Sharma S C
Department of Ophthalmology, New York Medical College, Valhalla, NY 10595, USA.
Prog Brain Res. 2008;173:479-91. doi: 10.1016/S0079-6123(08)01133-3.
Retinal ganglion cell apoptotic death in experimental glaucoma is protracted over several months and it leads to the visual dysfunction. In the rat with increased intraocular pressure (IOP), the lack of visual scotoma was observed where visual field was determined electrophysiologically on the contralateral optic tectum in the early stages of the disease. Increases in the sizes of receptive fields on the periphery represented early stage of glaucomatous dysfunction. The relationship of duration and magnitude of IOP elevation had a significant correlation between percentages of receptive field sizes in the tectum. Large increases in receptive field sizes noted in the glaucomatous retinal terminal areas suggest the ability of the remaining retinal axons to compete and compensate for the loss of retinal axons. This compensatory adaptation leads to the degradation of the visual acuity and visual thresholds when measured psychophysically.
实验性青光眼视网膜神经节细胞的凋亡性死亡会持续数月,并导致视觉功能障碍。在眼内压(IOP)升高的大鼠中,在疾病早期通过电生理学方法在对侧视顶盖测定视野时,未观察到视觉暗点。周边感受野大小的增加代表青光眼功能障碍的早期阶段。眼压升高的持续时间和幅度与视顶盖中感受野大小的百分比之间存在显著相关性。在青光眼性视网膜终末区域观察到的感受野大小的大幅增加表明,剩余的视网膜轴突具有竞争和补偿视网膜轴突损失的能力。这种代偿性适应在心理物理学测量时会导致视力和视觉阈值下降。