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Eye-rotation-induced spatial reorganization of horizontal connections in field 17 of the cat cortex.

Six cats with rotation of one or both eyes (strabismus) produced surgically in the early postnatal period demonstrated torsional deviation of the eyes by 10-20 degrees in addition to the rotation. The spatial distribution of retrograde labeled neurons in field 17 was studied by microiontophoretic administration of horseradish peroxidase into individual cortical columns in fields 17 and 18. These studies showed that rotation of the eyes increased the extent of horizontal neuronal connections in field 17 along the projection of the vertical meridian of the field of vision. It is suggested that this reorganization of neuronal connections may support functional changes compensating for eye rotation, as described in the literature.

Animals↗

Asymmetry of the amplitude-time properties of directed saccades in monkeys depending on the complexity of the spatial scheme of visual stimulation.

Three Macaca rhesus monkeys were used for studies of the performance of visually evoked saccades in single-step changes in the position of a stimulus using standard schemes for presentation of GAP-OVERLAP stimuli. Two spatial schemes were used: presentation of stimuli along the horizontal meridian (one-dimensional) and presentation of stimuli within a rectangular area of the visual field (two-dimensional). Asymmetrical foci of short-and long-latency saccades were found in the visual field. Dispersion factor analysis demonstrated that the dimensionality factor (one-dimensional versus two-dimensional stimulation schemes) had greater effects on the latent period of saccades than the lateralization factor (presentation on the left or right sides of the gaze point). The precision of the performance of visually evoked saccades decreased with increases in its eccentricity in both spatial stimulation schemes.

Animals↗

Bimanual bipolar diathermy for treatment of bleeding from the anterior chamber angle.

We used a modified bimanual bipolar diathermy technique to treat bleeding vessels in the anterior chamber angle in two patients. We attached one lead of a Mentor Wet Field coagulator to an instrument positioned in the anterior chamber angle at the bleeding site, and attached the second lead to a needle positioned externally at the corneoscleral limbus in the same meridian. Diathermy current passed between the instrument tips to coagulate the bleeding vessels.

Electrocoagulation↗

Vascular tufts of pupillary margin of iris.

A 71-year-old woman complained of "smoky" vision, which was found to be caused by a hyphema with blood dripping from a vascular tuft located in the 12 o'clock meridian of the iris. Fluorescein angiography delineated vascular tufts and argon laser photocoagulation eradicated one of the tufts that bled. Histopathologic studies of iris obtained at the time of cataract extraction showed an aggregate of small vessels at the pupillary margin. Most patients with vascular tufts of the pupillary margin have no systemic disease but they are also observed in diabetes mellitus and myotonic dystrophy.

Aged↗

Unilateral nasal hemianopia as a sign of intracranial optic nerve compression.

A 52-year-old woman complained of progressive loss of vision in the right eye. Although the visual acuity was normal, there was a relative afferent pupillary defect, and a mild decrease in color vision, mild optic disk pallor, and a nasal field defect along the central vertical meridian. The left eye was normal. Craniotomy disclosed a giant right-sided carotid-ophthalmic artery aneurysm.

Carotid Artery Diseases↗

Traumatic chiasmal syndrome associated with pneumocephalus and sellar fracture.

A 50-year-old man sustained severe head injury, including a brief loss of consciousness, in an automobile accident. Skull X-ray films disclosed a fracture of the right superior orbit. Computed tomography demonstrated pneumocephalus and extension of the fracture into the sella turcica. Perimetric testing disclosed a bitemporal hemianopia along the vertical meridian. Visual acuity was 6/6 (20/20) in both eyes. Right macular sparing and left macular splitting were demonstrated by Amsler grid analysis as well as by the patient's description of target grids projected onto his maculas. Diplopia was attributed to direct grids projected onto his maculas. Diplopia was attributed to direct injury of the right superior rectus muscle and to the effect of bitemporal field loss. There was no evidence of pituitary dysfunction. No treatment of the patient's visual loss was undertaken. A six-month follow-up examination disclosed no change in the patient's visual field abnormalities.

Accidents, Traffic↗

Excyclotropia of the nonparetic eye in unilateral superior oblique muscle paralysis.

