量化双眼正常人群中调节与聚散之间的相互作用。
Quantifying interactions between accommodation and vergence in a binocularly normal population.
作者信息
Sweeney Laura E, Seidel Dirk, Day Mhairi, Gray Lyle S
机构信息
Department of Vision Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow, Scotland G4 0BA, United Kingdom.
出版信息
Vision Res. 2014 Dec;105:121-9. doi: 10.1016/j.visres.2014.10.007. Epub 2014 Oct 18.
Stimulation of the accommodation system results in a response in the vergence system via accommodative vergence cross-link interactions, and stimulation of the vergence system results in an accommodation response via vergence accommodation cross-link interactions. Cross-link interactions are necessary in order to ensure simultaneous responses in the accommodation and vergence systems. The crosslink interactions are represented most comprehensively by the response AC/A (accommodative vergence) and CA/C (vergence accommodation) ratios, although the stimulus AC/A ratio is measured clinically, and the stimulus CA/C ratio is seldom measured in clinical practice. The present study aims to quantify both stimulus and response AC/A and CA/C ratios in a binocularly normal population, and determine the relationship between them. 25 Subjects (mean ± SD age 21.0 ± 1.9 years) were recruited from the university population. A significant linear relationship was found between the stimulus and response ratios, for both AC/A (r² = 0.96, p < 0.001) and CA/C ratios (r² = 0.40, p < 0.05). Good agreement was found between the stimulus and response AC/A ratios (95% CI -0.06 to 0.24 MA/D). Stimulus and response CA/C ratios are linearly related. Stimulus CA/C ratios were higher than response ratios at low values, and lower than response ratios at high values (95% CI -0.46 to 0.42 D/MA). Agreement between stimulus and response CA/C ratios is poorer than that found for AC/A ratios due to increased variability in vergence responses when viewing the Gaussian blurred target. This study has shown that more work is needed to refine the methodology of CA/C ratio measurement.
调节系统的刺激通过调节性集合交叉联系相互作用,在双眼运动系统中产生反应;而双眼运动系统的刺激通过集合性调节交叉联系相互作用,产生调节反应。交叉联系相互作用对于确保调节和双眼运动系统的同步反应是必要的。尽管临床上测量的是刺激AC/A比率,而在临床实践中很少测量刺激CA/C比率,但交叉联系相互作用最全面地由反应性AC/A(调节性集合)和CA/C(集合性调节)比率来表示。本研究旨在量化双眼正常人群中的刺激和反应AC/A以及CA/C比率,并确定它们之间的关系。从大学生群体中招募了25名受试者(平均年龄±标准差21.0±1.9岁)。对于AC/A(r² = 0.96,p < 0.001)和CA/C比率(r² = 0.40,p < 0.05),刺激比率和反应比率之间均发现了显著的线性关系。刺激和反应AC/A比率之间具有良好的一致性(95%可信区间 -0.06至0.24棱镜度/屈光度)。刺激和反应CA/C比率呈线性相关。在低数值时,刺激CA/C比率高于反应比率;在高数值时,刺激CA/C比率低于反应比率(95%可信区间 -0.46至0.42屈光度/棱镜度)。由于观察高斯模糊目标时双眼运动反应的变异性增加,刺激和反应CA/C比率之间的一致性比AC/A比率的情况要差。本研究表明,需要做更多工作来完善CA/C比率测量方法。