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弱视患者注视性眼球运动的特征:注视稳定性和视力的局限性?

Characteristics of fixational eye movements in amblyopia: Limitations on fixation stability and acuity?

作者信息

Chung Susana T L, Kumar Girish, Li Roger W, Levi Dennis M

机构信息

School of Optometry, University of California Berkeley, Berkeley, CA 94720-2020, United States.

出版信息

Vision Res. 2015 Sep;114:87-99. doi: 10.1016/j.visres.2015.01.016. Epub 2015 Feb 7.

Abstract

Persons with amblyopia, especially those with strabismus, are known to exhibit abnormal fixational eye movements. In this paper, we compared six characteristics of fixational eye movements among normal control eyes (n=16), the non-amblyopic fellow eyes and the amblyopic eyes of anisometropic (n=14) and strabismic amblyopes (n=14). These characteristics include the frequency, magnitude of landing errors, amplitude and speed of microsaccades, and the amplitude and speed of slow drifts. Fixational eye movements were recorded using retinal imaging while observers monocularly fixated a 1° cross. Eye position data were recovered using a cross-correlation procedure. We found that in general, the characteristics of fixational eye movements are not significantly different between the fellow eyes of amblyopes and controls, and that the strabismic amblyopic eyes are always different from the other groups. Next, we determined the primary factors that limit fixation stability and visual acuity in amblyopic eyes by examining the relative importance of the different oculomotor characteristics, adding acuity (for fixation stability) or fixation stability (for acuity), and the type of amblyopia, as predictive factors in a multiple linear regression model. We show for the first time that the error magnitude of microsaccades, acuity, amplitude and frequency of microsaccades are primary factors limiting fixation stability; while the error magnitude, fixation stability, amplitude of drifts and amplitude of microsaccades are the primary factors limiting acuity. A mediation analysis showed that the effects of error magnitude and amplitude of microsaccades on acuity could be explained, at least in part, by their effects on fixation stability.

摘要

已知弱视患者,尤其是斜视患者,会表现出异常的注视眼动。在本文中,我们比较了正常对照眼(n = 16)、屈光参差性弱视(n = 14)和斜视性弱视(n = 14)的非弱视对侧眼与弱视眼之间注视眼动的六个特征。这些特征包括着陆误差的频率、大小、微扫视的幅度和速度,以及缓慢漂移的幅度和速度。在观察者单眼注视一个1°的十字时,使用视网膜成像记录注视眼动。使用互相关程序恢复眼位数据。我们发现,一般来说,弱视患者的对侧眼与对照眼之间注视眼动的特征没有显著差异,而斜视性弱视眼总是与其他组不同。接下来,我们通过检查不同眼动特征的相对重要性、添加视力(用于注视稳定性)或注视稳定性(用于视力)以及弱视类型作为多元线性回归模型中的预测因素,确定了限制弱视眼注视稳定性和视力的主要因素。我们首次表明,微扫视的误差大小、视力、微扫视的幅度和频率是限制注视稳定性的主要因素;而误差大小、注视稳定性、漂移幅度和微扫视幅度是限制视力的主要因素。中介分析表明,微扫视的误差大小和幅度对视力的影响至少部分可以通过它们对注视稳定性的影响来解释。

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