Troilo David, Quinn Nicole, Baker Kayla
The New England College of Optometry, 424 Beacon Street, Boston, MA 02115, USA.
Vision Res. 2007 Apr;47(9):1228-44. doi: 10.1016/j.visres.2007.01.018. Epub 2007 Mar 13.
Accommodation may indirectly influence visually guided eye growth by affecting the retinal defocus signal used to guide growth. Specifically, increased lags of accommodation associated with low stimulus-response (S-R) function slopes will impose increased hyperopic blur on the retina and may induce axial elongation and myopia. The purpose of this study was (1) to measure accommodation in awake, free viewing marmosets and (2) compare accommodation behavior in marmosets before and after inducing different amounts of myopia with binocular spectacle lenses. In untreated marmosets, the average accommodation S-R slope approached one, but showed considerable inter-individual variability (mean+/-SD: 0.964+/-0.249 for monocular viewing; 0.895+/-0.235 for binocular viewing; monocular and binocular measures not significantly different). The monocular S-R slopes were significantly reduced following a period of lens rearing that produced axial myopia (change in slope=-0.30+/-0.30, p<.01) and the reduction in slope was proportional to the amount of myopia induced (p<.01). The S-R slopes measured either under monocular or binocular conditions before induction of myopia were not well correlated with the degree of myopia induced (monocular: r=-.240, p=.453; binocular: r=-.060, p=.824). These results support the hypothesis that the reduction in S-R slope in myopes is a consequence of the myopia induced. The alternative hypothesis-that low S-R slope increases susceptibility to the development of myopia--is not supported by the weak correlation between the pre-manipulation S-R slopes and the magnitude of the myopic shift.
调节可能通过影响用于引导眼球生长的视网膜离焦信号来间接影响视觉引导的眼球生长。具体而言,与低刺激-反应(S-R)功能斜率相关的调节滞后增加会使视网膜上的远视性模糊增加,并可能导致眼轴伸长和近视。本研究的目的是:(1)测量清醒、自由观看的狨猴的调节;(2)比较用双眼眼镜片诱导不同程度近视前后狨猴的调节行为。在未治疗的狨猴中,平均调节S-R斜率接近1,但个体间存在相当大的变异性(单眼观看时均值±标准差:0.964±0.249;双眼观看时:0.895±0.235;单眼和双眼测量无显著差异)。经过一段产生眼轴近视的镜片饲养期后,单眼S-R斜率显著降低(斜率变化=-0.30±0.30,p<0.01),且斜率降低与诱导的近视量成比例(p<0.01)。在诱导近视前单眼或双眼条件下测量的S-R斜率与诱导的近视程度相关性不佳(单眼:r=-0.240,p=0.453;双眼:r=-0.060,p=0.824)。这些结果支持了近视患者S-R斜率降低是近视诱导结果的假设。另一种假设——低S-R斜率增加近视发生易感性——未得到操作前S-R斜率与近视偏移幅度之间弱相关性的支持。