Dark adaptation-induced changes in rod, cone and intrinsically photosensitive retinal ganglion cell (ipRGC) sensitivity differentially affect the pupil light response (PLR)

Aug 28, 2015Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie

How dark adaptation changes sensitivity in rod, cone, and light-sensitive eye cells differently affect pupil responses to light

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Abstract

The transient contraction amplitude of the pupil light response increased significantly by up to 45.1% during the initial phase of dark adaptation.

  • The sustained contraction amplitude and relative sustained contraction ratio changed by up to 71.0% and 37.2%, respectively, during the first 20 minutes of dark adaptation under high-intensity blue light.
  • An inflection point in the contraction curves was observed at 15 or 20 minutes of dark adaptation.
  • Similar patterns of changes in pupil light response were noted in patients with neural or retinal vision loss.
  • Different photoreceptors showed varying rates of sensitivity changes during the dark adaptation process.
  • A 20-minute dark adaptation period is suggested for achieving a consistent pupil response during testing.

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