Toward better targeting of mitigation measures for reducing phosphorus losses from land to water: Andrew Sharpley's legacy in Norway and Sweden

Nordic agriculture faces big challenges to reduce phosphorus (P) loss from land to water for improving surface water quality. While understanding the processes controlling P loss and seeking for P mitigation measures, Norwegian and Swedish researchers have substantially benefited from and been inspired by Dr. Andrew Sharpley's career-long, high-standard P research. Here, we demonstrate how Sharpley and his research have helped the Nordic researchers to understand the role of cover crops in cold environmental conditions, best manure P management practices, and ditch processes. His work on critical source area (CSA) identification and site assessment tool development have also greatly inspired our thinking on the targeting of mitigation measures and the contextualizing tools for Nordic climate, landscape, and soils. While reflecting on Sharpley's legacy, we identify several needs for Norwegian and Swedish P research and management. These include (1) tackling the challenges caused by local/regional unevenness in livestock density and related manure management and farm P surpluses, (2) identifying CSAs of P loss with high erosion risk and high P surplus, (3) obtaining more high-resolution mapping of soils with low P sorption capacity both in the topsoil and subsoil, (4) improving cross-scale understanding of processes and mitigation measures and proper follow-up of applied mitigation measures, and (5) increasing collaborations of researchers with farmers and farmers' advisory groups and watershed groups by developing high-quality educational courses and extension materials. The needs should be addressed in the context of the challenges and opportunities created by climate change.

Twenty years of catchment monitoring highlights the predominant role of long-term phosphorus balances and soil phosphorus status in affecting phosphorus loss in livestock-intensive regions

Livestock husbandry has raised enormous environmental concerns around the world, including water quality issues. Yet there is a need to document long-term water quality trends in livestock-intensive regions and reveal the drivers for the trends based on detailed catchment monitoring. Here, we assessed the concentration and load trends of dissolved reactive phosphorus (DRP) in streamwater of a livestock-intensive catchment in southwestern Norway, based on continuous flow measurements and flow-proportional composite water sampling. Precipitation and catchment-level soil P balance were monitored to examine the drivers. At the field level, moreover, the relationship between soil P balance and soil test P (measured using the ammonium lactate extraction method, P-AL) was assessed. Results showed that on average of 20 years 95 % of the P was applied to the catchment during March-August, when 40 % of annual precipitation and 25 % of annual discharge occurred. The low runoff helped reduce P loss following P applications. However, flow-weighted annual mean DRP concentration significantly increased with increasingly cumulative soil P surplus (R2 = 0.55, p = 0.0002). With a mean annual P surplus of 8.8 kg ha-1, the annual mean DRP concentration (range: 49-140 μg L-1; mean: 80 μg L-1) and annual DRP load (range: 0.35-1.46 kg ha-1; mean: 0.65 kg ha-1) significantly increased over the 20-year monitoring period (p = 0.001 and 0.0003, respectively). At the field level, P-AL concentrations were positively correlated with soil P balances (R2 = 0.48, p < 0.0001), confirming the long-term impact of P balances on the risks of P loss. The study highlights the predominant role of long-term P balances in affecting DRP loss in livestock-intensive regions through the effect on soil test P.

Climate effects on land management and stream nitrogen concentrations in small agricultural catchments in Norway

Land use and climate change can impact water quality in agricultural catchments. The objectives were to assess long-term monitoring data to quantify changes to the thermal growing season length, investigate farmer adaptations to this and examine these and other factors in relation to total nitrogen and nitrate water concentrations. Data (1991-2017) from seven small Norwegian agricultural catchments were analysed using Mann-Kendall Trend Tests, Pearson correlation and a linear mixed model. The growing season length increased significantly in four of seven catchments. In catchments with cereal production, the increased growing season length corresponded to a reduction in nitrogen concentrations, but there was no such relationship in grassland catchments. In one cereal catchment, a significant correlation was found between the start of sowing and start of the thermal growing season. Understanding the role of the growing season and other factors can provide additional insight into processes and land use choices taking place in agricultural catchments.

