Two-photon vision in age-related macular degeneration: a translational study

The recently introduced term “two-photon vision” relates to the visual perception resulting from a simultaneous absorption of two photons by photoreceptors. In this study, we determined two-photon retinal sensitivity in age-related macular degeneration (AMD) and compared it that in normal aging. Mic...

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Hauptverfasser: Łabuz, Grzegorz (VerfasserIn) , Zielińska, Agnieszka (VerfasserIn) , Kessler, Lucy Joanne (VerfasserIn) , Rayamajhi, Asu (VerfasserIn) , Komar, Katarzyna (VerfasserIn) , Khoramnia, Ramin (VerfasserIn) , Auffarth, Gerd U. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 21 March 2022
In: Diagnostics
Year: 2022, Jahrgang: 12, Heft: 3, Pages: 1-12
ISSN:2075-4418
DOI:10.3390/diagnostics12030760
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3390/diagnostics12030760
Verlag, lizenzpflichtig, Volltext: https://www.mdpi.com/2075-4418/12/3/760
Volltext
Verfasserangaben:Grzegorz Łabuz, Agnieszka Zielińska, Lucy J. Kessler, Asu Rayamajhi, Katarzyna Komar, Ramin Khoramnia and Gerd U. Auffarth

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520 |a The recently introduced term “two-photon vision” relates to the visual perception resulting from a simultaneous absorption of two photons by photoreceptors. In this study, we determined two-photon retinal sensitivity in age-related macular degeneration (AMD) and compared it that in normal aging. Microperimetry was performed with visible (white) light and infrared (IR) light, which was perceived as green in the two-photon stimulation. In total, 45 subjects were included with one (better) eye studied. Furthermore, best-corrected visual acuity (VA) and ocular straylight were assessed. AMD resulted in decreased median (interquartile range) logMAR VA, i.e., 0.15 (0.05; 0.24), which in normal eyes was −0.02 (−0.06; 0.02). The two groups showed comparable straylight levels. Sensitivity to IR light was significantly lower in the AMD group (p < 0.001): 8.3 (7.4, 9.3) dB than in controls 10.7 (9.7, 11.2) dB. AMD also significantly affected visible light sensitivity (p < 0.001): 14.0 (11.0; 15.5) dB vs. 18.0 (16.3; 18.9) dB. Notably, the two-photon approach yielded a lower data spread. In conclusion, AMD considerably impairs retinal sensitivity measured in the single- and two-photon realm. However, two-photon-vision microperimetry may improve the testing accuracy and offer an additional diagnostic parameter (beyond VA measurements) for retinal function assessment. 
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