Pupil dynamics are the important characteristics of face spoofing detection.The face recognition system is one of the most used biometrics for authenticating individual identity.The main threats to the facial recognit...Pupil dynamics are the important characteristics of face spoofing detection.The face recognition system is one of the most used biometrics for authenticating individual identity.The main threats to the facial recognition system are different types of presentation attacks like print attacks,3D mask attacks,replay attacks,etc.The proposed model uses pupil characteristics for liveness detection during the authentication process.The pupillary light reflex is an involuntary reaction controlling the pupil’s diameter at different light intensities.The proposed framework consists of two-phase methodologies.In the first phase,the pupil’s diameter is calculated by applying stimulus(light)in one eye of the subject and calculating the constriction of the pupil size on both eyes in different video frames.The above measurement is converted into feature space using Kohn and Clynes model-defined parameters.The Support Vector Machine is used to classify legitimate subjects when the diameter change is normal(or when the eye is alive)or illegitimate subjects when there is no change or abnormal oscillations of pupil behavior due to the presence of printed photograph,video,or 3D mask of the subject in front of the camera.In the second phase,we perform the facial recognition process.Scale-invariant feature transform(SIFT)is used to find the features from the facial images,with each feature having a size of a 128-dimensional vector.These features are scale,rotation,and orientation invariant and are used for recognizing facial images.The brute force matching algorithm is used for matching features of two different images.The threshold value we considered is 0.08 for good matches.To analyze the performance of the framework,we tested our model in two Face antispoofing datasets named Replay attack datasets and CASIA-SURF datasets,which were used because they contain the videos of the subjects in each sample having three modalities(RGB,IR,Depth).The CASIA-SURF datasets showed an 89.9%Equal Error Rate,while the Replay Attack datasets showed a 92.1%Equal Error Rate.展开更多
AIM:To compare the clinical outcomes between two approaches for sutureless scleral-fixated intraocular lens(SFIOL)in children with Marfan syndrome(MFS).METHODS:The study included 15 children(26 eyes)with lens subluxat...AIM:To compare the clinical outcomes between two approaches for sutureless scleral-fixated intraocular lens(SFIOL)in children with Marfan syndrome(MFS).METHODS:The study included 15 children(26 eyes)with lens subluxation due to MFS.These children underwent lensectomy,anterior vitrectomy,and sutureless SFIOL.According to the position of placement of intraocular lens(IOL)haptics,two study groups were reviewed for best corrected visual acuity(BCVA)and postoperative complications:group A,14 eyes with haptics fixated at 2.0 mm from the limbus;group B,12 eyes with the haptics fixated at 2.5 mm from the limbus.RESULTS:The mean axial length for all patients was 25.66±2.35 mm.Postoperative BCVA in logMAR were significant improved in both groups(0.77±0.32 to 0.17±0.12 in group A,0.66±0.25 to 0.24±0.12 in group B,both P<0.001)while no significant difference between two groups(P>0.05).Pupillary capture was main postoperative complication,occurring between 3d and 18mo.It occurred in 7 eyes in group A and one eye in group B(P=0.02).CONCLUSION:Sutureless SFIOL is an effective treatment approach for lens subluxation in children with MFS.Pupillary capture is the main postoperative complication.Fixated IOL haptics at 2.5 mm from the limbus can reduce the occurrence of pupillary capture.展开更多
Human depression patients often show abnormal pupillary reflex with morphological changes in hippo campus and prefrontal cortex.This study aimed to find the relationship between the prolonged pupillary light reflex(PL...Human depression patients often show abnormal pupillary reflex with morphological changes in hippo campus and prefrontal cortex.This study aimed to find the relationship between the prolonged pupillary light reflex(PLR) which had been shown by confined sows with chronic stress or depression and morphological changes in brain,in order to provide theoretical basis for that the confined environment should lead to sows' depression.A total of 637 sows of Durac,Landrace and Large White breeds with various parities were observed,and the pupil light reflex(PLR) was