Dell'Osso L F
Ocular Motor Neurophysiology Laboratory, Veterans Affairs Medical Center, Cleveland, Ohio.
Acta Neurol Belg. 1991;91(2):105-13.
How are eye movements related to acuity or to the lack of spatial constancy, oscillopsia (OSOP)? How do subjects with congenital nystagmus (CN) suppress OSOP? Can we apply their strategies to cases of acquired nystagmus? In normals, the maintenance of target foveation with low retinal slip is thought to be necessary for good visual acuity. Retinal slip velocities below 1.67-4 deg/sec have been given as upper bounds for good vision. Subjects with CN do not usually have OSOP and can have good (even normal) visual acuity. CN subjects can maintain target position (SD = 0.21 deg) and low retinal slip velocities (SD = 1.97 deg/sec). Previously, we identified two possible mechanisms for the suppression of OSOP in subjects with CN : 1) efference copy of the CN waveform to negate the effects of the oscillation or 2) the stable vision available during foveation periods. A 48 year-old man with hereditary CN lost consciousness; when he came to, he had troublesome, intermittent OSOP. Recordings revealed a jerk left with extended foveation (JLef) waveform when OSOP was absent (SD of eye position was 0.24 deg and SD of retinal slip velocity was 1.87 deg/sec). However, with the onset of OSOP, his CN waveform abruptly changed to jerk right (JR) and was biased several degrees to the right of the target. Phase-plane analysis revealed that, during the periods of OSOP, the JR waveform did not enter the foveation window defined by the limits, 0 +/- 0.5 deg and 0 +/- 4.0 deg/sec.(ABSTRACT TRUNCATED AT 250 WORDS)
眼球运动与视敏度或空间恒常性缺失、视振荡(OSOP)有怎样的关系?先天性眼球震颤(CN)患者如何抑制视振荡?我们能否将他们的策略应用于后天性眼球震颤病例?在正常人中,保持目标中央凹注视且视网膜滑移较低被认为是获得良好视敏度所必需的。视网膜滑移速度低于1.67 - 4度/秒被视为良好视力的上限。CN患者通常没有视振荡,并且可以有良好(甚至正常)的视敏度。CN患者能够保持目标位置(标准差 = 0.21度)和较低的视网膜滑移速度(标准差 = 1.97度/秒)。此前,我们确定了CN患者抑制视振荡的两种可能机制:1)CN波形的传出副本以抵消振荡的影响;2)中央凹注视期间可用的稳定视觉。一名48岁患有遗传性CN的男性失去意识;苏醒后,他出现了令人困扰的间歇性视振荡。记录显示,在没有视振荡时(眼位标准差为0.24度,视网膜滑移速度标准差为1.87度/秒),他有向左的急跳伴延长的中央凹注视(JLef)波形。然而,随着视振荡的出现,他的CN波形突然变为向右急跳(JR),并且偏向目标右侧几度。相平面分析显示,在视振荡期间,JR波形没有进入由0 +/- 0.5度和0 +/- 4.0度/秒限制所定义的中央凹注视窗口。(摘要截断于250字)