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Strabismic amblyopia. Part 1. Psychophysics.

This is a two-part survey of current literature concerning strabismic amblyopia. The aim of this review is to bring the optometric practitioner up to date on the status of scientific research into strabismic amblyopia. Part 1 in this series discusses research into strabismic amblyopia from the viewpoint of psychophysical experiments that investigate both spatial and temporal behavioural deficits accompanying strabismic amblyopia. These include deficits in contrast sensitivity, spatial localisation, fixation, ocular motility, accommodation, crowding, attention, motion perception and temporal processing. Part 2 will evaluate neural processing in regard to strabismic amblyopia. It will discuss current understanding of aspects of central processing of visual information and theories regarding neural sites and mechanisms involved in amblyopia.

Journal Article↗

Strabismic amblyopia. Part 2. Neural processing.

This is the second of a two-part survey of current literature concerning strabismic amblyopia. The aim of this review is to bring the optometric community up to date on the status of scientific research into strabismic amblyopia. Part 1 in this series discussed research into strabismic amblyopia from the viewpoint of psychophysical experiments, which investigate both spatial and temporal behavioural deficits accompanying strabismic amblyopia. These include deficits in contrast sensitivity, spatial localisation, fixation, ocular motility, accommodation, crowding, attention, motion perception and temporal processing. Part 2 concerns neural processing in regards to strabismic amblyopia. It discusses current understanding of more fundamental aspects of central processing of visual information and in particular current theories regarding neural sites and mechanisms involved in amblyopia.

Journal Article↗

A quantitative study of electroencephalography, eye movements and neck electromyography characterizing the sleep-wake cycle of the guinea-pig.

The qualitative and quantitative characteristics of cerebral cortex electrical activity, ocular motility and muscular activity were studied in six head-restrained guinea-pigs during wakefulness, slow-wave and paradoxical sleep. Animals were chronically implanted with bipolar electrodes in the obliquus capitis muscle for electromyographic recordings and epidurally through the parietal bones for electroencephalographic (EEG) recordings. Eye movements were recorded using the scleral search-coil technique. After postoperative recovery and a short period of habituation to immobilization, head-restrained animals exhibited a polyphasic sleep-wake cycle similar to what has already been described in the unrestrained guinea-pig. Paradoxical sleep periods of mean duration 110 +/- 42 s occurred at a mean interval of 32.2 +/- 7.2 min. Amplitude and frequency components of EEG activity were different for each state of vigilance. EEG amplitude was highest and frequency range lowest-with two well-defined peaks at 4 and 10 Hz-during slow-wave sleep. During paradoxical sleep, frequencies were higher and amplitudes lower than during wakefulness. Three types of eye movement intermingled with periods of ocular fixation were recorded: saccadic movements during wakefulness and paradoxical sleep, slow drifts during slow-wave sleep and paradoxical sleep, and a new type of eye movement-bursts of high-velocity eye oscillations during paradoxical sleep. Saccadic eye movements during paradoxical sleep were more frequent and showed higher velocities and amplitudes than during wakefulness. During paradoxical sleep the episodes of eye oscillation (8-14 Hz) occurred quite regularly every 1.6 s and had a mean duration of 1.4 s. During wakefulness, the obliquus muscle activity displayed a burst-tonic pattern. Bursting components were closely related to saccadic eye movements directed to the side of the recorded muscle. The muscle activity was predominantly tonic during slow-wave sleep and was completely absent during paradoxical sleep except for small bursts or twitches. These twitches were tightly synchronized with the occurrence of the rapid eye movements oriented towards the side of the recorded obliquus muscle, as during wakefulness. These results strongly suggest that paradoxical sleep is characterized by the oscillatory discharge of at least two neuronal populations: the brainstem saccadic generators and the tecto-reticular spinal network which underlies gaze-orienting behaviour during wakefulness. The occurrence of rhythmic discharges at approximately 11 Hz may explain the spinal motoneurons' inhibition during paradoxical sleep in order to avoid anarchic motor behavior. Whether these neuronal oscillations are simply an epiphenomenon or have functional implications remains to be determined.

Animals↗

Horizontal and vertical prism adaptation are different mechanisms.

As part of a study on subjects with convergence insufficiency (CI), their vertical and horizontal vergence adaptation was assessed and compared with age matched controls in order to investigate whether the horizontal adaptation system can be regarded as being independent of the vertical adaptation system. Using a flashed Maddox rod technique horizontal vergence adaptation was found to be reduced in CI subjects whereas no difference could be found in vertical adaptation. These results confirm that the vertical and horizontal adaptation systems can be treated as independent mechanisms.

