A New Method for D.C. Registration of the Human ERG at Low and Conventional Stimulus Intensities. In: Dodt E, Pearlman JT, editors. XIth I.S.C.E.R.G. Symposium. Dordrecht: Springer Netherlands; 1974. pp. 229-35. [DOI: 10.1007/978-94-010-2340-5_26]

Electrophysiology in pigment epithelial changes

The c-wave of the ERG and the slow SP variations reflect mainly the activity of the pigment epithelium. However, both potentials are dependent upon the photoreceptors and/or the inner retina as well. In pigment epithelial abnormalities the c-wave is reduced or abolished, and the slow SP variations, d.c. recorded directly or investigated with the EOG, reduced or abolished as well.

Corneal D.C. recordings of slow ocular potential changes such as the ERG c-wave and the light peak in clinical work. Equipment and examples of results

A set-up for D.C. recordings of slow ocular potentials such as the c-wave of the electroretinogram (ERG) as well as the fast oscillation (FO), the light peak (LP) and the dark trough (DT) in both clinical and experimental work is described. It includes matched calomel half-cells connected by saline-agar bridges to a corneal contact lens on the eye and a reference chamber on the forehead, a low-drift differential-input D.C. amplifier, an A/D converter, a computer, a thermoprinter, a flexible disc memory, a plotter, and a device for light stimulation controlled by the computer. Examples of the usefulness of the set-up in clinical work are shown in the form of D.C. c-wave ERGs of normal subjects as well as of patients with vitelliform macular degeneration, choriocapillaris atrophy, and retinitis pigmentosa. The direct corneal recording of the FO and LP is demonstrated as well. The different origins of the standing potential (SP) of the eye, the ERG c-wave, the FO and the LP are reviewed briefly.

The function of the retina in the perfused eye

The data show that the enucleated eye of the cat can be maintained in apparently physiologically functioning condition by appropriate arterial perfusion. Under appropriate conditions, photically evoked electrical mass responses can be recorded from various parts of the isolated, perfused eye for 8 to 10 hours. ERGs as well as responses from axonal bundles of the optic nerve exhibit shapes, amplitudes and time courses comparable to their counterparts in vivo. Homeostasis of the perfusion ensures the stability of these light-evoked electrical responses. Transient changes in biophysical parameters of the perfusate rapidly induce marked, although reversible, changes in the amplitudes of b-waves of the ERGs. Increases or decreases in the flow rate of the perfusate induce parallel increases or decreases in the amplitudes of the b-waves as well as of the optic nerve responses. Similar alterations in the oxygen concentration of the perfusate induce similar and proportional changes in the amplitudes of the b-waves. It is concluded, that low flow rates of hemoglobin-free perfusate induce hypoxia; consequently, acceleration of the flow can compensate for hypoxia in a certain range. Previous studies on the effects of and recovery after transient hypoxia in mammalian retina are in concordance with the present data. Progressive decrease of temperature induces gradual and reversible reductions in the amplitudes of the b-waves and increases their latencies and peak-times. It is suggested, that initial hypothermia, which occurs during the period of cannulation, reduces the deliterious effects of the coincident unavoidable hypoxia on retinal neuronal elements. Since light-evoked electrical responses can be maintained for many hours in these preparations and since movements of cardiovascular and respiratory origin, invariably present to varying extent in the in vivo experiments, are eliminated, this preparation is suitable for intracellular recordings from neuronal elements of the retina. Potentials were recorded from cells in various layers of the retina of the cat; intracellular recordings from horizontal cells (S-potentials) are described in detail. Spectral analysis of S-potentials allowed to distinguish between three types according to their inputs: a mixed, rod-cone type, which was most frequently encountered, a pure cone- and a pure rod-type. Light- and electronmicroscopic investigation of the retina after perfusion revealed that (1) the extent of cellular damage depends on the flow rate of the perfusate; (2) little cellular damage is observed if medium flow rates, which maintain physiologic responsiveness of the isolated eye to light, were applied for two hours; (3) high flow rates applied for two hours, or medium flow rates applied for 7 hours appear to induce cystic changes in the pigment epithelium, but only minor changes in the cells of the inner nuclear layer.