Abstract
Purpose
The aim of this study is to assess the photoreceptor integrity, using spectral domain optical coherence tomography (SD-OCT), and to measure the retinal sensitivity of patients with congenital red–green color vision deficiency (CVD).
Methods
In all, 14 eyes from 7 patients with congenital red–green CVD (diagnosed by Farnsworth Munsell 100 hue test), and 14 eyes from 7 control subjects were examined by SD-OCT and microperimetry. Radial scans (7-mm) were taken of the macula. The center of the fovea was defined. The thickness of different retinal layers, at the foveal center, and at multiple defined points along all six radial scans, was measured. The median readings were compared between the two groups using Mann–Whitney U-test.
Results
SD-OCT demonstrated normal total retinal thickness, normal thickness of the photoreceptor layer, normal thickness of the outer nuclear layer, normal vertical thickness of the outer segments (OSs), and normal vertical thickness of the inner segments. OS horizontal diameter was less in left eye in cases with CVD when compared with controls. The mean retinal and foveal sensitivity was similar between cases and controls.
Conclusions
In subjects with congenital red–green CVD, there are no discernible anatomical abnormalities seen on SD-OCT in various retinal layers, except for a narrower foveal pit. However, further studies with larger sample size are required.
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References
Peacock G . Life of Thomas Young: M. D., F.R.S., &c., and One of the Eight Foreign Associates of the National Institute of France. John Murray: London, 1855.
Scheibner H, Kellermann FJ, Boll M . [Protanopia and protanomaly]. Ber Zusammenkunft Dtsch Ophthalmol Ges 1972; 71: 522–531.
Scheibner H, Boll M . [Deuteranopia and deuteranomaly]. Albrecht Von Graefes Arch Klin Exp Ophthalmol 1972; 185 (2): 145–160.
Nathans J, Thomas D, Hogness DS . Molecular genetics of human color vision: the genes encoding blue, green, and red pigments. Science 1986; 232: 193–202.
Birch J . Diagnosis of Defective Colour Vision, 2nd edn. Oxford University Press: Edinburgh, 1998.
Farnsworth D . The Farnsworth-Munsell 100-hue and dichotomous tests for colour vision. J Opt Soc Am 1943; 33: 568–578.
Wojtkowski M, Bajraszewski T, Targowski P, Kowalczyk A . Real-time in vivo imaging by high-speed spectral optical coherence tomography. Opt Lett 2003; 28: 1745–1747.
Wojtkowski M, Bajraszewski T, Gorczyńska I, Targowski P, Kowalczyk A, Wasilewski W et al. Ophthalmic imaging by spectral optical coherence tomography. Am J Ophthalmol 2004; 138: 412–419.
Chen TC, Cense B, Pierce MC, Nassif N, Park BH, Yun SH et al. Spectral domain optical coherence tomography: ultra-high speed, ultra-high resolution ophthalmic imaging. Arch Ophthalmol 2005; 23: 1715–1720.
Kiernan DF, Mieler WF, Hariprasad SM . Spectral-domain optical coherence tomography: a comparison of modern high-resolution retinal imaging systems. Am J Ophthalmol 2010; 149: 18–31.
Barthelmes D, Sutter FK, Kurz-Levin MM, Bosch MM, Helbig H, Niemeyer G et al. Quantitative analysis of OCT characteristics in patients with achromatopsia and blue-cone monochromatism. Invest Ophthalmol Vis Sci 2006; 47: 1161–1166.
Varsányi B, Somfai GM, Lesch B, Vámos R, Farkas A . Optical coherence tomography of the macula in congenital achromatopsia. Invest Ophthalmol Vis Sci 2007; 48: 2249–2253.
Carroll J, Baraas RC, Wagner-Schuman M, Rha J, Siebe CA, Sloan C et al. Cone photoreceptor mosaic disruption associated with Cys203Arg mutation in the M-cone opsin. Proc Natl Acad Sci USA 2009; 106 (49): 20948–20953.
