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Iizuka T, Kawamorita T, Handa T, Ishikawa H. Cone contrast test-HD: sensitivity and specificity in red-green dichromacy and the impact of age. JOURNAL OF THE OPTICAL SOCIETY OF AMERICA. A, OPTICS, IMAGE SCIENCE, AND VISION 2023; 40:849-858. [PMID: 37133182 DOI: 10.1364/josaa.480467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
We report normative cone contrast sensitivity values, right-left eye agreement, and sensitivity and specificity values for the cone contrast test-HD (CCT-HD). We included 100 phakic eyes with color vision normal (CVN) and 20 dichromatic eyes (10 with protanopia and 10 with deuteranopia). The CCT-HD was used to measure L, M, and S-CCT-HD scores, and the right and left eyes were evaluated for agreement using Lin's concordance correlation coefficient (CCC) and Bland-Altman analysis to investigate the sensitivity and specificity of the CCT-HD based on diagnosis with an anomaloscope device. All cone types were in moderate agreement with the CCC (L-cone: 0.92, 95% CI, 0.86-0.95; M-cone: 0.91, 95% CI, 0.84-0.94; S-cone: 0.93, 95% CI, 0.88-0.96), whereas the Bland-Altman plots showed that the majority of cases (L-cone: 94%; M-cone: 92%; S-cone: 92%) fell within the 95% limits of agreement and showed good agreement. The m e a n±s t a n d a r d error L, M, and S-CCT-HD scores for protanopia were 0.6±1.4, 74.7±2.7, and 94.6±2.4, respectively; for deuteranopia, these were 84.0±3.4, 40.8±3.3, and 93.0±5.8, respectively; and for age-matched CVN eyes (m e a n±s t a n d a r d deviation age, 53.1±5.8 years; age range, 45-64 years), these were 98.5±3.4, 94.8±3.8, and 92.3±3.4, respectively, with significant differences between the groups except for S-CCT-HD score (Bonferroni corrected α=0.0167, p<0.0167). The sensitivity and specificity of the CCT-HD were 100% for protan and deutan in diagnosing abnormal types in those aged 20 to 64 years; however, the specificity decreased to 65% for protan and 55% for deutan in those aged >65 years. The CCT-HD is comparable to the diagnostic performance of the anomaloscope in the 20-64-year-old age group. However, the results should be interpreted cautiously in those ≥65 years, as these patients are more susceptible to acquired color vision deficiencies due to yellowing of the crystalline lens and other factors.
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Keuken A, Subramanian A, Mueller-Schotte S, Barbur JL. Age-related normal limits for spatial vision. Ophthalmic Physiol Opt 2022; 42:1363-1378. [PMID: 35979702 DOI: 10.1111/opo.13037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 07/04/2022] [Accepted: 07/04/2022] [Indexed: 01/07/2023]
Abstract
PURPOSE To establish age-related, normal limits of monocular and binocular spatial vision under photopic and mesopic conditions. METHODS Photopic and mesopic visual acuity (VA) and contrast thresholds (CTs) were measured with both positive and negative contrast optotypes under binocular and monocular viewing conditions using the Acuity-Plus (AP) test. The experiments were carried out on participants (age range from 10 to 86 years), who met pre-established, normal sight criteria. Mean and ± 2.5σ limits were calculated within each 5-year subgroup. A biologically meaningful model was then fitted to predict mean values and upper and lower threshold limits for VA and CT as a function of age. The best-fit model parameters describe normal aging of spatial vision for each of the 16 experimental conditions investigated. RESULTS Out of the 382 participants recruited for this study, 285 participants passed the selection criteria for normal aging. Log transforms were applied to ensure approximate normal distributions. Outliers were also removed for each of the 16 stimulus conditions investigated based on the ±2.5σ limit criterion. VA, CTs and the overall variability were found to be age-invariant up to ~50 years in the photopic condition. A lower, age-invariant limit of ~30 years was more appropriate for the mesopic range with a gradual, but accelerating increase in both mean thresholds and intersubject variability above this age. Binocular thresholds were smaller and much less variable when compared to the thresholds measured in either eye. Results with negative contrast optotypes were significantly better than the corresponding results measured with positive contrast (p < 0.004). CONCLUSIONS This project has established the expected age limits of spatial vision for monocular and binocular viewing under photopic and high mesopic lighting with both positive and negative contrast optotypes using a single test, which can be implemented either in the clinic or in an occupational setting.