Potential impacts of a future Nordic bioeconomy on surface water quality

Nordic water bodies face multiple stressors due to human activities, generating diffuse loading and climate change. The 'green shift' towards a bio-based economy poses new demands and increased pressure on the environment. Bioeconomy-related pressures consist primarily of more intensive land management to maximise production of biomass. These activities can add considerable nutrient and sediment loads to receiving waters, posing a threat to ecosystem services and good ecological status of surface waters. The potential threats of climate change and the 'green shift' highlight the need for improved understanding of catchment-scale water and element fluxes. Here, we assess possible bioeconomy-induced pressures on Nordic catchments and associated impacts on water quality. We suggest measures to protect water quality under the 'green shift' and propose 'road maps' towards sustainable catchment management. We also identify knowledge gaps and highlight the importance of long-term monitoring data and good models to evaluate changes in water quality, improve understanding of bioeconomy-related impacts, support mitigation measures and maintain ecosystem services.

Nitrogen losses from two contrasting agricultural catchments in Norway

Nitrogen (N) losses from agricultural areas, especially into drinking water and marine environments, attract substantial attention from governments and scientists. This study analysed nitrogen loss from runoff water using long-term monitoring data (1994-2016) from the Skuterud catchment in southeastern Norway and the Naurstad catchment in northern Norway. Precipitation and runoff were lower in the Skuterud catchment than in the Naurstad catchment. However, in the Skuterud catchment, the annual total N (TN) losses ranged from 27 to 68 kg hm-2. High precipitation (1247 mm) in the Naurstad catchment resulted in substantial runoff water (1108 mm) but relatively low total TN losses ranged from 17 to 35 kg hm-2. The proportion of nitrate losses to TN loss was 51-86% and 28-50% in the Skuterud and Naurstad catchments, respectively. Furthermore, the monthly average TN concentrations and nitrate losses had two peaks, in April-May and October, in the Skuterud catchment; however, no significant fluctuations were found in the Naurstad catchment. The contributions of N and runoff water to TN and nitrate losses were calculated using multiple linear regression, and runoff water was the major contributor to TN loss in both catchments. Runoff water was the main factor in the Skuterud catchment, and the nitrate-N concentration was the main factor in the Naurstad catchment.

A Global Perspective on Phosphorus Management Decision Support in Agriculture: Lessons Learned and Future Directions

The evolution of phosphorus (P) management decision support tools (DSTs) and systems (DSS), in support of food and environmental security has been most strongly affected in developed regions by national strategies (i) to optimize levels of plant available P in agricultural soils, and (ii) to mitigate P runoff to water bodies. In the United States, Western Europe, and New Zealand, combinations of regulatory and voluntary strategies, sometimes backed by economic incentives, have often been driven by reactive legislation to protect water bodies. Farmer-specific DSSs, either based on modeling of P transfer source and transport mechanisms, or when coupled with farm-specific information or local knowledge, have typically guided best practices, education, and implementation, yet applying DSSs in data poor catchments and/or where user adoption is poor hampers the effectiveness of these systems. Recent developments focused on integrated digital mapping of hydrologically sensitive areas and critical source areas, sometimes using real-time data and weather forecasting, have rapidly advanced runoff modeling and education. Advances in technology related to monitoring, imaging, sensors, remote sensing, and analytical instrumentation will facilitate the development of DSSs that can predict heterogeneity over wider geographical areas. However, significant challenges remain in developing DSSs that incorporate "big data" in a format that is acceptable to users, and that adequately accounts for catchment variability, farming systems, and farmer behavior. Future efforts will undoubtedly focus on improving efficiency and conserving phosphate rock reserves in the face of future scarcity or prohibitive cost. Most importantly, the principles reviewed here are critical for sustainable agriculture.

Abating N in Nordic agriculture - Policy, measures and way forward

During the past twenty years, the Nordic countries (Denmark, Sweden, Finland and Norway) have introduced a range of measures to reduce losses of nitrogen (N) to air and to aquatic environment by leaching and runoff. However, the agricultural sector is still an important N source to the environment, and projections indicate relatively small emission reductions in the coming years. The four Nordic countries have different priorities and strategies regarding agricultural N flows and mitigation measures, and therefore they are facing different challenges and barriers. In Norway farm subsidies are used to encourage measures, but these are mainly focused on phosphorus (P). In contrast, Denmark targets N and uses control regulations to reduce losses. In Sweden and Finland, both voluntary actions combined with subsidies help to mitigate both N and P. The aim of this study was to compare the present situation pertaining to agricultural N in the Nordic countries as well as to provide recommendations for policy instruments to achieve cost effective abatement of reactive N from agriculture in the Nordic countries, and to provide guidance to other countries. To further reduce N losses from agriculture, the four countries will have to continue to take different routes. In particular, some countries will need new actions if 2020 and 2030 National Emissions Ceilings Directive (NECD) targets are to be met. Many options are possible, including voluntary action, regulation, taxation and subsidies, but the difficulty is finding the right balance between these policy options for each country. The governments in the Nordic countries should put more attention to the NECD and consult with relevant stakeholders, researchers and farmer's associations on which measures to prioritize to achieve these goals on time. It is important to pick remaining low hanging fruits through use of the most cost effective mitigation measures. We suggest that N application rate and its timing should be in accordance with the crop need and carrying capacity of environmental recipients. Also, the choice of application technology can further reduce the risk of N losses into air and waters. This may require more region-specific solutions and knowledge-based support with tailored information in combination with further targeted subsidies or regulations.

