The group specific polysaccharide antibody in children with non-suppurative sequelae of group A streptococcal infection

The kinetics of the group A specific polysaccharide antibody were studied in children with acute rheumatic fever who had no carditis, children with acute rheumatic fever who had carditis and developed rheumatic heard disease and in children with acute poststreptococcal glomerulonephritis. The children with rheumatic fever who had carditis and those who did not, were kept on continuous antistreptococcal prophylaxis. In the group of children who developed rheumatic heart disease the titer of the antibody at onset was significantly higher than those who had rheumatic fever but no carditis (P = 0.01). After a mean follow-up period of three years, a high titer was maintained in children who developed rheumatic heart disease only and was significantly higher than that found in children with rheumatic fever who had no carditis (P = 0.001) and in children with poststerptococcal nephritis (P = 0.001).

Responses of macaque ganglion cells to the relative phase of heterochromatically modulated lights

1. We measured the response of macaque ganglion cells to sinusoidally modulated red and green lights as the relative phase, theta, of the lights was varied. 2. At low frequencies, red-green ganglion cells of the parvocellular (PC-) pathway with opponent inputs from middle-wavelength sensitive (M-) and long-wavelength sensitive (L-) cones were minimally sensitive to luminance modulation (theta = 0 deg) and maximally sensitive to chromatic modulation (theta = 180 deg). With increasing frequency, the phase, theta, of minimal amplitude gradually changed, in opposite directions for cells with M- and L-cone centres. 3. At high frequencies (at and above 20 Hz), phasic cells of the magnocellular (MC-) pathway were maximally responsive when theta approximately 0 deg and minimally responsive when theta approximately 180 deg, as expected from an achromatic mechanism. At lower frequencies, the phase of minimal response shifted, for both on- and off-centre cells, to values of theta intermediate between 0 and 180 deg. This phase asymmetry was absent if the centre alone was stimulated with a small field. 4. For PC-pathway cells, it was possible to provide an account of response phase as a function of theta, using a model involving three parameters; phases of the L- and M-cone mechanisms and a L/M cone weighting term. For red-green cells, the phase parameters were monotonically related to temporal frequency and revealed a centre-surround phase difference. The phase difference was linear with a slope of 1-3 deg Hz-1. If this represents a latency difference, it would be 3-8 ms. Otherwise, temporal properties of the M- and L-cones appeared similar if not identical. By addition of a scaling term, the model could be extended to give an adequate account of the amplitude of responses. 5. We were able to activate selectively the surrounds of cells with short-wavelength (S-) cone input to their centres, and so were able to assess L/M cone weighting to the surround. M- and L-cone inputs added linearly for most cells. On average, the weighting corresponded to the Judd modification of the luminosity function although there was considerable inter-cell variability. 6. To account for results from MC-pathway cells, it was necessary to postulate a cone-opponent, chromatic input to their surrounds. We developed a receptive field model with linear summation of M- and L-cones to centre and surround, and with an additional M,L-cone opponent input to the surround.(ABSTRACT TRUNCATED AT 400 WORDS)

Sawtooth contrast sensitivity: effects of mean illuminance and low temporal frequencies

Temporal contrast sensitivity was measured for mirror-image sawtooth (rapid-on and rapid-off) and sine waveforms for a 1.8 deg foveal target. In one experiment, contrast sensitivity was measured for 2-26 Hz stimuli at target mean illuminance levels of 5-1260 td. At 5 td, contrast sensitivity functions for sawtooth and sine waveforms, expressed in terms of the Fourier fundamental amplitude, are equivalent. At higher light levels, sawtooth sensitivity increasingly exceeds sine sensitivity and rapid-off (decremental) sawtooths show progressively greater sensitivity than rapid-on (incremental) sawtooths. This pattern of results was obtained for two color-normal observers and for a deuteranopic observer. In a second experiment, sawtooth and sine sensitivity was tested at 500 td with an extended low-frequency range, to 0.5 Hz. Rapid-off and rapid-on sensitivities declined only slightly at low temporal frequencies in contrast with sine sensitivity. To interpret our data, we evaluate two single-pathway models (last-stage asymmetric detector and compressive response-intensity non-linearity) and a dual-pathway model in which incremental and decremental waveforms are detected by separate ON and OFF visual mechanisms.

