The effect of barbiturate on retinal functions. II. Effects on the C-wave of the electroretinogram and the standing potential of the sheep eye

The determination of dark adaptation time using electroretinography in conscious miniature Schnauzer dogs

The optimal dark adaptation time of electroretinograms (ERG's) performed on conscious dogs were determined using a commercially available ERG unit with a contact lens electrode and a built-in light source (LED-electrode). The ERG recordings were performed on nine healthy Miniature Schnauzer dogs. The bilateral ERG's at seven different dark adaptation times at an intensity of 2.5 cd·s/m² was performed. Signal averaging (4 flashes of light stimuli) was adopted to reduce electrophysiologic noise. As the dark adaptation time increased, a significant increase in the mean a-wave amplitudes was observed in comparison to base-line levels up to 10 min (p < 0.05). Thereafter, no significant differences in amplitude occured over the dark adaptation time. Moreover, at this time the mean amplitude was 60.30 ± 18.47 µV. However, no significant changes were observed for the implicit times of the a-wave. The implicit times and amplitude of the b-wave increased significantly up to 20 min of dark adaptation (p < 0.05). Beyond this time, the mean b-wave amplitudes was 132.92 ± 17.79 µV. The results of the present study demonstrate that, the optimal dark adaptation time when performing ERG's, should be at least 20 min in conscious Miniature Schnauzer dogs.

Propofol modulates inner retina function in Beagles

PURPOSE

To further understand a common veterinary anesthetic, propofol (2,6- di-isopropylphenol) and effects of infusion rates on the retinal neurons in Beagle dogs.

METHODS

Standard full-field blue xenon-flash stimulation elicited responses of dark-adapted eyes, which were recorded from dogs before and after a propofol infusion rate increase.

RESULTS

Electroretinogram b-waves increased significantly after the infusion rate increase and decreased with decline (P < 0.0001). Also, a weak significance (P = 0.041) for a-wave peak amplitude increase was found after infusion rate increase. The initial part (first 18 ms) of the leading edge of the a-wave remained unchanged. No significant differences in times to a- and b-wave peaks were found.

CONCLUSION

Enhanced b-wave response and decline is due to sensitivity of postreceptoral cells, possibly interplexiform and amacrine cells, to propofol concentration.

From basic to clinical research: a journey with the retina, the retinal pigment epithelium, the cornea, age-related macular degeneration and hereditary degenerations, as seen in the rear view mirror

PURPOSE

This Acta Ophthalmologica Award and Gold Medal Honorary Lecture (the Lundsgaard Gold Medal Honorary Lecture) reviews some of the work I have carried out with my mentors and many of my wonderful collaborators and research students over more than 40 years, also including related work by other groups. It concentrates on the basic electrophysiology and ultrastructure of the retina and the retinal pigment epithelium (RPE), as well as covering basic and clinical aspects of the cornea, contact lenses, age-related macular degeneration (AMD) and hereditary diseases.

METHODS

The review describes research performed using light and electron microscopy, basic and clinical electrophysiology, genetics and biochemistry in animal experiments and in research on patients. It also outlines clinically used techniques, such as laser and photodynamic treatment and scanning laser ophthalmoscopy.

RESULTS

The paper reports on the following subjects: the mechanisms behind some of the electrical potentials originating in the retina and the RPE and the use of these potentials in hereditary diseases; corneal receptors for lectins and presumably for bacteria; the turnover of the photoreceptor outer segment and the formation of lipofuscin, including the relation of these processes to AMD; certain treatments for AMD, and hereditary degenerations in animal models, such as the RPE65 gene mutation in Briard dogs, which makes them a model of Leber's congenital amaurosis. The dogs are now treated successfully with gene therapy in the USA, and a clinical trial is in preparation.

CONCLUSIONS

During the last 40 years we have had the good fortune to experience a dramatic growth in knowledge and understanding within ophthalmic science of basic mechanisms. Huge progress has been made in diagnostics and clinical ophthalmological treatments, much to the benefit of our patients. Even a small contribution made by my group to these developments has been well worth the effort, particularly as scientific work is not just deeply satisfying: it is also fun!

Long-term behavior and intra-individual stability of the direct current electroretinogram and of the standing potential in the albino rabbit eye