A review of regulations and guidelines related to winter manure application

Winter manure application elevates nutrient losses and impairment of water quality as compared to manure applications in other seasons. In conjunction with reviewing global distribution of animal densities, we reviewed worldwide mandatory regulations and voluntary guidelines on efforts to reduce off-site nutrient losses associated with winter manure applications. Most of the developed countries implement regulations or guidelines to restrict winter manure application, which range from a regulative ban to guidelines based upon weather and field management conditions. In contrast, developing countries lack such official directives, despite an increasing animal production industry and concern over water quality. An analysis of five case studies reveals that directives are derived from a common rationale to reduce off-site manure nutrient losses, but they are also affected by local socio-economic and biophysical considerations. Successful programs combine site-specific management strategies along with expansion of manure storage to offer farmers greater flexibility in winter manure management.

The concentration-discharge slope as a tool for water quality management

Recent technological breakthroughs of optical sensors and analysers have enabled matching the water quality measurement interval to the time scales of stream flow changes and led to an improved understanding of spatially and temporally heterogeneous sources and delivery pathways for many solutes and particulates. This new ability to match the chemograph with the hydrograph has promoted renewed interest in the concentration-discharge (c-q) relationship and its value in characterizing catchment storage, time lags and legacy effects for both weathering products and anthropogenic pollutants. In this paper we evaluated the stream c-q relationships for a number of water quality determinands (phosphorus, suspended sediments, nitrogen) in intensively managed agricultural catchments based on both high-frequency (sub-hourly) and long-term low-frequency (fortnightly-monthly) routine monitoring data. We used resampled high-frequency data to test the uncertainty in water quality parameters (e.g. mean, 95th percentile and load) derived from low-frequency sub-datasets. We showed that the uncertainty in water quality parameters increases with reduced sampling frequency as a function of the c-q slope. We also showed that different sources and delivery pathways control c-q relationship for different solutes and particulates. Secondly, we evaluated the variation in c-q slopes derived from the long-term low-frequency data for different determinands and catchments and showed strong chemostatic behaviour for phosphorus and nitrogen due to saturation and agricultural legacy effects. The c-q slope analysis can provide an effective tool to evaluate the current monitoring networks and the effectiveness of water management interventions. This research highlights how improved understanding of solute and particulate dynamics obtained with optical sensors and analysers can be used to understand patterns in long-term water quality time series, reduce the uncertainty in the monitoring data and to manage eutrophication in agricultural catchments.

Future agriculture with minimized phosphorus losses to waters: Research needs and direction

The series of papers in this issue of AMBIO represent technical presentations made at the 7th International Phosphorus Workshop (IPW7), held in September, 2013 in Uppsala, Sweden. At that meeting, the 150 delegates were involved in round table discussions on major, predetermined themes facing the management of agricultural phosphorus (P) for optimum production goals with minimal water quality impairment. The six themes were (1) P management in a changing world; (2) transport pathways of P from soil to water; (3) monitoring, modeling, and communication; (4) importance of manure and agricultural production systems for P management; (5) identification of appropriate mitigation measures for reduction of P loss; and (6) implementation of mitigation strategies to reduce P loss. This paper details the major challenges and research needs that were identified for each theme and identifies a future roadmap for catchment management that cost-effectively minimizes P loss from agricultural activities.