Human heart sarcolemmal sheath antibodies in children with non-suppurative sequelae of group A streptococcal infections: a follow up study

The kinetics of the human heart sarcolemmal sheath antibody were studied in children with acute rheumatic fever who had no carditis, children with acute rheumatic fever who had carditis and developed rheumatic heart disease, and in children with acute poststreptococcal glomerulonephritis. The children with rheumatic fever and those who developed valvular heart disease were given continuous secondary antistreptococcal prophylaxis. The titre of antibody at onset was significantly higher than that of the controls in children with acute rheumatic fever and carditis and in children with acute poststreptococcal nephritis. The difference in the antibody titre between children with rheumatic fever who had no carditis and controls was not statistically significant. After a mean follow up of three years, however, a high titre was only maintained in children with rheumatic fever who developed valvular heart disease.

Foveal cone detection statistics in color-normals and dichromats

We measured for six male observers, the psychometric functions for the detection of two simultaneously presented points of light. The test stimuli were two 1 min point sources separated by 17 min arc, and pulsed for 0.5 msec. The stimuli varied in wavelength from 500 to 620 nm. The psychometric functions were fit with a model that assumes ideal detection and the following properties: (1) Poisson-distributed quantal absorptions; (2) binomial sampling of foveal long-wavelength-sensitive (LWS) and middle-wavelength-sensitive (MWS) cones; (3) independent responses of the LWS and MWS cones; and (4) the Smith-Pokorny fundamentals for cone spectral sensitivities. Based on chi 2 fits to the psychometric functions for detecting neither, one or both of the two-point stimuli presented, estimates were derived for the minimum quantal catch by a single cone for detection (C), the number of effective cones illuminated by a point stimulus at threshold (N) and the proportion of central foveal cones of the LWS type (PL). Three observers were color-normal, two were protanopes and one was a deuteranope. A second deuteranope was included in the design but his data were too unreliable for an unambiguous solution. The estimated quantal requirement C was consistently near 5(4-6), and the effective number of illuminated cones always was 1 or 2. The plausible range of PL (98% confidence interval) for the color-normal observers was 0.48-0.68 (observer YY), 0.76-0.90 (observer MW) and 0.77-0.95 (observer DF). The best fitting PL solution for these observers were 0.61, 0.82 and 0.88, respectively. These were comparable to the values obtained from flicker photometric data. The best PL value for each of the protanopes was 0.00 and for the deuteranope the best PL value was 0.98.

Autoxidation of stored soybean lecithin (short communication)

Soybean phospholipid concentrates, generally called lecithins, can be stored for long time in a refrigerator or even at room temperature, without apparent changes of sensory properties, and their peroxide value usually remains low. This behaviour is related to the antioxidant activity of phospholipids in refined vegetable oils [1] which was attributed to their synergistic effect in presence of tocopherols [2, 3]. Both the low peroxide content and the inhibitory activity may be explained, at least partially, by the hydroperoxide decomposing activity of phospholipids [4], the rate of hydroperoxide decomposition being proportinal to the square root of the hydroperoxide content [5]. Therefore, we have analysed several samples of lecithin to find out whether the presence of phospholipids only affects the rate of hydroperoxide accumulation or the formation of total oxidation products, respectively.

Genetic studies of variation in Rayleigh and photometric matches in normal trichromats

The inheritance of Rayleigh match midpoints and photometric matches (551-667 nm) was studied in observers with normal color vision. An analysis was performed to evaluate whether the measured interobserver variations in these two traits were consistent with single gene allelic variation, polygenic variation, or environmental factors. A bipartite 2 deg field and a computerized tracking method were used to obtain Rayleigh matches; a new photometric technique, termed heterochromatic modulation photometry (HMP), was used to obtain photometric matches. Data were collected from 72 nonrelated males to determine distribution characteristics for the normal population. The distributions were analyzed for evidence of multimodality and the results indicated that the distributions for Rayleigh match midpoints and HMP matches obtained in this study were unimodal and symmetrical. Data from 52 observers from 5 families were used to study the transmission of the two traits in pedigrees. Statistical analysis of the pedigree data suggested that the major source of variations for Rayleigh match midpoints and for HMP matches were each due to allelic variation at single gene loci; that is, each may be determined by a single gene. Results were inconclusive as to whether variation in the two traits could be determined by the same gene.