Adaptation, Ocular↗

Influence of afferent synaptic innervation on the discharge variability of cat abducens motoneurones.

The discharge variability of abducens motoneurones was studied after blocking inhibitory synaptic inputs or both excitatory and inhibitory inputs by means of an intramuscular (lateral rectus) injection of either a low (0.5 ng kg(-1)) or a high dose (5 ng kg(-1)) of tetanus neurotoxin (TeNT), respectively. Motoneuronal firing increased after low-dose TeNT. High-dose treatment, however, produced a firing depression, and in some cells, a total lack of modulation in relation to eye movements. Firing became increasingly more regular with larger TeNT doses as shown by significant reductions in the coefficient of variation after low- and high-dose treatments. Similarly, autocorrelation histograms of interspike intervals increased the number of resolvable peaks twofold in low-dose-treated motoneurones and sevenfold in high-dose-treated motoneurones. The plots of standard deviation versus the mean instantaneous firing frequency showed an upward deflexion with low firing frequencies. The upward deflexion occurred in controls at 39.9 +/- 4.9 ms, an interval similar to the mean afterhyperpolarisation (AHP) duration (48.4 +/- 8.8 ms). Low-dose TeNT treatment shifted the deflexion point to 20.9 +/- 3.9 ms, whereas the high dose increased it to 60.7 +/- 6.1 ms, in spite of the fact that no differences in AHP parameters between groups were found. The density of synaptophysin-immunoreactive boutons decreased by 14 % after the low-dose treatment and 40.5 % after the high-dose treatment, indicating that protracted synaptic blockade produces elimination of synaptic boutons. It is concluded that abducens motoneurone spike variability during spontaneous ocular fixations depends largely on the balance between inhibitory and excitatory synaptic innervation.

Abducens Nerve↗

AC/A ratio.

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Accommodation, Ocular↗

Single neurons in posterior cingulate cortex of behaving macaque: eye movement signals.

1. Posterior cingulate cortex, although widely regarded as a part of the limbic system, is connected most strongly to parietal and frontal areas with sensory, motor, and cognitive functions. To gain insight into the functional nature of posterior cingulate cortex, we have recorded from its neurons in monkeys performing oculomotor tasks known to activate parietal and frontal neurons. We have found that posterior cingulate neurons fire during periods of ocular fixation at a rate determined by the angle of gaze and by the size and direction of the preceding eye movement. 2. The activity of 530 posterior cingulate neurons was monitored while rhesus macaque monkeys made visually guided eye movements to spots projected on a tangent screen. 3. In 150/530 neurons, a statistically significant shift in the rate of discharge occurred around the time of onset of saccadic eye movements. The preponderant form of response was an increase in activity (142/150 neurons). 4. In 142 neurons exhibiting significant excitation after saccades in at least one direction, the level of discharge was analyzed as a function of time relative to onset of the saccade. Across the neuronal population as a whole, activity increased sharply at the moment of onset of the saccade, rising to a maximum after 200 ms and then declining slowly. The net level of discharge remained well above presaccadic baseline even after > 1 s of postsaccadic fixation. 5. In 63 neurons, the postsaccadic rate of discharge was analyzed relative to the angle of the eye in the orbit by monitoring neuronal activity while the monkey executed saccades of uniform direction and amplitude to four targets spaced at 16-deg intervals along a line. The postsaccadic firing level was significantly dependent on orbital angle in 44/63 neurons. 6. In 45 neurons, the postsaccadic rate of discharge was analyzed relative to saccade direction by monitoring neuronal activity while the monkey executed 16-deg saccades to a constant target from diametrically opposed starting points. The postsaccadic level of activity was significantly dependent on saccade direction in 20/ 45 neurons. 7. In 58 neurons, the postsaccadic rate of discharge was analyzed relative to saccade amplitude by monitoring neuronal activity while the monkey executed saccades, which varied in amplitude (4, 8, 16, and 32 deg) but which were constant in direction and brought the eye to bear on a constant endpoint. The postsaccadic level of activity was significantly dependent on saccade amplitude in 24/58 neurons. In all neurons exhibiting significant amplitude-dependence, stronger firing accompanied larger saccades. 8. The activity of 10 neurons was monitored during smooth pursuit eye movements (20 deg/s upward, downward, leftward, and rightward). The level of firing varied as a function of both the position of the eye (9 neurons) and the velocity of the eye (6 neurons). 9. We conclude that posterior cingulate neurons monitor eye movements and eye position. It is unlikely that they participate in the generation of eye movements because their shifts of discharge follow the onset of the movements. Eye-movement-related signals in posterior cingulate cortex may reflect the participation of this area in assigning spatial coordinates to retinal images.