Integrated tool for risk assessment in agricultural management of soil erosion and losses of phosphorus and nitrogen

In recent years, increased attention has been focused on models for risk assessment of source areas in agricultural landscapes. Among the simplest of such models are index tools, which have been developed particularly for phosphorus (P) and to some extent nitrogen (N). However, only a few studies have considered the development of an integrated management strategy that includes erosion and losses of both P and N. Accordingly, the major objective of this study was to initiate the development of an integrated risk assessment tool, consisting of indices for erosion, P and N. The strategy used to create the integrated tool was based on the assumption that all input data at field scale should be readily available either from ordinary agricultural statistics or from the farmer. The results from using the indices in a pilot case study catchment illustrated that losses of P and N had often different critical source areas. The P index was highest for fields with manure application and/or high soil P status or with autumn ploughing, and the N index was highest for fields with excessive N application. The integrated risk was greatest for areas with manure application and some areas with a high erosion risk in combination with high nutrient application rate. Additionally, four different management options were assessed: (1) reduced fertilisation, (2) catch crops, (3) autumn ploughing, and (4) no autumn ploughing. The results verified that reduced nutrient application and stubble during autumn and winter led to the largest decrease in index values, and it was also apparent that management changes in high-risk areas had the greatest impact on the indices. Overall, our findings indicate that the present integrated risk assessment tool with readily available input data can be used to rank farm fields according to risk of soil erosion and losses of P and N.

Phosphorus losses from agricultural areas in river basins: effects and uncertainties of targeted mitigation measures

In this paper we show the quantitative and relative importance of phosphorus (P) losses from agricultural areas within European river basins and demonstrate the importance of P pathways, linking agricultural source areas to surface water at different scales. Agricultural P losses are increasingly important for the P concentration in most European rivers, lakes, and estuaries, even though the quantity of P lost from agricultural areas in European catchments varies at least one order of magnitude (<0.2 kg P ha(-1) to >2.1 kg P ha(-1)). We focus on the importance of P for the implementation of the EU Water Framework Directive and discuss the benefits, uncertainties, and side effects of the different targeted mitigation measures that can be adopted to combat P losses from agricultural areas in river basins. Experimental evidence of the effects of some of the main targeted mitigation measures hitherto implemented is demonstrated, including: (i) soil tillage changes, (ii) treatment of soils near ditches and streams with iron to reduce P transport from source areas to surface waters, (iii) establishment of buffer zones for retaining P from surface runoff, (iv) restoration of river-floodplain systems to allow natural inundation of riparian areas and deposition of P, and (v) inundation of riparian areas with tile drainage water for P retention. Furthermore, we show how river basin managers can map and analyze the extent and importance of P risk areas, exemplified by four catchments differing in size in Norway, Denmark, and the Netherlands. Finally, we discuss the factors and mechanisms that may delay and/or counteract the responses of mitigation measures for combating P losses from agricultural areas when monitored at the catchment scale.

Effect of policy-induced measures on suspended sediments and total phosphorus concentrations from three Norwegian agricultural catchments

In Norway, agricultural subsidies have, since the late 1980s, been targeted to reduce soil erosion, transfer of soil particles and phosphorus (P) losses. The subsidies led to, e.g., a fourfold increase in the area not ploughed from 1991 to 2001 and a reduced P fertiliser consumption by 60%, especially in areas with high livestock density. Moreover, in the late 1980s agricultural point sources of P from storage facilities of manure and fodder were reduced. In this paper, we evaluate the effect of these policy-induced measures and changed agricultural practices on suspended sediment (SS) and total P (TP) concentrations in three agricultural catchments (1, 3 and 87 km2). Results from the statistical trend analyses for the study period (14-17 years) showed weak, but statistically significant (p<0.05), downward trends in concentrations of TP and SS in the two streams with a high initial TP or SS concentration. In the stream with low initial concentrations of TP and SS, however, no statistically significant trends were shown. The stream with the highest initial concentration of SS showed a statistically significant downward trend in both TP and SS concentrations. The catchment with low initial concentration of SS and medium livestock density showed no detectable trends, while the catchment with high livestock density and low concentrations of SS in the stream showed a statistically significant downward trend in TP concentrations. The results from this study suggest that subsidies and mitigation measures can reduce concentrations of TP and SS in streamwater in highly polluted catchments, although the reduction is small compared to the variations between catchments.

Scanning laser ophthalmoscope-evoked multifocal ERG (SLO-mfERG) in patients with macular holes and normal individuals

AIMS

A scanning laser ophthalmoscope (SLO) has been used for multifocal electroretinography (mf ERG) measurements under simultaneous fundus monitoring. The aim of this study was to prove if the SLO-mfERG measurement reflects reliably the clinically registered underlying disease, and to demonstrate the importance of its main advantage, fixation monitoring.