Evaluation and limitations of the lipid-associated sialic acid test for the detection of human cancer

Previous studies and those of the authors have reported about raised levels of lipid-bound sialic acid (LSA) in sera of patients with various neoplasms. Most authors have used the method of Katopodis and Stock for isolating serum LSA. Because of the discrepancy of the amount of extracted LSA with the content of pure gangliosides in sera reported by other groups the authors analyzed the composition of the extracted LSA by immunochemical approaches. They were able to isolate considerable amounts of glycoproteins containing sialic acid as acid alpha-1-glycoprotein, antitrypsin, haptoglobin, antichymotrypsin, and immunoglobulins from the so-called "LSA" fraction. There is a very strong correlation between the raised LSA levels and the content of acid-alpha-1-glycoprotein in the sera of patients with malignancy. Therefore the term lipid-bound sialic acid applied to this test is misleading, since glycoproteins containing sialic acid are mostly responsible for the high "LSA" levels.

The effect of background luminance on cone sensitivity functions

Implementations of the Wald-Marré technique have employed fixed luminance backgrounds to isolate cone sensitivity mechanisms. We evaluated the effect of varying the adaptation level on the relative isolation of the different cone types. For MWS and LWS cone isolation we used a 15 Hz flickering test light to isolate the achromatic channel, and we modelled the resulting spectral sensitivity functions as a linear sum of LWS and MWS input. We found only mild improvement in relative cone isolation with increasing adaptation level. The LWS and MWS cone mechanisms showed decreasing sensitivity with adaptation level and reached limiting Weber behavior above 1000 Td. SWS cones were isolated with a 2.4 Hz flickering light. SWS cone isolation improved with adapting level, reaching a plateau above 1000 Td. The SWS cone mechanism showed decreasing sensitivity with adaptation level but did not reach a limiting Weber region. Our data indicate that the use of fixed high adaptation levels has different effects on the cone mechanisms. Absolute sensitivity loss for LWS or MWS mechanism will not be revealed. LWS and MWS thresholds will appear normal unless there is an adaptation abnormality. On the other hand, the SWS cone thresholds would be sensitive to both absolute and increment sensitivity loss. More than one adaptation condition is needed to separate different types of sensitivity loss characteristic of eye disease.

Autosomal dominantly inherited macular dystrophy with preferential short-wavelength sensitive cone involvement

We found an apparently inherited tritan-like color vision defect in five members of a family, spanning three generations. The defect was associated with mild macular pigmentary changes, poor foveolar reflexes, or slightly reduced visual acuity in four of the affected individuals. The inheritance pattern appeared to be autosomal dominant. Results of various color vision tests indicated preferential involvement of the short-wavelength sensitive cone system, with relative preservation of the middle- and long-wavelength sensitive cone systems. Both anomaloscope testing with larger (8-degree) fields and short-wavelength sensitive electroretinography indicated some short-wavelength sensitive cone system involvement beyond the central macula in the three affected individuals on whom testing was performed. The condition appeared to be a familial macular dystrophy with preferential short-wavelength sensitive cone involvement. The abnormal macular findings and mild reduction in visual acuity distinguish this condition from congenital tritanopia; the normal optic disks distinguish it from autosomal dominant optic atrophy.

Retinal densitometry in acute posterior multifocal placoid pigment epitheliopathy

Cone photopigment kinetics were investigated by retinal densitometry in six patients with acute posterior multifocal placoid pigment epitheliopathy (APMPPE). Our goal was to document the course of cone impairment during a period of at least 12 months following the onset of the disease process. During the active stage, we found that the amount of pigment measurable by densitometry (the density difference) was reduced and that the time constant of pigment regeneration was unmeasurable. Following resolution of the fundus lesions, the densitometric parameters gradually improved in eight of ten eyes. In patients who maintained foveal fixation (five eyes), the density difference and the time constant of pigment regeneration improved simultaneously, though with individual differences in time course. Photopigment kinetics returned to normal in all these patients but the density difference remained lower than normal in four of the five eyes. In patients with parafoveal fixation (five eyes), photopigment kinetics were slow, possibly reflecting mixed cone and rod contributions. With time, the density difference improved to a level comparable to that measured in normal observers at a similar retinal location, but the photopigment regeneration time constant remained abnormal or unmeasurable. Recovery was variable, with one eye changing from parafoveal to foveal fixation, and no improvement noted in two eyes with extreme parafoveal fixation. Our findings demonstrate a large interpatient variation associated with APMPPE.

