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中央和周边视锥细胞和视杆细胞刺激对瞳孔光反射的影响。

Effect of central and peripheral cone- and rod-specific stimulation on the pupillary light reflex.

机构信息

Pupil Research Group, Centre for Ophthalmology, University of Tübingen, Elfriede-Aulhorn-Str. 7, 72076, Tübingen, Germany.

University Eye Hospital, Centre for Ophthalmology, University of Tübingen, Tübingen, Germany.

出版信息

Int Ophthalmol. 2022 May;42(5):1427-1436. doi: 10.1007/s10792-021-02132-1. Epub 2021 Nov 26.

Abstract

PURPOSE

To assess the effect of central and peripheral stimulation on the pupillary light reflex. The aim was to detect possible differences between cone- and rod-driven reactions.

METHODS

Relative maximal pupil constriction amplitude (relMCA) and latency to constriction onset (latency) to cone- and rod-specific stimuli of 30 healthy participants (24 ± 5 years (standard deviation)) were measured using chromatic pupil campimetry. Cone- and rod-specific stimuli had different intensities and wavelengths according to the Standards in Pupillography. Five filled circles with radii of 3°, 5°, 10°, 20° and 40° and four rings with a constant outer radius of 40° and inner radii of 3°, 5°, 10° and 20° were used as stimuli.

RESULTS

For cone-and rod-specific stimuli, relMCA increased with the stimulus area for both, circles and rings. However, increasing the area of a cone-specific ring by minimizing its inner radius with constant outer radius increased relMCA significantly stronger than the same did for a rod-specific ring. For cones and rods, a circle stimulus with a radius of 40° created a lower relMCA than the summation of the relMCAs to the corresponding ring and circle stimuli which combined create a 40° circle-stimulus. Latency was longer for rods than for cones. It decreased with increasing stimulus area for circle stimuli while it stayed nearly constant with increasing ring stimulus area for cone- and rod-specific stimuli.

CONCLUSION

The effect of central stimulation on relMCA is more dominant for cone-specific stimuli than for rod-specific stimuli while latency dynamics are similar for both conditions.

摘要

目的

评估中枢和外周刺激对瞳孔光反射的影响。目的是检测锥体细胞和杆体细胞反应之间可能存在的差异。

方法

使用彩色瞳孔描记法测量 30 名健康参与者(24±5 岁)的相对最大瞳孔收缩幅度(relMCA)和收缩起始潜伏期(潜伏期)。锥体细胞和杆体细胞刺激具有不同的强度和波长,根据瞳孔描记法标准。使用半径为 3°、5°、10°、20°和 40°的五个填充圆和半径为 40°、内半径为 3°、5°、10°和 20°的四个环作为刺激。

结果

对于锥体细胞和杆体细胞刺激,relMCA 随着刺激面积的增加而增加,无论是圆还是环。然而,通过将内半径最小化来增加锥体细胞特定环的面积,与增加杆体细胞特定环的面积相比,relMCA 显著增加。对于锥体细胞和杆体细胞,半径为 40°的圆刺激产生的 relMCA 低于相应环和圆刺激的 relMCA 之和,而该组合产生的 40°圆刺激。潜伏期对于杆体细胞来说比锥体细胞长。对于圆刺激,它随着刺激面积的增加而减少,而对于锥体细胞和杆体细胞的特定刺激,它随着环刺激面积的增加几乎保持不变。

结论

对于锥体细胞刺激,中枢刺激对 relMCA 的影响比杆体细胞刺激更为显著,而潜伏期动力学对于两种情况则相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3957/9123028/7662b5499dfa/10792_2021_2132_Fig1_HTML.jpg

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