measured and the actual pupillary light reflex time(PLRT) were recorded.All the PLRTs were grouped based on the results of confidence interval:t>10%as group A,5%<t<10%as group B,1%<t<5%as group C and t<1%as group D.Three individuals were randomly selected from each group(12 sows in total) and the white tissues of hippocampus and the prefrontal cortex were prepared for HS staining slices(three slices/per tissue) for observation on tissue structure and pathological changes with high magnification(400X) of electronic microscope.The results showed that in group A(t>10%) pathological change was found in hippocampus,however,as PLRT increased from group B to group D,pathological changes in hippocampus tissues tended to be deteriorated with the increase of inflammatory cells and nuclear pyknosis phenomena.The same as those shown in hippocampus as the increasing of PLRT from groups A to D,more inflammatory cells appeared in prefrontal cortex for groups B and D.The results suggested that the tissue lesions of hippocampus and prefrontal cortex of the confined sows with prolonged PLRT might be the results of chronic stress or depression.展开更多
Purpose: To report a case of bilateral glaucoma related to pseudophacomorphic mechanism in one eye and pupillary block in the other eye after Visian Implantable Collamer Lens (ICL;STAAR Surgical) insertion. Methods: A...Purpose: To report a case of bilateral glaucoma related to pseudophacomorphic mechanism in one eye and pupillary block in the other eye after Visian Implantable Collamer Lens (ICL;STAAR Surgical) insertion. Methods: A 44-year-old female with high myopia underwent bilateral ICL implantation of MICL12.6 after sulcus diameter measurements were performed by Pentacam. Results: Pseudophacomorphic glaucoma-related angle closure occurred due to lens oversizing in the right eye. The mechanism was relieved via ICL explantation. In the left eye, pupillary block developed in a subacute manner after closure of the Peripheral Iridotomy (PI). The attack was ameliorated by reestablishing patency of the iridotomy. Conclusions: ICL-related glaucomatous attacks may result from improper sizing as well as from placement of a single PI. Identification of the proper mechanism is vital as treatments differ significantly. In pseudo phacomorphic glaucoma, explantation is needed. In pupillary block glaucoma, treatment involves establishment of a patent PI.展开更多
BACKGROUND Morbihan syndrome is a rare illness,which presents with recurrent pitting edema on the upper two thirds of the face causing facial contour deformities,and Morbihan syndrome obstructing the pupillary axis wi...BACKGROUND Morbihan syndrome is a rare illness,which presents with recurrent pitting edema on the upper two thirds of the face causing facial contour deformities,and Morbihan syndrome obstructing the pupillary axis with ptosis was seldomly reported.CASE SUMMARY A 59-year-old woman presented with a 15-year history of facial swelling that progressively invaded bilaterally from the inner canthus and eyelids outwards.Imaging examination indicated that the bilateral periorbital and the left temporal soft tissues had swelling without cranium invasion.Histopathological analysis showed a large amount of lymphocyte infiltration,and immunohistochemistry showed positive expression of CD68 in clear-cut granulomas and D2-40 in the lymphatic endothelium.Finally,the clinical diagnosis of Morbihan syndrome was confirmed.CONCLUSION Morbihan syndrome is an infrequent and refractory disease,which is characteristic with recurrent woody facial edema on the upper two thirds of the face.Solid facial edema is persistent and non-pitting,causing facial contour deformities and even vision field impairment.The diagnosis of Morbihan syndrome depends on clinical features,imaging information,and pathology.Blepharoplasty is optional to improve the visual field for these patients with severe pupillary axis obstruction.展开更多
Purpose: Description of a patient with a solitary cyst of the pupillary margin iris pigment epithelium (IPE). Methods: A 63-year-old man referred a suspected iris-ciliary body melanoma in his left eye. Based on both c...Purpose: Description of a patient with a solitary cyst of the pupillary margin iris pigment epithelium (IPE). Methods: A 63-year-old man referred a suspected iris-ciliary body melanoma in his left eye. Based on both clinical examination and ultrasound biomicroscopy, melanoma was considered unlikely. Surgery was under-taken to correct recurrent deterioration of vision due to movement of the lesion across the visual axis. Results: The lesion was excised completely. Ultrasound biomicroscopy and histopathological examination ruled out melanoma and allowed a final diagnosis of primary pupillary margin cyst of the IPE, characterized of pig-mented epithelium, with no connective tissue or vessels. No recurrences or fresh lesions appeared during a one-year follow-up. Conclusions: Primary epithelial iris cysts are usually benign. Treatment is required only in symptomatic patients and those with an uncertain diagnosis. Ultrasound biomicroscopy is indispensable to confirm the clinical diagnosis, follow the clinical course and intervene if surgery is required.展开更多
