The c-wave of the human D.C. registered ERG. I. A quantitative study of the relationship between c-wave amplitude and stimulus intensity

A review of electroretinography waveforms and models and their application in the dog

Electroretinography (ERG) is a commonly used technique to study retinal function in both clinical and research ophthalmology. ERG responses can be divided into component waveforms, analysis of which can provide insight into the health and function of different types and populations of retinal cells. In dogs, ERG has been used in the characterization of normal retinal function, as well as the diagnosis of retinal diseases and measuring effects of treatment. While many components of the recorded waveform are similar across species, dogs have several notable features that should be differentiated from the responses in humans and other animals. Additionally, modifications of standard protocols, such as changing flash frequency and stimulus color, and mathematical models of ERG waveforms have been used in studies of human retinal function but have been infrequently applied to visual electrophysiology in dogs. This review provides an overview of the origins and applications of ERG in addition to potential avenues for further characterization of responses in the dog.

Concentration-dependent effects of dopamine on the direct current electroretinogram of pigmented rabbits during prolonged intermittent recording

The direct-current (DC) electroretinogram (ERG) was studied in 24 pigmented rabbits. Four experiments were performed, each including six animals. One eye was injected intravitreally with 0.1 ml dopamine (DA) with an estimated concentration in the vitreous body of 0.0025 mM, 0.025 mM, 0.25 mM and 2.5 mM, respectively. The contralateral eye was injected with the same amount of saline. Following the injection the animals were dark adapted for 30 min and then exposed to repeated light stimuli of low intensity for almost 3 hours (series I: 1 stimulus per 3 min, 10 s duration, light intensity 6.8 x 10(2) lux). After another 30 min period of dark adaptation repeated light stimuli of high intensity were presented to the eyes (series II: 1 stimulus per 70 s, 10 s duration, light intensity 6.8 x 10(4) lux) for 33 min. In the control eyes, a slow increase with time of the a-, b- and c-wave amplitudes was observed during series I. During series II, the a- b- and c-wave amplitudes were markedly reduced between the first and the second light stimulus, but subsequently grew to a peak. The behavior of the ERG in the eyes injected with dopamine was not different from that observed in the control eyes at the lowest concentration of the drug. At higher concentrations the b- and c-wave amplitudes were reduced compared with the control eyes, and did not show the slow increase with time observed in these eyes during series I. Peak responses observed during series II in the control eyes was increasingly suppressed in the eyes treated with dopamine. Results of ERG recordings suggest that dopamine influences retinal adaptation in rabbits in a dose dependent manner.

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.

A simple and stable d.c.electrode for ocular electrophysiology

We describe the fabrication of a simple silver-silk electrode which permits remarkably stable d.c.recording of the electroretinogram (ERG) and the optic nerve response (ONR). A saline soaked wick of surgical silk, guided into a polyethylene tube connects the tissue to a coil of Ag/AgCl wire placed in a small glass vial, which is filled with 0.9% NaCl. The vial that holds the tube and the wire is closed with a rubber cap allowing easy refilling with NaCl. Examples of the usefulness of the new silver-silk electrode are shown. We applied it in experimental work in the isolated arterially perfused cat eye for d.c.recordings of the ERG and the optic nerve response (ONR), and also in vivo, in anesthetized mice to record c-waves.

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.

Effects of prolonged uniocular dark adaptation on the direct-current electroretinogram of pigmented and albino rabbits

The direct-current electroretinogram of seven pigmented and seven albino rabbits was recorded from both eyes for almost 4 h in response to repeated identical light stimuli. Stimulus duration was 10 s, light intensity was 6.8 x 10(2) lux, and the interval between the beginning of succeeding light stimuli was 3 min. The dark-adaptation period preceding light stimulation was 30 min for one of the eyes ('unoccluded eye') and 150 min for the contralateral eye ('occluded eye'), which was patched during the first part (117 min) of the experiment. In pigmented animals, the b- and c-wave amplitudes of the unoccluded eye slowly increased during the first part of the experiment but not significantly during the second. The a-wave amplitude was not significantly changed. After removal of the cover, the a- and b-wave amplitudes of the occluded eye immediately attained but not exceed the level of those in the unoccluded eye, irrespective of the light adaptation induced by the stimulus flashes previously presented to the unoccluded eye. (Control experiments on six pigmented rabbits confirmed that stimuli identical to those used in the main part of the study caused a light adaptation, since a decrease in a- and b-wave amplitudes occurred after the first light stimulus following an initial dark-adaptation period of 2 h for both eyes). In albino rabbits, electroretinogram responses were clearly discernible in the occluded eye also during the first part of the experiment, probably because of transillumination of the head. In other respects, the results were essentially similar to those of pigmented animals. The observation that occluded eyes did not dark adapt better, as judged by the electroretinogram responses, than contralateral eyes given repeated light adaptive stimuli may indicate the presence of a mechanism for transfer of adaptation information between the eyes.

