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成人弱视患者中一种新的快速双眼可塑性形式。

A new form of rapid binocular plasticity in adult with amblyopia.

作者信息

Zhou Jiawei, Thompson Benjamin, Hess Robert F

机构信息

McGill Vision Research, Dept. Ophthalmology, McGill University, Montreal, PQ, Canada, H3A 1A1.

出版信息

Sci Rep. 2013;3:2638. doi: 10.1038/srep02638.

DOI:10.1038/srep02638
PMID:24026421
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3770967/
Abstract

Amblyopia is a neurological disorder of binocular vision affecting up to 3% of the population resulting from a disrupted period of early visual development. Recently, it has been shown that vision can be partially restored by intensive monocular or dichoptic training (4-6 weeks). This can occur even in adults owing to a residual degree of brain plasticity initiated by repetitive and successive sensory stimulation. Here we show that the binocular imbalance that characterizes amblyopia can be reduced by occluding the amblyopic eye with a translucent patch for as little as 2.5 hours, suggesting a degree of rapid binocular plasticity in adults resulting from a lack of sensory stimulation. The integrated binocular benefit is larger in our amblyopic group than in our normal control group. We propose that this rapid improvement in function, as a result of reduced sensory stimulation, represents a new form of plasticity operating at a binocular site.

摘要

弱视是一种双眼视觉的神经紊乱疾病,影响着高达3%的人群,其成因是早期视觉发育阶段受到干扰。最近研究表明,通过强化单眼或双眼分别训练(4 - 6周),视力能够得到部分恢复。即使是成年人,由于重复且连续的感官刺激引发了一定程度的大脑可塑性,视力也能得到恢复。在此我们表明,弱视所特有的双眼不平衡能够通过用半透明贴片遮挡弱视眼仅2.5小时得以减轻,这表明由于缺乏感官刺激,成年人存在一定程度的快速双眼可塑性。弱视组的双眼综合受益大于正常对照组。我们认为,由于感官刺激减少而导致的这种功能快速改善,代表了一种在双眼部位起作用的新型可塑性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c4/3770967/3a659b1d57a1/srep02638-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c4/3770967/f072d927db3b/srep02638-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c4/3770967/3a659b1d57a1/srep02638-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c4/3770967/f072d927db3b/srep02638-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40c4/3770967/3a659b1d57a1/srep02638-f2.jpg

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本文引用的文献

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2
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J Vis. 2013 Apr 22;13(5):19. doi: 10.1167/13.5.19.
3
Short-term monocular deprivation strengthens the patched eye's contribution to binocular combination.短期单眼剥夺增强了被遮盖眼对双眼视组合的贡献。
Front Neurosci. 2023 Jul 27;17:1155034. doi: 10.3389/fnins.2023.1155034. eCollection 2023.
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Harnessing brain plasticity to improve binocular vision in amblyopia: An evidence-based update.利用大脑可塑性改善弱视的双眼视觉:基于证据的更新
Eur J Ophthalmol. 2024 Jul;34(4):901-912. doi: 10.1177/11206721231187426. Epub 2023 Jul 10.
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Internal neural states influence the short-term effect of monocular deprivation in human adults.内部神经状态会影响成年人单眼剥夺的短期效果。
Elife. 2023 Jan 27;12:e83815. doi: 10.7554/eLife.83815.
6
Transcranial random noise stimulation and exercise do not modulate ocular dominance plasticity in adults with normal vision.经颅随机噪声刺激和运动不能调节正常视力成年人的眼优势可塑性。
J Vis. 2022 Sep 2;22(10):14. doi: 10.1167/jov.22.10.14.
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The shift in sensory eye dominance from short-term monocular deprivation exhibits no dependence on test spatial frequency.短期单眼剥夺引起的感觉眼优势转移不依赖于测试空间频率。
Eye Vis (Lond). 2022 Sep 1;9(1):32. doi: 10.1186/s40662-022-00303-4.
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Issues Revisited: Shifts in Binocular Balance Depend on the Deprivation Duration in Normal and Amblyopic Adults.问题再探讨:双眼平衡的变化取决于正常及弱视成年人的剥夺持续时间。
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