Porciatti Vittorio, Sorokac Nancy, Buchser William
Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, USA.
Invest Ophthalmol Vis Sci. 2005 Apr;46(4):1296-302. doi: 10.1167/iovs.04-1242.
To evaluate autoregulatory changes of retinal ganglion cell (RGC) activity, as measured by the pattern electroretinogram (PERG), when the eye is exposed to a steady state presentation of stimuli that maximize PERG amplitude and blood flow.
The PERG was recorded from both eyes of 14 normal subjects in response to steady state presentation (4 minutes) of contrast-reversing (16.28/s) gratings (1.6 cyc/deg) with different contrast (12%-99%) and mean luminance (40-1.3 cd/m(2)). One temporal period of the stimulus (122.8 ms) was sampled and averaged in packets of 50 sweeps ( approximately 15 seconds each). PERG amplitude and phase were evaluated by Discrete Fourier Transform and displayed as a function of time. Data were fitted with an exponential decay function to evaluate PERG changes with time.
For patterns of 99% contrast, the PERG amplitude progressively decreased with time until reaching a plateau approximately 30% lower than the initial amplitude after approximately 2 minutes (habituation). The ratio between initial and plateau amplitude did not change by reducing the stimulus luminance by 1 log unit. However, reducing contrast decreased amplitude habituation. The habituation was abolished at 25% contrast.
Decrease of PERG amplitude with time is consistent with a slow adaptive change of RGC activity in response to high-contrast, steady state stimuli. The authors propose that the initial amplitude represents an index of RGC activity, and the plateau amplitude represents a dynamic equilibrium between RGC activity and the available energy supply. These results are relevant for a better understanding of glaucomatous optic neuropathy.
当眼睛暴露于能使图形视网膜电图(PERG)幅度和血流最大化的刺激稳态呈现时,评估通过PERG测量的视网膜神经节细胞(RGC)活动的自动调节变化。
记录14名正常受试者双眼对不同对比度(12% - 99%)和平均亮度(40 - 1.3 cd/m²)的对比度反转(16.28/s)光栅(1.6 cyc/deg)的稳态呈现(4分钟)的反应。刺激的一个时间周期(122.8毫秒)以50次扫描为一组进行采样和平均(每组约15秒)。通过离散傅里叶变换评估PERG幅度和相位,并作为时间的函数显示。数据用指数衰减函数拟合以评估PERG随时间的变化。
对于99%对比度的图案,PERG幅度随时间逐渐降低,直到约2分钟后达到比初始幅度低约30%的平台期(适应)。将刺激亮度降低1个对数单位,初始幅度与平台期幅度之比不变。然而,降低对比度会减少幅度适应。在25%对比度时适应消失。
PERG幅度随时间降低与RGC活动对高对比度稳态刺激的缓慢适应性变化一致。作者提出初始幅度代表RGC活动的指标,平台期幅度代表RGC活动与可用能量供应之间的动态平衡。这些结果有助于更好地理解青光眼性视神经病变。