The c-wave of the direct-current electroretinogram and the standing potential of the albino rabbit eye in response to repeated series of light stimuli with different interstimulus intervals

The direct-current electroretinogram and the standing potential of the eye of seven albino rabbits were recorded in response to repeated light stimuli, which were presented in four consecutive series. The intervals between the beginning of succeeding stimuli were 8 minutes, 4 minutes, 2 minutes and 70 seconds (series 1, 2, 3 and 4, respectively). Stimulus duration (10 seconds) and light intensity (6.8 x 10(4) lux) were constant during the experiments. The series lasted for 36-40 minutes, and each was preceded by 30 minutes of dark adaptation. During series 1, the end amplitudes of the a-, b- and c-waves were not significantly changed compared with the initial levels. During series 2, 3 and 4, the a-, b- and c-wave amplitudes were markedly reduced immediately after the first electroretinogram recording. The a- and b-waves then recovered to a limited extent, but the c-wave was more fully restored. A slight peak in the c-wave amplitude could be discerned 16-20 minutes after the start of recording. A decrease in the standing potential was seen 50-54 seconds after the start of light stimulation during all four series, and a peak occurred 12-16 minutes after the start of recording. The similarity in behavior between the c-wave and the standing potential suggests the operation of a pigment epithelial mechanism behind the more complete recovery of the c-wave amplitude. When electroretinogram amplitudes and standing potential levels are discussed, and when one experiment is compared with another one, it is important that adaptational and stimulus conditions, as well as time course, are well controlled and clearly specified.

The c-wave of the direct-current-recorded electroretinogram and the standing potential of the albino rabbit eye in response to repeated series of light stimuli of different intensities

In 10 experiments on five albino rabbits, the direct-current electroretinogram and the standing potential of the eye were recorded in response to repeated light stimuli (duration, 10 s; interval, 70 s), presented in four series, each consisting of 25 light flashes. Light intensities were, in order of presentation to the eyes, 3, 2, 1 and 0 log rel units (series I, II, III and IV, respectively) below the maximum output of the system. Thirty minutes of dark adaptation preceded each series. At the end of series I, the mean amplitudes of the b- and c-waves were higher and that of the a-wave relatively unchanged compared with the corresponding initial amplitudes. During series II-IV, there was a marked decrease in mean a- and b-wave amplitudes between the first and the following electroretinogram responses, and at the end of the three series, the amplitudes were still significantly reduced compared with the corresponding initial values. The mean c-wave amplitude was also markedly decreased immediately after the first electroretinogram recording, but it later recovered to a large extent. A peak in the c-wave amplitude was discerned about 14-18 minutes after the start of the recordings. A standing potential minimum during the second light stimulus was followed by a peak after about 10-13 minutes. The partially parallel behavior of the c-wave and the standing potential suggests the operation of a pigment epithelial mechanism behind the recovery of the c-wave amplitude. The final amplitudes of the b- and c-waves, and to a large extent also of the a-wave, were about the same irrespective of stimulus intensity. The adaptational processes in the rabbit appear to be more complicated than was previously thought. When electroretinogram amplitudes and standing potential levels are discussed and when one experiment is compared with another one, it is important that adaptational and stimulus conditions, as well as time course, are well controlled and clearly specified.

A DC electroretinography method for the recording of human a-, b- and c-waves

In the clinical ERG the c-wave is not usually recorded due to methodological problems. Because of the potential importance of the c-wave recording in assessing the function of the pigment epithelium in several retinal diseases, we describe a DC ERG method which is convenient for the patient and suitable also for clinical practice. The light stimuli are provided by a Ganzfeld stimulator and the potentials are recorded with a disposable corneal wick electrode. The method allows the recording of the c-wave from co-operative subjects as well as to study the a- and b-wave properties.

