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Visual Acuity, Photosensors     red curve). In a dark-adapted eye, on the other
                                       hand, the sensitivity of the retina (! B2, blue
       Visual acuity is an important measure of eye  curve) is completely dependent on the rod dis-
       function. Under well-lighted conditions, the  tribution (! B1, purple curve). The color-sen-
       normal eye should be able to distinguish two  sitive cones are therefore used for visual per-
       points as separate when the light rays emitted  ception in daylight or good lighting (day vision,
       by the point objects converge at an angle (α) of  photopic vision), while the black and white-
                                       sensitive cones are used to visualize objects in
       1 min (1/60 degree) (! A and p. 346). Visual
    Central Nervous System and Senses  charts with letters or other optotypes (e.g., Landolt  sion is associated with a high loss of visual acu-
                          – 1
       acuity is calculated as 1/α (min ), and is 1/1 in
                                       darkness (dim-light vision, night vision, scotop-
       subjects with normal vision.
                                       tic vision). The high light sensitivity in night vi-
       Visual acuity testing is generally performed using
                                       ity (! p. 354).
       rings) of various sizes used to simulate different dis-
                                       Photosensor Function
       tances to the test subject. The letters or rings are
                                       Light-absorbing visual pigments and a variety
       usually displayed at a distance of 5 m (! A). Visual
                                       of enzymes and transmitters in retinal rods and
       acuity is normal (1/1) if the patient recognizes letters
       or ring openings seen at an angle of 1 min from a dis-
                                       cones (! C1) mediate the conversion of light
       tance of 5 m. Example: It should be possible to iden-
                                       stimuli into electrical stimuli; this is called
       tify the direction of the opening of the middle ring
       from a distance of 5 m and that of the left ring from a
                                       disks of the retinal rods contain rhodopsin
                                       (! C2), a photosensitive purple-red chromo-
       left ring can be localized from the test distance of
                                       protein (visual purple). Rhodopsin consists of
       5 m, the visual acuity is 5/8.5 = 0.59.
    12  distance of 8.5 m (! A). If only the opening of the  photoelectric transduction. The membranous
       Photosensors or photoreceptors. The light-  the integral membrane protein opsin and the
       sensitive sensors of the eye consist of approxi-  aldehyde 11-cis-retinal. The latter is bound to a
                                       lysine residue of opsin which is embedded in
       mately 6 · 10 rods and 20 times as many cones
               6
       (! p. 345 E) distributed at variable densities  this protein; it is stably kept in place by weak
       throughout the retina (! B1). (Certain gan-  interactions with two other amino acid resi-
       glion cells also contain a light-sensitive pig-  dues. Photic stimuli trigger a primary photo-
       ment; ! p. 334). The fovea centralis is exclu-  chemical reaction in rhodopsin (duration,
                                          – 14
       sively filled with cones, and their density  2 · 10  s) in which 11-cis-retinal is converted
       rapidly decreases towards the periphery. Rods  to all-trans-retinal (! C3). Even without con-
       predominate 20–30 degrees away from the  tinued photic stimulation, the reaction yields
                                       bathorhodopsin, the intermediates lumirho-
       fovea centralis. Approaching the periphery of
       the retina, the density of the rods decreases  dopsin and metarhodopsin I, and finally meta-
                                                          – 3
                           2
                        5
       continuously from 1.5 ! 10 /mm (maximum)  rhodopsin II within roughly 10  s (! D1).
       to about one-third this value. No photosensors  Metarhodopsin II (MR-II) reacts with a G s-
       are present on the optic disk, which is therefore  protein (! p. 274) called transducin (G t-pro-
       referred to as the blind spot in the visual field.  tein), which breaks down into α s and "γ sub-
         Clear visualization of an object in daylight  units once GDP has been replaced by GTP
       requires that the gaze be fixed on it, i.e., that an  (! D1). Activated α s-GTP now binds the inhibi-
                                       tory subunit of cGMP phosphodiesterase (I PDE)
       image of the object is produced in the fovea
       centralis. Sudden motion in the periphery of  (! D2). The consequently disinhibited phos-
       the visual field triggers a reflex saccade  phodiesterase (PDE) then lowers the cytosolic
       (! p. 360), which shifts the image of the object  concentration of cyclic guanosine mono-
                                       phosphate (cGMP). The activation of a single
       into the fovea centralis. Thereby, the retinal
       area with the highest visual acuity is selected  retinal rhodopsin molecule by a quantum of 6
       (! B2, yellow peak), which lies 5 degrees tem-  light can induce the hydrolysis of up to 10
       poral to the optical axis. Visual acuity  cGMP molecules per second. The reaction cas-
       decreases rapidly when moving outward from  cade therefore has tremendous amplifying
                                       power.
  348  the fovea (! B2, yellow field), reflecting the
       decreasing density of cone distribution (! B1,
                                                                   !
       Despopoulos, Color Atlas of Physiology © 2003 Thieme
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