PMID- 33393736 OWN - NLM STAT- MEDLINE DCOM- 20220117 LR - 20220117 IS - 1755-3768 (Electronic) IS - 1755-375X (Print) IS - 1755-375X (Linking) VI - 99 IP - 7 DP - 2021 Nov TI - Light-induced modifications of the outer retinal hyperreflective layers on spectral-domain optical coherence tomography in humans: an experimental study. PG - 765-772 LID - 10.1111/aos.14723 [doi] AB - PURPOSE: Numerous small hyperreflective dots (HRDs) can be seen within the hyporeflective layer between the ellipsoid zone (EZ) and the interdigitation zone (IZ) on C-scan spectral-domain optical coherence tomography (SD-OCT) with a yet unknown variation under light conditions. The aim of this study was to explore light-induced SD-OCT changes in these HRDs. METHODS: The study subjects were randomly assigned to two groups: Group 1 experienced a dark adaptation protocol followed by intense retinal photobleaching, while Group 2, serving as the control group, was exposed to constant ambient light without any variation. The number of HRDs was automatically counted. RESULTS: Twenty healthy volunteers were prospectively included. The number of HRDs differed significantly over time (p = 0.0013). They decreased in Group 1 after dark adaptation and retinal photobleaching before returning to baseline levels 30 min later; conversely, they remained relatively constant in Group 2 throughout the study (p < 0.001). Light-skinned subjects had less HRD than dark-skinned subjects. CONCLUSION: We observed light-induced modifications in the space between the EZ and the IZ. We hypothesize that the HRDs visible in this zone correspond to melanosomes that are mobilized during the light stimulation protocol. Larger studies are recommended to further evaluate and confirm light-induced SD-OCT changes under physiological and pathological conditions. CI - (c) 2021 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation. FAU - Mathis, Thibaud AU - Mathis T AUID- ORCID: 0000-0002-1418-1872 AD - Department of Ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, University of Medicine Lyon 1, Lyon, France. AD - UMR-CNRS 5510 Mateis, Lyon 1 University, Lyon, France. AD - INSERM, CNRS, Institut de la Vision, Sorbonne University, Paris, France. FAU - Vasseur, Vivien AU - Vasseur V AD - Department of Ophthalmology, Rothschild Foundation, Paris, France. FAU - Zuber, Kevin AU - Zuber K AD - Department of Ophthalmology, Rothschild Foundation, Paris, France. FAU - Arej, Nicolas AU - Arej N AUID- ORCID: 0000-0003-0481-2228 AD - Department of Ophthalmology, Rothschild Foundation, Paris, France. FAU - Loria, Olivier AU - Loria O AD - Department of Ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, University of Medicine Lyon 1, Lyon, France. AD - UMR-CNRS 5510 Mateis, Lyon 1 University, Lyon, France. FAU - Kodjikian, Laurent AU - Kodjikian L AD - Department of Ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, University of Medicine Lyon 1, Lyon, France. AD - UMR-CNRS 5510 Mateis, Lyon 1 University, Lyon, France. FAU - Sennlaub, Florian AU - Sennlaub F AD - INSERM, CNRS, Institut de la Vision, Sorbonne University, Paris, France. FAU - Mauget-Faysse, Martine AU - Mauget-Faysse M AD - Department of Ophthalmology, Rothschild Foundation, Paris, France. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20210104 PL - England TA - Acta Ophthalmol JT - Acta ophthalmologica JID - 101468102 SB - IM MH - Adult MH - Dark Adaptation/*physiology MH - Female MH - Follow-Up Studies MH - Healthy Volunteers MH - Humans MH - *Light MH - Male MH - Prospective Studies MH - Retinal Photoreceptor Cell Outer Segment/physiology/*radiation effects MH - Retinal Pigment Epithelium/*diagnostic imaging/physiology MH - Tomography, Optical Coherence/*methods MH - Visual Acuity PMC - PMC8596705 OTO - NOTNLM OT - melanosome OT - optical coherence tomography OT - outer retinal layers OT - phagosome OT - retinal pigment epithelium EDAT- 2021/01/05 06:00 MHDA- 2022/01/18 06:00 PMCR- 2021/11/17 CRDT- 2021/01/04 09:23 PHST- 2020/11/14 00:00 [revised] PHST- 2019/11/24 00:00 [received] PHST- 2020/11/23 00:00 [accepted] PHST- 2021/01/05 06:00 [pubmed] PHST- 2022/01/18 06:00 [medline] PHST- 2021/01/04 09:23 [entrez] PHST- 2021/11/17 00:00 [pmc-release] AID - AOS14723 [pii] AID - 10.1111/aos.14723 [doi] PST - ppublish SO - Acta Ophthalmol. 2021 Nov;99(7):765-772. doi: 10.1111/aos.14723. Epub 2021 Jan 4.