1. Ion exchange and membrane transport are essential for generating and transmitting electric impulses in retinal tissue. Small molecules and ions use transporters and channels to move across cell membranes via diffusion, active transport, and cotransport.
2. In the retina, photoreceptors generate receptor potentials in response to light that are transmitted to bipolar, horizontal, amacrine and ganglion cells. Bipolar cells transmit either excitatory or inhibitory signals. Ganglion cells transmit signals to the brain via action potentials along the optic nerve.
3. Parallel processing in the retina involves ON and OFF bipolar and ganglion cell pathways that enhance contrast sensitivity and allow for detection of light and dark areas.
Introduction, history and neurophysiologic basis of vepkalpanabhandari19
1. VEPs measure the electrical activity in the visual cortex generated by light stimulation of the retina. They provide an objective measure of the functional integrity of the visual pathways.
2. VEPs were initially observed in the 1930s but were refined through the development of signal averaging techniques from the 1950s onward.
3. Standard VEP stimulation includes flash, pattern onset/offset, and pattern reversal, with the latter being the preferred clinical technique. Check size, luminance, and reversal rate are standardized.
The human eye allows for vision through the use of rod and cone cells in the retina that detect light and color. Photoreceptor cells like rods and cones convert light into signals that stimulate biological processes. The visual pathway projects from the retina to the lateral geniculate body and then to the primary visual cortex in the occipital lobe. Visual evoked potentials are generated in the occipital cortex in response to visual stimulation and measure the conduction time along the visual pathway from the retina to the cortex.
This document discusses visual evoked potentials (VEP), which assess the integrity of the visual pathways from the optic nerve to the occipital cortex. VEP can be evoked by flashes of light or patterned stimuli, with pattern VEP being most commonly used clinically. Pattern VEP involves presenting a checkerboard pattern and measuring the response to pattern onset/offset or reversal. Clinical applications of VEP include evaluating optic neuritis, multiple sclerosis, anterior ischemic optic neuropathy, and compressive lesions, as well as distinguishing organic from functional visual loss.
Visual evoked potentials (VEPs) measure electrical activity in the visual pathway in response to visual stimulation. VEPs use stimuli like flashing lights or alternating checkerboard patterns. Recordings are made from electrodes placed on the head. Abnormalities in VEP latency, amplitude, or waveform can indicate conditions like optic nerve damage or multiple sclerosis but do not diagnose a specific disease. VEPs are useful for evaluating visual pathway function from the retina to visual cortex but abnormalities must be interpreted within the patient's overall clinical picture.
The document provides information about full field electroretinography (ERG), including a brief history, the anatomy and physiology of the retina, electrode types and placement, stimulus parameters, recording techniques, waveform components and analysis. It describes the International Society for Clinical Electrophysiology of Vision standardized protocol for ERGs, including dark adapted responses to assess rod and combined rod-cone function and light adapted responses to evaluate cone pathway function. Factors affecting ERGs and guidelines for analysis and reporting of results are also outlined.
1) VEPs are electrophysiological signals extracted from the EEG activity in the visual cortex in response to visual stimulation. They provide an objective measure of visual pathway integrity from the eye to the occipital cortex.
2) VEP waveform and components mature during early childhood, peaking around ages 5-8 years, then stabilize until aging effects begin around age 55. The "P1" component can be seen in infants by 5 weeks of age.
3) Pattern-reversal stimulation with checkerboards is most commonly used clinically. It elicits a reproducible P100 component around 100ms. Hemifield stimulation can localize lesions to the pre- or retrochiasmatic regions.
Visual evoked potentials (VEPs) record electrical signals from the scalp in response to visual stimuli. VEPs are useful for objectively assessing visual function, especially of the retina and optic nerve. The VEP involves presenting a visual stimulus such as a flashing light or alternating checkerboard pattern. Electrodes placed on the scalp record the P100 waveform generated in the striate and peristriate cortex in response to the stimulus. Analysis of the P100 latency, amplitude, and interocular latency difference can help detect and localize abnormalities in the retina, optic nerve, optic tract, and visual cortex.
Electrophysiological tests in ophthalmology by Dr.Vaibhav.k postgraduate dept...Vaibhav Kanduri
This document provides an overview of electrophysiological studies in ophthalmology, with a focus on electroretinography (ERG), electrooculography (EOG), and visual evoked potentials (VEP). It describes the visual pathways and electrical activity in the retina. The main tests - ERG, EOG, VEP - are explained in detail, including recording procedures, stimulus parameters, waveform analysis, and clinical applications. ERG assesses retinal function, EOG assesses retinal pigment epithelium and photoreceptor interaction, and VEP evaluates visual pathways up to the occipital cortex. Standardization of these tests allows for meaningful clinical use and research communication.
Introduction, history and neurophysiologic basis of vepkalpanabhandari19
1. VEPs measure the electrical activity in the visual cortex generated by light stimulation of the retina. They provide an objective measure of the functional integrity of the visual pathways.
2. VEPs were initially observed in the 1930s but were refined through the development of signal averaging techniques from the 1950s onward.
3. Standard VEP stimulation includes flash, pattern onset/offset, and pattern reversal, with the latter being the preferred clinical technique. Check size, luminance, and reversal rate are standardized.
The human eye allows for vision through the use of rod and cone cells in the retina that detect light and color. Photoreceptor cells like rods and cones convert light into signals that stimulate biological processes. The visual pathway projects from the retina to the lateral geniculate body and then to the primary visual cortex in the occipital lobe. Visual evoked potentials are generated in the occipital cortex in response to visual stimulation and measure the conduction time along the visual pathway from the retina to the cortex.
