On Blue Light And Age Related Macular Degeneration (AMD)

April 14th, 2003  |  1 Comment »

One proposal of this model is that the peripheral retina, i.e., the predominantly rod-containing area beyond approximately twenty degrees, is integrated (rod receptors connected in parallel) to generate the signal that controls pupillary constriction and light entrance into the eye. The peripheral retina then becomes, in effect, a “light meter” functioning to control the amount of light to levels that preclude damage to sensitive eye structures. It seems widely held that light intensity alone (i.e., luminance) controls pupillary constriction. A less obvious question asks what effect wavelength might have on constriction and, if so, what is the most effective wavelength or wavelengths?

This question seems not to have been intensively investigated but one paper by Drew et al (”Pupillary Response to Chromatic Flicker”, Exp. Brain Res., (2001) 136, pp256-262) found that hue (color) modulated flicker has a much greater effect on constriction than a luminance modulated signal. Their words: “red-blue color-paired flicker consistently produced the strongest constrictions. These responses occurred even when the flicker was of a lower luminance, both physically and perceptually, than a preceding non-flickering color, indicating that chromatic rather than luminance-sensitive mechanisms are involved in this response” (my italics).

George Wald in his Nobel lecture reported that the peripheral retina was monochromatic but he did not go on to specify wavelength. This result is in consonance with this model but we go on to find and predict that the rod-rod appositions of this portion of the retina will render it solely sensitive to short wavelength (blue) light. Moreover, we propose that this provides a fundamental basis for the fact that 400 nm forms the short wavelength limit of visual response. But important here: we propose that blue light controls pupillary constriction.

It would seem that nature would have so designed the system using this highest energy radiation to control light entrance into the eye abutting as it does the damaging UVA region (320-400 nm).

It has been asserted that the yellow carotenoid pigment lutein present in the eye has the function of absorbing UV radiation preventing damage to ocular structures. We would propose that this pigment does so function but provides a “second line of defense” against UV in individuals exposed to excessive sunlight where pupillary constriction alone cannot provide sufficient protection. I would like to see a study of the lutein concentration in the eyes of individuals as a function of sun exposure in their occupation etc. Has such a study been made?

The onset of age related macular degeneration (AMD) may be related to a loss of the ability to constrict the pupil of the eye as one ages. Is there a quantitative measure or test of pupillary constrictive ability - quantifying the “strongest constrictions” seemingly measured in the above cited paper by Drew et al? Has such a study been made?

Thus I propose that there are grounds for the proposal that there is a connection between higher energy, i.e., blue radiation, and the onset of AMD. Reinforcement should be given to the advice to wear blue-blocking sunglasses etc to minimize this specific wavelength into the eye.

The fundamental rule of this hypothesis is that the geometric rod-to-rod distance (mediated by the diameter of the inner segments of these recep;ors) in the peripheral retina sets the discrete short wavelength limit of visual response - not “almost” but the exact limit. I have assumed this to be 400 nm as this is the oft quoted value. But…there are probably genetic differences in the size of rod receptors among individuals. Supposing that rods were slightly smaller… this would shift the short wavlength limit towards, or into, the damaging UVA region. Might it be found that rod size varies in this manner in individuals suseptble to AMD?

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  1. Barry Wheeler comments:

    I found this very interesting reading. In all my research that I have done, this is the first that I have heard about this. Do you have links to any studies. I would be very interested in reading more about this.

    Barry Wheeler
    http://www.amdsupport.ca/

    April 14th, 2008 at 4:37 am

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