The Maddox double rod test showed subjective excyclotropia of the nonparetic eye in 15 of 60 patients with unilateral superior oblique muscle palsy. This response was reported consistently by patients who habitually fixated with the paretic eye. This phenomenon is the results of a monocular sensorial adaptation to the cyclodeviation by means of a reordering of the spatial response of retinal elements along new horizontal and vertical meridians. This study showed that the fixation preference must be determined to interpret correctly the results of the Maddox double rod test in patients with unilateral superior oblique muscle paralysis.

Afterimage↗

Postoperative astigmatism after central vs eccentric penetrating keratoplasties.

Six patients with markedly eccentric penetrating keratoplasties had severe corneal astigmatism (mean, 10.38 +/- 2.91 diopters). In four of these patients the flat meridian was lying in the direction of graft displacement. Laboratory experiments disclosed no statistically significant difference in diameter between the major and minor axes of the corneal buttons in the centrally and eccentrically trephined eyes and we could not elucidate the mechanism of the severe astigmatism. However, in the eccentrically trephined eyes the longer axis consistently lay in the direction of decentration whereas in the centrally trephined eyes the long axis was oriented randomly.

Astigmatism↗

Automated differential threshold perimetry for detecting glaucomatous visual field loss.

Because early glaucomatous visual field defects occur asymmetrically across the horizontal meridian, we analyzed data from automated perimetry by comparing sums of threshold values of corresponding groups of points in the superior and inferior hemispheres of the central 30 degrees tested by the Humphrey Field Analyzer. We developed patterns and criteria from 25 early glaucomatous and 36 normal control eyes to achieve optimal balance between sensitivity (96%) and specificity (86%). Application of these criteria to an independent group of 27 glaucomatous and 105 control eyes yielded a sensitivity of 88.9% and specificity of 85.7%. Minor modification of the criteria improved sensitivity and specificity to more than 90% for both patients and controls.

Adult↗

Retinal damage after argon laser iridotomy.

We conducted a prospective clinical study to evaluate potential retinal damage after argon laser iridotomy in 25 eyes of 22 patients with primary chronic angle-closure glaucoma. Kinetic perimetry and ophthalmoscopy showed no detectable damage. Iridotomy required a mean of 11.4 +/- 10 joules to achieve a patent coloboma of 200 micron after one to three sessions. Dark-prone and mydriasis tests were performed one month after surgery. Pilocarpine was discontinued in all cases. Both static perimetry and fluorescein angiography of the midperiphery corresponding to the meridian of laser coloboma done six months after surgery showed focal damage. There was no damage in control tests of the same eyes in an opposite area of the retina.

Adult↗

Irregular astigmatism after radial and astigmatic keratotomy.

Eleven eyes of six patients, who had been referred for management of irregular astigmatism after receiving crossed incisions for myopic astigmatism, had moderate to marked irregular corneal astigmatism with marked flattening in the meridians of intersecting incisions. All six patients had a decrease in best-corrected visual acuity with spectacles after surgery. Visual acuity with spectacles was 20/40 in five of 11 eyes; with contact lenses it reached 20/40 in ten of 11 eyes. However, two patients could not wear the contact lenses because of lens decentration caused by the marked distortion in corneal topography. Even with contact lenses, visual acuity could only be improved to 20/25 or better in six of 11 eyes.

Astigmatism↗

The influence of decreased retinal illumination on automated perimetric threshold measurements.

Decreased retinal illumination (such as can be caused by pupillary constriction or light absorption by ocular media opacities) was simulated with a randomly ordered series of neutral density filters in front of the right eyes of five subjects with dilated pupils. Threshold measurements were performed on Humphrey and Octopus perimeters at 0, 5, 10, 15, 20, and 25 degrees nasally along the 180-degree meridian. A 0.6-log unit neutral density filter, which reduces retinal illumination the equivalent of halving the pupillary diameter, decreased the mean Humphrey thresholds by 1.1 +/- 0.8 decibels (dB) (mean +/- standard deviation) and the mean Octopus thresholds by 1.7 +/- 1.4 dB. Statistically significant (P less than or equal to .05, Dunnett's test) threshold depressions were observed at all eccentricities with a 1.5-log unit neutral density filter on the Humphrey perimeter (-4.5 +/- 0.7 dB) and with a 1.0-log unit neutral density filter on the Octopus perimeter (-3.5 +/- 1.0 dB).