METHODS

In all, 10 patients with macular hole stage II/III were included in the study, and 19 normal individuals served as the control group. The mf ERG device was combined with an SLO, which was used both as a stimulus and trigger unit as well as a fundus-monitoring system. Monitoring of the fundus was guaranteed by an infrared laser (780 nm). The stimulus matrix consisted of 61 hexagonal elements, covering 24 degrees of the posterior pole. We examined both, patients with macular holes and healthy individuals.

RESULTS

Compared to normal controls, patients with a macular hole (Gass stage III) showed a significant decrease in response density in the centre of the stimulus array, which correlated well with the morphological alteration observed by clinical examination. However, variation of response density of the central hexagonal area has been proved to be high.

CONCLUSIONS

SLO-mfERG is a feasible and reliable new technique to investigate macular function under simultaneous fundus control. The main advantage is that control of fixation can be used in order to obtain more reliable results that correlate well with visible fundus abnormalities such as in patients with macular holes. However, further investigations have to be performed in order to overcome sufficiently the problem of fixation instability.

[Relationship between lens power in refraction]

BACKGROUND

To achieve emmetropia, several components such as the cornea and lens power, and axial length have to be coordinated. Until now, not much is known about the influence of these factors on each other.

METHODS

A total of 66 healthy subjects were enrolled in this study. Ocular dimensions including anterior chamber depth, lens thickness, vitreous chamber depth, and axial length were measured by A-scan ultrasonography. Corneal radius and corneal refractive power were determined by ophthalmometry. The equivalent lens power was calculated by a method based on the Gullstrand schematic eye.

RESULTS

As expected, a good correlation was found to exist between refraction and axial length. Lens power was independent of refraction, but in emmetropic eyes a good correlation between lens power and axial length could be found. Higher axial length was related to lower values of lens power and vice versa.

CONCLUSION

In emmetropic eyes, deviation of axial length seems to be compensated by lens power and if this mechanism does not function, ametropia results.

[New automated microkeratome for trepanation of lamellar keratoplasty]

BACKGROUND/PURPOSE

Lamellar keratoplasty is an established therapy of corneal pathologies without endothelial involvement and the lack of endothelial rejection is one of the major advantages compared to penetrating keratoplasty. The major disadvantages of manually prepared lamellar corneal grafts are the limited mechanical and optical quality but the automated lamellar therapeutic keratoplasty system ALTK (MORIA) is intended to overcome these disadvantages. The purpose of this preliminary work is to investigate histologically and in clinical cases, if the ALTK system can achieve this aim.

PATIENTS AND METHODS

Corneas from two human donors were cut with a 300 microns trephine. After fixation, the stromal bed and the excised cup of one specimen were stained with PAS and examined by light microscopy and the other specimen was analyzed by scanning electron microscopy. In addition, follow-up data of two patients who received such a lamellar graft are reported for the first 9 and 7 months postoperation, respectively.

RESULTS

The lamellar cut of homogeneous depth revealed only minor stromal trauma. Both clinical cases demonstrated only minimal interface haze during follow-up. Despite a remarkably clear cornea, visual acuity improved only slowly because the precise lamellar cut tended to partially reproduce any preexisting irregular astigmatism.

CONCLUSIONS

The ALTK system simplifies and standardizes the trephination of lamellar corneal grafts but a longer follow up is necessary with respect to visual development and preservation of a clear graft.

Scanning laser ophthalmoscope-evoked multifocal-ERG (SLO-m-ERG) by using short m-sequences

PURPOSE

To demonstrate the possibility of topographic mapping of retinal function under simultaneous control of fixation in humans, by scanning laser ophthalmoscope evoked multifocal electroretinography (SLO-m-ERG).

METHODS

A confocal scanning laser ophthalmoscope was used as a stimulator and trigger unit to take m-ERGs. Short m-sequences based on a modified algorithm were used, with the advantage that each measurement cycle can be evaluated separately. We examined 78 normal subjects; in 62 a distortion factor of 1:1 was applied, and a factor of 1:4 in 16.

RESULTS

The recorded amplitudes decreased with eccentricity, approximately following the decrease of retinal cone density. Amplitudes were higher in the central hexagonal element in the group with 1:4 distortion than in the group with the 1:1 distortion setting.

CONCLUSIONS

SLO-m-ERG is a reliable technique for topographic mapping of retinal function under simultaneous control of fixation.