Artificial light at night(ALAN)is expanding worldwide.Many physiological effects have been reported in animals,but we still know little about the consequences for the visual system.The pupil contributes to control inc...Artificial light at night(ALAN)is expanding worldwide.Many physiological effects have been reported in animals,but we still know little about the consequences for the visual system.The pupil contributes to control incoming light onto the retina.Sudden increases in light intensity evokes the pupil light reflex(PLR).Intrinsically photosensitive retinal ganglion cells(ipRGC)affect PLR and melatonin expression,which largely regulate circadian rhythms and PLR itself.IpRCG receive inputs from various photoreptors with different peak sensitivities implying that PLR could be altered by a broad range of light sources.We predicted ALAN to enhance PLR.Contrary to our prediction,dark-adapted cane toads Rhinella marina,exposed to ALAN(5 lx)for 12 days,exhibited a lower PLR than controls and individuals exposed to 0.04 lx,even after 1 h in bright light.We cannot conclude whether ALAN induced a larger pupil size in dark-adapted toads or a slower initial contraction.Nevertheless,the response was triggered by a light source with an emission peak(590 nm)well above the sensitivity peak of melanopsin,the main photoreceptor involved in PLR.Therefore,ALAN alters the capacity of toads to regulate the incoming light in the eye at night,which may reduce the performance of visually guided behaviors,and increase mortality by predators or road kills at night.This first study emphasizes the need to focus on the effect of ALAN on the vision of nocturnal organisms to better understand how this sensory system is altered and anticipate the consequences for organisms.展开更多
Background: The goal of this paper is to summarize the pupillary changes after papaverine application in intracranial aneurysms surgeries. Methods: We retrospectively analyzed the clinical data of six intracranial ane...Background: The goal of this paper is to summarize the pupillary changes after papaverine application in intracranial aneurysms surgeries. Methods: We retrospectively analyzed the clinical data of six intracranial aneurysm patients who were treated with papaverine application during surgery. Results: Two cases of ipsilateral papillary dilation, two cases of contralateral pupillary dilation, one case of bilateral pupillary dilation, and one case of asymmetric pupils were observed after craniotomy. All of these pupillary changes resolved in one-half to three hours without neurological deficits. Conclusions: Pupillary changes after the use of papaverine in intracranial aneurysm surgeries may be an instantaneous reaction to papaverine. Most cases can return to normal after close observation.展开更多
The familiar amyloid polyneuropathy(FAP) is a rare autosomal-dominant systemic amyloidosis. Amyloid deposition occurs more frequently and extensively in the vitq. The increase in intraocular pressure(IOP) is a result ...The familiar amyloid polyneuropathy(FAP) is a rare autosomal-dominant systemic amyloidosis. Amyloid deposition occurs more frequently and extensively in the vitq. The increase in intraocular pressure(IOP) is a result of deposition of transthyretin(TTR) in trabecular meshwork. Rarely, the amyloid deposition in anterior segment can be more exuberant than in posterior segment. A 42 years old man, with FAP(Val30Met mutation), liver transplantation in 1997. He was asymptomatic, without any significant ocular abnormality until 2011. In 2011 he had an episode of pain in right eye(RE). Scalloped pupils, pupillary amyloid deposits and subtle vitreous opacities were detected. The IOP was 40 mmHg in RE and 28 mmHg in left eye(LE) with open angle. Optical coherence tomography detected a temporal superior retinal nerve fiber layer defect in LE and perimetry was normal. Topical timolol was initiated, and brimonidine was subsequently