Adult↗

Molecular tilting in dried elastoidin and its implications for the structures of other collagen fibrils.

Wet elastoidin spicules (fish fin rays) yield low-angle meridional X-ray diffraction patterns which resemble those from tendons. However, when the spicule dries the meridian splits into the arms of a diagonal cross (sometimes only one arm appears). Of the possible explanations we reject shearing of the axial arrangement of molecules but confirm tilting. We suggest that, in three dimensions, the molecules are tilted at angles which vary from 0 degrees at the centre to some maximum value at the surface of the spicule, resembling torsion of the array of molecules. Molecular tilting probably occurs in other collagen fibrils.

Animals↗

The dorsomedial cortical visual area: a third tier area in the occipital lobe of the owl monkey (Aotus trivirgatus).

In the owl monkey, microelectrode mapping of Brodmann's area 19 indicates that this region contains part or all of at least 5 separate representations of the visual field, each of which adjoins the anterior border of V II and collectively are termed the third tier of cortical visual areas (V I is the first tier; V II is the second tier). Described in detail in this report is one of the third tier areas which is located on the dorsal surface and the adjacent medial wall of the occipital lobe and corresponds to a densely myelinated zone of cortex. In this dorsomedial area (DM), the representation of the horizontal meridian is partially split, and thus, like V II (see ref. 4) and the dorsolateral crescent5, DM is a second order transformation of the visual hemifield. In one abnormal owl monkey, a portion of the upper quadrant was represented twice in DM. This abnormal case may provide some clues as to how the normal pattern of visuotopic organization is established in the developing brain.

Animals↗

Anatomical organization of retinotectal afferents in the cat: an autoradiographic study.

The distribution of retinotectal afferents has been studied by autoradiography in 4 adult cats. The findings suggest that crossed and uncrossed retinal fibers terminate in a striking cluster-and-sheet pattern that varies systematically with respect to the retinotopic map of the colliculus. Following unilateral eye injection, labelling was most pronounced in the contralateral colliculus but a suprising volume of label appeared on the ipsilateral side in all cases in the form of dense clumps of silver grains separated by sparsely labelled zones. The contralateral projection appeared densest in the most superficial of the 3 laminae of the stratum griseum superficiale; appreciable labelling was present also in the middle lamina at all survival times used (23-72 h). Near the area centralis representation labelling in both contralateral tiers weakened markedly and local gaps appeared densest in the more dorsal band. Elsewhere, labelling in this dorsal band was generally dense, though sharply interrupted at the optic disc representation and in a curious, elongated lateral zone at mid-collicular levels. In the caudal half of the binocular zone rarefications or 'holes', about 200 mum wide, appeared in the more ventral tier between more densely labelled zones of roughly similar width. On the ipsilateral side, labelling was sparse or absent at the rostral and caudal collicular poles, and was also weak in the region of the area centralis representation save for occasional very superficial grain-clusters. Farther caudally, however, prominent approx. 200 mum wide 'puffs' of label marked the middle lamina of the superficial gray layer. The puffs were most regular in shape in the caudal half of the ipsilateral zone and these were spaced at roughly 200 mum intervals. Puffs lateral to the horizontal meridian representation tended to lie more dorsal than those medial to this line and some of the most lateral puffs at mid-collicular levels invaded the upper lamina of the superficial gray layer. The optic disc representation was marked by a column of label extending through the upper and middle laminae. Similar experiments in cat fetuses suggest that these staggered--and possible even complementary--patterns of crossed and uncrossed retinotectal projection are innate: ipsilateral 'puffs' of labelling and contralateral 'holes' appear in the superior colliculus at least one week before term, as does the ipsilateral filling-in and contralateral gap at the optic disc representation. These observations suggest that in the cat, a vertical as well as horizontal organization may characterize the superficial layers of the superior colliculus. The additional finding of a similar, interrupted puff-like pattern of labelling in the stratum griseum medium following injections in the region of the substantia nigra makes it likely that a somewhat comparable cluster-and-sheet organization may exist also in the deep collicular layers.

