Area under the dark adaptation curve as a reliable alternate measure of dark adaptation response

PurposeQuantification of dark adaptation (DA) response using the conventional rod intercept time (RIT) requires very long testing time and may not be measurable in the presence of impairments due to diseases such as age-related macular degeneration (AMD). The goal of this study was to investigate the advantages of using area under the DA curve (AUDAC) as an alternative to the conventional parameters to quantify DA response.MethodsData on 136 eyes (AMD: 98, normal controls: 38) from an ongoing longitudinal study on AMD were used. DA was measured using the AdaptDx 20 min protocol. AUDAC was computed from the raw DA characteristic curve at different time points, including 6.5 min and 20 min (default). The presence of AMD in the given eye was predicted using a logistic regression model within the leave-one-out cross-validation framework, with DA response as the predictor while adjusting for age and gender. The DA response variable was either the AUDAC values computed at 6.5 min (AUDAC6.5) or at 20 min (AUDAC20) cut-off, or the conventional RIT.ResultsAUDAC6.5 was strongly correlated with AUDAC20 (β=86, p<0.001, R2=0.87). The accuracy of predicting the presence of AMD using AUDAC20 was 76%, compared with 79% when using RIT, the current gold standard. In addition, when limiting AUDAC calculation to 6.5 min cut-off, the predictive accuracy of AUDAC6.5 was 80%.ConclusionsAUDAC can be a valuable measure to quantify the overall DA response and can potentially facilitate shorter testing duration while maintaining diagnostic accuracy.

The Electroretinogram of a Diurnal Gecko

Using the electroretinogram as the criterion of retinal activity the flicker fusion frequency, course of dark adaptation, and spectral sensitivity of the pure cone retina of the diurnal gecko, Phelsuma inunguis, were investigated. Both the curve relating flicker fusion frequency to stimulus intensity and that relating the amplitude of the flicker response to stimulus intensity showed a break as the intensity was increased. The dark adaptation curve was that typical of cone retinae; there was no break, adaptation was relatively rapid, and there was a total increase of sensitivity of only about 3 log units. The spectral sensitivity curve showed two maxima, a major one at about 560 mµ and another at about 460 mµ. Chromatic adaptation with red and blue lights demonstrated the presence of two independent mechanisms. Although red adaptation could not have had a direct effect on the pigment responsible for the "blue" mechanism the sensitivity of this mechanism was depressed by red adaptation. The possible relationships of the two mechanisms are discussed.

Studies on the Relation between the Pigment Migration and the Sensitivity Changes during Dark Adaptation in Diurnal and Nocturnal Lepidoptera

The functional significance of the pigment migration in the compound insect eye during dark adaptation has been studied in diurnal and nocturnal Lepidoptera. Measurements of the photomechanical changes were made on sections of eyes which had been dark-adapted for varying periods of time. In some experiments the sensitivity changes during dark adaptation were first determined before the eye was placed in the fixation solution. No change in the position of the retinal pigment occurred in Cerapteryx graminis until the eye had been dark-adapted for about 5 minutes. The start of the migration was accompanied by the appearance of a break in the dark adaptation curve. During longer periods of dark adaptation the outward movement of the pigment proceeded in parallel with the change in sensitivity, the migration as well as the adaptive process being completed within about 30 minutes. In the diurnal insects chosen for the present study (Erebia, Argynnis) the positional changes of the retinal pigment were insignificant in comparison with the movement of the distal pigment in Cerapteryx graminis. On the basis of these observations the tentative hypothesis is put forward that the second phase of adaptive change in nocturnal Lepidoptera is mediated by the migration of the retinal pigment while the first phase is assumed to be produced by the resynthesis of some photochemical substance. In diurnal insects which have no appreciable pigment migration the biochemical events alone appear to be responsible for the increase in sensitivity during dark adaptation.