This document discusses visual evoked potentials (VEP), which assess the integrity of the visual pathways from the optic nerve to the occipital cortex. VEP can be evoked by flashes of light or patterned stimuli, with pattern VEP being most commonly used clinically. Pattern VEP involves presenting a checkerboard pattern and measuring the response to pattern onset/offset or reversal. Clinical applications of VEP include evaluating optic neuritis, multiple sclerosis, anterior ischemic optic neuropathy, and compressive lesions, as well as distinguishing organic from functional visual loss.
Visual evoked potentials (VEPs) measure electrical activity in the visual pathway in response to visual stimulation. VEPs use stimuli like flashing lights or alternating checkerboard patterns. Recordings are made from electrodes placed on the head. Abnormalities in VEP latency, amplitude, or waveform can indicate conditions like optic nerve damage or multiple sclerosis but do not diagnose a specific disease. VEPs are useful for evaluating visual pathway function from the retina to visual cortex but abnormalities must be interpreted within the patient's overall clinical picture.
The document provides information about full field electroretinography (ERG), including a brief history, the anatomy and physiology of the retina, electrode types and placement, stimulus parameters, recording techniques, waveform components and analysis. It describes the International Society for Clinical Electrophysiology of Vision standardized protocol for ERGs, including dark adapted responses to assess rod and combined rod-cone function and light adapted responses to evaluate cone pathway function. Factors affecting ERGs and guidelines for analysis and reporting of results are also outlined.
1) VEPs are electrophysiological signals extracted from the EEG activity in the visual cortex in response to visual stimulation. They provide an objective measure of visual pathway integrity from the eye to the occipital cortex.
2) VEP waveform and components mature during early childhood, peaking around ages 5-8 years, then stabilize until aging effects begin around age 55. The "P1" component can be seen in infants by 5 weeks of age.
3) Pattern-reversal stimulation with checkerboards is most commonly used clinically. It elicits a reproducible P100 component around 100ms. Hemifield stimulation can localize lesions to the pre- or retrochiasmatic regions.
Visual evoked potentials (VEPs) record electrical signals from the scalp in response to visual stimuli. VEPs are useful for objectively assessing visual function, especially of the retina and optic nerve. The VEP involves presenting a visual stimulus such as a flashing light or alternating checkerboard pattern. Electrodes placed on the scalp record the P100 waveform generated in the striate and peristriate cortex in response to the stimulus. Analysis of the P100 latency, amplitude, and interocular latency difference can help detect and localize abnormalities in the retina, optic nerve, optic tract, and visual cortex.
Electrophysiological tests in ophthalmology by Dr.Vaibhav.k postgraduate dept...Vaibhav Kanduri
This document provides an overview of electrophysiological studies in ophthalmology, with a focus on electroretinography (ERG), electrooculography (EOG), and visual evoked potentials (VEP). It describes the visual pathways and electrical activity in the retina. The main tests - ERG, EOG, VEP - are explained in detail, including recording procedures, stimulus parameters, waveform analysis, and clinical applications. ERG assesses retinal function, EOG assesses retinal pigment epithelium and photoreceptor interaction, and VEP evaluates visual pathways up to the occipital cortex. Standardization of these tests allows for meaningful clinical use and research communication.
1. Visual Evoked Potentials (VEPs) provide an objective assessment of visual function, especially of the retina and optic nerve.
2. VEPs measure the electrical response of the visual cortex to visual stimuli, such as flashing lights or patterns.
3. The major components of the VEP response are the N75, P100, and N145 waves. Abnormalities in the latency and amplitude of these waves can help localize lesions along the visual pathway.
The document summarizes visual evoked potentials (VEPs), including:
- VEPs measure electrophysiological signals from the visual cortex in response to visual stimuli.
- International standards exist for stimulus parameters, recording procedures, and normal values.
- Pattern-reversal VEPs eliciting the P100 wave are most commonly used clinically. Factors like check size, contrast and age affect P100 latency and amplitude.
- Abnormalities suggest defects along the visual pathway from eye to cortex. Multi-channel recordings localize defects pre- or post-chiasm.
VEP provides an objective measure of visual pathway function from the retina to the visual cortex. It involves recording electrical signals from the occipital cortex in response to visual stimuli such as flashes or patterns. Abnormalities in the visual pathways or cortex can affect VEP responses by changing latencies and amplitudes. Different stimuli types evaluate different aspects of vision. Pattern reversal VEP is commonly used to assess acuity. Multifocal VEP can detect localized abnormalities. VEP is useful for diagnosing and monitoring various conditions affecting the visual system.
Electrophysiological tests like ERG, EOG, and VEP objectively assess retinal and visual pathway function, aiding in diagnosis of retinal diseases. ERG measures the retinal electrical response to flashes of light. It analyzes the a-wave from photoreceptors and b-wave from bipolar cells, with oscillatory potentials from amacrine cells. ERG can locate disease to the retina or visual pathway and quantify visual impairment over time. Diseases like diabetic retinopathy, glaucoma, and retinal degenerations impact ERG amplitudes and implicit times characteristically. ERG is a valuable test for evaluating retinal function.
The electroretinogram (ERG) measures the electrical activity of the retina in response to light stimulation. It provides objective assessment of overall retinal function. The ERG response has different components - a-wave from photoreceptors, b-wave from bipolar and Muller cells. ERG is used to diagnose retinal diseases like retinitis pigmentosa and macular degeneration. It helps evaluate progression of retinal degenerations and assists in determining retinal involvement in visual complaints. Factors like pupil size, age, light/dark adaptation influence the ERG response which needs clinical correlation for interpretation.