added to improve IOP control, which was achieved with topical medication until last evaluation. No progression occurred since 2011. Actually, with longer life expectancies, there is an increased risk of ocular involvement in FAP, even after liver transplantation. Although rare, a more exuberant amyloid deposition in anterior segment vs posterior segment can occur, and supports an important role of amyloid production in ciliary pigment epithelium in these patients. Medical control of IOP and a stable course are unusual in this secondary glaucoma. Ophthalmologists have an important task in the follow-up of patients and early diagnosis of risk factors for secondary glaucoma, such as scalloped pupils with amyloid deposits.展开更多
A new mammalian photoreceptor was recently discovered to reside in the ganglion cell layer of the inner retina.These intrinsically photosensitive retinal ganglion cells(ipRGCs) express a photopigment,melanopsin,that c...A new mammalian photoreceptor was recently discovered to reside in the ganglion cell layer of the inner retina.These intrinsically photosensitive retinal ganglion cells(ipRGCs) express a photopigment,melanopsin,that confers upon them the ability to respond to light in the absence of all rod and cone photoreceptor input.Although relatively few in number,ipRGCs extend their dendrites across large expanses of the retina making them ideally suited to function as irradiance detectors to assess changes in ambient light levels.Phototransduction in ipRGCs appears to be mediated by transient receptor potential channels more closely resembling the phototransduction cascade of invertebrate rather than vertebrate photoreceptors.ipRGCs convey irradiance information centrally via the optic nerve to influence several functions.ipRGCs are the primary retinal input to the hypothalamic suprachiasmatic nucleus(SCN),a circadian oscillator and biological clock,and this input entrains the SCN to the day/night cycle.ipRGCs contribute irradiance signals that regulate pupil size and they also provide signals that interface with the autonomic nervous system to regulate rhythmic gene activity in major organs of the body.ipRGCs also provide excitatory drive to dopaminergic amacrine cells in the retina,providing a novel basis for the restructuring of retinal circuits by light.Here we review the ground-breaking discoveries,current progress and directions for future investigation.展开更多
基金funded by Researchers Supporting Program at King Saud University (RSPD2023R809).
文摘Pupil dynamics are the important characteristics of face spoofing detection.The face recognition system is one of the most used biometrics for authenticating individual identity.The main threats to the facial recognition system are different types of presentation attacks like print attacks,3D mask attacks,replay attacks,etc.The proposed model uses pupil characteristics for liveness detection during the authentication process.The pupillary light reflex is an involuntary reaction controlling the pupil’s diameter at different light intensities.The proposed framework consists of two-phase methodologies.In the first phase,the pupil’s diameter is calculated by applying stimulus(light)in one eye of the subject and calculating the constriction of the pupil size on both eyes in different video frames.The above measurement is converted into feature space using Kohn and Clynes model-defined parameters.The Support Vector Machine is used to classify legitimate subjects when the diameter change is normal(or when the eye is alive)or illegitimate subjects when there is no change or abnormal oscillations of pupil behavior due to the presence of printed photograph,video,or 3D mask of the subject in front of the camera.In the second phase,we perform the facial recognition process.Scale-invariant feature transform(SIFT)is used to find the features from the facial images,with each feature having a size of a 128-dimensional vector.These features are scale,rotation,and orientation invariant and are used for recognizing facial images.The brute force matching algorithm is used for matching features of two different images.The threshold value we considered is 0.08 for good matches.To analyze the performance of the framework,we tested our model in two Face antispoofing datasets named Replay attack datasets and CASIA-SURF datasets,which were used because they contain the videos of the subjects in each sample having three modalities(RGB,IR,Depth).The CASIA-SURF datasets showed an 89.9%Equal Error Rate,while the Replay Attack datasets showed a 92.1%Equal Error Rate.