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Affiliation(s)
- Arjan Keuken
- Applied Vision Research Centre, The Henry Wellcome Laboratories for Vision Science, City, University of London, London, UK.,Department of Optometry, University of Applied Sciences, Utrecht, The Netherlands
| | - Ahalya Subramanian
- Applied Vision Research Centre, The Henry Wellcome Laboratories for Vision Science, City, University of London, London, UK
| | - Sigrid Mueller-Schotte
- Department of Optometry, University of Applied Sciences, Utrecht, The Netherlands.,Department Technology for Healthcare Innovations, University of Applied Sciences, Utrecht, The Netherlands
| | - John L Barbur
- Applied Vision Research Centre, The Henry Wellcome Laboratories for Vision Science, City, University of London, London, UK
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Bringmann A, Barth T, Wiedemann R, Wiedemann P. Age- and sex-related variations of individual retinal layer thickness in the foveal center of healthy eyes. Exp Eye Res 2022; 219:109038. [DOI: 10.1016/j.exer.2022.109038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 03/12/2022] [Indexed: 11/26/2022]
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Kaladchibachi S, Negelspach DC, Zeitzer JM, Fernandez FX. Investigation of the aging clock's intermittent-light responses uncovers selective deficits to green millisecond flashes. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY. B, BIOLOGY 2022; 228:112389. [PMID: 35086027 DOI: 10.1016/j.jphotobiol.2022.112389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Accepted: 01/11/2022] [Indexed: 06/14/2023]
Abstract
The central pacemaker of flies, rodents, and humans generates less robust circadian output signals across normative aging. It is not well understood how changes in light sensitivity might contribute to this phenomenon. In the present study, we summarize results from an extended data series (n = 5681) showing that the locomotor activity rhythm of aged Drosophila can phase-shift normally to intermittently spaced episodes of bright polychromatic light exposure (600 lx) but that deficits emerge in response to 8, 16, and 120-millisecond flashes of narrowband blue (λm, 452 nm) and green (λm, 525 nm) LED light. For blue, phase-resetting of the activity rhythm of older flies is not as energy efficient as it is in younger flies at the fastest flash-exposures tested (8 milliseconds), suggesting there might be different floors of light duration necessary to incur photohabituation in each age group. For green, the responses of older flies are universally crippled relative to those of younger flies across the slate of protocols we tested. The difference in green flash photosensitivity is one of the most salient age-related phenotypes that has been documented in the circadian phase-shifting literature thus far. These data provide further impetus for investigations on pacemaker aging and how it might relate to changes in the circadian system's responses to particular sequences of light exposure tuned for wavelength, intensity, duration, and tempo.
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Affiliation(s)
| | | | - Jamie M Zeitzer
- Department of Psychiatry and Behavioral Sciences and Stanford Center for Sleep Sciences and Medicine, Stanford University, Stanford, CA, USA; Mental Illness Research, Education and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA
| | - Fabian-Xosé Fernandez
- Department of Psychology, University of Arizona, Tucson, AZ, USA; Department of Neurology, University of Arizona, Tucson, AZ, USA; BIO5 and McKnight Brain Research Institutes, University of Arizona, Tucson, AZ, USA.
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Braham Chaouche A, Rezaei M, Silvestre D, Arleo A, Allard R. Functionally Assessing the Age-Related Decline in the Detection Rate of Photons by Cone Photoreceptors. Front Aging Neurosci 2021; 13:744444. [PMID: 34955808 PMCID: PMC8693170 DOI: 10.3389/fnagi.2021.744444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Accepted: 11/16/2021] [Indexed: 11/29/2022] Open
Abstract
Age-related decline in visual perception is usually attributed to optical factors of the eye and neural factors. However, the detection of light by cones converting light into neural signals is a crucial intermediate processing step of vision. Interestingly, a novel functional approach can evaluate many aspects of the visual system including the detection of photons by cones. This approach was used to investigate the underlying cause of age-related visual decline and found that the detection rate of cones was considerably affected with healthy aging. This functional test enabling to evaluate the detection of photons by cones could be particularly useful to screen for retinal pathologies affecting cones such as age-related macular degeneration. However, the paradigm used to functionally measure the detection of photons was complex as it was evaluating many other properties of the visual system. The aim of the current mini review is to clarify the underlying rationale of functionally evaluating the detection of photons by cones, describe a simpler approach to evaluate it, and review the impact of aging on the detection rate of cones.
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Affiliation(s)
| | - Maryam Rezaei
- School of Optometry, Université de Montréal, Montréal, QC, Canada
| | - Daphné Silvestre
- Department of Educational and Counselling Psychology, McGill University, Montréal, QC, Canada
| | - Angelo Arleo
- INSERM, CNRS, Institut de la Vision, Sorbonne Université, Paris, France
| | - Rémy Allard
- School of Optometry, Université de Montréal, Montréal, QC, Canada
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Shinhmar H, Hogg C, Neveu M, Jeffery G. Weeklong improved colour contrasts sensitivity after single 670 nm exposures associated with enhanced mitochondrial function. Sci Rep 2021; 11:22872. [PMID: 34819619 PMCID: PMC8613193 DOI: 10.1038/s41598-021-02311-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 11/09/2021] [Indexed: 11/29/2022] Open
Abstract
Mitochondrial decline in ageing robs cells of ATP. However, animal studies show that long wavelength exposure (650–900 nm) over weeks partially restores ATP and improves function. The likely mechanism is via long wavelengths reducing nanoscopic interfacial water viscosity around ATP rota pumps, improving their efficiency. Recently, repeated 670 nm exposures have been used on the aged human retina, which has high-energy demands and significant mitochondrial and functional decline, to improve vision. We show here that single 3 min 670 nm exposures, at much lower energies than previously used, are sufficient to significantly improve for 1 week cone mediated colour contrast thresholds (detection) in ageing populations (37–70 years) to levels associated with younger subjects. But light needs to be delivered at specific times. In environments with artificial lighting humans are rarely dark-adapted, hence cone function becomes critical. This intervention, demonstrated to improve aged mitochondrial function can be applied to enhance colour vision in old age.
