SWS (blue) cone hypersensitivity in a newly identified retinal degeneration

Invest Ophthalmol Vis Sci. 1990 May;31(5):827-38.

Abstract

Photoreceptor-mediated mechanisms were studied in patients with a recently identified retinopathy typified by night blindness, cystoid maculopathy, and similar scotopic and photopic electroretinograms (ERGs). Dark-adapted spectral sensitivity functions were only partly explained as composites of rod and cone curves shifted to lower sensitivities; there was unusually high sensitivity from 400-460 nm. A rod mechanism, reduced in sensitivity by at least 3 log units, was detectable with dark adaptometry. No measurable rhodopsin was found with fundus reflectometry. Light-adapted spectral sensitivities were subnormal for wavelengths greater than 500 nm but supernormal from 420-460 nm. On a yellow adapting field, the supernormal spectrum approximated that of the short-wavelength-sensitive (SWS) cone system. With spectral ERGs, two mechanisms were demonstrated. Dark- and light-adapted ERGs to green, orange-yellow, and red stimuli had similar waveforms and coincident intensity-response functions on a photopic intensity axis. ERGs to blue and blue-green stimuli were similar, and intensity-response functions coincided on a SWS cone intensity axis. Patients varied in the degree to which rod and midspectral cone function were decreased and SWS cone function was increased.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Dark Adaptation
  • Electroretinography
  • Female
  • Fundus Oculi
  • Humans
  • Macular Degeneration / etiology
  • Male
  • Middle Aged
  • Night Blindness / etiology
  • Photoreceptor Cells / physiopathology*
  • Psychophysics
  • Retinal Degeneration / complications
  • Retinal Degeneration / physiopathology*
  • Rhodopsin / metabolism
  • Sensory Thresholds
  • Visual Acuity
  • Visual Field Tests

Substances

  • Rhodopsin