The direct current electroretinogram (ERG) and the standing potential (SP) were studied in seven albino rabbits under general anesthesia. Identical experiments were performed on 2 consecutive days. After 30 min of dark adaptation, repeated light stimuli of maximal intensity of the system were presented to the eyes. The interstimulus interval was 70 s, and stimulus duration 10 s. Each experiment lasted for almost 3 h. In the first experiment, the b- and c-wave amplitudes measured in response to the second light stimulus were markedly reduced compared to those recorded in response to the first stimulus. Both amplitudes then recovered. The b-wave attained a peak about 20 min after the start of light stimulation. The peak was followed by a trough about 20 min later, and the amplitude then slowly increased. Following the minimum recorded during the second light stimulus, the c-wave amplitude reached a peak about 14 min after the start of stimulation. A trough in the amplitude occurred 20 min later. The amplitude then slowly increased to the end value, which was higher than the initial level. The a-wave behaved similarly to the b-wave, but the changes in most cases did not attain statistical significance. A minimum in the SP occurring at the second light stimulus was followed by a peak about 13 min after the start of light stimulation, and then by a trough about 17 min later. In the second experiment, performed one day after the first, the development of the a-, b-, and c-wave amplitudes and of the SP was similar to that observed during the first experiment, and no statistically significant differences between the two experiments were found. The reactions of the ERG and the SP were thus very stable between identical experiments performed on two consecutive days.

Changes in the Direct-Current Electroretinogram of Albino Rabbits during Prolonged Intermittent Recording

The study investigated the pattern of the direct-current electroretinogram (ERG) of albino rabbits during prolonged intermittent recording, and whether different initial dark adaptation periods or starting the experiments at different times influenced the results. We examined 27 rabbits under general anesthesia, in three experiments, each comprising nine animals. Five series (experiments 1 and 3) or four series (experiment 2) of ten repeated light stimuli were presented to the eyes with 30 minutes of dark adaptation before experiments 1 and 3, and 90 minutes before experiment 2. The dark adaptation of experiments 1 and 2 began at 10.30 a.m. and that of experiment 3 at 3.30 p.m. The interval between consecutive series of light stimuli was 33 minutes. Stimulus intensity was 680 lux, stimulus duration 10 seconds, and the interval between stimuli 3 minutes. The mean b-wave amplitude of the ten recordings in each series of stimuli increased up to the series beginning 3.5 hours (experiments 1 and 2) or 2.5 hours (experiment 3) after the start of dark adaptation. The mean c-wave amplitude increased throughout experiments 1 and 3, and up to the series beginning 3.5 hours after the start of dark adaptation in experiment 2. The mean a-wave amplitude was more stable. It seemed irrelevant for the long-term development of the mean ERG amplitudes whether the eye was dark adapted (experiment 2) or exposed to repeated light stimuli (experiments 1 and 3) during the first part of the experiment, and whether the experiments started in the morning or in the afternoon.

The potentiating effects of ethanol on the blue light depolarization of the retinal pigment epithelium

The retinal pigment epithelium (RPE) is the site of two major effects of ethanol. In humans, ethanol produces a slow damped oscillation in the steady electrical potential of the eye, which is generated primarily by the RPE. It has also been shown that ethanol potentiates the reversible, depolarizing effect of blue light on the transepithelial potential (TEP) of the isolated RPE. The present study demonstrates that in addition to the depolarizing effect of blue light on the TEP, a secondary, compensatory potential arises, which functions to maintain the TEP. The magnitude of the secondary response varies somewhat among preparations. It appears that ethanol eliminates or reduces the secondary, compensatory potential change which results in a large depolarization of the TEP when the RPE is irradiated with blue light. Microelectrode studies reveal that ethanol hyperpolarizes both the apical and basal membranes of the RPE with a greater effect noted in the apical membrane. This would account for the corneal positive potential elicited by ethanol in the human eye. Brief exposures (2-3 min) of blue light, after administration of 0.5% ethanol, results in a large (25-30 mV) depolarization of both membrane potentials as compared with 3 to 5 mV in untreated tissue. On the basis of our observations, it is hypothesized that some of the potentiating effects of ethanol in combination with other agents may result from an interference with a cellular adaptive response to impaired respiration rather than an additive effect on a common mechanism.

Photopic c-wave in the chicken ERG: sensitivity to sodium azide, epinephrine, sodium iodate, barbiturates, and other general anesthetics

The c-wave recorded in the chicken electroretinogram proved to be a cone-triggered component. The questions arose whether its reactivity to various specific drugs (sodium iodate, sodium azide, epinephrine, or barbiturates) were similar to those described for classic rod-triggered c-waves. We also tested the sensitivity of the chicken c-wave to various general anesthetics. Urethane was found to be the drug that best preserves the c-wave in electrophysiological recordings.

Some problems involved in employing the ERG c-wave in pharmacological experiments: conditioning in pigmented rabbits

The large inter- and intra-individual variations in ERG c-waves have prevented the application of the component in pharmacological experiments on the retinal pigment epithelial function. We examined some of the problems involved in employing the c-wave in pharmacological experiments using rabbit retinas. 1) Under our experimental conditions, the c-wave amplitudes in some rabbits reached equilibrium under intermittent stimuli, while in others they increased with time and did not reach a constant level in 3 h. 2) The c-wave amplitudes of the right and left eyes were similar, indicating that the contralateral eye can be used as a control during local administration of drugs. 3) The c-wave amplitude under 50 lux light had smaller inter-individual variations than that in the dark. This may be a useful indicator of the retinal pigment epithelium function when drugs are administered systemically.

