The similar kinetics of scattering intensity changes of the OCT axial profile bands attributed to the RIS/ROS, ROST, and apical RPE (
Fig. 2D), and likewise the parallel displacement of the OCTs bands ascribed to the ROST and RPE apical surface (
Fig. 3H) call for a consistent explanation. This matter is addressable in the framework of the hypothesis that strong activation of rod phototransduction causes an increase in ROS osmolarity
42 and the auxiliary hypothesis that the water that enters the ROS in response to the osmotic stimulus originates in the choroid and sclera.
65 First, osmotically driven water movement into the ROS is rate-limited by very low water permeability of the ROS plasma membrane,
42 and so the time course of water movement at each location between the source and ROS sink should follow similar rate-limited kinetics. Second, because ROS disc membranes tend to fuse with the plasma membrane as they progress toward the ROS tip,
64 the increased surface area of the ROST should cause differential swelling in a manner parallel to that hypothesized to occur at the ROS base.
42 Thus, given that the ROS base and the ROST are at the opposite ends of a waveguide with the same refractive index between the two extremes, it can be expected from Fresnel theory that backscatter from the base and tips would have similar amplitude and kinetics (
Fig 2D). Third, the hypothesis that the water underlying bleaching-induced ROS swelling originates in the choroid and sclera implies that during the ROS swelling response there is a time-varying gradient of water activity from the source to the ROS sink. This water would likely move through the RPE, which expresses functional aquaporin channels.
66 Water moving down such a gradient through the RPE will necessarily exert a pressure that could displace RPE apical processes and/or alter the distribution of refractive material in these processes (
Fig. 3E), producing a change in backscattering by the RPE apical region (Fig. 2D), which would give rise to an apparent displacement of the scattering boundary (
Fig. 3H). The amplitude of the scattering from the RPE apical surface cannot readily be computed with Fresnel theory in the manner applied to the RIS/ROS boundary
42 because the relevant refractive indices have not been determined. Although such ideas must be incorporated into a quantitative scheme to become a full-fledged explanation of these phenomena, they nonetheless show that the osmotic swelling hypothesis
42 in principle could be extended to account for all the bleaching-induced OCT band displacements and scattering changes from the RIS/ROS to BrM.