Rhodopsin, a biological pigment in the photoreceptors of the retina, immediately
photobleaches in response to light.
Visual phototransduction starts with the isomerizing of the pigment
chromophore from 11-cis to all-trans
retinal. Then this pigment dissociates into free
opsin and all-trans retinal. Dark adaptation of both rods and cones requires the regeneration of the visual pigment from opsin and 11-cis retinal. The decrease in calcium ion influx after channel closing causes phosphorylation of metarhodopsin II and speeds up the cis-retinal to trans-retinal inactivation.
Rods are more sensitive to light and so take longer to fully adapt to the change in light. Rods, whose photopigments regenerate more slowly, do not reach their maximum sensitivity for about two hours.
Cones take approximately 9–10 minutes to adapt to the dark. The sensitivity of the
rod pathway improves considerably within 5–10 minutes in the dark. Color testing has been used to determine the time at which rod mechanism takes over; when the rod mechanism takes over colored spots appear colorless as only
cone pathways encode color. Three factors affect how quickly the rod mechanism becomes dominant: • Intensity and duration of the pre-adapting light: By increasing the levels of pre-adapting luminances, the duration of cone mechanism dominance extends, while the rod mechanism switch over is more delayed. In addition the absolute threshold takes longer to reach. The opposite is true for decreasing the levels of pre-adapting luminances. • Size and location on the retina: The location of the test spot affects the dark adaptation curve because of the distribution of the
rods and cones in the retina. • Wavelength of the threshold light: Varying the wavelengths of stimuli also affect the dark adaptation curve. Long wavelengths—such as extreme red—create the absence of a distinct rod/cone break, as the rod and cone cells have similar sensitivities to light of long wavelengths. Conversely, at short wavelengths the rod/cone break is more prominent, because the rod cells are much more sensitive than cones once the rods have dark adapted.
Intracellular signalling Under
scotopic conditions, intracellular
cGMP concentration is high in photoreceptors. cGMP binds to and opens
cGMP gated Na channels to allow sodium and calcium influx. Sodium influx contributes to depolarization while calcium influx increases local calcium concentrations near the receptor. Calcium binds to a modulatory protein, which is proposed to be
GUCA1B, removing this protein's stimulatory effect on
guanylyl cyclase.
Using Dark Adaptation Measurement to Diagnose Disease Numerous clinical studies have shown that dark adaptation function is dramatically impaired from the earliest stages of
Age-related Macular Degeneration (AMD),
Retinitis Pigmentosa (RP), and other retinal diseases, with increasing impairment as the diseases progress. AMD is a chronic, progressive disease that causes a part of the retina, called the macula, to slowly deteriorate over time. It is the leading cause of vision loss among people age 50 and older. It is characterized by a breakdown of the RPE/
Bruch's membrane complex in the retina, leading to an accumulation of cholesterol deposits in the macula. Eventually, these deposits become clinically visible drusen that affect photoreceptor health, causing inflammation and a predisposition to choroidal neovascularization (CNV). During the AMD disease course, the RPE/Bruch's function continues to deteriorate, hampering nutrient and oxygen transport to the rod and cone photoreceptors. As a side effect of this process, the photoreceptors exhibit impaired dark adaptation because they require these nutrients for replenishment of photopigments and clearance of opsin to regain scotopic sensitivity after light exposure. Measurement of a patient's dark adaptation function is essentially a bioassay of the health of their Bruch's membrane. As such, research has shown that, by measuring dark adaptation, doctors can detect subclinical AMD at least three years earlier than it is clinically evident. ==Accelerating dark adaptation==