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斜视和弱视患者在一个完整光疗周期后的脑活动和视觉表现变化

Changes in the Brain Activity and Visual Performance of Patients with Strabismus and Amblyopia after a Compete Cycle of Light Therapy.

作者信息

Ibrahimi Danjela, Mendiola-Santibañez Jorge D, Cruz-Martínez Enoé, Gómez-Espinosa Alfonso, Torres-Pacheco Irineo

机构信息

Facultad de Medicina, Universidad Autónoma de Querétaro, Santiago de Querétaro 76176, Mexico.

Facultad de Ingeniería, Universidad Autónoma de Querétaro, Santiago de Querétaro 76010, Mexico.

出版信息

Brain Sci. 2021 May 18;11(5):657. doi: 10.3390/brainsci11050657.

Abstract

This research assesses the brain activity and visual performance at baseline and after light therapy (LTH), of seventeen patients with strabismus and amblyopia (SA), and eleven healthy controls (HCs) from Querétaro, México. Quantitative electroencephalogram analysis (qEEG) was used to record the brain activity, and clinical metrics such as the visual acuity, angle of deviation, phoria state, stereopsis, and visual fields determined the visual performance. Results showed a constant higher alpha-wave frequency for HCs. Low voltages remained negative for HCs and positive for SA patients across stimulation. After LTH, high voltage increased in SA patients, and decreased in HCs. A second spectral peak, (theta-wave), was exclusively recorded in SA patients, at baseline and after LTH. Positive Spearman correlations for alpha-wave frequency, low and high voltages were only seen in SA patients. Synchronized brain activity was recorded in all SA patients stimulated with filters transmitting light in the blue but not in the red spectrum. Enhancement in the visual performance of SA patients was found, whereas deterioration of the phoria state and a decrease in the amount of stereopsis was seen in HCs. To conclude, only a suffering brain and a visual pathway which needs to be enabled can benefit from LTH.

摘要

本研究评估了来自墨西哥克雷塔罗市的17名斜视和弱视(SA)患者以及11名健康对照者(HCs)在基线期和光疗(LTH)后的大脑活动和视觉表现。采用定量脑电图分析(qEEG)记录大脑活动,通过视力、斜视角度、隐斜状态、立体视和视野等临床指标来确定视觉表现。结果显示,HCs的α波频率始终较高。在整个刺激过程中,HCs的低电压保持为负,而SA患者的低电压为正。LTH后,SA患者的高电压增加,HCs的高电压降低。仅在SA患者的基线期和LTH后记录到第二个频谱峰值(θ波)。α波频率、低电压和高电压的正斯皮尔曼相关性仅在SA患者中出现。在用传输蓝光而非红光光谱的滤光片刺激时,所有SA患者均记录到同步大脑活动。发现SA患者的视觉表现有所改善,而HCs的隐斜状态恶化且立体视量减少。总之,只有受损的大脑和需要激活的视觉通路才能从LTH中获益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c920/8157857/8d9bc4d4959e/brainsci-11-00657-g001.jpg

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