This document discusses visual evoked potentials (VEPs), a type of evoked potential used to objectively assess visual pathway function. It describes the different types of VEPs including transient, steady-state, pattern, and flash VEPs. Pattern VEPs using checkerboard pattern reversal are most widely used. The document outlines best practices for VEP testing including stimulus parameters, electrode placement, waveforms, interpretation of results, and clinical applications for conditions like optic neuritis and ischemic optic neuropathy. Abnormalities include prolonged latencies and reduced amplitudes. VEPs can help localize lesions anterior or posterior to the optic chiasm.
Electrophysiological tests for vareious occular disorder and interpretationpragyarai53
This document discusses various electrophysiological tests used to evaluate ocular disorders, including the electrooculogram (EOG), electroretinogram (ERG), and visual evoked potential (VEP). The EOG assesses the function of the retinal pigment epithelium. The ERG evaluates the electrical response of retinal cells to light and reflects the function of photoreceptors and inner retinal layers. It can help diagnose retinal diseases and toxicity. The VEP objectively assesses visual pathway integrity beyond the retina by measuring electrical potentials in the visual cortex in response to light or pattern stimuli. These tests provide functional information to complement clinical exams.
The document summarizes key optical principles related to the human visual system. It discusses:
1) The basics of light, photons, and units of measurement for light such as lumens.
2) How different wavelengths of light such as UV, visible light, and X-rays interact with human skin and tissues, including uses in phototherapy and risks of skin cancer.
3) Principles of reflection, refraction, lenses, and image formation and their relevance to the anatomy and functioning of the human eye.
4) Common visual impairments like myopia, hyperopia, and astigmatism as well as methods for testing visual acuity and visual fields.
This document discusses dark adaptation, which is the ability of the eye to adapt to decreasing levels of illumination. It describes the mechanisms and factors that affect dark adaptation. The mechanisms involve restoration of visual pigments in rods and cones as well as neural and pupillary adaptations. Factors that influence dark adaptation include characteristics of the pre-adapting light, test stimulus used, and individual differences such as vitamin A levels, ocular diseases, and genetic disorders that impact night vision. Several genetic disorders that impact dark adaptation are also discussed such as congenital stationary night blindness and Stargardt's disease.
This document provides an overview of electrophysiological tests of the visual system, focusing on electroretinography (ERG). It describes the technique of ERG recording, including electrode placement and stimulus protocols. It explains the origins and characteristics of the different ERG waveforms (a-wave, b-wave, c-wave, oscillatory potentials). Applications of ERG include diagnosing retinal diseases and assessing retinal function when the fundus cannot be visualized. The document also briefly discusses pattern ERG, multifocal ERG, and electrooculography.
Electroretinogram and Clinical ApplicationsVikas Khatri
The document discusses electroretinography (ERG), which measures electrical potentials generated by the retina in response to light. ERG components include the a-wave from photoreceptors and b-wave from bipolar and Muller cells. ERG is used clinically to assess retinal function and diagnose conditions like retinitis pigmentosa and diabetic retinopathy. Factors like light intensity and state of adaptation affect the ERG response. Standardized protocols ensure comparability between labs. Abnormal ERGs can localize retinal defects and provide prognostic information for diseases like central retinal vein occlusion.
Electrophysiological tests for vareious occular disorder and interpretationpragyarai53
This document discusses various electrophysiological tests used to evaluate ocular disorders, including the electrooculogram (EOG), electroretinogram (ERG), and visual evoked potential (VEP). The EOG assesses the function of the retinal pigment epithelium. The ERG evaluates the electrical response of the retina to light and provides information about photoreceptor and inner retinal layer function. Abnormal ERG results can indicate conditions like retinitis pigmentosa or retinal detachment. The VEP measures the response of the visual cortex to visual stimuli and is used to evaluate the visual pathway beyond the retina. These tests provide objective measures of retinal and visual pathway integrity that can assist in diagnosis and evaluation
Anatomical & physiological basis of visual acuityAcm CB
This document discusses the anatomical and physiological basis of visual acuity. It begins by defining visual acuity and describing its components and types. Anatomically, structures that contribute to visual acuity include the tear film, cornea, aqueous humor, pupil, lens, vitreous, retina, and fovea. Physiologically, factors such as the Stiles-Crawford effect, miniature eye movements, retinal eccentricity, luminance, contrast, contour interaction, optical quality of the eye, visibility duration, and age influence visual acuity. The density of photoreceptors in the fovea allows for the highest visual acuity.
This document discusses electroretinography (ERG), a technique for evaluating retinal function by recording electrical responses from the retina to light stimulation. It provides details on:
- The history and components of the ERG
- Procedure for performing ERG including electrode placement and light stimulation methods
- The different ERG waveforms and what parts of the retina they represent
- Clinical applications of ERG for evaluating various retinal diseases and conditions like retinitis pigmentosa, retinal toxicity, and more
- Limitations and sources of artifacts in ERG testing
The document summarizes key aspects of physiology of vision in humans. It discusses:
1) The structure and function of the eye, including lenses, cornea, retina, rods and cones.
2) Optical principles such as refraction and focal points.
3) Accommodation and changes in the lens that cause near- and far-sightedness.
4) Neural processing in the retina involving rods, cones, bipolar and ganglion cells.
5) Color vision mediated by red, green and blue cones and defects causing color blindness.
This document discusses various electrophysiology techniques used in optometric practice, including electrooculography (EOG), electroretinography (ERG), and visual evoked potentials (VEP). EOG measures the electrical potential of the retinal pigment epithelium and is used to diagnose retinal diseases. ERG records the retinal response to light and evaluates photoreceptor and inner retinal layer function. VEP detects the brain response to visual stimuli and assesses the visual pathway and cortex. These objective electrophysiology tests provide information to diagnose conditions, monitor treatment effectiveness, and study the visual system.
