
Kardon R., Anderson S.C., Damarjian T.G., Grace E.M., Stone E., Kawasaki A.
ISSN
1549-4713[electronic]
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
116
Number
8
Pages
1564-73
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Abstract
OBJECTIVE: To weight the rod-, cone-, and melanopsin-mediated activation of the retinal ganglion cells, which drive the pupil light reflex by varying the light stimulus wavelength, intensity, and duration. DESIGN: Experimental study. PARTICIPANTS: Forty-three subjects with normal eyes and 3 patients with neuroretinal visual loss. METHODS: A novel stimulus paradigm was developed using either a long wavelength (red) or short wavelength (blue) light given as a continuous Ganzfeld stimulus with stepwise increases over a 2 log-unit range. The pupillary movement before, during, and after the light stimulus was recorded in real time with an infrared illuminated video camera. MAIN OUTCOME MEASURES: The percent pupil contraction of the transient and sustained pupil response to a low- (1 cd/m(2)), medium- (10 cd/m(2)), and high-intensity (100 cd/m(2)) red- and blue-light stimulus was calculated for 1 eye of each subject. From the 43 normal eyes, median and 25th, 75th, 5th, and 95th percentile values were obtained for each stimulus condition. RESULTS: In normal eyes at lower intensities, blue light evoked much greater pupil responses compared with red light when matched for photopic luminance. The transient pupil contraction was generally greater than the sustained contraction, and this disparity was greatest at the lowest light intensity and least apparent with bright (100 cd/m(2)) blue light. A patient with primarily rod dysfunction (nonrecordable scotopic electroretinogram) showed significantly reduced pupil responses to blue light at lower intensities. A patient with achromatopsia and an almost normal visual field showed selective reduction of the pupil response to red-light stimulation. A patient with ganglion cell dysfunction owing to anterior ischemic optic neuropathy demonstrated global loss of pupil responses to red and blue light in the affected eye. CONCLUSIONS: Pupil responses that differ as a function of light intensity and wavelength support the hypothesis that selected stimulus conditions can produce pupil responses that reflect phototransduction primarily mediated by rods, cones, or melanopsin. Use of chromatic pupil responses may be a novel way to diagnose and monitor diseases affecting either the outer or inner retina.
Keywords
Adult, Aged, Female, Humans, Light, Male, Middle Aged, Optic Neuropathy, Ischemic/metabolism, Photography, Photoreceptor Cells, Vertebrate/metabolism, Pupil/radiation effects, Reflex, Pupillary/radiation effects, Retinal Degeneration/metabolism, Retinal Ganglion Cells/metabolism, Retinal Photoreceptor Cell Outer Segment/metabolism, Retinal Photoreceptor Cell Outer Segment/radiation effects, Rod Opsins/metabolism, Young Adult
Pubmed
Web of science
Create date
17/11/2009 15:37
Last modification date
20/08/2019 12:58
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