Comparison of foveal thickness measured with the retinal thickness analyzer and optical coherence tomography

PURPOSE

To assess and compare the reliability and reproducibility of retinal thickness measurements for the retinal thickness analyzer (RTA) and optical coherence tomography (OCT) in normal and edematous retina.

METHODS

The authors measured the foveal thickness of 21 normal eyes and 9 eyes with macular edema with both methods in random order. With the RTA, the fovea was measured 10 times; with the OCT, six scans (one horizontal and five vertical cross-sections) of the fovea were obtained.

RESULTS

Mean foveal thickness of normal eyes measured 153 microm with OCT and 181 microm with RTA (median for both methods 150 microm). Coefficients of variation (CV) within the same subjects were 10% (OCT) and 9% (RTA) reducing to 9% (OCT) and 7% (RTA) when scans were repeated only five times for both methods. The RTA, however, yielded an interpatient CV of 33% (OCT 17%), which was caused by several falsely high readings in normal individuals. In eyes with retinal thickening the OCT measured a mean of 324 microm with 15% intra- and 58% interpatient CV. The RTA yielded a mean of 403 microm with CV of 18% and 73%, respectively.

CONCLUSION

Both methods yield reproducible measurements of foveal thickness in normal individuals and individuals with macular edema. However, falsely high measurements may occur with the RTA, reducing its reliability as compared to the OCT.

SOIL and SOIL-NO at catchment scale--a case study for an agriculture-dominated catchment

A one-dimensional model, SOIL/SOIL-NO, is used to simulate the water and nitrogen balance at catchment scale. The objective is to use the model in simulating the effects of best management practices on nitrogen runoff. The model was applied to individual farm fields in an agriculture dominated catchment and simulations were carried out for the period from 94-98. The results were promising. The simulated nitrogen runoff agreed quite well with the measured nitrogen loss at the main station. The effects of best management practices like optimal fertiliser application, catch crops and irrigation were simulated. For this particular catchment, the introduction of catch crops resulted in the best effect on reducing nitrogen runoff from agricultural dominated catchments.

Vitreoretinal surgery: pre-emptive analgesia

AIM

Vitrectomies are performed either under general anesthesia (GA), local anesthesia (LA), or a combination of both. Postoperative pain is expected to be less in patients with LA because of prolonged action of the local anaesthetic. Pre-emptive analgesia is based on the idea that analgesia initiated before a nociceptive event will be more effective than analgesia commenced afterwards. The authors compared postoperative analgesia in patients with GA combined with preoperative or postoperative LA.

METHODS

90 patients scheduled for vitrectomy without buckling were enrolled in the study. 60 patients underwent GA, 30 without LA, 15 with preoperative LA, and 15 with postoperative LA. 30 patients received LA alone. Subjective postoperative pain was determined using the visual analogue scale.

RESULTS

Postoperative pain was less under LA alone compared to GA alone (p < 0.0001). Additional preoperative application of LA resulted in less pain than additional postoperative application (p <0.05). Additional postoperative peribulbar aneasthesia did not differ from GA alone.

CONCLUSION

The authors conclude that LA alone or preoperatively in addition to GA provides the best comfort for the patient in vitreoretinal surgery.

Double-quantum-filtered rotational-resonance MAS NMR in the presence of large chemical shielding anisotropies

Double-quantum filtration under rotational resonance MAS NMR conditions where the chemical shielding anisotropies involved exceed the differences in isotropic chemical shielding is considered by means of numerical simulations and (13)C MAS NMR experiments. The responses of two different pulse sequences, suitable for double-quantum filtration specifically under rotational resonance conditions, to large chemical shielding anisotropies are compared. In the presence of large chemical shielding anisotropies a very recently introduced pulse sequence (T. Karlsson, M. Edén, H. Luthman, and M. H. Levitt, J. Magn. Reson. 145, 95-107, 2000) suffers losses in double-quantum-filtration efficiencies. The double-quantum-filtration efficiency of another pulse sequence (N. C. Nielsen, F. Creuzet, R. G. Griffin, and M. H. Levitt, J. Chem. Phys. 96, 5668-5677, 1992) is less afflicted by the presence of large chemical shielding anisotropies. Both sequences deliver double-quantum-filtered lineshapes that sensitively reflect chemical shielding tensor orientations. It is further shown that double-quantum-filtered rotational-resonance lineshapes of spin systems composed of more than two spins offer a suitable experimental approach for determining chemical shielding tensor orientations for cases where conventional rotational-resonance experiments are not applicable due to the presence of additional background resonances.