This document provides information about brainstem auditory evoked potentials (BAEPs). It discusses the anatomy and physiology of the peripheral and central auditory systems, including the pathways from the inner ear to the brainstem and cortex. It describes the generators of BAEP waveforms and standards for BAEP testing according to the American Clinical Neurophysiology Society, including stimulus parameters, recording settings, and analysis time. The document is intended to inform readers about BAEP testing and interpretation.
The document summarizes key aspects of eye anatomy and vision. It describes the cornea and lens's role in refracting light, as well as intraocular structures like the retina, photoreceptors, and ganglion cells that transduce light signals. It also explains the mechanisms of accommodation, involving the ciliary muscle and lens shape change, and various cell types and circuits that underlie central and peripheral vision, light/dark detection, and color perception.
The retinal pigment epithelium (RPE) performs several important functions to support photoreceptor cells in the retina. It acts as a barrier between the retina and choroid, transports nutrients between the retina and blood vessels, regulates the subretinal space ion concentration, engages in the visual cycle to regenerate photopigments, and phagocytoses shed photoreceptor outer segments. Phototransduction is the process where photons are converted to electrical signals in the photoreceptor cells. It involves photoisomerization of rhodopsin triggering a biochemical cascade that modulates cyclic GMP levels and closes cation channels, ultimately leading to hyperpolarization.
1. Visual Evoked Potentials (VEPs) provide an objective assessment of visual function, especially of the retina and optic nerve.
2. VEPs measure the electrical response of the visual cortex to visual stimuli, such as flashing lights or patterns.
3. The major components of the VEP response are the N75, P100, and N145 waves. Abnormalities in the latency and amplitude of these waves can help localize lesions along the visual pathway.
The document summarizes visual evoked potentials (VEPs), including:
- VEPs measure electrophysiological signals from the visual cortex in response to visual stimuli.
- International standards exist for stimulus parameters, recording procedures, and normal values.
- Pattern-reversal VEPs eliciting the P100 wave are most commonly used clinically. Factors like check size, contrast and age affect P100 latency and amplitude.
- Abnormalities suggest defects along the visual pathway from eye to cortex. Multi-channel recordings localize defects pre- or post-chiasm.
VEP provides an objective measure of visual pathway function from the retina to the visual cortex. It involves recording electrical signals from the occipital cortex in response to visual stimuli such as flashes or patterns. Abnormalities in the visual pathways or cortex can affect VEP responses by changing latencies and amplitudes. Different stimuli types evaluate different aspects of vision. Pattern reversal VEP is commonly used to assess acuity. Multifocal VEP can detect localized abnormalities. VEP is useful for diagnosing and monitoring various conditions affecting the visual system.
Electrophysiological tests like ERG, EOG, and VEP objectively assess retinal and visual pathway function, aiding in diagnosis of retinal diseases. ERG measures the retinal electrical response to flashes of light. It analyzes the a-wave from photoreceptors and b-wave from bipolar cells, with oscillatory potentials from amacrine cells. ERG can locate disease to the retina or visual pathway and quantify visual impairment over time. Diseases like diabetic retinopathy, glaucoma, and retinal degenerations impact ERG amplitudes and implicit times characteristically. ERG is a valuable test for evaluating retinal function.
The electroretinogram (ERG) measures the electrical activity of the retina in response to light stimulation. It provides objective assessment of overall retinal function. The ERG response has different components - a-wave from photoreceptors, b-wave from bipolar and Muller cells. ERG is used to diagnose retinal diseases like retinitis pigmentosa and macular degeneration. It helps evaluate progression of retinal degenerations and assists in determining retinal involvement in visual complaints. Factors like pupil size, age, light/dark adaptation influence the ERG response which needs clinical correlation for interpretation.
This document discusses visual evoked potentials (VEPs), a type of evoked potential used to objectively assess visual pathway function. It describes the different types of VEPs including transient, steady-state, pattern, and flash VEPs. Pattern VEPs using checkerboard pattern reversal are most widely used. The document outlines best practices for VEP testing including stimulus parameters, electrode placement, waveforms, interpretation of results, and clinical applications for conditions like optic neuritis and ischemic optic neuropathy. Abnormalities include prolonged latencies and reduced amplitudes. VEPs can help localize lesions anterior or posterior to the optic chiasm.
Electrophysiological tests for vareious occular disorder and interpretationpragyarai53
This document discusses various electrophysiological tests used to evaluate ocular disorders, including the electrooculogram (EOG), electroretinogram (ERG), and visual evoked potential (VEP). The EOG assesses the function of the retinal pigment epithelium. The ERG evaluates the electrical response of retinal cells to light and reflects the function of photoreceptors and inner retinal layers. It can help diagnose retinal diseases and toxicity. The VEP objectively assesses visual pathway integrity beyond the retina by measuring electrical potentials in the visual cortex in response to light or pattern stimuli. These tests provide functional information to complement clinical exams.
The document summarizes key optical principles related to the human visual system. It discusses:
1) The basics of light, photons, and units of measurement for light such as lumens.
2) How different wavelengths of light such as UV, visible light, and X-rays interact with human skin and tissues, including uses in phototherapy and risks of skin cancer.
3) Principles of reflection, refraction, lenses, and image formation and their relevance to the anatomy and functioning of the human eye.
4) Common visual impairments like myopia, hyperopia, and astigmatism as well as methods for testing visual acuity and visual fields.