Afferent Pathways↗

Mode of termination of retinotectal fibers in macaque monkey: an autoradiographic study.

The distribution of retinotectal projections was studied in 4 macaque monkeys by examining the tectum autoradiographically 3-21 days after eye injection with radioactive proline or a proline-fucose mixture. Contrary to previous reports the optic fibers project to all regions of the tectum including a relatively sparse but nevertheless very clear projection to the anterolateral one-third, where the fovea is represented. Here the terminals were distributed within the superficial grey layer of the tectum at a depth extending from about 50 mum to 125 mum and in a patchy fashion, with a tendency to aggregation in clumps 0.1-0.5 mm wide from one or other eye. Further posteromedially, corresponding to more peripheral retinal regions, the input from the contralateral eye became more continuous superficially, with tongues extending more deeply in the superficial grey, apparently enclosing clumps of ipsilateral terminals. These deeper ipsilateral clumps occupied a rather well defined layer extending in depth from about 100 mum to about 175 mum. Still further posteromedially, in the temporal crescent representation, only the continuously distributed label from the contralateral eye was found. Continuous label was also seen in the optic disc region on the ipsilateral side; on the corresponding area contralaterally, label was absent. Both ipsilaterally and contralaterally, the pattern of input was roughly symmetrical about the representation of the horizontal meridian, which ran from anterolateral to posteromedial. The regional aggregations of input from one or other eye were to some extent reflected physiologically in a regional variation in eye dominance, though this was perhaps less than might have been expected from the marked heterogeneity of the inputs.

Afferent Pathways↗

The visual cortex of the opossum: the retrograde transport of horseradish peroxidase to the lateral geniculate and lateral posterior nuclei.

The visual cortex of opossum was studied by injecting horseradish peroxidase into the cortex and identifying labeled neurons in the thalamus. The results show that the lateral geniculate nucleus projects to area 17 in a topographical manner: the rostral lateral geniculate is represented in caudal striate cortex, and the dorsal extremity of the lateral geniculate, which probably corresponds to the zero vertical meridian, is represented along the border of area 18. Small injections in area 17 produced restricted bands of labeled neurons across the medial-lateral extent of the lateral geniculate, suggesting a greater precision in the topography than previously shown by retrograde degeneration studies. Following injections into area 17, labeled cells were also found in the lateral posterior nucleus. Injections of peristriate cortex produced labeled cells in the lateral posterior nucleus, as well as the lateral intermediate, posterior and intralaminar nuclei. Since the lateral posterior nucleus receives visual projections from the superior colliculus, the results show two visual pathways: the geniculo-striate path projecting just to core area or area 17, and a more diffuse parallel path that projects to both the core and belt. Whether or not this overlap is characteristics of the mammalian prototype it seems to be present in widely separated species.

Animals↗

Contributions of the corpus callosum and the anterior commissure to visual activation of inferior temporal neurons.

Most neurons in the inferior temporal cortex of the rhesus monkeys have visual receptive fields that extend across the vertical meridian well into both the contralateral and ipsilateral visual half-fields. We examined the role of different portions of the forebrain commissures in providing the ipsilateral input with the following results. (1) Combined section of the splenium and anterior commissure eliminated visual activation from the ipsilateral visual half-field. (2) Section of the splenium, with sparing of the anterior commissure, reduced the incidence of ipsilateral activation by about one-half. (3) Section of the anterior commissure, with sparing of the splenium, did not alter the incidence of ipsilateral activation. (4) Section of the non-splenial portions of the corpus callosum had no effect on the laterality of the receptive fields. Thus, both the splenium and the anterior commissure but not the non-splenial callosum can provide information from the ipsilateral visual field to neurons in inferior temporal cortex. These results are interpreted as suggesting that the converging input from the two visual half-fields onto single inferior temporal neurons provided by the forebrain commissures may mediate interhemispheric transfer of visual habits.

Animals↗