Most of the blinding retinopathies are due to progressive
photoreceptor degeneration. Treatment paradigms that are currently being
investigated include strategies to either halt or slow down photoreceptor
cell loss, or to replace useful vision with retinal prosthesis. However,
more information is required on the pathophysiological changes of the
diseased retina, in particular the inner retina, that occur as a
consequence of photoreceptor cell loss. Here we wished to use light damage
as a stoppable insult to determine the structural and functional
consequences on inner and outer retina, with the overall goal of
determining whether survival of a functional inner retina is possible even
if the outer retina is damaged. Mice were exposed to a 20-day light-damage
period. Electroretinograms (ERG) and morphology were used to assess
subsequent recovery. Outer retina was monitored analyzing
a-waves, which represent photoreceptor cell responses, and
histology. Integrity of the inner retina was monitored, analyzing
b-waves and oscillatory potentials (OP1–OP4) and
immunohistochemical markers for known proteins of the inner retina. All
six ERG components were significantly suppressed with respect to
amplitudes and kinetics, but stabilized in a wave-dependent manner within
40–70 days after the end of light exposure. As expected, damage of
the outer retina was permanent. However, function of the inner retina was
found to recover significantly. While b-wave amplitudes remained
suppressed to 60% of their baseline values, OP amplitudes recovered
completely, and implicit times of all components of the inner retina
(b-wave and OP1–OP4) recovered to a level close to baseline
values. Histological analyses confirmed the lack of permanent damage to
the inner retina. In summary, these data suggests that the inner retina
has the potential for significant recovery as well as plasticity if
treatment is available to stop the deterioration of the outer retina.