J Korean Med Sci.  2016 May;31(5):783-789. 10.3346/jkms.2016.31.5.783.

The Effects of Alcohol on Visual Evoked Potential and Multifocal Electroretinography

Affiliations
  • 1Department of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea.
  • 2Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. ksw64723@korea.ac.kr

Abstract

The aim of this study was to investigate the acute effects of ethanol administration on pattern-reversal visual evoked potential (VEP) and multifocal electroretinography (mfERG). Fifteen healthy subjects with no ocular or general disease were recruited. VEP (0.25° pattern sizes) and mfERG with 19 elements in two recording segments were performed before ethanol administration to obtain baseline for each participant. A few days later, the participants visited again for VEP and mfERG measurements after ethanol administration. Ethanol (0.75 g/kg) was administered orally over the course of 30 minutes. VEP and blood alcohol concentration were evaluated one hour after ethanol administration, and mfERG was conducted after pupil dilation. The Wilcoxon signed-rank test was used to compare parameter changes after randomized eye selection. The mean blood alcohol concentration was 0.034% ± 0.05% by volume. VEP revealed a P100 latency delay (109.4 ± 5.3; 113.1 ± 8.2; P = 0.008) after alcohol administration. The P1 implicit time of ring 1 on mfERG showed a trend of shortening after alcohol administration (37.9 ± 1.0; 37.2 ± 1.5; P = 0.048). However, the changes did not show statistical significance after Bonferroni correction. In conclusion, orally administrated ethanol (0.75 g/kg) appears to suppress the central nervous system, but it is not clear whether alcohol intake affects the retina.

Keyword

Alcohol; Electroretinography; Visual Evoked Potential

MeSH Terms

Adult
*Alcohol Drinking
Electroretinography
Evoked Potentials, Visual/*physiology
Female
Humans
Male
Retina/physiology

Figure

  • Fig. 1 Representative mfERG recordings before (A) and after (B) alcohol administration. mfERG first-order kernel trace array with 19 elements (left upper row), ring traces from ring 1 to ring 3 (right upper row), P1 and N1 amplitude (Amp.P1 and Amp. N1), and P1 and N1 implicit times (PeT.P1 and PeT.N1) (lower row).

  • Fig. 2 Scatter plot of parameters of VEP and mfERG before versus after alcohol administration. VEP N75, P100, N135 latency, VEP N75-P100, P100-N135 amplitude before versus after alcohol administration (first row). P1 amplitude, P1 implicit time, N1 amplitude and N1 implicit time of mfERG Ring 1 (R1: second row), Ring 2 (R2: third row) and Ring 3 (R3: fourth row). Alc, alcohol; Lat, latency; Amp, amplitude; Imp, implicit time; R, ring; ms, mili-second; µV, micro-volt.