文摘AIM:To compare the clinical outcomes between two approaches for sutureless scleral-fixated intraocular lens(SFIOL)in children with Marfan syndrome(MFS).METHODS:The study included 15 children(26 eyes)with lens subluxation due to MFS.These children underwent lensectomy,anterior vitrectomy,and sutureless SFIOL.According to the position of placement of intraocular lens(IOL)haptics,two study groups were reviewed for best corrected visual acuity(BCVA)and postoperative complications:group A,14 eyes with haptics fixated at 2.0 mm from the limbus;group B,12 eyes with the haptics fixated at 2.5 mm from the limbus.RESULTS:The mean axial length for all patients was 25.66±2.35 mm.Postoperative BCVA in logMAR were significant improved in both groups(0.77±0.32 to 0.17±0.12 in group A,0.66±0.25 to 0.24±0.12 in group B,both P<0.001)while no significant difference between two groups(P>0.05).Pupillary capture was main postoperative complication,occurring between 3d and 18mo.It occurred in 7 eyes in group A and one eye in group B(P=0.02).CONCLUSION:Sutureless SFIOL is an effective treatment approach for lens subluxation in children with MFS.Pupillary capture is the main postoperative complication.Fixated IOL haptics at 2.5 mm from the limbus can reduce the occurrence of pupillary capture.
基金Supported by the National Natural Science Foundation of China(NSFC,31472131/C170109,31201834/C170109)Scientific Research Foundation for Doctorship of Northeast Agricultural University(2010RCB37)
文摘Human depression patients often show abnormal pupillary reflex with morphological changes in hippo campus and prefrontal cortex.This study aimed to find the relationship between the prolonged pupillary light reflex(PLR) which had been shown by confined sows with chronic stress or depression and morphological changes in brain,in order to provide theoretical basis for that the confined environment should lead to sows' depression.A total of 637 sows of Durac,Landrace and Large White breeds with various parities were observed,and the pupil light reflex(PLR) was measured and the actual pupillary light reflex time(PLRT) were recorded.All the PLRTs were grouped based on the results of confidence interval:t>10%as group A,5%<t<10%as group B,1%<t<5%as group C and t<1%as group D.Three individuals were randomly selected from each group(12 sows in total) and the white tissues of hippocampus and the prefrontal cortex were prepared for HS staining slices(three slices/per tissue) for observation on tissue structure and pathological changes with high magnification(400X) of electronic microscope.The results showed that in group A(t>10%) pathological change was found in hippocampus,however,as PLRT increased from group B to group D,pathological changes in hippocampus tissues tended to be deteriorated with the increase of inflammatory cells and nuclear pyknosis phenomena.The same as those shown in hippocampus as the increasing of PLRT from groups A to D,more inflammatory cells appeared in prefrontal cortex for groups B and D.The results suggested that the tissue lesions of hippocampus and prefrontal cortex of the confined sows with prolonged PLRT might be the results of chronic stress or depression.
文摘Purpose: To report a case of bilateral glaucoma related to pseudophacomorphic mechanism in one eye and pupillary block in the other eye after Visian Implantable Collamer Lens (ICL;STAAR Surgical) insertion. Methods: A 44-year-old female with high myopia underwent bilateral ICL implantation of MICL12.6 after sulcus diameter measurements were performed by Pentacam. Results: Pseudophacomorphic glaucoma-related angle closure occurred due to lens oversizing in the right eye. The mechanism was relieved via ICL explantation. In the left eye, pupillary block developed in a subacute manner after closure of the Peripheral Iridotomy (PI). The attack was ameliorated by reestablishing patency of the iridotomy. Conclusions: ICL-related glaucomatous attacks may result from improper sizing as well as from placement of a single PI. Identification of the proper mechanism is vital as treatments differ significantly. In pseudo phacomorphic glaucoma, explantation is needed. In pupillary block glaucoma, treatment involves establishment of a patent PI.