Effects of intravitreal perfusion with dopamine in different concentrations on the DC electroretinogram and the standing potential of the albino rabbit eye

The direct current electroretinogram and the standing potential were recorded from both eyes of 23 albino rabbits during intraocular perfusion of one of the eyes, which was vitrectomized, with a physiologic reference solution (PHS). PHS was then replaced by a test solution containing dopamine dissolved in PHS. The fluids were subsequently alternated (PHS-dopamine-PHS). During irrigation with 0.25-0.5 mM dopamine (11 rabbits) the c-wave amplitude was 140% higher (p less than 0.001) and during irrigation with 25 mM dopamine (6 rabbits) 85% lower (p less than 0.01) than it was during the corresponding initial perfusion with PHS. The simultaneously recorded b-wave amplitude was reduced (0.25-0.5 mM: -22%, p less than 0.001; 25 mM: -69%, p less than 0.001) and the SP level increased (0.25-0.5 mM: +2375 microV, p less than 0.01; 25 mM: +2530 microV, p less than 0.05) compared with the values obtained during the corresponding preceding irrigation with PHS. Thus the changes in the b- and c-wave amplitudes during perfusion with dopamine were dependent on the concentration of the drug. In the contralateral control eye (23 rabbits) the c-wave amplitude was 21% higher (p less than 0.001), the b-wave amplitude 14% higher (p less than 0.001) and the standing potential 1007 microV higher (p less than 0.001) during intravitreal perfusion with dopamine in the other eye than during the preceding irrigation with PHS in that eye, possibly as a result of increasing dark adaptation.

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.

Effects of low doses of forskolin on the c-wave of the direct current electroretinogram and on the standing potential of the eye

A marked effect of prostaglandins on the b- and c-waves of the direct current electroretinogram was recently reported by our laboratory. The increased b- and c-wave amplitudes in response to prostaglandins may be mediated by cyclic nucleotides acting on fluid and ion transport across the retinal pigment epithelium (RPE). Forskolin is known to increase cyclic adenosine monophosphate in a number of tissues, among them the RPE. To study possible effects of forskolin on the ERG vitrectomy was performed on rabbit eyes, followed by intraocular irrigation with a forskolin solution (10 micrograms/ml PHS). Forskolin produced reversible ERG changes with increase in a- (24%, p less than 0.001), b- (25%, p less than 0.001) and c-wave (53%, p less than 0.001) amplitudes and elevation (about 1.0-1.5 mV, p less than 0.01) of the standing potential of the eye. The increase in c-wave amplitude was significantly greater than that of the a- (p less than 0.05) and b- (p less than 0.01) wave amplitudes, which seems to imply a primary or at least major effect on the RPE.

C-wave versus electrooculogram in diseases of the retinal pigment epithelium

The c-wave and the electrooculogram (EOG) are retinal potentials predominantly generated by the pigment epithelium. In most diseases both parameters show a parallel decrease in amplitude. However, in patients with dominant drusen, and cone dystrophies, and in clinically nonaffected members of families suffering from vitelliform macula degeneration, the EOG is close to normal whereas the c-wave shows a reduced amplitude. These findings suggest a higher sensitivity of the generators of the c-wave compared with those responsible for the EOG. Thus the direct current electroretinogram provides additional diagnostic information.

Effects of intraocular irrigation with melatonin on the c-wave of the direct current electroretinogram and on the standing potential of the eye in albino rabbits

The direct current electroretinogram (ERG) and the standing potential (SP) were recorded from both eyes of 14 albino rabbits during intraocular perfusion of one of the eyes, which was vitrectomized, with a recently developed eye irrigation solution (PHS) produced by Pharmacia Ophthalmics. PHS was then replaced by a test solution containing melatonin dissolved in PHS (0.002 microM-200 microM). The fluids were subsequently alternated (PHS - melatonin - PHS). During uniocular irrigation with melatonin the mean c-wave amplitude and SP level of the intact control eye were increased (c-wave +24%, p less than 0.01; SP +0.65 mV, p less than 0.05) compared with the values during the initial perfusion with PHS. In contrast, the c-wave amplitude of the irrigated eye was markedly decreased in many rabbits during perfusion with melatonin compared with the initial PHS, but the mean reduction was small and not statistically significant. The mean SP level was reduced (-1.54 mV, p less than 0.001). This difference between the eyes probably depends on the route by which melatonin reaches the retinal pigment epithelium and thus whether it primarily affects the apical (as in the irrigated eye) or the basal (as in the control eye) pigment epithelial membrane. A peak in the b-wave amplitude was observed in both eyes during uniocular irrigation with melatonin when compared with the amplitude measured during the initial perfusion with PHS (irrigated eye: +27%, p less than 0.001; control eye +18%, p less than 0.002).