Macular hole surgery in an eye with an optic pit

PURPOSE

To report an eye with a full-thickness macular hole and an associated optic pit and the noteworthy intraoperative findings.

METHODS

Case report. A 56-year-old woman presented with visual acuity LE: 20/100, a full thickness macular hole, and an optic pit. Optical coherence tomography and ophthalmic examination were performed preoperatively and postoperatively.

RESULTS

Although usually a macular hole associated with an optic pit tends to be a lamellar and characterized by outer layer defects within preexisting macular detachments or schisis-like cavities, this type of macular hole was not presented in this case. Although the macular hole resembled the idiopathic type on clinical examination as well as on optical coherence tomography, it could only be closed in the third surgical attempt after using silicone oil as a long-standing tamponade. Peeling of an epiretinal membrane or the internal limiting membrane was not possible during any of the three surgeries.

CONCLUSION

Our observations suggest that in cases of macular hole in association with optic pit, instillation of silicone oil should be considered in the first surgical procedure, especially if no epiretinal membrane or internal limiting membrane peeling is possible intraoperatively.

X-linked ocular albinism (Nettleship-Falls): a novel 29-bp deletion in exon 1. Carrier detection by ophthalmic examination and DNA analysis

BACKGROUND

Mutations in the OA1 gene on the short arm of the X chromosome are known to cause X-linked ocular albinism (x1OA) in males. A four-generation family with this disorder, including asymptomatic carrier females, was investigated by molecular analysis of the OA1 gene.

METHODS

DNA samples were available from 22 individuals of this family, including 6 affected males and 6 obligate carriers. The nine exons of the OA1 gene were amplified and further analyzed by SSCP and sequencing.

RESULTS

A detailed clinical examination of the index patient and two female carriers showed the typical signs of ocular albinism. Visual evoked potential responses showed markedly asymmetrical responses from the two hemispheres in the affected person as well as in the carriers, as a result of misrouting and decussation of optic nerve fibers. Molecular genetic analysis demonstrated a previously undescribed 29-bp deletion at position 225-253 in exon 1 of the OA1 gene, which segregated in the family.

CONCLUSION

Clinical examination combined with molecular genetic analysis enhances the potential for a precise diagnosis for persons at risk of x1OA and provide an accurate basis for genetic counseling.

[Topographic mapping of retinal function with a scanning laser ophthalmoscope and multifocal electroretinography using short M-sequences]

A new method of multifocal electroretinography making use of scanning laser ophthalmoscope with a wavelength of 630 nm (SLO-m-ERG), evoking short spatial visual stimuli on the retina, is proposed. Algorithm of presenting the visual stimuli and analysis of distribution of local electroretinograms on the surface of the retina is based on short m-sequences. Mathematical cross correlation analysis shows a three-dimensional distribution of bioelectrical activity of the retina in the central visual field. In normal subjects the cone bioelectrical activity is the maximum in the macular area (corresponding to the density of cone distribution) and absent in the blind spot. The method detects the slightest pathological changes in the retina under control of the site of stimulation and ophthalmoscopic picture of the fundus oculi. The site of the pathological process correlates with the topography of changes in bioelectrical activity of the examined retinal area in diseases of the macular area and pigmented retinitis detectable by ophthalmoscopy.

Central corneal thickness measurement with a retinal optical coherence tomography device versus standard ultrasonic pachymetry

PURPOSE

To demonstrate the capability of a standard, commercially available optical coherence tomography device (originally designed to measure retinal thickness) to image the human cornea in vivo and to measure central corneal thickness (CCT) in normal and edematous corneas. The intrapatient precision and interpatient variability of this novel application was compared to standard ultrasonic pachymetry. Also, the correlation of both methods was investigated.

METHODS

CCT measurements using optical coherence tomography (OCT) and ultrasonic pachymetry (PACH) were obtained in 36 normal eyes and 16 eyes with corneal edema.

RESULTS

Direct in vivo imaging of the cornea and measurements of CCT by OCT could be performed in all eyes. In normal subjects, CCT(OCT) was 530+/-32 microm and CCT(PACH) was 581+/-34 microm. The two methods showed a highly significant correlation with a standardized regression coefficient of 0.988. The difference between both methods was constant over the range of CCT (mean difference, 49.4+/-5.9 microm). The mean intrapatient SD of CCT measurements was 4.90 microm and 4.96 microm for OCT and PACH, respectively. In patients with corneal edema, mean CCT(OCT) was 601+/-59 microm, and mean CCT(PACH) was 667+/-68 microm. The difference between the two techniques increased slightly with increasing corneal edema (mean difference, 66.9+/-10.9 microm).