This document discusses dark adaptation, which is the ability of the eye to adapt to decreasing levels of illumination. It describes the mechanisms and factors that affect dark adaptation. The mechanisms involve restoration of visual pigments in rods and cones as well as neural and pupillary adaptations. Factors that influence dark adaptation include characteristics of the pre-adapting light, test stimulus used, and individual differences such as vitamin A levels, ocular diseases, and genetic disorders that impact night vision. Several genetic disorders that impact dark adaptation are also discussed such as congenital stationary night blindness and Stargardt's disease.
This document provides an overview of electrophysiological tests of the visual system, focusing on electroretinography (ERG). It describes the technique of ERG recording, including electrode placement and stimulus protocols. It explains the origins and characteristics of the different ERG waveforms (a-wave, b-wave, c-wave, oscillatory potentials). Applications of ERG include diagnosing retinal diseases and assessing retinal function when the fundus cannot be visualized. The document also briefly discusses pattern ERG, multifocal ERG, and electrooculography.
Electroretinogram and Clinical ApplicationsVikas Khatri
The document discusses electroretinography (ERG), which measures electrical potentials generated by the retina in response to light. ERG components include the a-wave from photoreceptors and b-wave from bipolar and Muller cells. ERG is used clinically to assess retinal function and diagnose conditions like retinitis pigmentosa and diabetic retinopathy. Factors like light intensity and state of adaptation affect the ERG response. Standardized protocols ensure comparability between labs. Abnormal ERGs can localize retinal defects and provide prognostic information for diseases like central retinal vein occlusion.
Electrophysiological tests for vareious occular disorder and interpretationpragyarai53
This document discusses various electrophysiological tests used to evaluate ocular disorders, including the electrooculogram (EOG), electroretinogram (ERG), and visual evoked potential (VEP). The EOG assesses the function of the retinal pigment epithelium. The ERG evaluates the electrical response of the retina to light and provides information about photoreceptor and inner retinal layer function. Abnormal ERG results can indicate conditions like retinitis pigmentosa or retinal detachment. The VEP measures the response of the visual cortex to visual stimuli and is used to evaluate the visual pathway beyond the retina. These tests provide objective measures of retinal and visual pathway integrity that can assist in diagnosis and evaluation
Anatomical & physiological basis of visual acuityAcm CB
This document discusses the anatomical and physiological basis of visual acuity. It begins by defining visual acuity and describing its components and types. Anatomically, structures that contribute to visual acuity include the tear film, cornea, aqueous humor, pupil, lens, vitreous, retina, and fovea. Physiologically, factors such as the Stiles-Crawford effect, miniature eye movements, retinal eccentricity, luminance, contrast, contour interaction, optical quality of the eye, visibility duration, and age influence visual acuity. The density of photoreceptors in the fovea allows for the highest visual acuity.
This document discusses electroretinography (ERG), a technique for evaluating retinal function by recording electrical responses from the retina to light stimulation. It provides details on:
- The history and components of the ERG
- Procedure for performing ERG including electrode placement and light stimulation methods
- The different ERG waveforms and what parts of the retina they represent
- Clinical applications of ERG for evaluating various retinal diseases and conditions like retinitis pigmentosa, retinal toxicity, and more
- Limitations and sources of artifacts in ERG testing
The document summarizes key aspects of physiology of vision in humans. It discusses:
1) The structure and function of the eye, including lenses, cornea, retina, rods and cones.
2) Optical principles such as refraction and focal points.
3) Accommodation and changes in the lens that cause near- and far-sightedness.
4) Neural processing in the retina involving rods, cones, bipolar and ganglion cells.
5) Color vision mediated by red, green and blue cones and defects causing color blindness.
This document discusses various electrophysiology techniques used in optometric practice, including electrooculography (EOG), electroretinography (ERG), and visual evoked potentials (VEP). EOG measures the electrical potential of the retinal pigment epithelium and is used to diagnose retinal diseases. ERG records the retinal response to light and evaluates photoreceptor and inner retinal layer function. VEP detects the brain response to visual stimuli and assesses the visual pathway and cortex. These objective electrophysiology tests provide information to diagnose conditions, monitor treatment effectiveness, and study the visual system.
This document provides information about brainstem auditory evoked potentials (BAEPs). It discusses the anatomy and physiology of the peripheral and central auditory systems, including the pathways from the inner ear to the brainstem and cortex. It describes the generators of BAEP waveforms and standards for BAEP testing according to the American Clinical Neurophysiology Society, including stimulus parameters, recording settings, and analysis time. The document is intended to inform readers about BAEP testing and interpretation.
The document summarizes key aspects of eye anatomy and vision. It describes the cornea and lens's role in refracting light, as well as intraocular structures like the retina, photoreceptors, and ganglion cells that transduce light signals. It also explains the mechanisms of accommodation, involving the ciliary muscle and lens shape change, and various cell types and circuits that underlie central and peripheral vision, light/dark detection, and color perception.
The retinal pigment epithelium (RPE) performs several important functions to support photoreceptor cells in the retina. It acts as a barrier between the retina and choroid, transports nutrients between the retina and blood vessels, regulates the subretinal space ion concentration, engages in the visual cycle to regenerate photopigments, and phagocytoses shed photoreceptor outer segments. Phototransduction is the process where photons are converted to electrical signals in the photoreceptor cells. It involves photoisomerization of rhodopsin triggering a biochemical cascade that modulates cyclic GMP levels and closes cation channels, ultimately leading to hyperpolarization.
The document provides an overview of the mechanism of visual transduction in the retina. It describes how light is converted to electrical signals through photochemical reactions in rods and cones. It explains the roles of different retinal layers and cells, such as photoreceptors, bipolar cells and ganglion cells, in transmitting visual signals from the retina to the brain. It also discusses concepts like dark adaptation, light adaptation and the Purkinje effect which allow vision under varying light conditions through changes in retinal sensitivity. Finally, it summarizes the duplicity theory of vision which explains how both rods and cones work together to provide high sensitivity and visual acuity.