Animals↗

Vergence-mediated changes in Listing's plane do not occur in an eye with superior oblique palsy.

PURPOSE: As a normal subject looks from far to near, Listing's plane rotates temporally in each eye. Since Listing's plane relates to the control of torsional eye position, mostly by the oblique eye muscles, the current study was conducted to test the hypothesis that a patient with isolated superior oblique palsy would have a problem controlling Listing's plane. METHOD: Using the three-dimensional scleral search coil technique, binocular Listing's plane was measured in four patients with congenital and in four patients with acquired unilateral superior oblique palsy during far- (94 cm) and near- (15 cm) viewing. The results were compared to previously published Listing's plane data collected under exactly the same conditions from 10 normal subjects. RESULTS: In patients with unilateral superior oblique palsy, either congenital or acquired, Listing's plane in the normal eye rotated temporally on near-viewing, as in normal subjects, while in the paretic eye it failed to do so. In patients with acquired superior oblique palsy, Listing's plane was already rotated temporally during far-viewing and failed to rotate any farther on near-viewing, whereas in patients with congenital superior oblique palsy Listing's plane in the paretic eye was oriented normally during far-viewing and failed to rotate any farther on near-viewing. CONCLUSIONS: These results suggest that the superior oblique muscle, at least in part, is responsible for the temporal rotation of Listing's plane that occurs in normal subjects on convergence.

Adolescent↗

Tests of Hering- and Helmholtz-type models for saccade-vergence interactions by comparing visually guided and memory-guided movements.

We compared the dynamic properties of memory-guided and visually-guided saccade-vergence movements. For memory-guided responses, convergence components were slowed proportionally more than corresponding saccadic components, compared with visually-guided responses. This result is consistent with independent saccadic and vergence systems, and supports a Hering-type model for saccade-vergence interactions.

Convergence, Ocular↗

Neural dynamics in monkey parietal reach region reflect context-specific sensorimotor transformations.

We investigated the neural dynamics of sensorimotor transformations in the parietal reach region (PRR) of monkeys. To dissociate sensory from motor goal representations, we used a memory-guided anti-reach task. The monkeys had to reach either to a visually instructed, memorized peripheral target position (pro-reach) or to a diametrically opposed position (anti) while keeping central ocular fixation. Pro- and anti-reaches were randomly interleaved and indicated by a color instruction from the beginning of each trial. We analyzed spatiotemporal single-cell tuning and performed time-resolved population decoding to quantify the dynamic representation of the spatial visual cue, the reach goal, and the currently valid task rule (pro/anti mapping). Sensory information regarding the visual cue position was represented weakly during a short period of cue visibility. PRR predominantly encoded the reach goal from the end of the cue period on. The representation of the reach goal in the memory task evolves later for the anti- compared with pro-reaches, consistent with a 40-50 ms difference in reaction time between the two task rules. The task rule could be decoded before the appearance of the spatial cue, which indicates that abstract rule information is present in PRR that is independent of spatial cue or motor goal representations. Our findings support the hypothesis that PRR immediately translates current sensory information into reach movement plans, rather than storing the memorized cue location in the instructed-delay task. This finding indicates that PRR represents integrated knowledge on spatial sensory information combined with abstract behavioral rules to encode the desired movement goal.

Action Potentials↗

Abnormal optokinetic and perceptual span parameters in cerebellar-vestibular dysfunction and learning disabilities or dyslexia.

To measure the ocular fixation and sequential scanning dysfunction assumed responsible for the visual reading symptoms which characterize dyslexia or learning disabilities, an optokinetically based tracking method was devised. This method quantitatively demonstrated significantly reduced fixation, tracking, and perceptual or visual-span scores as well as "movement illusions" for 70 cerebellar-vestibular dysfunctioning persons with learning disabilities vs 70 controls. Such data tended to validate the hypothesis that cerebellar-vestibular-determined fixation and tracking mechanisms predispose dyslexic or learning disabled individuals to visual reading disorders. Moreover, a newly revised method is presented which may prove useful in rapidly screening and diagnosing cerebellar-vestibular-determined reading and learning disorders from those of other origins. Additional independent studies using significantly larger samples and asymptomatic or "normal" controls are required for further validation and development of the method.