Ishikawa H, Gürses-Ozden R, Hoh ST, Dou HL, Liebmann JM, Ritch R . Grayscale and proportion-corrected optical coherence tomography images. Ophthalmic Surg Lasers 2000; 31: 223–228.
Kinnear PR . Proposals for scoring and assessing the 100-hue test. Vision Res 1970; 10: 423–433.
Verriest G, van Laethem J, Uvijls A . A new assessment of the normal ranges of the Farnsworth-Munsell 100-hue test scores. Am J Ophthalmol 1982; 93: 635–642.
Vingrys AJ, King-Smith PE . A quantitative scoring technique for panel tests of color vision. Invest Ophthalmol Vis Sci 1988; 29: 50–63.
Allan D . Fourier analysis and the Farnsworth-Munsell 100-hue test. Ophthalmic Physiol Opt 1985; 5: 337–342.
Smith VC, Pokorny J, Pass AS . Color-axis determination on the Farnsworth-Munsell 100-hue test. Am J Ophthalmol 1985; 100: 176–182.
Pinckers A . Color vision and age. Ophthalmologica 1980; 181: 23–30.
Steward SM, Cole BL . What do colour vision defectives say about everyday tasks? Optom Vis Sci 1989; 66: 288–295.
Lorenz B, Poliakov E, Schambeck M, Friedburg C, Preising MN, Redmond TM . A comprehensive clinical and biochemical functional study of a novel RPE65 hypomorphic mutation. Invest Ophthalmol Vis Sci 2008; 49: 5235–5242.
Deretic D, Papermaster DS . The role of small G-proteins in the transport of newly synthesized rhodopsin. Prog Retin Eye Res 1994; 14: 249–265.
Bok D . Retinal photoreceptor-pigment epithelium interactions. Friedenwald lecture. Invest Ophthalmol Vis Sci 1985; 26: 1659–1694.
Rapp LM, Fisher PL, Dhindsa HS . Reduced rate of rod outer segment disk synthesis in photoreceptor cells recovering from UVA light damage. Invest Ophthalmol Vis Sci 1994; 35: 3540–3548.
Li ZY, Jacobson SG, Milam AH . Autosomal dominant retinitis pigmentosa caused by the threonine-17-methionine rhodopsin mutation: retinal histopathology and immunocytochemistry. Exp Eye Res 1994; 58: 397–408.
Milam AH, Li ZY, Cideciyan AV, Jacobson SG . Clinicopathologic effects of the Q64ter rhodopsin mutation in retinitis pigmentosa. Invest Ophthalmol Vis Sci 1996; 37: 753–765.
Milam AH, Li ZY, Fariss RN . Histopathology of the human retina in retinitis pigmentosa. Prog Retin Eye Res 1998; 17: 175–205.
Bird AC . Investigation of disease mechanisms in retinitis pigmentosa. Ophthalmic Paediatr Genet 1992; 13: 57–66.
Dryja TP . Doyne Lecture. Rhodopsin and autosomal dominant retinitis pigmentosa. Eye (Lond) 1992; 6 (Pt 1): 1–10.
Manoil C, Traxler B . Membrane protein assembly: genetic, evolutionary and medical perspectives. Annu Rev Genet 1995; 29: 131–150.
Berson EL . Ocular findings in a form of retinitis pigmentosa with a rhodopsin gene defect. Trans Am Ophthalmol Soc 1990; 88: 355–388.
Yuodelis C, Hendrickson A . A qualitative and quantitative analysis of the human fovea during development. Vision Res 1986; 26: 847–855.
Hendrickson AE . Primate foveal development: a microcosm of current questions in neurobiology. Invest Ophthalmol Vis Sci 1994; 35: 3129–3133.
Rowe MH . Trichromatic color vision in primates. News Physiol Sci 2002; 17: 93–98.
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Gupta, A., Laxmi, G., Nittala, M. et al. Structural and functional correlates in color vision deficiency. Eye 25, 909–917 (2011). https://doi.org/10.1038/eye.2011.87
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DOI: https://doi.org/10.1038/eye.2011.87
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