*This machine-generated transcript may have errors. If remediation or a manually-generated transcript is needed, please contact NLM Support at https://support.nlm.nih.gov.* this is a continuation and an extension of the paper that was given at, um, the U C meeting in Amherst last October. And, um, if you need uh certain points solicited, let me know because I'll, I'll explain them, but I'm gonna sort of skip over things because I think time is short for a lot of people here. And it is for me, I know, um, very few investigators have been willing to address the problem of microwave cataract genesis from a biochemical alteration standpoint. And this lack of appeal seems ne neglectful, especially after it has been reported that a drop in ascorbic acid levels in the lens of rabbits was the first identifiable reaction to microwave radiation and that this occurred before any visible signs of damage were present. Let us briefly review the literature dealing with investigations of uh scic acid in relation to microwave irradiation or the eye Marro and Kenna Sheer in 1960 reported that reductions in ascorbic acid of approximately 20% occurred in the lens of the rabbit sometime between 16, 6 and 18 hours close to radiation. They did not continue their study beyond this 18 hour period. Nor did they investigate any ties between the six and 18 hours. They reported no decrease in the sic acid 18 hours post to radiation in the aqueous humor and therefore ruled out the possibility that the reduction in the lens was due to a decrease in this fluid. Ken demonstrated decreases in ascorbic acid in a radiated rabid lens. It's cultured in vitro. However, she states that the controls also lost ascorbic acid but at a slower rate than the irradiated lens. Her results are ambiguous with large differences being exhibited for the same culture periods, white and reported that cultured rabbit lenses lost asorbic acid when exposed to microwave radiation and that this loss was due to thermal increases with gradually increasing power densities since portions of the lenses during a radiation were exposed to the air. one may question whether the decreases might have been due to a surface evaporation and some cell death occurred or the lenses lens capsule became a leaky membrane. Other investigators using labeled culture media have found no differences in the uptake of ascorbic acid between an exposed and control lens for periods up to 19 hours post to radiation. We recently reported results of a study of ascorbic acid values in the vitreous lens and INAs of rabbits. Uh rabbit eyes exposed to single and multiple repetitive uh multiple microwave radiations lens. Ascorbic acid levels appeared normal with the exception of about a 20% in decrease at one week post a radiation for an acute exposure. This drop was primarily coincident with the appearance of lens opacities. Do I control the slides? Do I just? All right. OK. Is that all right? Very good. This is a slide showing the effect of a acid in the lens at various times. Post to radi radiation sacrifices from five minutes to four weeks. It will be noticed that Kitta had found that at one at 18 hours approximately right in this point here that they had gotten a 20% drop. The drop appears in hours to be at one week post of radiation. Oh, I'm sorry, at one week, post radiation and then a two weeks and at four weeks appears to be within a normal range. Again, the dotted lines here are the multiple exposures in the, the, the solid line is the single exposure. This is uh that shows the results of the AAA, some of that looks in focus and some everything in include uh seems to be within a co control range. And so therefore, uh no effect seems to microwaves have no effect on the Vitria of cervic acid levels. In slide three. Here we have data accumulated on the uh the uh acres humor and these levels indicate that the escort was decreased in this fluid in an acutely exposed eye. And these levels do continue to decrease from five minutes after the insult until a low was reached at one week. Post radiation, that's from this period to this period. Recovery to normal values occurred by two weeks, post of radiation and were still within control limits four weeks after a radiation. These results on the lens are not in agreement with those reported by K Male and Kia. A comparative analysis of the data at 18 hours poster radiation on the lens of score bait collected by Mooli. And that obtained by us showed that there is a significant difference at the 99% confidence level between the right irradiated I and the left control I for a score bait levels in their study. But this difference is not apparent for this post radio a radiation period. In our study, the irradiation facilities, equipment, exposure conditions and analysis mythology used in their study is the same as that used in this recently reported investigation. However, in their study, the facility for radiation and the Nucleation of the eye was located in a suburb while a laboratory for scic acid analysis was a downtown location. As a possible reason for the discrepancies. It was felt that the timing left between sacrifice of the animal and removal of the eye. Subsequent transportation of it to a cross town laboratory and analysis of the specimen could be of long duration compared to the entire operation of sacrifice to section sample preparation analysis steps being performed in sequence. And at the same laboratory for our study elapsed time from decease of the animal to completion of analysis of all I parts was 58 plus 58 plus or minus eight minutes for all 76 animals in the study. One can assume that analysis time for both studies was the same but that transportation would delay the S ay studies for for the original study. More to test the delay hypothesis. Alo watts of a known standard ascorbic acid solution were taken at hour intervals over a period of five hours and tied in the same manner as an actual sample. The rate of decrease of dye used was 50 units per hour or the equivalent of point oh 19 mg of ascorbic acid per hour. Over the first three hours and 20 units of dye per hour or oh oh point oh oh seven mg of ascorbic acid after three hours. This means that after one hour, approximately 20% of the ascorbic acid for titration in this method has become unavailable. A statistical analysis of the 76 duplicate acids of lenticular mere material from irradiated and controlled eyes showed no significant difference with an average time between replicate analysis of 2 to 3 minutes. When the second essay of lungs material is delayed by one hour for both control and irradiated eyes. There is still no significant difference in the uh significant difference due to the delay. This shows you the original analysis done at time zero, which I must say is about 58 minutes. The lens was the last part of the eye that we um uh analyzed 60 minutes. After that, this is really no significant difference with seven degrees of freedom. And