Foveal light and dark adaptation in patients with glaucoma and healthy subjects: A case-control study

To determine whether foveal light and dark adaptation are affected in glaucoma. Case-control study with 23 glaucoma patients and 51 controls. Light and dark adaptation were measured twice. After 10 minutes pre-adaptation to 0.0032 cd/m2, the background luminance increased stepwise to 320 (5 log unit...

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Veröffentlicht in:PloS one 2018-03, Vol.13 (3), p.e0193663-e0193663
Hauptverfasser: Bierings, Ronald A J M, Kuiper, Marleen, van Berkel, Casper M, Overkempe, Tom, Jansonius, Nomdo M
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Kuiper, Marleen
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Jansonius, Nomdo M
description To determine whether foveal light and dark adaptation are affected in glaucoma. Case-control study with 23 glaucoma patients and 51 controls. Light and dark adaptation were measured twice. After 10 minutes pre-adaptation to 0.0032 cd/m2, the background luminance increased stepwise to 320 (5 log unit step) or 10,000 cd/m2 (6.5 log unit step) for 10 minutes, then it decreased back to 0.0032 cd/m2 for 30 minutes. Foveal contrast sensitivity [CS]) as a function of time was determined using a 1.15 degree increment. Time resolution of the experiments was 30 seconds. Multiple linear regression was used to analyse the effect of glaucoma on the CS plateau and adaptation time (time to reach the plateau minus 3 dB); analyses were adjusted for age and gender. After light adaptation to 320 and 10,000 cd/m2, glaucoma patients had a 0.22 (P
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Case-control study with 23 glaucoma patients and 51 controls. Light and dark adaptation were measured twice. After 10 minutes pre-adaptation to 0.0032 cd/m2, the background luminance increased stepwise to 320 (5 log unit step) or 10,000 cd/m2 (6.5 log unit step) for 10 minutes, then it decreased back to 0.0032 cd/m2 for 30 minutes. Foveal contrast sensitivity [CS]) as a function of time was determined using a 1.15 degree increment. Time resolution of the experiments was 30 seconds. Multiple linear regression was used to analyse the effect of glaucoma on the CS plateau and adaptation time (time to reach the plateau minus 3 dB); analyses were adjusted for age and gender. After light adaptation to 320 and 10,000 cd/m2, glaucoma patients had a 0.22 (P&lt;0.001) and 0.13 (P = 0.010) log unit lower CS plateau than controls, respectively. After dark adaptation, this difference was 0.21 (P = 0.018) and 0.30 (P&lt;0.001) log unit, respectively. Light adaptation occurred too fast to determine an accurate light adaptation time. Dark adaptation times of glaucoma patients and controls were similar, for both the 5 (7.2 versus 5.5 minutes; P = 0.10) and the 6.5 (18.2 versus 16.6 minutes; P = 0.14) log unit step. After a sudden increase or decrease in luminance, the logCS adaptation curves of glaucoma patients are shifted downwards compared to the curves of healthy subjects. 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Case-control study with 23 glaucoma patients and 51 controls. Light and dark adaptation were measured twice. After 10 minutes pre-adaptation to 0.0032 cd/m2, the background luminance increased stepwise to 320 (5 log unit step) or 10,000 cd/m2 (6.5 log unit step) for 10 minutes, then it decreased back to 0.0032 cd/m2 for 30 minutes. Foveal contrast sensitivity [CS]) as a function of time was determined using a 1.15 degree increment. Time resolution of the experiments was 30 seconds. Multiple linear regression was used to analyse the effect of glaucoma on the CS plateau and adaptation time (time to reach the plateau minus 3 dB); analyses were adjusted for age and gender. After light adaptation to 320 and 10,000 cd/m2, glaucoma patients had a 0.22 (P&lt;0.001) and 0.13 (P = 0.010) log unit lower CS plateau than controls, respectively. After dark adaptation, this difference was 0.21 (P = 0.018) and 0.30 (P&lt;0.001) log unit, respectively. Light adaptation occurred too fast to determine an accurate light adaptation time. Dark adaptation times of glaucoma patients and controls were similar, for both the 5 (7.2 versus 5.5 minutes; P = 0.10) and the 6.5 (18.2 versus 16.6 minutes; P = 0.14) log unit step. After a sudden increase or decrease in luminance, the logCS adaptation curves of glaucoma patients are shifted downwards compared to the curves of healthy subjects. Glaucoma patients have a lower CS plateau than healthy subjects, for both light and dark adaptation; dark adaptation times are similar.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29509787</pmid><doi>10.1371/journal.pone.0193663</doi><orcidid>https://orcid.org/0000-0002-6495-6568</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adaptation
Age
Aged
Biology and Life Sciences
Case-Control Studies
Contrast Sensitivity - physiology
Control methods
Dark adaptation
Dark Adaptation - physiology
Female
Fovea Centralis - physiology
Fovea Centralis - physiopathology
Glaucoma
Glaucoma - physiopathology
Humans
Light
Light adaptation
Male
Medicine and Health Sciences
Middle Aged
Multivariate Analysis
Patients
Photic Stimulation
Physical Sciences
Prospective Studies
Regression analysis
Research and Analysis Methods
Retina
Social Sciences
Studies
title Foveal light and dark adaptation in patients with glaucoma and healthy subjects: A case-control study
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