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There are approximately 2 million people who have glaucoma. And about 90% of glaucoma patients have chronic type disease, and most of them do not notice of their disease. Finally they will lost their eyesight by this disease. Therefore, it is necessary to develop the auto diagnostic method for glaucoma. Our objective of this study is the development of the auto diagnostic system for the glaucoma by using fundus photograph. In our system, digitized fundus photograph is tested in personal computer, and the ratio of the area of optic disk and the area of optic disk cup (named C/D ratio) is calculated and evaluated automatically. And then this system can checkup subject condition for glaucoma. In this paper, we will discuss our auto diagnostic system for the glaucoma.

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A family with 1 case of retinitis pigmentosa (III-1) and 2 cases of Oguchi’s disease (III-2, 3) was examined in terms of electrophysiology as well as molecular biology. The proband (III-3), a 42-year-old female, and 2 older brothers (III-1, 2, aged 52 and 45 years) and 2 unaffected members in the same family participated in this study. Corrected visual acuities of the individuals with Oguchi’s disease (III-2, 3) were 1.2. On funduscopy, blood vessels stood out in relief against a metallic-appearing background and a Mizuo-Nakamura phenomenon was evident. Full-field electroretinograms (ERGs) recorded from the proband were indicative of rod dystrophy, but results of other electrophysiological examinations (multifocal ERG, pattern ERG and visual-evoked cortical potential recordings) were within normal limits. Patient III-1 had corrected visual acuities of RE 20 cm/m.m. and LE 30 cm/n.d., severe chorioretinal atrophy in both fundi, and full-field ERG revealed rod-cone dystrophy. Mutation of the arrestin gene (1147de1A) was detected in all 3 cases, but no mutation was observed for the rhodopsin gene. A homozygous deletion 1147 (1147de1A) in codon 309 of the arrestin gene was commonly observed in all 3 patients. Visual function in each patient coincides with that of retinitis pigmentosa or Oguchi’s disease, respectively.

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In order to estimate objectively binocular vision and especially stereopsis, random dot stereograms generated by a personal computer were used. Brain activity during stereopsis was topographically studied by visually evoked potentials (VEPs). The potentials evoked by binocular viewing of patterns without disparity, e.g. correlogram, were very similar to the potentials evoked from patterns with disparity, i.e. stereogram, as many authors have already indicated. To derive the stereo-related potentials from the VEP elicited by stereograms, the potentials evoked by correlograms were subtracted from the potentials evoked by stereograms, and the differences of topographical distribution between normal and stereoblind subjects were investigated.

To determine the phenotype of a Japanese family in which retinitis pigmentosa cosegregates with a rhodopsin gene mutation, i.e. an asparagine-to-serine change at codon 15 (Asn-15-Ser), 5 affected and 5 unaffected members of one pedigree underwent several ophthalmic examinations as well as Ganzfeldelectroretinography (ERG) and multifocal ERG. Genomic DNA samples were analyzed by PCR amplification, sequencing and restriction enzyme digestion. A codon 15 rhodopsin gene mutation (Asn-15-Ser) was found in all affected members. The region of pigmentary degeneration was localized in the lower hemiretina, and visual field defects corresponded to the retinal pigmentary changes. Scotopic ERG amplitudes, rather than photopic ERG amplitudes, were reduced. Multifocal ERG revealed a low magnitude of response density, even for the upper hemiretina, which showed no bony corpuscle pigmentation. Visual function in sectorial retinitis pigmentosa associated with rhodopsin gene codon 15 mutation is on the basis of the rod-cone dystrophy, regardless of differences in phenotypic expression.