Rods induce transient tritanopia in blue cone monochromats.

Transient tritanopia is a cone-cone post-receptoral interaction between short-wavelength (S) cones and medium (M) and long (L) wavelength cones. Blue cone monochromats have rods and S cones of normal sensitivity but lack functional M/L cones. All blue cone monochromats tested (n = 8) show significant amounts of transient tritanopia mediated by rods. Attempts to find a similar rod-S cone interaction while silencing the L/M cones in normals yielded only a small amount of S cone sensitivity loss. The results suggest an exaggerated influence of rods on the S cone pathway in the retina of blue cone monochromats.

Topography of the multifocal electroretinogram.

The functional topography of the human retina was characterized using the multifocal electroretinogram (ERG), with particular attention to the form of the decline in response with retinal eccentricity. Population response variability was examined and compared to standard full field ERG variability. Burian-Allen contact lens electrodes were used to record the cone multifocal ERG from 50 young eyes (28.3 years +/-5.9 years). Responses were recorded in 8 min from 103 retinal locations within the central +/-22 degrees. The spatial distribution of local responses showed an exponential fall-off with eccentricity. The exponential slope parameter was highly similar across individuals. Excluding responses to the central element, the fall off with eccentricity approximated a power function with an exponent of -0.6, which compares to the -0.74 exponent for the human cone density profile. The inter-individual variance in response density is greatest at the central fovea, reducing towards more peripheral locations. The logarithm of response density, however, shows approximately equal variance across eccentricity, making log density a more appropriate way to view response topography. The population range (+/-2 S.D.) of response density is 0.42 log unit, similar to that of standardized ganzfeld electroretinography. The response exponential decay provides a potentially useful addition to element-by-element comparison, in deciding whether an eye's response is within normal limits.

Visual performance after photorefractive keratectomy. A prospective study.

OBJECTIVE: To prospectively examine the effect of excimer laser photorefractive keratectomy (PRK) on best-corrected visual performance using psychophysical tests that were likely to be more sensitive to image degradation than high-contrast Snellen visual acuity. DESIGN: Prospective cases series. PATIENTS: A cohort of 18 subjects with an average of -5.08 diopters (D) of myopia (SD = +/- 1.63 D) was tested before PRK and at 3, 6, and 12 months after PRK. INTERVENTION: Photorefractive keratectomy was performed using a laser (Excimed UV200, Summit Technology, Waltham, Mass) and a polymethylmethacrylate mask; a 5-mm ablation zone was used. MAIN OUTCOME MEASURES: Best-corrected high-contrast visual acuity, best-corrected low-contrast visual acuity (18% Weber contrast), and best-corrected letter-contrast sensitivity. Measurements were repeated with dilated pupils and in the presence of a glare source. RESULTS: One year after PRK, the mean best-corrected high-contrast visual acuity was reduced by half a line (P = .01), and the mean best-corrected low-contrast visual acuity was reduced by 1 1/2 lines (P = .002). The losses were somewhat greater when the subject's pupils were dilated and a glare source was used. The reduction in dilated low-contrast visual acuity was positively correlated with the decentration of the ablation zone (r = 0.47), providing evidence of an association between corneal topography and the functional outcome of PRK. CONCLUSION: Low-contrast visual acuity losses after PRK are notably greater than high-contrast visual acuity losses for best-corrected vision. Low-contrast visual acuity is a sensitive measure for gauging the outcome success and safety of refractive surgery.

Clinical vision characteristics of the congenital achromatopsias. I. Visual acuity, refractive error, and binocular status.

Visual acuity, refractive error, and binocular status were determined in 43 autosomal recessive (AR) and 15 X-linked (XL) congenital achromats. The achromats were classified by color matching and spectral sensitivity data. Large interindividual variation in refractive error and visual acuity was present within each achromat group (complete AR, incomplete AR, and XL). However, the number of individuals with significant interocular acuity differences is very small. Most XLs are myopic; ARs show a wide range of refractive error from high myopia to high hyperopia. Acuity of the AR and XL groups was very similar. With-the-rule astigmatism of large amount is very common in achromats, particularly ARs. There is a close association between strabismus and interocular acuity differences in the ARs, with the fixating eye having better than average acuity. The large overlap of acuity and refractive error of XL and AR achromats suggests that these measures are less useful for differential diagnosis than generally indicated by the clinical literature.

Clinical vision characteristics of the congenital achromatopsias. II. Color vision.

Twelve X-linked (XL) achromats and 43 autosomal recessive (AR) achromats were tested using the Farnsworth D-15, Nagel anomaloscope, Sloan achromatopsia test, and Berson test using standard procedures. All of the tests identify achromatopsia, but very few differentially diagnose the various types. AR achromats were subclassified as complete (rods only) or incomplete (residual cone function present) by additional psychophysical testing. Complete and incomplete ARs do not perform differently on any clinical color vision measure, indicating that (1) rods predominantly mediate vision in both groups and (2) these tests are not useful for distinguishing between the groups. Both groups show considerable interindividual variation on all measures. Only one of the measures, the Berson test, designed to distinguish XLs from ARs, does so reliably. XLs and ARs do not differ significantly on the Nagel anomaloscope or most of the Sloan plates. The confusion angles of the D-15 do differ for the two groups, but the variability in each group makes the measure unreliable for classifying individuals. The Berson test is recommended to distinguish the XL from AR achromats.

