Morphology of single ganglion cells in the glaucomatous primate retina.
OBJECTIVE
To examine the degenerative effects that prolonged elevation of intraocular pressure (IOP), a risk factor commonly associated with glaucoma, has on the morphology of single ganglion cells in the primate retina.


METHODS
The monkey model of glaucoma was combined with intracellular staining techniques using an isolated retina preparation. Midget and parasol cells from normal and glaucomatous eyes were labeled intracellularly, and their axons, somas, and dendritic fields were compared using confocal microscopy.


RESULTS
In midget and parasol cells, the earliest signs of pressure-induced degeneration involved structural abnormalities associated with the dendritic arbor. Reductions in axon thickness appeared later, with changes in soma size occurring concomitantly or slightly later. Chronic elevation of IOP resulted in a significant decrease in the mean soma sizes of midget and parasol cells, but only parasol cells showed a significant reduction in dendritic field size and axon diameter. Comparisons of eyes with different levels of optic nerve damage, based on cup- disc ratio, showed that the axons and dendritic fields of parasol cells were significantly smaller at lower cup-disc ratios than were those of midget cells, suggesting a possible differential effect.


CONCLUSIONS
In glaucoma, retinal ganglion cells undergo a pattern of degeneration that originates with the dendritic arbor and ends with shrinkage of the cell soma. Although this pattern of degeneration implies early functional deficits and retinal ganglion cell atrophy that occurs earlier than previously thought, based on ganglion cell loss alone, it also suggests a window of opportunity for effective neuroprotection.
Weber
A J
AJ
Department of Anatomy, Center for Clinical Neuroscience and Ophthalmology, Michigan State University, East Lansing 48824, USA.
Kaufman
P L
PL
Hubbard
W C
WC
D000165:Acridine Orange; D000818:Animals; D001369:Axons / Q000473:pathology; D003712:Dendrites / Q000473:pathology; D004195:Disease Models, Animal; D005260:Female; D005456:Fluorescent Dyes; D005902:Glaucoma, Open-Angle / Q000150:complications*; D007429:Intraocular Pressure; D007546:Isoquinolines; D017075:Laser Coagulation; D008253:Macaca mulatta; D008297:Male; D018613:Microscopy, Confocal; D009901:Optic Nerve Diseases / Q000209:etiology / Q000473:pathology; D012162:Retinal Degeneration / Q000209:etiology / Q000473:pathology*; D012165:Retinal Ganglion Cells / Q000473:pathology*; D014129:Trabecular Meshwork / Q000601:surgery
D005456:Fluorescent Dyes; D007546:Isoquinolines; C017475:lucifer yellow; D000165:Acridine Orange