Ion Channels, Ion transport and Electrical SignallingNelson Ekechukwu
This document provides an overview of ion channels, transporters, and electrical signaling in neurons. It discusses how ion gradients across the neuronal cell membrane are established and maintained by ion pumps and transporters, and how these gradients give rise to the resting membrane potential. It describes how voltage-gated ion channels regulate the permeability of ions like sodium and potassium, allowing for the generation and propagation of action potentials, which transmit electrical signals along axons. Finally, it discusses how calcium channels mediate neurotransmitter release at synapses to enable communication between neurons.
Physiological view of the signal transmission in the retina. With complete description of the retinal processing and the neurotransmitters of the retina. Along with diseases that may affect the retina
Introduction to the pharmacology of CNS drugsDomina Petric
The document provides an overview of central nervous system (CNS) pharmacology, covering ion channels, neurotransmitter receptors, synaptic transmission, and cellular organization of the brain. It describes two types of channels in nerve cell membranes: voltage-gated channels that respond to changes in membrane potential, and ligand-gated channels that open when neurotransmitters bind. Neurotransmitters can act on ionotropic receptors, directly opening channels, or metabotropic G protein-coupled receptors, which modulate voltage-gated channels via second messengers. Synaptic transmission involves the propagation of action potentials and release of neurotransmitters, producing excitatory or inhibitory postsynaptic potentials. The brain contains hierarchical systems with clearly delineated pathways, and
1. The retina contains 10 layers including the outer layer of rods and cones which contain the light-sensitive photoreceptors.
2. Rods and cones have outer segments containing photopigments, inner segments with organelles, nuclei, and synaptic bodies connecting to neurons.
3. When light activates photopigments in rods and cones, a signal cascade occurs transmitting the visual image through the retina and optic nerve to the brain.
This document summarizes the functional retinal physiology. It describes the key layers of the retina including the RPE, photoreceptors, inner nuclear layer, and ganglion cell layer. It discusses the roles of rods and cones, bipolar cells, and ganglion cells. It introduces the duplex theory of vision which explains scotopic and photopic vision based on rods and cones. It also describes retinal receptive fields and the pathways of information flow from photoreceptors to bipolar to ganglion cells.
The sodium-potassium pump, also known as Na+-K+-ATPase, is an integral membrane protein that transports sodium and potassium ions across cell membranes. It was discovered in 1957 and is responsible for maintaining ion gradients that produce both chemical and electrical gradients crucial for nerve and muscle function. The pump actively transports 3 sodium ions out of and 2 potassium ions into the cell per ATP hydrolyzed. This establishes electrochemical gradients that allow cells to regulate processes like nutrient import, volume, and the resting membrane potential necessary for nerve impulse transmission.
The document discusses the nervous system and synapses. It describes how synapses allow neurons to communicate via either electrical or chemical transmission. At chemical synapses, neurotransmitters are released from the presynaptic neuron and bind to receptors on the postsynaptic neuron, causing changes in its membrane potential. Excitatory synapses cause depolarization via EPSPs, while inhibitory synapses cause hyperpolarization or stabilization via IPSPs. Spatial and temporal summation of EPSPs at synapses can bring the postsynaptic neuron to threshold to fire an action potential. Neurotransmitters are removed from synapses via reuptake or degradation to terminate signals. Drugs can modify synaptic transmission by affecting neurotransmitter synthesis, storage, release, receptor activation, or reupt
Functional retinal physiology - Archana.pptxMMC, IOM
1. The retina contains different layers and cell types that work together to convert light stimuli into neural signals. Photoreceptors detect light and hyperpolarize, bipolar cells exhibit spatial antagonism, and ganglion cells generate action potentials that are transmitted to the brain.
2. Within the retina, there are two main types of bipolar cells (on-center and off-center) and two main types of ganglion cells (midget and parasol) that differ in their receptive field properties and transmission of sustained vs. transient responses.
3. The different retinal cell types form pathways through the lateral geniculate nucleus to the visual cortex that allow for the processing of visual information like spatial resolution, color
Graded potentials are local changes in membrane potential that vary in strength depending on the stimulus. They spread through passive diffusion but decay over short distances. Action potentials occur when the membrane reaches threshold potential, causing voltage-gated sodium and potassium channels to open and reverse the membrane potential before restoring it. They travel along axons through contiguous conduction. At synapses, neurotransmitters released from presynaptic neurons can excite or inhibit postsynaptic neurons through temporal and spatial summation of EPSPs and IPSPs. Presynaptic inputs determine postsynaptic responses through facilitation or inhibition of neurotransmitter release.
1. The document discusses neuronal signalling in the retina, describing how light is detected by photoreceptors and converted into electrical signals.
2. It explains that photoreceptors contain light-sensitive proteins that undergo chemical changes when exposed to light, initiating a signalling cascade that ultimately produces action potentials.
3. The signalling causes photoreceptors to hyperpolarize in response to light, decreasing the flow of sodium ions, in contrast to most receptors that depolarize upon stimulation.
1. The retina contains light-sensitive rods and cones that detect light and transmit signals through neurons to the brain.
2. Light exposure causes the photopigment rhodopsin in rods to decompose, hyperpolarizing the rods and decreasing the "dark current" of sodium ions flowing into them.
3. The fovea contains only cones, maximizing visual acuity, while the peripheral retina contains more rods for low-light vision.
