Evidence map›Paper›PMID 42257410›Full record

ArticleInvestigative ophthalmology & visual science2026

Dose-Response Characteristics of Retinal Inactivation Due to Intravitreal Injections of Tetrodotoxin in Nonhuman Primates.

Randolph J Kwaw, Kevin R Duffy, Hui Meng, Robert W Jones, Zainab Zehra, Arnold J Heynen, Matthew S Lawrence, Lawrence Tychsen, Mark F Bear, Laura J Frishman and 2 more

Abstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Randolph J KwawCollege of Optometry, University of Houston, Houston, Texas, United States.
Kevin R DuffyDepartment of Psychology and Neuroscience, Dalhousie University, Halifax, California, United States.
Hui MengCollege of Optometry, University of Houston, Houston, Texas, United States.
Robert W JonesDepartment of Psychology and Neuroscience, Dalhousie University, Halifax, California, United States.
Zainab ZehraCollege of Optometry, University of Houston, Houston, Texas, United States.
Arnold J HeynenPicower Institute for Learning and Memory, Massachusetts Institute of Technology, Cambridge, Massachusetts, United States.
Matthew S LawrenceVirscio, New Haven, Connecticut, United States.
Lawrence TychsenDepartment of Ophthalmology, Washington University at St. Louis, St. Louis, Missouri, United States.
Mark F BearPicower Institute for Learning and Memory, Massachusetts Institute of Technology, Cambridge, Massachusetts, United States.
Laura J FrishmanCollege of Optometry, University of Houston, Houston, Texas, United States.
Nimesh B PatelCollege of Optometry, University of Houston, Houston, Texas, United States.
Vallabh E DasCollege of Optometry, University of Houston, Houston, Texas, United States.

Funding

Research Programming ModuleP30EY007551 · NEI · UNIVERSITY OF HOUSTON · PI Nimesh Bhikhu Patel · 1988 to 2026
$16.4M
Binocular Coordination of Eye MovementsR01EY026568 · NEI · UNIVERSITY OF HOUSTON · PI VALLABH E DAS · 2016 to 2026
$5.0M
NEI NIH HHS P30 EY007551NEI NIH HHS R01 EY026568
6 · The paper itself

Abstract

Purpose: Temporary retinal inactivation of the fellow eye with intravitreal tetrodotoxin (TTX) has shown promise as a treatment strategy for deprivation amblyopia in mouse and cat models. The purpose of this study was to evaluate the duration of retinal inactivation achieved with different doses of TTX in nonhuman primates (NHPs), while also assessing functional and structural measures of vision to determine the safety of this treatment approach. Methods: Three adult and four infant NHPs received varying doses of TTX (115-4800 ng) via intravitreal injection. Inactivation duration was assessed via contrast sensitivity function (CSF) in awake-behaving adults and visual evoked potential (VEP) responses in anesthetized infants. Safety of the TTX approach was investigated using optical coherence tomography (OCT), electroretinogram (ERG), retinal histology, and clinical evaluation of a relative afferent pupillary defect (RAPD). Results: Inactivation duration was dose dependent. Low doses (115-230 ng) resulted in up to 4 days of inactivation. Intermediate doses (460-920 ng) extended inactivation up to 8 days, whereas the highest dose (4800 ng) eliminated VEP responses for up to 10 days. RAPD that emerged soon after the injection was absent at about the same time as CSF and VEP responses recovered to baseline. Post-inactivation assessments using OCT, ERG, or histology showed no discernible changes in retinal structure or function. Conclusions: Intravitreal TTX at the doses examined does not cause permanent disruption of vision in primates, and the duration of retinal inactivation can be titrated by dose. The dose-response relationship provides a foundation for future studies testing the efficacy of this treatment approach in amblyopic monkeys.

Indexed as

AmblyopiaEvoked Potentials, VisualRetinaSodium Channel BlockersTetrodotoxinAnimalsContrast SensitivityDisease Models, AnimalDose-Response Relationship, DrugElectroretinographyFemaleIntravitreal InjectionsMacaca mulattaMaleTomography, Optical CoherenceSodium Channel BlockersTetrodotoxin

Identifiers

PMID42257410
PMCPMC13252135

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.