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Published on: September 16, 2020
Deactivation of the rod response in retinopathy of prematurity
Ronald M Hansen1, Maureen E Harris, Anne Moskowitz
1Department of Ophthalmology, Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA. ronald.hansen@childrens.harvard.edu
Insights
Retinopathy of prematurity (ROP) affects photoreceptor deactivation in mature subjects. While infants with ROP show normal rod deactivation, older subjects exhibit prolonged recovery, suggesting impaired retinal function.
Area of Science:
- Ophthalmology
- Neuroscience
- Physiology
Background:
- Retinopathy of prematurity (ROP) is known to affect rod photoreceptor activation.
- The impact of ROP on the deactivation phase of rod photoreceptors remains uninvestigated.
Purpose of the Study:
- To investigate the effect of retinopathy of prematurity (ROP) on the deactivation of rod photoreceptors.
- To compare deactivation parameters in infants and older subjects with ROP to controls.
Main Methods:
- Utilized an electroretinographic (ERG) paired flash procedure.
- Measured rod-isolated a-wave response and time to 50% amplitude recovery (t(50)) in 22 ROP subjects (12 infants, 10 older).
- Compared results with former preterms without ROP and term-born controls.
Main Results:
- Infant ROP subjects showed no significant difference in t(50) compared to controls.
- Eight out of 12 mature ROP subjects exhibited prolonged t(50) values exceeding all control subjects.
- Prolonged deactivation suggests potential issues in retinal function maturation or progressive compromise.
Conclusions:
- Rod photoreceptor deactivation is differentially affected by ROP based on age.
- Mature ROP subjects may experience delayed deactivation, indicating incomplete functional maturation or age-related retinal decline.
Abstract:
It is known that retinopathy of prematurity (ROP) alters the activation of rod photoreceptors, but the effect of ROP on deactivation has not been investigated. We studied deactivation using an electroretinographic (ERG) paired flash procedure in 22 subjects (12 infants and 10 older subjects) with a history of preterm birth and ROP. The amplitude of the rod-isolated a-wave response to a flash presented 2-120 s after a test flash was measured, and the time at which it reached 50% of the single flash amplitude (t(50)) was determined by linear interpolation. Deactivation results were compared to those in former preterms who never had ROP (n = 6) and term-born controls. In infants, t(50) values of ROP subjects did not differ from those in subjects who never had ROP or term-born controls. Among mature ROP subjects, eight of 12 had t(50) values longer than any control subject. Prolonged deactivation in these mature ROP subjects may indicate lack of maturation of the deactivation process (t(50)) or progressive compromise of retinal function with increasing age.
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