Anatomy of the Human Eye ( PDFDrive ).pdfRockyIslam5
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Ion exchange, electric impulse generation and transmission copy
1. Concept : Ion exchange, Electric
impulse generation and
transmission in retinal tissue
Kalpana Bhandari
Master of clinical optometry 2nd batch
Tilganga institute of ophthalmology
2. Presentation layout
• Ion exchange.
• Overview of membrane transport.
• Action potential.
• Electric impulse generation.
• Transmission of visual impulse.
• Physiological activities in retinal cells.
• References.
3. Ion Exchange
Terminology
• Small molecules, such as gases,
lipids, and lipid-soluble molecules,
can diffuse directly through the
membranes of the endothelial
cells of the capillary wall.
• Glucose, amino acids, and ions—
including sodium, potassium,
calcium, and chloride—use
transporters to move through
specific channels in the
membrane by facilitated
diffusion.
4. • Glucose, ions, and larger molecules may also leave the
blood through intercellular clefts. Larger molecules can
pass through the pores of fenestrated capillaries, and
even large plasma proteins can pass through the great
gaps in the sinusoids. Some large proteins in blood
plasma can move into and out of the endothelial cells
packaged within vesicles by endocytosis and exocytosis.
• Water moves by osmosis.
5. • Active transport is the movement of
molecules across a cell membrane from a
region of lower concentration to a region of
higher concentration—against the
concentration gradient. Active transport
requires cellular energy to achieve this
movement.
• Cotransporters are a subcategory of
membrane transport proteins that couple the
favorable movement of one molecule with its
concentration gradient and unfavorable
movement of another molecule against its
concentration gradient.
7. Membrane Mechanisms of RPE
• The retinal pigment epithelium (RPE) interacts closely with
photoreceptors, an activity that is essential to maintain
excitability of photoreceptors.
• The RPE helps to control the environment of the sub-retinal
space, supplies nutrients and retinal to the photoreceptors,
phagocytoses shed photoreceptor outer segments in a
renewal process, and secretes a variety of growth factors,
helping to maintain the structural integrity of the retina.
8. RPE functions that involve the movements of
ions across the cell membranes
• The RPE transports ions and metabolic end products
from the retinal to the choroidal (vascular) side.
• Ion transport serves to control the ion composition in
the subretinal space, which is essential for the
maintenance of photoreceptor excitability and also
drives water transport across the RPE.
9. • Stimulation of photoreceptors by light decreases the
potassium concentration in the subretinal space. To
compensate, the RPE releases potassium ions through
the apical membrane into the subretinal space.
• Changing from light to dark increases the potassium
concentration in the subretinal space, which is
compensated by the absorption of potassium ions.
• Both the capability for epithelial transport and fast
instantaneous compensation can be monitored by ERG or
EOG measurements.
10. Action potential
• The transmission of signals in the nervous system
occurs in the form of electrical impulses.
• These electrical impulses are generated on the
membrane of the nerve cells.
• Different types of ion channels are involved in the
transmission of electrical impulses through nerve cells.
11. • Typically, the sodium ion concentration outside the nerve cell
membrane is high while the concentration of the potassium
ions inside the nerve cell membrane is high. The potential at
this stage is known as the resting membrane potential.
• Depolarization and hyperpolarization are two variations of
the resting membrane potential.
• The main difference between depolarization and
hyperpolarization is that depolarization refers to a decrease in
the resting membrane potential whereas hyperpolarization
refers to an increase in the resting membrane potential.
14. Electric impulse generation
• Normally the inner segment of the photoreceptor
continually pumps Na+ from inside to outside,
thereby creating a negative potential on the inside
of entire cell.
• However, the Na+ channels present in the cell
membrane of the outer segment of the
photoreceptor are kept open by the cyclic GMP, in
the dark. So, Na+ from the extracellular fluid,
flows inside the outer segment i.e. in dark.
• As a result cell membrane in the outer segment is
hypopolarized with respect to inner segment i.e.
current flows from inner to outer segment.
• Current also flows to the synaptic ending of the
photo receptor, this is called dark current.
15.
16. • The photoreceptors, both rods and cones, release
neurotransmitter during the dark, because under dark
conditions, the membrane of the sensory neuron is in a
depolarized state. Cyclic GMP–gated channels are open to
sodium influx in the dark state.
• In darkness, small transient voltage changes (“bumps”) can be
recorded across photoreceptor membranes. These are
presumably caused by thermal activation of molecules in the
excitatory cascade.
• These changes are “smoothed” at the receptor-bipolar
synapse and receptor-receptor junctions, thus permitting the
unambiguous detection of very weak signals.
• Maintaining the dark current requires high activity in the ATP-
requiring Na+/K+ pump and helps to explain why in
mitochondrial diseases, the retina may be disproportionately
affected.
17. • On light exposure, the rhodopsin molecules undergo their
conformational change, and a resulting phototransduction
cascade closes the membrane channels, sodium is kept out,
and the membrane of the whole cell goes into a hyperpolarized
state for as long as the light is present.
• Excitation of photo receptor causes increased negativity of the
membrane potential (hyperpolarization), rather than
decreased negativity (depolarization).
• Normally, the electronegativity inside the rod membrane is
about-50 mv (millivolts) and after excitation hyperpolarizes to
about -60 to -70mv.*
*Fusao Kawai, Masayuki Horiguchi, Hiromitsu Suzuk et.al. May 2001 .Japan. Na+ action
potential in human photoreceptors
18. • The hyperpolarizing response of a cone has a small
area over which it responds that is not much bigger
than the diameter of the cone.
• This space over which the cone gives its response is
known as its receptive field.