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Affiliation(s)
- Harpreet Shinhmar
- Institute of Ophthalmology, University College London, 11-43 Bath Street, London, EC1V9EL, UK
| | - Chris Hogg
- Institute of Ophthalmology, University College London, 11-43 Bath Street, London, EC1V9EL, UK
| | - Magella Neveu
- Institute of Ophthalmology, University College London, 11-43 Bath Street, London, EC1V9EL, UK
| | - Glen Jeffery
- Institute of Ophthalmology, University College London, 11-43 Bath Street, London, EC1V9EL, UK.
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Shinhmar H, Grewal M, Sivaprasad S, Hogg C, Chong V, Neveu M, Jeffery G. Optically Improved Mitochondrial Function Redeems Aged Human Visual Decline. J Gerontol A Biol Sci Med Sci 2021; 75:e49-e52. [PMID: 32596723 DOI: 10.1093/gerona/glaa155] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Indexed: 02/06/2023] Open
Abstract
The age spectrum of human populations is shifting toward the older with larger proportions suffering physical decline. Mitochondria influence the pace of aging as the energy they provide for cellular function in the form of adenosine triphosphate (ATP) declines with age. Mitochondrial density is greatest in photoreceptors, particularly cones that have high energy demands and mediate color vision. Hence, the retina ages faster than other organs, with a 70% ATP reduction over life and a significant decline in photoreceptor function. Mitochondria have specific light absorbance characteristics influencing their performance. Longer wavelengths spanning 650->1,000 nm improve mitochondrial complex activity, membrane potential, and ATP production. Here, we use 670-nm light to improve photoreceptor performance and measure this psychophysically in those aged 28-72 years. Rod and cone performance declined significantly after approximately 40 years of age. 670-nm light had no impact in younger individuals, but in those around 40 years and older, significant improvements were obtained in color contrast sensitivity for the blue visual axis (tritan) known to display mitochondrial vulnerability. The red visual axis (protan) improved but not significantly. Rod thresholds also improved significantly in those >40 years. Using specific wavelengths to enhance mitochondrial performance will be significant in moderating the aging process in this metabolically demanding tissue.
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Affiliation(s)
| | - Manjot Grewal
- Institute of Ophthalmology, University College London, UK
| | | | - Chris Hogg
- Institute of Ophthalmology, University College London, UK
| | | | - Magella Neveu
- Institute of Ophthalmology, University College London, UK
| | - Glen Jeffery
- Institute of Ophthalmology, University College London, UK
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Braham Chaouche A, Silvestre D, Trognon A, Arleo A, Allard R. Age-related decline in motion contrast sensitivity due to lower absorption rate of cones and calculation efficiency. Sci Rep 2020; 10:16521. [PMID: 33020552 PMCID: PMC7536415 DOI: 10.1038/s41598-020-73322-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Accepted: 09/14/2020] [Indexed: 11/09/2022] Open
Abstract
Motion perception is affected by healthy aging, which impairs the ability of older adults to perform some daily activities such as driving. The current study investigated the underlying causes of age-related motion contrast sensitivity losses by using an equivalent noise paradigm to decompose motion contrast sensitivity into calculation efficiency, the temporal modulation transfer function (i.e., temporal blur) and 3 sources of internal noise: stochastic absorption of photons by photoreceptors (i.e., photon noise), neural noise occurring at the retinal level (i.e., early noise) and at the cortical level (i.e., late noise). These sources of internal noise can be disentangled because there impacts on motion contrast sensitivity vary differently as a function of luminance intensity. The impact of healthy aging on these factors was evaluated by measuring motion contrast sensitivity of young and older healthy adults at different luminance intensities, temporal frequencies and with/without external noise. The older adults were found to have higher photon noise, which suggests a lower photon absorption rate of cones. When roughly equating the amount of photons being absorbed by the photoreceptors, older adults had lower calculation efficiencies, but no significant aging effect was found on temporal modulation transfer function, early noise and late noise.
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Affiliation(s)
- Asma Braham Chaouche
- INSERM, CNRS, Insititut de la Vision, Sorbonne Université, 17 Rue Moreau, 75012, Paris, France
| | - Daphné Silvestre
- INSERM, CNRS, Insititut de la Vision, Sorbonne Université, 17 Rue Moreau, 75012, Paris, France
| | - Arthur Trognon
- INSERM, CNRS, Insititut de la Vision, Sorbonne Université, 17 Rue Moreau, 75012, Paris, France
| | - Angelo Arleo
- INSERM, CNRS, Insititut de la Vision, Sorbonne Université, 17 Rue Moreau, 75012, Paris, France
| | - Rémy Allard
- INSERM, CNRS, Insititut de la Vision, Sorbonne Université, 17 Rue Moreau, 75012, Paris, France. .,Laboratoire Psychophysique de la Vision, École d'optométrie, Université de Montréal, Montréal, QC, Canada.
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