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早发性和迟发性斜视性弱视双眼颜色和运动起始视觉诱发电位的差异变化

Differential changes in color and motion-onset visual evoked potentials from both eyes in early- and late-onset strabismic amblyopia.

作者信息

Davis Alison R, Sloper John J, Neveu Magella M, Hogg Chris R, Morgan Michael J, Holder Graham E

机构信息

Strabismus and Paediatric Service, Moorfields Eye Hospital, London, United Kingdom.

出版信息

Invest Ophthalmol Vis Sci. 2008 Oct;49(10):4418-26. doi: 10.1167/iovs.07-1437. Epub 2008 Jun 6.

Abstract

PURPOSE

To examine changes in color- and motion-related visual function in patients with strabismic amblyopia.

METHODS

Motion-onset and color visual-evoked potentials (VEPs) were recorded in 16 adult patients with strabismic amblyopia which had an early onset, before 18 months of age, and 14 patients with amblyopia of later onset. The results are compared with those from 21 normal adults.

RESULTS

The peak times of motion-onset VEPs in the amblyopic eye were longer those than in the fellow eye in patients with both early- and late-onset strabismic amblyopia, but peak times in both amblyopic and fellow eyes were shorter than those in normal eyes. In patients with late- but not early-onset amblyopia, the peak times for color VEPs were significantly longer in amblyopic than in fellow and normal eyes.

CONCLUSIONS

The patterns of abnormality for motion-onset and color VEPs in patients with strabismic amblyopia are different, probably indicating differential changes in function in magno- and parvocellular pathways. These abnormalities affect both the amblyopic and fellow eyes and are different in patients with an onset of amblyopia before or after 18 months of age.

摘要

目的

研究斜视性弱视患者与颜色及运动相关的视觉功能变化。

方法

记录16例18个月前发病的早发性斜视性弱视成年患者、14例迟发性弱视患者的运动起始视觉诱发电位(VEP)和颜色视觉诱发电位。将结果与21例正常成年人的结果进行比较。

结果

早发性和迟发性斜视性弱视患者弱视眼的运动起始VEP峰值时间均长于健眼,但弱视眼和健眼的峰值时间均短于正常眼。在迟发性而非早发性弱视患者中,弱视眼颜色VEP的峰值时间显著长于健眼和正常眼。

结论

斜视性弱视患者运动起始VEP和颜色VEP的异常模式不同,这可能表明大细胞和小细胞通路的功能发生了不同变化。这些异常影响弱视眼和健眼,且在18个月前或18个月后发病的弱视患者中有所不同。

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