Radiation retinopathy: electron microscopy of retina and optic nerve.

A 4 1/2 year old female was treated for embryonal rhabdomyosarcoma of the left orbit in 1975 with radiation (59.5 Gy in 5 weeks), followed by chemotherapy. An electroretinogram (ERG) in March, 1988 revealed cone responses 3% of normal and no rod responses in the left eye, and normal responses in the right eye. The eye was enucleated in April 1988. In the fovea no choroidocapillaris was seen at the intact Bruch's membrane, and the pigment epithelium was preserved only in small patches. No photoreceptor cells were seen in the areas devoid of pigment epithelial cells. The parafoveal and peripheral (30 degrees eccentricity) retina was better preserved. The thickness of the layer of rods and cones and of Henle's fiber layer was reduced. Very few outer segments were present. Macrophages had invaded the retinal tissue in moderate numbers. The retinal vessels were ensheathed by several layers of collagen fibrils. The spatial densities of pigment epithelial, cone, rod, and bipolar cells had been reduced. The optic nerve contained a total number of 1,022,000 nerve fibers.

The fiber system of the choroidocapillaris.

In the central choroid of three cynomolgus monkeys (Macaca irus) and a baboon (Papio anubis) the shape of the choroidocapillary sinus is determined by a system of interstitial collagen fibers, the "fiber system of the choroidocapillaris". The inner leaflet of this system is Bruch's membrane. The outer leaflet consists of interwoven collagen bundles, covering the roof of the capillary sinus. Straight bundles of collagen fibers passing through connective tissue columns in the choroidocapillary sinus connect both leaflets. Forces created by changes in the arterial tone in the vascular stroma may be transmitted by the choroidocapillary fiber system to the elastic layer of Bruch's membrane.

Quantitative morphology of the central fovea in the primate retina.

Electron micrograph composites of tangenital sections of the fovea centralis of three cynomolgus monkeys (Macaca irus) and one baboon (Papio anubis) were used to determine the spatial density of the principal retinal cells. In the center of the foveola, the density of cones ranged from 113,000 to 230,000/mm2, and pigment epithelial cells from 4,900 to 7,000/mm2. At a distance of 500 microns from the foveolar center the density of the cone cell pedicles ranged from 29,000 to 36,300/mm2, and the density of horizontal cells ranged from 19,000 to 25,100/mm2. Densities of bipolar, Müller, and amacrine cells were determined in only two monkeys and in the baboon. The fact that the cone cell pedicles have a larger diameter than the foveolar cones explains the geometry of the fovea. The morphology of the junction between foveolar cone outer segments and the pigment epithelium reflects the complex metabolism of this functional unit. The comparison with the peripheral primate retina suggests that the densities of horizontal and bipolar cells, but not of amacrine and Müller cells, are correlated with the density of cone cell pedicles.

Discontinuities of the external limiting membrane in the fovea centralis of the primate retina.

In the center of the fovea centralis of retinas of three cynomolgus monkeys, one baboon and one male human, the external limiting membrane contains circumscribed areas in which zonulae adherentes are lacking between cone inner segments and apices of Müller cells. These discontinuities of the external limiting membrane begin about 300 microns from the foveolar center, involving only a few cones. Towards the center of the fovea the discontinuities become larger.

Ultrastructural evidence for lymphatic capillaries in the primate choroid.

In the choroid of three cynomolgus monkeys (Macaca irus) and of one baboon (Papio anubis) lymphatic capillaries were demonstrated by transmission electron microscopy.

Quantitative morphology of the primate peripheral retina (Macaca irus).

By using electron microscopy to study the quantitative morphology of the retina, it was possible to determine the spatial density of all principal retinal cells at a defined retinal location. In two retinas of cynomolgus monkeys at a position of 30 degrees nasal of the fovea centralis, the following cell densities were determined from composite electron micrographs: retinal pigment epithelium: 3,400 cell/mm2; rod cells: 115,000 and 168,000 cells/mm2; cone cells: 8,200/mm2; horizontal cells: 7,000/mm2; bipolar cells: 50,000/mm2; amacrine cells: 11,500/mm2; Müller cells: 16,000/mm2; and ganglion cells: 5,350 and 6,750/mm2.