Sawtooth contrast sensitivity: decrements have the edge

Mirror-image sawtooth waveforms (rapid-on and rapid-off) were used to test for differences in sensitivity to incremental and decremental stimuli. Temporal contrast sensitivity functions were measured for rapid-on and rapid-off sawtooths and for sine wave stimuli (for 2-26 Hz, mean retinal illuminance of 500 td, circular target of 1.8 deg, foveal). Rapid-off sawtooths yielded higher sensitivity than rapid-on sawtooths at low and middle frequencies. This advantage for detection of decremental lights was confirmed in an experiment in which contrast sensitivity was determined for the sum of a rapid-on and a rapid-off waveform added over the full range of phase angles. Our data, based on periodic rather than pulsed stimuli, broaden and strengthen the evidence that the visual system is more sensitive to decrements than to increments in light level.

Foveal cone thresholds

The method of constant stimuli was used to estimate the psychometric functions for detection of one or two flashes when two light pulses were presented. The test stimulus consisted of two simultaneous 0.5 msec, 1' pulses separated by 17'. Observers reported seeing 0, 1 or 2 flashes. A computer-controlled direct-view apparatus allowed sampling of slightly different foveal locations on each trial. The data were analyzed assuming a binomial probability for sampling of L and M cones and Poisson distributed quantal fluctuation. Under these assumptions, the measurements imply that detection requires a minimum of 5-7 quanta absorbed per cone, and that the effective number of cones illuminated by the 1', 0.5 msec pulse is two. The estimated L/M cone ratio was 1.6 for one observer and 4.0 for the other; each observer's ratio was in general agreement with the value estimated independently by heterochromatic flicker photometry.

Appearance of pulsed infrared light: second harmonic generation in the eye

In certain conditions, when tho human eye is irradiated by pulsed IR laser light, the observer sees the light as yellow or green. This could be due to second harmonic generation by the cornea, the lens, the retina, or two-photon absorption by the photopigments. It is shown that the most likely cause of this phenomenon is second harmonic generation at the cornea.

Limits of binocular fusion in the short wave sensitive ("blue") cones

Stereoscopic depth perception is possible when the short wave sensitive (SWS or "Blue") cones are isolated using a yellow adapting field. We have measured the maximum disparity that can be fused (the diplopia threshold) as a function of the separation between pairs of dots or lines. Under all conditions, these diplopia thresholds are the same for the isolated SWS cones as for the entire visual system. In addition, SWS diplopia thresholds vary as a linear function of dot or line separation, so that they exhibit disparity scaling. Further experiments show that disparity scaling is dependent upon the presence of low spatial frequencies in the stimulus and not upon the retinal eccentricity of stimulation. These data indicate that the SWS cones provide information to the disparity processing system through more than one low spatial frequency channel but not through high frequency ones.

Clinical electroretinography for short wavelength sensitive cones

We measured electroretinograms (ERGs) for the isolated short-wavelength-sensitive (SWS) cones using a substitution technique. The stimulus was a 5 Hz alternation of 460 nm and 565 nm or 490 nm and 565 nm light of equivalent photopic luminous efficiency. We used a 571 nm narrow-band adaptation field of 7000 td to improve SWS cone isolation and to suppress rod activity. The resulting SWS cone ERG amplitudes were 10-30 microV with latencies of 60-80 msec. A rapid clinical protocol to assess the radiance response function of the SWS cone ERG is described.

