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The ipRGC-driven pupil response with light exposure and refractive error in children.

作者信息

Ostrin Lisa A

机构信息

College of Optometry, University of Houston, Houston, USA.

出版信息

Ophthalmic Physiol Opt. 2018 Sep;38(5):503-515. doi: 10.1111/opo.12583. Epub 2018 Sep 26.


DOI:10.1111/opo.12583
PMID:30259538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6202139/
Abstract

PURPOSE: The intrinsically photosensitive retinal ganglion cells (ipRGCs) signal environmental light, control pupil size and entrain circadian rhythm. There is speculation that ipRGCs may be involved in the protective effects of light exposure in myopia. Here, the ipRGC-driven pupil response was evaluated in children and examined with light exposure and refractive error. METHODS: Children ages 5-15 years participated. Subjects wore an actigraph device prior to the lab visit for objective measures of light exposure and sleep. For pupillometry, the left eye was dilated and presented with stimuli, and the consensual pupil response was measured in the right eye. Pupil measurements were preceded by 5 min dark adaptation. In Experiment 1 (n = 14), 1 s long wavelength light ('red,' 651 nm, 167 cd m ) and 10 increasing intensities of 1 s short wavelength light ('blue,' 456 nm, 0.167-167 cd m ) were presented with a 60 s interstimulus interval. A piecewise two-segment regression was fit to the stimulus response function to determine the functional melanopsin threshold. Pupil responses were analysed with light exposure over the previous 24 h. For Experiment 2 (n = 42), three 1 s red and three 1 s blue alternating stimuli were presented with a 60 s interstimulus interval. Following an additional 5-min dark adaption, the experiment was repeated. Pupil metrics included peak constriction, the 6 s and 30 s post-illumination response (PIPR), early and late area under the curve (AUC). Following pupil measurements, cycloplegic refractive error and axial length were measured. RESULTS: For Experiment 1, PIPR metrics demonstrated a graded response to increasing intensity blue stimuli, with a mean functional melanopsin threshold of 6.2 ± 4.5 cd m (range: 0.84-16.7 cd m ). The 6 s PIPR and early AUC were associated with 24-h light exposure for high intensity stimuli (33.3 and 83.3 cd m , p < 0.005 for both). For Experiment 2, there were no associations between pupil metrics and refractive error. The 6 s PIPR and early AUC to blue stimuli were significantly increased for Trial 2 compared to Trial 1. CONCLUSIONS: The ipRGC-driven pupil responses in children were robust and similar to responses previously measured in an adult population. The 6 s PIPR and early AUC to high intensity blue stimuli were associated with previous light exposure. There were no associations between the ipRGC-driven pupil response and refractive status in this cohort.

摘要

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The ipRGC-driven pupil response with light exposure and refractive error in children.

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[3]
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[6]
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[2]
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[3]
Differences in the pupillary responses to evening light between children and adolescents.

J Physiol Anthropol. 2024-7-3

[4]
Pupillary Light Reflex Reveals Melanopsin System Alteration in the Background of Myopia-26, the Female Limited Form of Early-Onset High Myopia.

Invest Ophthalmol Vis Sci. 2024-7-1

[5]
The association between pupillary responses and axial length in children differs as a function of season.

Sci Rep. 2024-1-5

[6]
Using Light Meters to Investigate the Light-Myopia Association - A Literature Review of Devices and Research Methods.

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[7]
Differences in the Pupillary Responses to Evening Light between Children and Adolescents.

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[8]
Review on age-related differences in non-visual effects of light: melatonin suppression, circadian phase shift and pupillary light reflex in children to older adults.

J Physiol Anthropol. 2023-6-24

[9]
Long-Term Narrowband Lighting Influences Activity but Not Intrinsically Photosensitive Retinal Ganglion Cell-Driven Pupil Responses.

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[10]
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本文引用的文献

[1]
Chromatic Pupillometry in Children.

Front Neurol. 2018-8-17

[2]
Cone and melanopsin contributions to human brightness estimation.

J Opt Soc Am A Opt Image Sci Vis. 2018-4-1

[3]
The ipRGC-Driven Pupil Response with Light Exposure, Refractive Error, and Sleep.

Optom Vis Sci. 2018-4

[4]
Melanopsin photoreception contributes to human visual detection, temporal and colour processing.

Sci Rep. 2018-3-1

[5]
Melanopsin-Mediated Acute Light Responses Measured in Winter and in Summer: Seasonal Variations in Adults with and without Cataracts.

Front Neurol. 2017-9-11

[6]
Attenuation of short wavelengths alters sleep and the ipRGC pupil response.

Ophthalmic Physiol Opt. 2017-7

[7]
Influence of refractive error on pupillary dynamics in the normal and mild traumatic brain injury (mTBI) populations.

J Optom. 2018

[8]
Melanopsin expressing human retinal ganglion cells: Subtypes, distribution, and intraretinal connectivity.

J Comp Neurol. 2017-6-1

[9]
Objectively Measured Light Exposure in Emmetropic and Myopic Adults.

Optom Vis Sci. 2017-2

[10]
Rhodopsin and Melanopsin Contributions to the Early Redilation Phase of the Post-Illumination Pupil Response (PIPR).

PLoS One. 2016-8-22

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