uh at that level, one must therefore assume that the elapsed time due to transportation of samples was not a causative factor in obtaining differing results. Gluta thion. Another reducing substance is found in high concentration in the lens of the eye. This substance shows early decreased levels in ionizing radiation produced cataracts. It also reacts with the dye used in the titration method for ascorbic acid. However, its rate of reaction is much slower than for ascorbic acid to test whether it was acting as an interference in our titration. We add an amount of it normally present in the lens to a standard known solution of a sate differences in tita were not observed in solutions containing it from those with no gluth present in the course of our assay of a score in the in the eyes part in the eye parts, we weigh the lens immediately after a Nucleation and just prior to homogenization in a protein precipitant solution. This offered us the opportunity to observe the relationship between the weight ratio of the irradiated and unirradiated lens to the severity of the damage produced by the radiation observed, observed just prior to sacrifice of the animal and removal of the eye for analysis. It also enabled us to determine weight ratios at times after exposure. But before any vis visible damage would be apparent by slit lamp examination such as at five minutes and a half hour and 12 hours and 18 hours post to radiation. Those eyes had no react observable reaction to them. This comparison was performed for those animals exposed to both a single acute dose and a repetitive sub subthreshold dose. Minimal, moderate and maximum response are categorized by Doctor Copter. In his previous studies, minimal responses included small vesicles or Granules along and near the post suture. Cortical banding, moderate responses responses showed um these uh small circumscribed opacities occurring at the ends of the post suture. This happens to be, it looks like a vesicle right up in here. The maximum type of response was and the whole involvement of the whole posterior castle. A comparison of the weight ratio of the controls to mean ratios of the various degrees of un observable and observable damage shows that at 95% confidence level, there is no significant difference in the ratios for all categories for both single and multiple exposures. A T value of 1.76 with 18 degrees of freedom was obtained when the greatest differences are compared that between the single maximal response and the controls. And I'm talking about this, which is the most obvious as compared to this. And there is no significant difference between those and there is no significant difference in any of these. So the weight of the lens or the severity of the damage has nothing to do with the weight of the lens. Morale and Kitta had raised the question in their study as to whether an increase in temperature was the cause of the observed drop in ascorbic acid in the lens. The scor acid is quite unstable and is destroyed by heat in an alkaline solution. The P H of the aqueous humor is about 7.57 to 7.6. They checked the lens asorbic at a half hour and six hours after a radiation and found no drop in ascorbic acid and therefore ruled out heat as a cause of the reduction. They also tested the levels of score bait in the A in the aqueous at 18 hours close to radiation and found no change had occurred, ruling out the possibility that a score bait was unavailable to the lens and therefore resulted in the lenticular decreases in our experiments. The acre had risen an average of 10.1 degrees C at the end of an acute exposure. As stated pre previously, we found reduced levels of sate at five minutes post to radiation and these levels continued to decrease up until one week to check whether the heat alone was directly responsible for the drop observed in this fluid. The eyes of rabbits were heated without the use of microwaves and acid levels determined the procedure was as follows. An aqua of aqueous was removed from the left control eye of an a, an aet size rabbit and analyzed for aic acid. The ears of the rabbit were immersed in a hot water bath at 50 degrees for 40 minutes. Thereby heating the aqueous of the eye via the circuitry system of the animal. At the end of the heating period, an aqua of aqueous fluid was removed from the right eye and analyzed for a acid as an additional test, the action of the heat on the a as as an additional test of the a the action of the heat on the aqueous aquas of this fluid were removed from both eyes of an anesthetized animal. One aqua was heated to 55 degrees and both aquas were analyzed for moving. There is essentially uh these are the in vivo heating. And by that, I mean that the ears were heated from the left eye, the aqua was removed prior to heating from the right eye. It was removed after heating and analyzed. And there is essentially no difference in here except the possibility of a slight increase actually with the heated eye. This was in vitro heating and this is when the both the, both the ques was removed from both eyes and analyzed. And there's essentially no difference there at all. These are the controls. It just as comparison here on the uh ratios on the control. These results tend to negate the theory that heat causes reduced levels of ate in the acres with resultant lens decreases. However, the results do strengthen and lend support to the theory that counteracter genesis is a secondary reaction and that a primary and initiating action for microwave damage is not a direct effect on the lens of the eye or the fluids that bathe it, but a absorption of energy at some other sensitive site which later is reflected as a damaged lens. This theory might possibly be tested if it were possible that uh the lens itself could be directly uh irradiated without peripheral tissue being irradiated. Future studies in this, we hope to perhaps investigate the role of the ciliary body or ciliary epithelium in reducing its COVID appearing in the aqueous. And that uh this is perhaps the best way to do this is with radioactive tracer techniques. Uh Another investigative area is the role that ascorbic acid plays in cataract genesis. And this might be demonstrated by using uh by studies using the guinea pig, which does not synthesize the ascorbic acid except through dietary means. And I don't know, but I just sort of thought of this at the end. Uh I'm I'm not sure whether anybody has ever produced cataracts in, in rat lenses, but uh it's an interesting observation that there is absolutely no ascorbic acid in the aqueous of a rat lens and the three mg per percent in uh in the aqueous. Um I would appreciate if Doctor Ravis, if he's here, his studies have closely coincided with what we've been doing and I think that he came to somewhat some, the same conclusion that possibly the sill body or Elli is the site that should be looked at. I appreciate if he'd like to comment on it. Is he here? I guess so.