Aging of the human lens

The optical density of the human lens changes during life. Literature concerning both the spectral density function and the rate of such changes is reviewed. Analysis indicates that two components govern the spectral lens density function, with one increasing gradually during life. The average lens density increases linearly at 400 nm by 0.12 density unit per decade between the ages of 20 and 60 and by 0.40 density unit per decade above age 60. A tabulation of the two components of the average 32-yr old lens is given, as are equations to derive the average spectral lens density functions for observers aged 20-80.

Appearance of steadily viewed lights

An interocular matching technique was used to investigate the variation of chromaticity and brightness following steady viewing of a chromatic test light (identical adapting and testing color). Adaptation times were of sufficient duration to ensure stable matches. Following chromatic adaptation we found changes in hue, saturation and brightness. The spectral colors appeared desaturated. The hue shift for the spectral region 546 to 570 nm was towards green and for 586 to 670 nm was towards red. The brightness decrease, independent of chromaticity, was 0.8 log unit at 150 td and 0.3 log unit at 8 td. Data were analyzed within a two-process framework of brightness. Bezold-Brücke effect measurements showed chromaticity shifts in the same direction as for dimming caused by continuous adaptation. Changes in saturation were also observed but were usually in the opposite direction from those found for adaptation.

Eye disease and color defects

The groundwork for understanding color defects in eye disease was established by the end of the nineteenth century. Thereafter the field was neglected as scientists concentrated on studies of normal color vision and congenital color vision defects. Spurred by the development of the Farnsworth 100 hue-test, interest was renewed in the 1950s. The past 25 years have seen an explosion of interest in color defects in eye disease. The International Research Group on Color Vision Deficiencies has played an important role in this activity. The development of new clinical tests and instruments as well as refinement of laboratory techniques are among the important developments.

Color-axis determination on the Farnsworth-Munsell 100-hue test

Error scores on the Farnsworth-Munsell 100-hue test were partitioned into those representing red-green and those representing blue-yellow losses. Data from two groups of normal observers were used. One group showed results characteristic of published norms; one group showed superior performance. Both observers showed a correlation between red-green and blue-yellow scores indicative of a strong performance factor in this test. The difference between blue-yellow and red-green scores eliminates their correlated variance and allows evaluation of the axis. Both groups showed an increase in difference scores, with age indicating development of a blue-yellow axis. This increase was significant for the observers characteristic of the norms. We suggest cutoff scores to allow a decision as to whether a given patient shows a blue-yellow or red-green axis.

Reaction times to chromatic stimuli

The relative contributions of chromatic and achromatic activity to reaction time were investigated under conditions in which spatial and temporal transients were manipulated. Simple reaction times (RT) were obtained to eight photometrically matched (1 cd/m2) wavelengths between 448 and 658 nm. These stimuli were incrementally presented on a spatially coextensive 1.2 degrees white adapting field. RT was wavelength dependent for 5 or 10 cd/m2 steady backgrounds or a 5 Hz 1.2 cd/m2 flickering background. RT varied as a trichromatic saturation-like function (slowest RT at 572 nm). In comparison, RT was wavelength independent when no adapting field was present and when the 1.2 cd/m2 field was flickered at 15 Hz.

Foveal densitometry in central serous choroidopathy

We evaluated foveal cone photopigment kinetics by retinal densitometry in 14 patients (12 men and two women, ranging in age from 30 to 54 years) with central serous choroidopathy. At the initial examinations when 12 of the 14 patients showed active leaks, the measured two-way density of pigment was low and the time-course of regeneration was slow. At later examinations, we found low two-way densities with normal regeneration times in five patients without active leakage. Near normal two-way densities occurred only in three patients who had complete clinical recoveries.

Threshold temporal integration of chromatic stimuli

We measured colorimetric purity thresholds as a function of stimulus duration for seven wavelengths between 430 and 650 nm. Purity thresholds were measured in a hue substitution mode. The purity-duration function showed decreasing purity as duration was increased to about 640 msec. Functions for different wavelengths could be fit by a fixed chromatic template displaced on the purity axis. Increment thresholds as a function of duration were measured for white and chromatic lights added to a homogeneous white stimulus field. The "white" function showed no integration beyond 160 msec and was fit by an achromatic template. The wavelength functions were not parallel; wavelengths at the spectral extremes showed longer integration times, similar to the purity-duration functions. Increment data could be fit by a vector sum of chromatic and achromatic templates.