Biomedical subjects
Publications and source records attributed to G Maraini.
A 31-year-old white woman developed bilateral papilloedema whilst on lithium carbonate therapy for five years because of manic depressive illness. Oedema of the optic disc disappeared after lithium administration had been discontinued. To our knowledge this is the second case of this kind which has been reported in literature.
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The interocular transfer of the tilt aftereffect was studied in strabismic patients with early-onset esotropia and in controls. Squinting subjects were divided into a microtropia subgroup with anomalous binocular vision and a large-angle esotropia subgroup with total suppression of the deviated eye. Patients with alternating microtropia and large-angle esotropia showed normal or moderately reduced interocular transfer of the aftereffect. Patients with monocular microtropia with medium- or low-degree amblyopia showed a reduced monocular visual aftereffect in the dominant eye and practically no transfer to the nondominant eye. Adaptation of the nondominant eye and transfer of the aftereffect to the dominant eye was normal. The interocular transfer of the tilt aftereffect is a poor indicator of the state of binocularity of a squinting subject, and the clinical usefulness of this test is limited.
A 14-year-old white boy, the second of 5 brothers, showed a congenital deficit of ocular motility in his left eye, characterized by limited elevation, marked retraction of the globe and narrowing of the palpebral fissure during upward gaze. The ocular movements in the other directions of gaze were normal with normal binocular vision and stereopsis. The characteristics of the motility defect and the results of the forced duction test suggest the possibility of an anomaly of superior rectus scleral insertion rather than of an innervational defect or of a muscular fibrosis.
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The interaction between retinol-binding protein and normal bovine pigment epithelium has been studied with the use of iodinated retinol-binding protein isolated from the plasma of patients with the recessive form of retinitis pigmentosa and of normal subjects. It is concluded that the capacity of the plasma carrier protein to interact with the retinol-binding protein receptor of bovine pigment epithelium is unimpaired in retinitis pigmentosa with autosomal recessive inheritance.
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Isolated human and bovine pigment epithelium actively binds H3-retinol when vitamin A alcohol is present in the incubation medium bound to human retinol-binding protein. Pigment epithelium is unable to bind retinol present in the incubation solution as the free form, i.e., not bound to its physiologic carrier protein. It is suggested that an interaction between retinol-binding protein and the membranes of pigment epithelial cells is essential for the active transport of retinol into pigment epithelium.
The level of retinol-binding protein (RBP) was determined by a single radial immunodiffusion technique in the serum of patients with retinitis pigmentosa (RP) carefully classified according to their specific genetic type, i.e., autosomally recessive, dominant, sex-linked, and other such as those forms associated with Laurence-Moon-Bardet-Biedl or Winkelman's disease. Highly purified human normal RBP was used as a standard. In none of the patients with RP studied was the serum level of RBP found to be significantly different from that of the control subjects.
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