Photic damage to the eye: selective extinction of the c-wave of the electroretinogram

Albino rabbits were exposed to strong visible light that had passed several infrared-absorbing filters. Photic damage to the retina and pigment epithelium was studied by means of the direct current electroretinogram (dc-ERG) which allows stable registrations of the slow c-wave from the pigment epithelium as well as the relatively fast a- and b-waves from the neuroretina. The exposure to light for 4 h gave rise to striking changes in the ERG: there was only a 25% decrease in the b-wave but a total disappearance of the normally very large c-wave. At the site of the c-wave in the ERG there appeared a negative trough. The electroretinographic evidence of this study seems to indicate a profound injury to the pigment epithelium (pigment epithelial cells and/or tight junctions) after exposure to strong visible light.

The DC-ERG as a highly sensitive measure of effects of prostaglandins

A few microliters of a prostaglandin preparation (PGE2 or PGF2 alpha) were injected via the ora serrata into the posterior vitreous of one of the eyes in albino rabbits. The fellow eye received an equal volume of saline intravitreally and served as control. The DC electroretinogram (ERG) and the standing potential of the eye (SP) were recorded directly with corneal contact lenses, very stable calomel electrodes, and under very constant anesthesia. The b- and c-wave amplitudes increased in response to 0.1 and 1.0 microgram of PGE2 and PGF2 alpha, respectively. At medium doses there was an increase in the b- and c-wave amplitudes followed by a long-lasting reduction. At very high, nonphysiological doses of PGE2, b- and c-wave amplitudes decreased as compared with the control eye. Prostaglandins modify inflammatory reactions, influence ion transport across membranes, modulate synaptic transmission, and regulate blood flow to various organs. Effects of extremely low doses on the retina and pigment epithelium might indicate a transmitter-like nature of prostaglandins. The present experimental model might be of use in studies of inflammatory eye disease, prostaglandin inhibitors, and characteristics of the pigment epithelial membranes.

Toxic ocular effects of two fibrinolytic drugs. An experimental electroretinographic study on albino rabbits

The toxic effects on rabbit eyes of 2 intravitreally injected fibrinolytic substances at different concentrations were studied with repeated clinical observations and registrations of the DC ERG. The fellow, control eye of each animal was injected with saline. Urokinase (Ukidan, Serono) (13 rabbits) initially produced aqueous flare (64%), iris hyperaemia (36%) vitreous opacities (27%) and small retinal haemorrhages (18%). 2-3 months after the injection cataract (50%), vitreous opacities (25%) and retinal changes (13%) were observed. The highest dose (10 000 Ploug units) caused reduction of the ERG b-wave, as a sign of retinal toxicity. Tissue activator (D-44, Centre d'immunologie et de biologie Pierre Fabre) (10 rabbits) produced marked aqueous flare (initially 100%, after 2 weeks 50%) and pronounced, persistent vitreous opacities (25% after 2-3 months). At the late stage corneal blood vessels (38%) and cataract (38%) were also found, but only in eyes injected with the highest dose (1000 units), which was retinotoxic as judged by the ERG (reduced b- and c-waves).

The amplitude of the c wave in the human ERG as a function of the luminous energy of the stimulus

Variation of the stimulus intensity and duration over a wide range causes a change in amplitude of the c wave. If the energy of the applied stimulus is kept constant, however, stimuli of 0.05-4 s duration effected c waves that were nearly equal in amplitude. As patients consider shorter stimuli with higher intensities to be more comfortable in ERG recording, stimuli of a duration of 2-4 s seem most appropriate for clinical testing.

The c-wave of the electroretinogram in vitelliruptive macular degeneration (älvdalssjukan)

The d.c. ERG and the EOG were recorded from 6 patients with vitelliruptive macular degeneration (VMD, Alvdalssjukan). All EOGs were highly pathological. The a- and b-waves of the ERG were normal. These are pathognomonic findings in VMD, which starts as a generalized disturbance of the pigment epithelium. No signs of a c-wave were seen in 4 patients. Small c-waves occurred in 2 patients, but only under certain stimulus conditions. The major positive component of the c-wave is produced by the pigment epithelium -- receptor complex. Absent or pathological c-waves in VMD, a pigment epithelial disease, are in good agreement with what is known about the origin of the c-wave.