CONCLUSION

Imaging of the human cornea can be performed by a standard retinal OCT device, and OCT measurement of CCT shows excellent correlation to values obtained by PACH, giving similar readings separated by a constant difference. In corneal edema, the difference between the two methods is additionally increased, but continues to demonstrate excellent consistency.

[Imaging of vitreoretinal adhesions in the partner eye of patients with penetrating macular foramina in optical coherence tomography]

BACKGROUND

Vitreoretinal adhesions play a crucial role in the development of a macular hole. To visualize vitreoretinal adhesion we used optical coherence tomography to investigate fellow eyes of patients with macular holes.

METHODS

In a prospective study we scanned the retina in 188 patients with a macular hole stage III or IV (Gass classification). The foveal shape and vitreous were classified into grades.

RESULTS

Of the 188 patients 45% showed no vitreous reflex, 45% a partial vitreous detachment with foveolar adhesions, and 10% a vitreous detachment with complete separation from the fovea. While eyes with normal foveolar shape displayed partial vitreous detachment in 33%, this figure rose to 66% in eyes with a macular hole stage I.

CONCLUSION

Diffuse thickening of the fovea is followed by an intraretinal split and formation of a cyst. The shape of the foveolar adhesion suggests that continuing anteroposterior vitreal traction leads to a retinal break and formation of a full-thickness macular hole.

Central corneal thickness determined with optical coherence tomography in various types of glaucoma

AIMS

To evaluate central corneal thickness determined by optical coherence tomography (OCT) in various types of glaucoma, and its influence on intraocular pressure (IOP) measurement.

METHODS

Central corneal thickness (CCT) was determined by using OCT in 167 subjects (167 eyes). 20 had primary open angle glaucoma (POAG), 42 had low tension glaucoma (LTG), 22 had ocular hypertension (OHT), 10 had primary angle closure glaucoma (AC), 24 had pseudoexfoliation glaucoma (PEX), 13 had pigmentary glaucoma (PIG), and 36 were normal.

RESULTS

CCT was significantly higher in ocular hypertensive subjects (593 (SD 35) microm, p <0.0001) than in the controls (530 (32) microm), whereas patients with LTG (482 (28) microm, p < 0. 0001), PEX (493 (33) microm, p <0.0001), and POAG (512 (30) microm, p <0.05) showed significantly lower readings. There was no statistically significant difference between the controls and patients with PIG (510 (39) microm) and AC (539 (37) microm).

CONCLUSIONS

Because of thinner CCT in patients with LTG, PEX, and POAG this may result in underestimation of IOP, whereas thicker corneas may lead to an overestimation of IOP in subjects with OH. By determining CCT with OCT, a new and precise technique to measure CCT, this study emphasises the need for a combined measurement of IOP and CCT in order to obtain exact IOP readings.

Purification of synaptic ribbons, structural components of the photoreceptor active zone complex

Synaptic ribbons are plasma membrane-associated structural elements in photoreceptor synaptic terminals. They seem to act as high capacity "docking sites" of synaptic vesicles that provide the fusion sites of the photoreceptor synapse ("active zones"), with a large supply of immobilized synaptic vesicles rapidly available for exocytosis. Synaptic ribbons are regarded as a specialized type of presynaptic densities found in virtually all synapses. The molecular composition of presynaptic densities and synaptic ribbons is unknown. The aim of this study was the isolation of synaptic ribbons from photoreceptor synapses. For this purpose, we first isolated a membrane fraction from the bovine retina that was strongly enriched in photoreceptor synapses. From this fraction, a Triton X-100-resistant subfraction was purified that consisted mainly of synaptic ribbons and their disassembly products. The high enrichment of synaptic ribbons was verified by electron microscopy and immunolabeling using an antibody that specifically binds to synaptic ribbons. SDS-PAGE analysis of this synaptic ribbon fraction displayed several major polypeptide bands migrating at approximately 240, 60, 55, 43, and 30 kDa. The purification procedure described here is a first promising step toward the identification of the yet unknown constituents of synaptic ribbons from photoreceptor synapses and possibly also of presynaptic densities from other synapses.