21. Transmission of visual impulse
• The receptor potential generated in the photo
receptor is transmitted by electronic conduction (i.e.
direct flow of electric current, not action potential)
to the other cell of the retina i.e. horizontal cells,
bipolar cells, amacrine cells and ganglion cells.
However, the ganglion cells transmit the visual signal
by the means of the action potential.
22. Neurotransmitters in the retina
Glutamine; an excitatory transmitter, is release by rods
and cones at their synapses with bipolar and horizontal
cells.
Amacrine cells produce five different types of inhibitory
transmitters. They include: gamma aminobutyric acid
(GABA), glycine, dopamine, acetylcholine and indolamine.
Cholinesterase has been found in the processes of muller,
horizontal, amacrine and ganglion cells.
Carbonic anhydrase has been isolated from cones and
RPE but not rods.
24. Horizontal cells
• It transmit signals horizontally
in the outer plexiform layer
from rods and cones to the
bipolar cells.
• Their main function is to
enhance visual contrast by
causing lateral inhibition.
Fig A: phenomenon of lateral inhibition in the surround receptive plexiform layer.
The central photoreceptor has been stimulated with light and the inner portion of
the cell membrane has become more negative. The signal is transmitted to the
bipolar cell and also to the horizontal cells. This horizontal transmission results in
inhibition of the photoreceptor-bipolar cell synapse of the neighbouring
photoreceptor element. The stimulated bipolar cell may be hyperpolarized or
depolarized.
25. Bipolar cells
• These are neurons of the first order of visual pathway.
• Their dendrites are stimulated by the light induced
hyperpolarization of the photoreceptors.
• Some bipolar cells depolarize while others
hyperpolarize when the photoreceptors are excited
i.e two different types of bipolar cells provide
opposing excitatory and inhibitory signals in the visual
pathway.
• The bipolar cell receives either excitatory input and
thus responds like the photoreceptor, horizontal cell
and has a hyperpolarizing response (due to iGluRs) or
gets an inhibitory input (due to mGluRs) and gives a
depolarizing response to light.
26. • Different bipolar cell types selectively express different types
of receptors for glutamate, allowing each bipolar type to
respond to photoreceptor input in a different way.
• Retinal bipolar cells are of two types: ON-center and OFF-
center.
• In centre depolarizing (also called ON-center bipolar cells) the
light striking the centre of receptive field activate and the light
striking the surround inhibits. The reverse occurs in the centre
hyperpolarizing (also called off-centre bipolar cells).
• Electron microscopy shows that bipolar cell dendrites make
different types of contact with the cone or rod synaptic
region, either beneath the synaptic ribbon or at more distant
basal contacts.
27. Amacrine cells
• They receive information at the synapse of the bipolar
cell axon with ganglion cell dendrites and use these
information for temporal processing at the other end
of the bipolar cell.
Uses:
• Some amacrine cells are part of the direct pathway for
rod vision i.e. the impulse travels from rod to bipolar
cells to amacrine cells to ganglion cells.
• Other type of amacrine cells are direction sensitive and
respond to movement of a spot across the retina in a
specific direction.
• Thus, amacrine cells help in temporal summation and
in the initial analysis of the visual signals before they
leave the retina
28. Amacrine cells play an important role in transmitting information
from rod photoreceptors to ganglion cells. The amacrine cells collect
messages from many rod-connected bipolar cells, allowing the
perception of very dim light. The amacrine cells feed information
directly to OFF ganglion cells. They also co-opt the ON cone bipolar-
to-ganglion cell architecture by means of gap junctions.
29. Ganglion cells
• The electric respond of bipolar cells after modification by the
amacrine cell is transmitted to the ganglion cells which inturns
transmit their signals by means of action potential to the brain.
• The ganglion cells are of two types in terms of their centre
response: “on – centre” cells that increase their discharge and “
off – centre” cells that decrease their discharge upon
illumination of the centre of their receptive fields.
• The number of ganglion cell in the centre of the fovea (about
3,5000) is equal to the number of cones; this account for the
high degree of visual acuity in the centre retina in comparison
with poorer acuity peripherally.
30. • Peripheral retina has much more sensitivity to weak
light than the central retina. This is because rods are
300 times more sensitive to light as compared to
cones and also as many as 200 rods converge on the
same optic nerve fibre in the peripheral retina.
31. Retinal parallel processing
• Parallel bipolar channels transmit inputs to ganglion cells.
• The parallel sets of visual channels for ON (detecting light
areas on dark backgrounds) and OFF (detecting dark areas on
light backgrounds) qualities of an image are fundamental to
our seeing.
• For example, we read black letters against a white
background using the OFF channels that start in the retina.
• Such parallel processing enhances the contrast sensitivity of
the eye.
32. Retinal parallel processing contd…
• Mammalian rod bipolar cells depolarize in response to
light that is absorbed within the center of their receptive
field.
• Cone bipolar cells are of two types: those that depolarize
(ON center) and those that hyperpolarize (OFF center) in
response to central illumination, so called because they
provide excitatory or inhibitory inputs to amacrine or
ganglion cells in response to light.
• The ON and OFF bipolar cells make synaptic contact with
amacrine and ganglion cells in different parts of the IPL.
35. • Axons of retinal ganglion cells converge to form a
optic nerve fibre and carries total output of retina to
the brain via optic nerve, optic chaisma, optic tract,
LGB, optic radiation and finally into visual cortex
where the image is perceived.
36.
37. References
• Principle and practice of electrophysiology of vision 2nd
edition.
• https://webvision.med.utah.edu/wp
content/uploads/2011/01/2003-01Kolb.pdf. How the retina
works.
• Anatomy and physiology of vision A.K. khurana.
• Internet