文摘BACKGROUND Morbihan syndrome is a rare illness,which presents with recurrent pitting edema on the upper two thirds of the face causing facial contour deformities,and Morbihan syndrome obstructing the pupillary axis with ptosis was seldomly reported.CASE SUMMARY A 59-year-old woman presented with a 15-year history of facial swelling that progressively invaded bilaterally from the inner canthus and eyelids outwards.Imaging examination indicated that the bilateral periorbital and the left temporal soft tissues had swelling without cranium invasion.Histopathological analysis showed a large amount of lymphocyte infiltration,and immunohistochemistry showed positive expression of CD68 in clear-cut granulomas and D2-40 in the lymphatic endothelium.Finally,the clinical diagnosis of Morbihan syndrome was confirmed.CONCLUSION Morbihan syndrome is an infrequent and refractory disease,which is characteristic with recurrent woody facial edema on the upper two thirds of the face.Solid facial edema is persistent and non-pitting,causing facial contour deformities and even vision field impairment.The diagnosis of Morbihan syndrome depends on clinical features,imaging information,and pathology.Blepharoplasty is optional to improve the visual field for these patients with severe pupillary axis obstruction.
文摘Purpose: Description of a patient with a solitary cyst of the pupillary margin iris pigment epithelium (IPE). Methods: A 63-year-old man referred a suspected iris-ciliary body melanoma in his left eye. Based on both clinical examination and ultrasound biomicroscopy, melanoma was considered unlikely. Surgery was under-taken to correct recurrent deterioration of vision due to movement of the lesion across the visual axis. Results: The lesion was excised completely. Ultrasound biomicroscopy and histopathological examination ruled out melanoma and allowed a final diagnosis of primary pupillary margin cyst of the IPE, characterized of pig-mented epithelium, with no connective tissue or vessels. No recurrences or fresh lesions appeared during a one-year follow-up. Conclusions: Primary epithelial iris cysts are usually benign. Treatment is required only in symptomatic patients and those with an uncertain diagnosis. Ultrasound biomicroscopy is indispensable to confirm the clinical diagnosis, follow the clinical course and intervene if surgery is required.
基金J.S.and M.F.S.are first co-authors.The authors are grateful to the personnel of La Selva Biological Station who provided invaluable assistance during the experiment.The study has been funded by CNRS Project PEPS POLLUX TROPIC.Experiments were carried out in agreement with the capture and ethics permits issued by Ministerio de Ambiente y Energía de Costa Rica(N°SINAC ACC-052-2017)The experimental data used for the statistical analyses are available at DOI:https://doi.org/10.5061/dryad.hm0s3m8(Secondi et al.2019).
文摘Artificial light at night(ALAN)is expanding worldwide.Many physiological effects have been reported in animals,but we still know little about the consequences for the visual system.The pupil contributes to control incoming light onto the retina.Sudden increases in light intensity evokes the pupil light reflex(PLR).Intrinsically photosensitive retinal ganglion cells(ipRGC)affect PLR and melatonin expression,which largely regulate circadian rhythms and PLR itself.IpRCG receive inputs from various photoreptors with different peak sensitivities implying that PLR could be altered by a broad range of light sources.We predicted ALAN to enhance PLR.Contrary to our prediction,dark-adapted cane toads Rhinella marina,exposed to ALAN(5 lx)for 12 days,exhibited a lower PLR than controls and individuals exposed to 0.04 lx,even after 1 h in bright light.We cannot conclude whether ALAN induced a larger pupil size in dark-adapted toads or a slower initial contraction.Nevertheless,the response was triggered by a light source with an emission peak(590 nm)well above the sensitivity peak of melanopsin,the main photoreceptor involved in PLR.Therefore,ALAN alters the capacity of toads to regulate the incoming light in the eye at night,which may reduce the performance of visually guided behaviors,and increase mortality by predators or road kills at night.This first study emphasizes the need to focus on the effect of ALAN on the vision of nocturnal organisms to better understand how this sensory system is altered and anticipate the consequences for organisms.
