To examine the effects of acute hypoxemia and hyperglycemia on retinal pH to understand hyperglycemia-induced changes in the normal intact cat retina.Methods: Spatial profiles of extracellular hydrogen ion (H ϩ ) concentration were obtained from the cat retina, in vivo, using pH-sensitive microelectrodes during normoxia (arterial partial pressure of oxygen [PaO 2 ]=114.5±7.9 mm Hg), normoglycemia (plasma glucose concentration, 117 ± 19 mg/dL), acute hypoxemia (PaO 2 = 29.5 ± 2.2 mm Hg), and acute hyperglycemia (plasma glucose concentration, 303 ± 67 mg/dL). An H ϩ diffusion model was fitted to the outer retinal data to quantify photoreceptor H ϩ production. The inner retinal pH was also examined.Results: Hypoxemia induced a mean acute panretinal acidification of 0.16 pH units that originated from a 2.55-fold increase in net photoreceptor H ϩ production. Hyperglycemia induced an acute panretinal acidification of 0.12 pH units; however, photoreceptor H ϩ production levels remained unchanged. Retinal pH changes followed the course of arterial PaO 2 and blood glucose changes.
Conclusions:The increase in photoreceptor H ϩ production during hypoxemia confirms the importance of glycolysis in the retina. Hyperglycemia-induced pH changes resulted from either increased inner retinal H ϩ production or decreased H ϩ clearance/neutralization.
Clinical Relevance:The hyperglcemia-induced acidification that originates in the inner retina suggests that retinal acidosis may contribute to the development of diabetic retinal disease.