Evidence for both photopic and scotopic characteristics in the c-wave of chicken and frog ERG

The electroretinographic c-wave was studied in two species with duplex retinas, the frog (rod-dominant) and the chicken (highly cone-dominant). In both species a cone driven c-wave was recorded in addition to the classical rod-driven c-wave. An attempt was made to specify the differential characteristics with respect to time-course, time integration, adaptational changes and spectral sensitivity of cone-driven vs rod-driven c-waves. These data confirm the generality of the c-wave generation by both rod and cone systems.

Changes in ultrastructure and function of the sheep pigment epithelium and retina induced by sodium iodate. II. Early effects

The present investigation shows that the membrane properties of the sheep pigment epithelial cells were very rapidly and severely affected by sodium iodate, whereas the effects concerning the neuroretina were delayed. The c-wave of the ERG was immediately abolished and replaced by a cornea-negative potential, but the a- and b-waves were preserved for about 80-100 min. Ultrastructurally the plasma membranes (particularly the basal plasma membrane) of the pigment epithelial cells were destroyed or less distinct than normally. The cell organelles were swollen and ruptured. There were indications that the pigment epithelium could no longer participate in the receptor outer segment turnover. The photoreceptor cells were morphologically undamaged, and few or no signs of injury were observed in the inner layers of the retina. The effects upon the neuroretinal functions seen after 80-100 min, consisting of a reduction of alpha- and beta-wave amplitudes, were most likely caused by an inability of the pigment epithelium to maintain in the long run its metabolic and barrier properties. It appears that at an early stage after sodium iodate injection, the present preparation may be useful for the study of the effects on the neuroretina proper of drugs and other agents.

Changes in ultrastructure and function of the sheep pigment epithelium and retina induced by sodium iodate. I. The ultrastructure of the normal pigment epithelium of the sheep

The normal ultrastructure of the sheep pigment epithelial cells is described as a basis for the interpretation of toxic (sodium iodate) effects on these cells dealt with in two following papers. The morphological features of the different cell membranes and cell organelles, particularly the phagosomes and the lipid droplets, are discussed in relation to renewal of the photoreceptor outer segment, pigment epithelial and retinal metabolism, barrier mechanisms and electrical properties.

Melanotropic drugs and retinal functions. II. Effects of phenothiazine and rifampicin on the sheep ERG

The acute effects of chlorpromazine, promethazine and rifampicin on the a-, b- and c-waves of the conventional electroretinogram (ERG) were studied in sheep. Iv administration of chlorpromazine and promethazine resulted in a b-wave amplitude decrease and an initial c-wave amplitude decrease, followed by cyclic amplitude changes resembling damped oscillations. Iv injections of rifampicin, however, resulted in cyclic changes of the c-wave amplitude without initial concomitant b-wave changes. The results of the present study indicate that rifampicin has a selective influence on the pigment epithelial cells, while chlorpromazine and promethazine seem to have more generalized retinal effects on both the neuroretina and the pigment epithelial cells.

Effects of ethyl alcohol on the directly recorded standing potential of the human eye

The effects of ethanol on the human standing potential (SP) were studied with a recently developed method, which allows direct SP recordings by means of a suction contact lens, temperature stabilized calomel electrodes and d.c. amplification. It is well known that the human SP oscillates with a frequency of about 2/hour in response to a sudden change in illumination. In the present paper marked cyclic variations of the SP, resembling damped oscillations, were provoked by a small oral dose of ethyl alcohol. A first maximum was reached after about 10 min. The difference in amplitude between the peak and the trough of the first oscillation was of the order of 4 mV. The oscillatory frequency was about 2/hour. The length of a cycle varied between 25 and 34 min in different volunteers, being fairly constant in the same subject on different occasions. The SP response to ethanol was similar both under scotopic and photopic conditions. The results correlate well with earlier findings of 2/hour oscillations in c-wave amplitude in response to ethanol, as may be expected considering the partly common origin of the c-wave and the SP.

Covariation of the simultaneously recorded c-wave and standing potential of the human eye

The c-wave and the directly recorded standing potential (SP) of the human eye were studied with the aid of a recently developed method including matched temperature stabilized calomel electrodes, d.c. amplifiers and a suction contact lens. This technique, which does not require general anaesthesia, permits simultaneous direct d.c. recordings of the SP and the c-wave in human volunteers during long-term experiments. Upon repetitive light flashes (stimulus duration 1 sec, interval 20 sec and flash intensity 4.5 rel. log units above b-wave threshold) both variables responded with slow amplitude oscillations with a frequency of about 2/hour. The oscillations were similar as to phases and frequencies. Both the potentials are held to be generated mainly in the pigment epithelium. Considering this partly common origin the observed covariation was an interesting finding.