文摘Background: The goal of this paper is to summarize the pupillary changes after papaverine application in intracranial aneurysms surgeries. Methods: We retrospectively analyzed the clinical data of six intracranial aneurysm patients who were treated with papaverine application during surgery. Results: Two cases of ipsilateral papillary dilation, two cases of contralateral pupillary dilation, one case of bilateral pupillary dilation, and one case of asymmetric pupils were observed after craniotomy. All of these pupillary changes resolved in one-half to three hours without neurological deficits. Conclusions: Pupillary changes after the use of papaverine in intracranial aneurysm surgeries may be an instantaneous reaction to papaverine. Most cases can return to normal after close observation.
文摘The familiar amyloid polyneuropathy(FAP) is a rare autosomal-dominant systemic amyloidosis. Amyloid deposition occurs more frequently and extensively in the vitq. The increase in intraocular pressure(IOP) is a result of deposition of transthyretin(TTR) in trabecular meshwork. Rarely, the amyloid deposition in anterior segment can be more exuberant than in posterior segment. A 42 years old man, with FAP(Val30Met mutation), liver transplantation in 1997. He was asymptomatic, without any significant ocular abnormality until 2011. In 2011 he had an episode of pain in right eye(RE). Scalloped pupils, pupillary amyloid deposits and subtle vitreous opacities were detected. The IOP was 40 mmHg in RE and 28 mmHg in left eye(LE) with open angle. Optical coherence tomography detected a temporal superior retinal nerve fiber layer defect in LE and perimetry was normal. Topical timolol was initiated, and brimonidine was subsequently added to improve IOP control, which was achieved with topical medication until last evaluation. No progression occurred since 2011. Actually, with longer life expectancies, there is an increased risk of ocular involvement in FAP, even after liver transplantation. Although rare, a more exuberant amyloid deposition in anterior segment vs posterior segment can occur, and supports an important role of amyloid production in ciliary pigment epithelium in these patients. Medical control of IOP and a stable course are unusual in this secondary glaucoma. Ophthalmologists have an important task in the follow-up of patients and early diagnosis of risk factors for secondary glaucoma, such as scalloped pupils with amyloid deposits.
基金supported by grants from the National Institutes of Health, the National Institute of Neurological Disorders and Stroke R01 NS035615the National Eye Institute R01 EY017809
文摘A new mammalian photoreceptor was recently discovered to reside in the ganglion cell layer of the inner retina.These intrinsically photosensitive retinal ganglion cells(ipRGCs) express a photopigment,melanopsin,that confers upon them the ability to respond to light in the absence of all rod and cone photoreceptor input.Although relatively few in number,ipRGCs extend their dendrites across large expanses of the retina making them ideally suited to function as irradiance detectors to assess changes in ambient light levels.Phototransduction in ipRGCs appears to be mediated by transient receptor potential channels more closely resembling the phototransduction cascade of invertebrate rather than vertebrate photoreceptors.ipRGCs convey irradiance information centrally via the optic nerve to influence several functions.ipRGCs are the primary retinal input to the hypothalamic suprachiasmatic nucleus(SCN),a circadian oscillator and biological clock,and this input entrains the SCN to the day/night cycle.ipRGCs contribute irradiance signals that regulate pupil size and they also provide signals that interface with the autonomic nervous system to regulate rhythmic gene activity in major organs of the body.ipRGCs also provide excitatory drive to dopaminergic amacrine cells in the retina,providing a novel basis for the restructuring of retinal circuits by light.Here we review the ground-breaking discoveries,current progress and directions for future investigation.