Mechanisms underlying the detection of increments in parafoveal retina.

It is well established that the spectral sensitivity under photopic conditions varies across the human retina. We investigate the mechanisms underlying these spectral changes. Through the use of color appearance, flicker sensitivity, additivity, discrimination at threshold and modeling, we show that the changes in spectral sensitivity on a photopic white background across parafoveal retina are consistent with shifts in cone weightings to (L-M) and (M-L) chromatic channels. This two channel model, developed to account for foveal spectral sensitivity curves (Sperling & Harwerth, 1971 Science, 172, 180-184), provides a better description of parafoveal data than both a single color channel upper envelope model (comprised of a single red-green opponent channel and an achromatic mechanism) and a vector model (combining a red-green opponent channel with an achromatic component). Thus while the two channel model ([L-M] and [M-L]) of foveal color vision is generalizable to the parafovea, simple models with a unitary red/green process are not. Although the two channel model can accurately fit parafoveal spectral sensitivity curves without it, a small contribution from a luminance mechanism might improve the ability of the two channel model to account for threshold discrimination and additivity data.

Ocular toxicity of iontophoretic foscarnet in rabbits.

Transscleral iontophoresis of foscarnet is a noninvasive drug delivery system for the local treatment of cytomegalovirus (CMV) retinopathy. We determined the retinotoxic effects of transscleral iontophoresis of foscarnet. Slit-lamp biomicroscopy revealed no toxic effects for any of the treated eyes. Indirect ophthalmoscopy showed retinal and choroidal burns 1-3 mm in diameter at the site of iontophoresis in both foscarnet-treated eyes and saline-treated control eyes. Light and electron microscopy revealed focal retinal, retinal pigment epithelial, and choroidal necrosis at the site of iontophoresis but no abnormalities elsewhere. Ganzfeld electroretinographic studies revealed no response differences between foscarnet-treated eyes vs. controls.

Spatial sensitization in the short wavelength sensitive pathways under dichoptic viewing conditions.

Spatial sensitization (Westheimer) functions were measured under conditions that isolated the short wavelength sensitive pathways. The variable diameter pedestal and the test probe were either presented to the same eye (monoptic presentation) or to different eyes (dichoptic presentation). The most significant new finding was that a dichoptically presented, small, blue pedestal caused threshold elevations of about 1-2 long units for an S cone detected probe. However, a large pedestal caused little or no change in threshold. This result contrasts with previous results using white light stimuli, which showed that steadily presented dichoptic pedestals caused little or no threshold change. Furthermore, we show there is little masking when the probe is detected by the isolated M or L cone pathways. These data thus demonstrate a binocular, size dependent interaction revealed only when S cones detect the probe.

The pupil's response to short wavelength cone stimulation.

Using i.r. pupillometry, we measured the response of the pupil to tritanopic metamers alternating at 0.94 Hz. These are lights that differentially stimulate only the short wavelength (S) sensitive cones. We find a response at the alternation frequency for 5 of 7 observers. This shows, for the 5 observers, that S cone signals can influence pupil size, probably via the traditional retinotectal light reflex pathway. Changing the radiance of just one of the alternating pair of lights causes the two lights to differ in their total M + L cone stimulation. The pupil's response to this imbalance can antagonize its response to S cone stimulation. By this procedure we find that imbalances in M + L cone stimulation of less than 0.3 log10 unit offset the pupil's response to S cone stimulation of more than 0.8 log10 unit. This suggests that afferent pupillary signals from S cones are weak relative to those from M + L cones.

Cone interaction occurs in the parafovea under pi 4 stimulus conditions.

This study shows that stimulus parameters that isolate Stiles' pi 4 mechanism at the fovea do not isolate pi 4 parafoveally. Instead, the parafoveal test sensitivity peaks at 520 nm and is relatively depressed at longer wavelengths. This narrowed spectral sensitivity is not due to rod intrusion or interaction but rather suggests cone interaction for a relatively wide range of spatial and temporal parameters. The anomalous shape of the parafoveal spectral sensitivity is not found in a protanope, further supporting the view that the effect seen in normal trichromats is the result of interaction between L and M cones. The study provides a unifying explanation for discrepant results by investigators studying the chromatic properties of spatial sensitization and the contrast after-flash effect. Foveal studies found independence of pi mechanisms while parafoveal studies found interaction. The present study emphasizes the importance of retinal eccentricity on color threshold experiments.

Short-wavelength-sensitive cones do not contribute to mesopic luminosity.

It has been suggested that the short-wavelength-sensitive cones (S cones) play a significant role in the transition from scotopic to photopic vision (the Purkinje shift). We address this issue directly over a 5-log10-unit range of light levels covering scotopic, mesopic, and photopic vision. At each light level we make flicker matches to two reference stimuli by 2-Hz flicker photometry. The two reference lights (441 and 481 nm) differ only in their stimulation of S This novel technique utilizes the different magnitudes of the rod and cone Stiles--Crawford effects. Despite the large difference in S-cone stimulation by the two reference lights (more than 1 log10 unit), the pairs of luminosity functions are indistinguishable at each light level tested. The results indicate that S cones do not contribute to either photopic or mesopic luminosity.