Literature DB >> 31788348

Objective Measurement of Local Rod and Cone Function Using Gaze-Controlled Chromatic Pupil Campimetry in Healthy Subjects.

Carina Kelbsch1,2, Katarina Stingl2, Melanie Kempf2, Torsten Strasser1,3, Ronja Jung1, Laura Kuehlewein2,3, Helmut Wilhelm1,2, Tobias Peters1, Barbara Wilhelm1, Krunoslav Stingl1,2.   

Abstract

PURPOSE: We introduce a new approach for functional mapping of rod and cone activity by measuring pupillary responses to local stimulation via gaze-controlled chromatic pupil campimetry (CPC).
METHODS: Pupillary constriction amplitude and latency to constriction onset to local photopic and scotopic light stimuli at different locations within the 30° central visual field were analyzed in 14 healthy subjects (4 males, 34 ± 11 years, mean ± standard deviation [SD]). All subjects were measured twice for evaluating the test-retest variability and reproducibility of the method.
RESULTS: For the cone-favoring protocol (ConeProt), the relative maximal constriction amplitude was most pronounced in the center (26.8% ± 6.3%) with a hill-shaped decrease from the fovea to the periphery. For the rod-favoring protocol (RodProt), it was smaller (center, 13.5% ± 4.5%) with a profile lacking the central peak. Mean latency to constriction onset was faster for cones (277 ± 25 ms) than for rods (372 ± 13 ms). Mean intraclass correlation at the different stimulus locations was 0.84 ± 0.08 for RodProt and 0.75 ± 0.11 for ConeProt; mean coefficients of repeatability value of all stimulus locations was 5.9% ± 1.2% and 8.6% ± 1.7%, respectively.
CONCLUSIONS: CPC provides an objective evaluation of local rod and cone function within the central 30° visual field. It shows a photoreceptor-specific profile in healthy subjects. Due to its easy, noncontact, gaze-controlled character, it is a clinically applicable method and may fill the gap of functional diagnostics of rods and cones of the human retina. TRANSLATIONAL RELEVANCE: Chromatic pupil campimetry provides information about the local rod and cone function of the human retina with distinct pattern of distributions in an objective manner. Copyright 2019 The Authors.

Entities:  

Keywords:  cone function; eccentricity effect; objective evaluation of local retinal function; pupil campimetry; pupillary responses; rod function

Year:  2019        PMID: 31788348      PMCID: PMC6871544          DOI: 10.1167/tvst.8.6.19

Source DB:  PubMed          Journal:  Transl Vis Sci Technol        ISSN: 2164-2591            Impact factor:   3.283


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