Effect of alcohol and light on the retinal pigment epithelium of normal subjects and patients with retinal dystrophies

BACKGROUND Light absorbed by photoreceptors causes oscillations in the voltage across the retinal pigment epithelium (RPE). This is the basis of the clinical test, electro-oculography (EOG). We have previously shown that alcohol causes a sequence of voltage changes which are so precisely the same as...

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Veröffentlicht in:British journal of ophthalmology 2000-08, Vol.84 (8), p.881-883
Hauptverfasser: Arden, G B, Wolf, J E, Singbartl, F, Berninger, T E, Rudolph, G, Kampik, A
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container_end_page 883
container_issue 8
container_start_page 881
container_title British journal of ophthalmology
container_volume 84
creator Arden, G B
Wolf, J E
Singbartl, F
Berninger, T E
Rudolph, G
Kampik, A
description BACKGROUND Light absorbed by photoreceptors causes oscillations in the voltage across the retinal pigment epithelium (RPE). This is the basis of the clinical test, electro-oculography (EOG). We have previously shown that alcohol causes a sequence of voltage changes which are so precisely the same as those caused by light that they must be produced by the same RPE machinery. There is good evidence that alcohol produces its effect by a direct action on the RPE. Consequently, in diseases associated with loss of photoreceptors, alcohol should continue to produce the voltage changes of the EOG unless secondary changes have occurred in the RPE. METHODS The alcohol response in patients with retinitis pigmentosa (RP) was investigated using EOG. RESULTS In no patient with RP was there any alcohol rise. CONCLUSION In patients with RP secondary abnormalities of function of the RPE must occur.
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This is the basis of the clinical test, electro-oculography (EOG). We have previously shown that alcohol causes a sequence of voltage changes which are so precisely the same as those caused by light that they must be produced by the same RPE machinery. There is good evidence that alcohol produces its effect by a direct action on the RPE. Consequently, in diseases associated with loss of photoreceptors, alcohol should continue to produce the voltage changes of the EOG unless secondary changes have occurred in the RPE. METHODS The alcohol response in patients with retinitis pigmentosa (RP) was investigated using EOG. RESULTS In no patient with RP was there any alcohol rise. 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subjects Adult
Aged
alcohol
Alcohol Drinking - adverse effects
Biological and medical sciences
Humans
Light
Medical sciences
Middle Aged
Ophthalmology
Original articles - Clinical science
Pigment Epithelium of Eye - drug effects
Pigment Epithelium of Eye - radiation effects
retinal pigment epithelium
retinitis pigmentosa
Retinitis Pigmentosa - etiology
Retinopathies
title Effect of alcohol and light on the retinal pigment epithelium of normal subjects and patients with retinal dystrophies
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