We used a simple and reproducible technique with full-field electroretinography and a special-purpose computer system to test and evaluate outer retinal function in dogs. The standardized protocol included the following five basic responses: (1) a stable initial light-adapted, mainly cone derived response, (2) a dark-adapted rod response, (3) chromatically separated rod and cone responses, (4) a maximal rod and cone response and (5) an isolated cone flicker response. For evaluating the electroretinographic responses, a graphic-presentation was used that included data from the tested animal as well as normative data from dogs of the specific breed and age group, presented as the percentage of the median in which limits of normality were depicted in percentiles.
Electroretinography was performed in 10 Abyssinian cats, homozygous for a hereditary retinal degenerative disease but still with an ophthalmoscopically normal retina, and in 11 mixed-breed controls, all between the ages of 8 and 104 weeks. A significant reduction of maximum dark-adapted b-wave amplitude was found in affected kittens as young as 8-16 weeks when compared with controls, although there was no major difference in dark-adapted b-wave threshold or implicit time for the b-wave between affected and controls. For cats 33-104 weeks, similar results were obtained except for the b-wave threshold, which was elevated 2.5 log units in one of the affected cats. No significant difference in 30-Hz cone flicker responses were found between affected and controls at any age studied. In the time period 17-32 weeks affected Abyssinian kittens could not be differentiated from controls by means of the electroretinogram. The significant reduction in scotopic b-wave maximum amplitudes in young affected kittens (8-16 weeks) in conjunction with normal thresholds suggests an early drop-out of rods. It is clear that affected kittens can be differentiated electrophysiologically from controls long before there are ophthalmoscopic signs of retinal disease.
The direct current electroretinogram (DC-ERG) of 15 unilaterally vitrectomized albino rabbits was studied during continuous intraocular irrigation with a recently developed solution ('PHS') produced by Pharmacia Ophthalmics. The mean amplitudes of the b- and c-waves were somewhat lower than corresponding values of previously investigated reference subjects, but not statistically different. In 11 of the 15 rabbits PHS was then replaced by the commonly used balanced salt solution (BSS). The fluids were subsequently repeatedly alternated (PHS, BSS, PHS, BSS, PHS). During irrigation with BSS the average amplitude of the b-wave was reduced to 87% (p less than 0.02) and that of the c-wave to 63% (p less than 0.001) of the levels obtained during perfusion with PHS. In two rabbits the ERG was studied about one month after vitrectomy, where PHS-irrigation was used both during surgery and for 30 min after its completion. No marked differences were observed between the treated and the untreated eyes as to the b- and c-wave amplitudes at stable stages of the recording. Thus, judged by the ERG, retinal and pigment epithelial functions were influenced unfavorably by BSS, whereas they seemed to be well preserved with PHS. From this point of view PHS appears to be an excellent irrigation solution for vitreoretinal surgery that ought to be clinically tested.
The direct current electroretinogram and the standing potential were recorded from both eyes of 23 albino rabbits during intraocular perfusion of one of the eyes, which was vitrectomized, with a physiologic reference solution (PHS). PHS was then replaced by a test solution containing dopamine dissolved in PHS. The fluids were subsequently alternated (PHS-dopamine-PHS). During irrigation with 0.25-0.5 mM dopamine (11 rabbits) the c-wave amplitude was 140% higher (p less than 0.001) and during irrigation with 25 mM dopamine (6 rabbits) 85% lower (p less than 0.01) than it was during the corresponding initial perfusion with PHS. The simultaneously recorded b-wave amplitude was reduced (0.25-0.5 mM: -22%, p less than 0.001; 25 mM: -69%, p less than 0.001) and the SP level increased (0.25-0.5 mM: +2375 microV, p less than 0.01; 25 mM: +2530 microV, p less than 0.05) compared with the values obtained during the corresponding preceding irrigation with PHS. Thus the changes in the b- and c-wave amplitudes during perfusion with dopamine were dependent on the concentration of the drug. In the contralateral control eye (23 rabbits) the c-wave amplitude was 21% higher (p less than 0.001), the b-wave amplitude 14% higher (p less than 0.001) and the standing potential 1007 microV higher (p less than 0.001) during intravitreal perfusion with dopamine in the other eye than during the preceding irrigation with PHS in that eye, possibly as a result of increasing dark adaptation.
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