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. 2000 Mar;84(3):303–310. doi: 10.1136/bjo.84.3.303

Retinal ganglion cell death in experimental glaucoma

J Morgan 1, H Uchida 1, J Caprioli 1
PMCID: PMC1723413  PMID: 10684843

Abstract

AIMS—To determine whether parasol retinal ganglion cells (magnocellular pathway) are selectively lost in the primate model of glaucoma.
METHODS—Ocular hypertension was induced in one eye of six Macaca fascicularis monkeys for 6-14 weeks. The retinal ganglion cells in these eyes were labelled retrogradely with the tracer horseradish peroxidase (HRP) implanted into the optic nerve and subsequently examined in retinal whole mount preparations. The degree of retinal ganglion cell loss was estimated from Nissl stained tissue by comparison with the contralateral untreated control eye.
RESULTS—In the three glaucomatous retinas with the best labelling 1282 cells could be classified, of which 182 were parasol cells and 1100 were midget cells. Linear regression analysis did not demonstrate a significant reduction in the proportion of parasol to midget cells with increasing cell loss (regression slope 0.023, 95% CI −0.7 to 0.11). Compared with the control eye the cell soma of the remaining retinal ganglion cells in glaucomatous eyes were reduced in size by 20% for parasol cells (p=0.003) and by 16% for midget cells (p <0.001).
CONCLUSION—The results of this study do not support the hypothesis that selective loss of parasol retinal ganglion cells occurs in experimental glaucoma. In addition, the change in cell soma size distributions following ocular hypertension suggests that both parasol and midget retinal ganglion cells undergo shrinkage before cell death.



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Figure 1  .

Figure 1  

Sample grid used to count numbers of labelled and unlabelled cells. Spacing of sample points approximates in degrees the spacing of stimuli presented in automated perimetry with a Humphrey visual field analyser. The same areas have been numbered 1-52. Additional sample areas for more central locations are also shown (A-L). The visual field location corresponding to these retinal locations is given in degrees. The equivalent distance on the retinal surface is given in mm. On each axis, 0 corresponds to the centre of the fovea.

Figure 2  .

Figure 2  

Low power photomicrograph showing the pattern of retinal ganglion cell labelling in a macaque (animal 1487) with experimental glaucoma. The arrow indicates the focus of HRP labelling at the optic nerve head. Labelling was confined to the superotemporal retinal quadrant. Scale bar 1 mm.    

Figure 3  .

Figure 3  

Optic disc photograph showing thinning of the superior neuroretinal rim following ocular hypertension 4 days before HRP labelling (animal 1491). The arrow shows thinning of the neuroretinal rim and the quadrant of the optic nerve in which the HRP implantation was made. The contralateral normal disc is shown for comparison.

Figure 4  .

Figure 4  

Labelled cells in animal 1487. Eccentricity 7.35 mm. Typical parasol and midget cells are indicated (large and small arrows respectively). Scale bar 100 µm.       

Figure 5  .

Figure 5  

High power photomicrograph of retinal ganglion cells labelled with HRP in animal 1487. Eccentricity 2.4 mm. Large arrow indicates typical parasol cells. Small arrow indicates typical midget cells. Scale bar 50 µm.       

Figure 6  .

Figure 6  

Plot of the proportion of parasol cells to the sum of identified parasol and midget cells against cell loss. Samples were taken from 52 locations in three eyes. The unweighted regression line is continuous. The broken regression line is weighted for the number of typed cells (that is, P+M). The dotted line is weighted for the numbers of stained retinal ganglion cells used to estimate the degree of cell loss. Points corresponding to the animals providing these data (1487, 1491, and 1494) have been plotted with different markers.

Figure 7  .

Figure 7  

Histogram of cell soma size from for the normotensive eye. Sample areas were pooled with eccentricities in the range 3.5-3.8 mm. The broken line shows the soma sizes of cells that were insufficiently filled with HRP to be typed. Open circles = midget cells; solid squares = parasol cells.    

Figure 8  .

Figure 8  

Histogram of cell soma size from for eyes with ocular hypertension. Samples have been pooled in each case for the eccentricity ranges shown on the plot. The range of cell loss for the regions in which these cells were analysed is also shown. The broken line shows the soma sizes of cells that were insufficiently filled with HRP to be typed. Open circles = midget cells; solid squares = parasol cells.

Figure 9  .

Figure 9  

Comparison of mean cell soma sizes for parasol and midget cells in normal and glaucomatous retinas. Cells were pooled from eccentricities in the range 3.5-4.5 mm. The numbers on the bars indicate the number of cells to derive the mean soma area. Error bars show the standard deviation of the mean. Asterisks indicate that the difference in means is statistically significant (p <0.05).       

Figure 10  .

Figure 10  

(A) Mean cell soma size for parasol cells relative to the degree of cell loss relative to the contralateral eye. Error bars show the standard deviation of the mean. The numbers on the bars indicate the number of cells comprising the mean. Cells were pooled from eccentricities in the range 3.5-4.5 mm. NS = not statistically significant from control. (B) Mean cell soma size for parasol cells from the same range of eccentricities.

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