Adolescent↗

Otoneurological and ultra low field MRI findings in multiple sclerosis patients.

Otoneurological and ultra low field MRI findings in multiple sclerosis patients: 22 patients suffering from multiple sclerosis (MS) underwent thorough neurological and otological examination, extensive ENG testing and Magnetic Resonance Imaging (MRI) examination of the central nervous system. All patients fulfilled the Schumacher criteria for a diagnosis of definitive MS. 20 of the patients had been included in previous otoneurological studies three to five years ago. The general disability assessed according to Hyllested's scale was: Class 1-7, Class 2-4, Class 3-6, Class 4-3, Class 5-2 patients. Thus 11 patients had none or only slight disability. Nevertheless, all patients showed abnormal findings when classified according to the Kurtzke disability scale, which reflects the involvement of separate neuronal entities. The ENG examination revealed abnormal findings in all patients. The most common abnormalities found were as follows: abnormal pendular test 19, ocular fixation index 18, optokinetic nystagmus 14, saccadic eye movements 14 and spontaneous nystagmus 12. 14 patients had uni- or bilateral abnormally slow adduction movements in the saccadic test consistent with internuclear ophthalmoplegia (INO), which is caused by a lesion of the brain stem. MRI examination of the 21 patients studied revealed abnormal findings consistent with MS in sixteen cases. The lesions were unilateral in 5 and bilateral in 11 patients. The most common location for these abnormal findings consistent with MS plaques were in the white matter around the lateral ventricles. Plaques in the brain stem and/or cerebellum were found in only two cases despite numerous clinical and otoneurological findings that indicated the presence of functional lesions in these areas.

Adult↗

The relationship between dissociated vertical divergence (DVD) and head tilts.

INTRODUCTION: Dissociated vertical divergence (DVD) has been associated with manifest head tilts. Also, DVD has been described as demonstrating a characteristic response to forced head tilt by increasing the size of the DVD on contralateral tilt. METHODS: A series of 116 consecutive patients with DVD associated with infantile esotropia were examined according to a predetermined protocol between 1989 and 1994. Each patient was examined for a manifest head tilt. Also, the response of the DVD to forced ipsilateral and contralateral head tilt was analyzed. In addition, 100 consecutive patients with manifest head tilts were examined and the etiology of the tilt determined. RESULTS: A manifest head tilt was present in 35% (26/74) of patients with an ocular fixation preference and no prior vertical muscle surgery. None of the patients with alternating fixation and a history of no vertical muscle surgery manifested a head tilt. Most patients responded in the classically described manner by increasing the size of the DVD on forced contralateral tilt and decreasing the size of the DVD on ipsilateral tilt. Atypical responses were not related to the presence of oblique overaction. DVD was the etiology in 9 of 100 consecutive patients with a manifest head tilt. CONCLUSIONS: Patients with DVD often manifest a head tilt. Most respond by increasing the size of the DVD on forced contralateral head tilt and decreasing on ipsilateral tilt. Atypical responses did not appear to be influenced by oblique overaction. DVD is a relatively frequent cause of manifest head tilts.

Adolescent↗

Cortical synchronization suggests neural principles of visual feature grouping.

Compositions of visual scenes are related here to neural signals in visual cortex and to cortical circuit models to understand neural mechanisms of perceptual feature grouping. Starting from the hypothesis that synchronization and decoupling of cortical gamma-activities (35-90 Hz) define the relations among visual objects, we concentrate on synchronization related to (1) static retinal stimulation during ocular fixation, and (2) transient stimulation by sudden shifts in object position. The synchronization hypothesis has been tested by analyzing signal correlations in visual cortex of monkeys with the following results: Static retinal stimuli induce loosely phase-coupled gamma-activities among neurons of an object's cortical representation. Patches of gamma-synchronization become decoupled across the representation of an object's contour, and thereby can code figure-ground segregation. Transient stimuli evoke synchronized volleys of stimulus-locked activities that are typically non-rhythmic and include low frequency components in addition to those in the gamma-range. It is argued that stimulus-induced and stimulus-locked synchronizations may play different roles in perceptual feature grouping.

Animals↗