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Q2 LONG ANSWER 10M ★ High-yield

Compare rods and cones. Describe the mechanism of phototransduction and dark adaptation.

Physiology · 1st Professional — Pre-Clinical

Rods and Cones Compared

FeatureRodsCones
Number120 million6 million
PigmentRhodopsin (visual purple)Photopsins — three types
FunctionScotopic (dim light) visionPhotopic (bright light) and colour vision
SensitivityHigh — responds to a single photonLow
AcuityLowHigh
ConvergenceHigh (up to 300:1)1:1 at the fovea
DistributionPeripheral retina; absent at the foveaDensest at the fovea
Dark adaptationSlow (20–30 min) but completeRapid (5–10 min) but limited
  • Optic disc — no receptors at all → the blind spot
  • At the fovea the inner retinal layers are swept aside so light reaches the cones directly — the point of greatest acuity

Phototransduction

Light strikes rhodopsin → 11-cis retinal → all-trans retinal (isomerisation) → Rhodopsin → metarhodopsin II → Activates transducin (a G protein) → Activates phosphodiesterase → ↓ cGMP → Na+ channels close → hyperpolarisation → ↓ Glutamate release

CLINICAL PEARL

Note the paradox: the photoreceptor is depolarised in the dark (the "dark current" of steady Na+ influx) and hyperpolarised by light. It is the only receptor in the body that responds to its adequate stimulus by hyperpolarising.

  • Rhodopsin = opsin (scotopsin) + 11-cis retinal, which is derived from vitamin A
  • Regeneration of rhodopsin requires vitamin A and takes minutes — the basis of dark adaptation
  • Enormous amplification — one photon → hundreds of transducin → hydrolysis of a million cGMP

Retinal Circuitry

Photoreceptor → Bipolar cell → Ganglion cell → Optic nerve

  • Horizontal and amacrine cells provide lateral inhibition → sharpen contrast and edges
  • Only the ganglion cell fires action potentials — all other retinal neurones respond with graded potentials
  • Light is refracted through all retinal layers before reaching the receptors, since the retina is inverted

Dark Adaptation

Dark adaptation = the increase in retinal sensitivity that occurs on moving from bright light into darkness.

PhaseTimeReceptorSensitivity gain
First (rapid)5–10 minConesAbout 100-fold
Rod–cone breakAbout 10 min—The kink in the curve
Second (slow)20–30 minRodsUp to 100,000-fold overall
  • Mechanism — regeneration of rhodopsin, plus pupillary dilatation and increased neural convergence
  • Light adaptation is far faster — complete in about 5 minutes
  • Measured by the adaptometer

Photopic, Scotopic and Mesopic Vision

FeaturePhotopic (day)Scotopic (night)
ReceptorConesRods
ColourPresentAbsent — all appears grey
AcuityHighLow
Peak sensitivity555 nm (yellow-green)500 nm (blue-green)
Best seen withFoveaPeripheral retina
  • Purkinje shift — the peak of sensitivity moves toward blue in dim light, so at dusk red flowers look black while blue ones stay bright
  • Mesopic vision uses both systems, as at twilight

Electroretinogram

  • A wave — negative; from the photoreceptors
  • B wave — positive; from bipolar and Müller cells
  • C wave — from the pigment epithelium
  • Used to assess retinal function when the media are opaque, and in retinitis pigmentosa

Visual Pigments and the Retinal Pigment Epithelium

  • Retinal pigment epithelium — stores vitamin A, regenerates 11-cis retinal, phagocytoses shed outer segments, and absorbs stray light
  • It also forms part of the blood–retinal barrier
  • Retinal detachment separates the photoreceptors from this epithelium → rapid degeneration unless reattached

Applied Aspects

  • Vitamin A deficiency → night blindness (nyctalopia) — delayed and incomplete dark adaptation; the earliest sign of xerophthalmia, and an important public health problem in India
  • Retinitis pigmentosa — progressive rod degeneration → night blindness with tunnel vision
  • Red goggles are worn by pilots and radiologists before night duty — red light stimulates cones but does not bleach rhodopsin, so rod adaptation is preserved
  • To see a dim star, look slightly to one side of it — peripheral rods are far more sensitive than the rod-free fovea
  • Age-related macular degeneration — the commonest cause of central visual loss in the elderly; peripheral vision is preserved

All questions in Special Senses

  1. Q1Describe the refractive media of the eye and the mechanism of accommodation. Discuss the errors of refraction and their correction. ★
  2. Q2Compare rods and cones. Describe the mechanism of phototransduction and dark adaptation. ★
  3. Q3Trace the visual pathway. Describe the effects of lesions at different sites and the pupillary light reflex. ★
  4. Q4Describe the mechanism of hearing. Explain impedance matching, the transduction by hair cells and the analysis of pitch. ★
  5. Q5Describe the vestibular apparatus and its role in the maintenance of equilibrium. Add a note on nystagmus and the caloric test. ★
  6. SN1Describe the physiological basis of colour vision. Classify colour blindness and describe its inheritance. ★
  7. SN2Describe the formation, circulation and functions of aqueous humour. Add a note on glaucoma. ★
  8. SN3Classify deafness. Describe the tuning fork tests and their interpretation. ★
  9. SN4Describe the modalities of taste, the taste buds and the nerve supply of the tongue.
  10. SN5Describe the mechanism of olfaction and the olfactory pathway. Add a note on anosmia.
  11. SN6Describe the formation, circulation and functions of aqueous humour and the factors affecting intraocular pressure. ★
  12. SN7Classify errors of refraction and describe the mechanism of accommodation. ★

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