Early effects of sodium iodate on the directly recorded standing potential of the eye and on the c-wave of the DC registered electroretinogram in albino rabbits

The early effects of intravenously administered sodium iodate (NaIO3) on the directly recorded standing potential (SP) of the eye and on the c- and b-waves of the DC registered ERG were studied in 8 anaesthetized albino rabbits. In 5 of 6 animals obtaining 40 mg NaIO3/kg bwt. the SP decreased immediately following the injection, and had attained a level 3.5 - 4 mV below the original one after 1 h. The c-wave declined rapidly and 6 min after the injection it was replaced by a large cornea-negative potential. The b-wave was relatively unchanged except in one animal. In 2 rabbits treated with 30 mg NaIO3/kg btw. and in the 6th animal obtaining 40 mg NaIO3/kg bwt. an SP increase instead of a decrease was seen, and the c-wave was more slowly (about 22 min after the injection) replaced by the cornea-negative potential. The b-wave was somewhat increases. These results demonstrate the dose-related and inter-individual variability in the SP reaction to NaIO3 and are in good agreement with the well-known ultrastructural pigment epithelial injury and c-wave changes produced by this substance.

The ERG c-wave in vitelliruptive macular degeneration (VMD)

D.c. ERG registrations and EOG recordings were obtained from six patients with vitelliruptive macular degeneration (VMD). In all cases the EOG was highly pathological, but the alpha- and beta-waves of the ERG were normal. This is typical of VMD, which starts as a generalized defect of the pigment epithelium. Four patients showed no evidence of a c-wave. The other patients demonstrated small c-waves, but only under certain stimulus conditions. Thus, varying stimulus durations, intensities and frequencies are sometimes needed to decide whether or not ERG c-waves can be elicited in different diseases or suspected disorders. The findings are in agreement with the presence of a generalized pigment epithelial defect in VMD, since the major positive component of the c-wave is generated by the pigment epithelium-receptor complex.

The c-wave of the human electroretinogram in central retinal artery occlusion

The pigment epithelium-receptor complex, which is supplied from the choroidal circulation, is the main source of the c-wave of the ERG. Occlusion of the central retinal artery (OCRA), which causes serious damage to the inner retinal layers, should therefore not primarily be expected to affect the c-wave amplitude. Nevertheless, conflicting reports of increased, decreased and unchanged c-waves have appeared in the literature. In the present study on four patients with OCRA the affected eyes showed diminished b- and c-waves. On the other hand, both the a-wave and the trough between the b- and c-waves were accentuated in the diseased eyes. Experiments in progress on Cynomolgus monkeys with experimentally induced unilateral OCRA show similar results.

The influence of stimulus duration on the human d.c. registered c-wave. A quantitative study

The c-wave of the human ERG was studied at different stimulus durations with a d.c. technique which permitted stable and reproducible recordings. With increasing stimulus lengths the implicit time increased up to a maximum of about 5.5 s. Also the amplitude of the c-wave rose. However, it was influenced by positive and negative off-effects, seen in most volunteers, and at several stimulus lengths superimposed upon the peak of the c-wave. This fact must be considered when developing a standardized method for measuring the c-wave amplitude proper.

ERG of humans without C-wave

Three out of 18 healthy persons investigated with the DC-ERG do not show a c-wave. By varying the adaptation levels and intensities of the stimuli four components in the human ERG can be isolated, the cone and rod late receptor potentials, the positive DC response, and a c-wave in most subjects. It is suggested that investigation of these components reveals a more detailed understanding of the pathophysiologic mechanisms in some retinal diseases.

Experiments concerning the human C-wave

The dependence of the human c-wave from the step amplitude was studied qualitatively. The maximum of the c-wave is achieved with light stimuli longer than 10 sec. After a dark period of 10 sec a fully developed c-wave appears. Also, in response to a brilliant photoflash a c-wave could be recorded. The influence of a mobile pupil on the response in the DC-ERG is demonstrated. Responses of the retinal potential to square wave and sinusoidal stimuli of different period times have been registered.

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.