Haase W
Klin Monbl Augenheilkd. 1975 Aug;167(2):210-7.
The measurement of correspondence using a dark red glass in front of the fixating eye and a foveal after image in the deviating eye according to Cüppers is really an efficient clinical method. In spite of the fact that we are dealing with a dissociating test this method offers these advantages: 1. The objective angle is well known at any time. 2. This method allows a sufficient discrimination in the range of 15 min. of arc. 3. There is a permanent retinal stimulation contrary to the method utilizing after-flash images.--General objections to dissociating tests, for example that given by Goldman, are only limited value, because of the fact that patients with disturbed functions must be differentiated easily from normal persons. Sources of error system mainly from inconcentrated fixation. There is a great demand for attention on the part of the patient. Using this method we have been able to show the 17 cases examined up to now a paradoxical anomaly, demonstrated by a larger subjective angle than the objective angle. Besides that we could prove that lability of correspondence, characteristic for an anomaly, and its alteration depending on which method was used. A paradoxical anomaly was also obtained with other methods such as Hering's after images alone, after image plus real object + Haidinger brushes (synoptophor). From five examples the conditions are presented under which this phenomenon was observed up to the present. The reason of paradoxical anomaly may be seen in the loss of specific ability of cortical cells to localize exactly, especially those cells which are stimulated by foveal area, so that subjective localisation becomes very inexact.
根据屈佩尔的方法,在注视眼前放置深红色玻璃,并在偏斜眼中观察中央凹后像来测量对应性,这确实是一种有效的临床方法。尽管这是一种分离试验,但该方法具有以下优点:1. 任何时候客观角度都很明确。2. 该方法在15分弧度范围内能进行充分辨别。3. 与利用后闪光图像的方法相反,存在持续的视网膜刺激。——对分离试验的一般反对意见,例如戈德曼提出的,价值有限,因为必须容易区分功能障碍患者和正常人。误差来源主要是注视不集中。这需要患者高度注意。使用这种方法,我们在目前检查的17例病例中发现了一种矛盾异常,表现为主观角度大于客观角度。此外,我们能够证明对应性的不稳定性,这是异常的特征,以及其根据所使用方法的改变。单独使用赫林后像、后像加真实物体加海丁格刷(同视机)等其他方法也获得了矛盾异常。从五个例子中展示了迄今为止观察到这种现象的条件。矛盾异常的原因可能在于皮质细胞精确定位特定能力的丧失,尤其是那些受中央凹区域刺激的细胞,从而使主观定位变得非常不准确。