Reference

1. Hindmarch I, Kerr JS, Sherwood N. The effects of alcohol and other drugs on psychomotor performance and cognitive function. Alcohol Alcohol. 1991; 26:71–79.
2. Leonard KE, Blane HT. Psychological Theories of Drinking and Alcoholism. 2nd ed. New York, NY: The Guilford Press;1999.
3. Azcona O, Barbanoj MJ, Torrent J, Jané F. Evaluation of the central effects of alcohol and caffeine interaction. Br J Clin Pharmacol. 1995; 40:393–400.
4. Reed TE. Effect in vivo of a sub-hypnotic dose of ethanol on nerve conduction velocity in mice. Life Sci. 1979; 25:1507–1512.
5. Valenzuela CF. Alcohol and neurotransmitter interactions. Alcohol Health Res World. 1997; 21:144–148.
6. Gessa GL, Muntoni F, Collu M, Vargiu L, Mereu G. Low doses of ethanol activate dopaminergic neurons in the ventral tegmental area. Brain Res. 1985; 348:201–203.
7. Odom JV, Bach M, Brigell M, Holder GE, McCulloch DL, Tormene AP. Vaegan. ISCEV standard for clinical visual evoked potentials (2009 update). Doc Ophthalmol. 2010; 120:111–119.
8. Hood DC, Bach M, Brigell M, Keating D, Kondo M, Lyons JS, Marmor MF, McCulloch DL, Palmowski-Wolfe AM; International Society For Clinical Electrophysiology of Vision. ISCEV standard for clinical multifocal electroretinography (mfERG) (2011 edition). Doc Ophthalmol. 2012; 124:1–13.
9. Hood DC, Greenstein V, Frishman L, Holopigian K, Viswanathan S, Seiple W, Ahmed J, Robson JG. Identifying inner retinal contributions to the human multifocal ERG. Vision Res. 1999; 39:2285–2291.
10. Colrain IM, Taylor J, McLean S, Buttery R, Wise G, Montgomery I. Dose dependent effects of alcohol on visual evoked potentials. Psychopharmacology (Berl). 1993; 112:383–388.
11. Ikeda H. Effects of ethyl alcohol on the evoked potential of the human eye. Vision Res. 1963; 3:155–169.
12. Knave B, Persson HE, Nilsson SE. A comparative study on the effects of barbiturate and ethyl alcohol on retinal functions with special reference to the C-wave of the electroretinogram and the standing potential of the sheep eye. Acta Ophthalmol (Copenh). 1974; 52:254–259.
13. Rohrbaugh JW, Stapleton JM, Parasuraman R, Zubovic EA, Frowein HW, Varner JL, Adinoff B, Lane EA, Eckardt MJ, Linnoila M. Dose-related effects of ethanol on visual sustained attention and event-related potentials. Alcohol. 1987; 4:293–300.
14. Skoog KO. The c-wave of the human D.C. registered ERG. III. Effects of ethyl alcohol on the c-wave. Acta Ophthalmol (Copenh). 1974; 52:913–923.
15. Chan HL, Siu AW. Effect of optical defocus on multifocal ERG responses. Clin Exp Optom. 2003; 86:317–322.
16. Tabuchi H, Yokoyama T, Shimogawara M, Shiraki K, Nagasaka E, Miki T. Study of the visual evoked magnetic field with the m-sequence technique. Invest Ophthalmol Vis Sci. 2002; 43:2045–2054.
17. Tobimatsu S. Transient and steady-state VEPs—reappraisal. Int Congr Ser. 2002; 1232:207–211.
18. Weiner JL, Zhang L, Carlen PL. Potentiation of GABAA-mediated synaptic current by ethanol in hippocampal CA1 neurons: possible role of protein kinase C. J Pharmacol Exp Ther. 1994; 268:1388–1395.
19. Sepúlveda MR, Mata AM. The interaction of ethanol with reconstituted synaptosomal plasma membrane Ca2+-ATPase. Biochim Biophys Acta. 2004; 1665:75–80.
20. Crooks J, Kolb H. Localization of GABA, glycine, glutamate and tyrosine hydroxylase in the human retina. J Comp Neurol. 1992; 315:287–302.
21. Pan ZH, Lipton SA. Multiple GABA receptor subtypes mediate inhibition of calcium influx at rat retinal bipolar cell terminals. J Neurosci. 1995; 15:2668–2679.
22. Naarendorp F, Sieving PA. The scotopic threshold response of the cat ERG is suppressed selectively by GABA and glycine. Vision Res. 1991; 31:1–15.
23. Holder GE. Pattern electroretinography (PERG) and an integrated approach to visual pathway diagnosis. Prog Retin Eye Res. 2001; 20:531–561.
24. Klemp K, Larsen M, Sander B, Vaag A, Brockhoff PB, Lund-Andersen H. Effect of short-term hyperglycemia on multifocal electroretinogram in diabetic patients without retinopathy. Invest Ophthalmol Vis Sci. 2004; 45:3812–3819.
25. Gundogan FC, Erdurman C, Durukan AH, Sobaci G, Bayraktar MZ. Acute effects of cigarette smoking on multifocal electroretinogram. Clin Experiment Ophthalmol. 2007; 35:32–37.
26. Tyrberg M, Ponjavic V, Lövestam-Adrian M. Multifocal electroretinogram (mfERG) in patients with diabetes mellitus and an enlarged foveal avascular zone (FAZ). Doc Ophthalmol. 2008; 117:185–189.
27. Moon CH, Park TK, Ohn YH. Association between multifocal electroretinograms, optical coherence tomography and central visual sensitivity in advanced retinitis pigmentosa. Doc Ophthalmol. 2012; 125:113–122.
28. Bergholz R, Rüther K, Schroeter J, von Sonnleithner C, Salchow DJ. Influence of chloroquine intake on the multifocal electroretinogram in patients with and without maculopathy. Doc Ophthalmol. 2015; 130:211–219.
29. Mezey E, Holt PR. The inhibitory effect of ethanol on retinol oxidation by human liver and cattle retina. Exp Mol Pathol. 1971; 15:148–156.
30. Oshima S, Haseba T, Masuda C, Kakimi E, Sami M, Kanda T, Ohno Y. Individual differences in blood alcohol concentrations after moderate drinking are mainly regulated by gastric emptying rate together with ethanol distribution volume. Food Nutr Sci. 2012; 3:732–737.
31. Arden GB, Wolf JE. The human electro-oculogram: interaction of light and alcohol. Invest Ophthalmol Vis Sci. 2000; 41:2722–2729.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr