Chen Xia, Liao Meng, Jiang Ping, Liu Longqian, Gong Qiyong
Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu 610041, P. R. China.
Department of Optometry and Visual Science, West China School of Medicine, Sichuan University, Chengdu 610041, P. R. China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2022 Aug 25;39(4):759-766. doi: 10.7507/1001-5515.202203072.
Amblyopia is a visual development deficit caused by abnormal visual experience in early life, mainly manifesting as defected visual acuity and binocular visual impairment, which is considered to reflect abnormal development of the brain rather than organic lesions of the eye. Previous studies have reported abnormal spontaneous brain activity in patients with amblyopia. However, the location of abnormal spontaneous activity in patients with amblyopia and the association between abnormal brain function activity and clinical deficits remain unclear. The purpose of this study is to analyze spontaneous brain functional activity abnormalities in patients with amblyopia and their associations with clinical defects using resting-state functional magnetic resonance imaging (fMRI) data. In this study, 31 patients with amblyopia and 31 healthy controls were enrolled for resting-state fMRI scanning. The results showed that spontaneous activity in the right angular gyrus, left posterior cerebellum, and left cingulate gyrus were significantly lower in patients with amblyopia than in controls, and spontaneous activity in the right middle temporal gyrus was significantly higher in patients with amblyopia. In addition, the spontaneous activity of the left cerebellum in patients with amblyopia was negatively associated with the best-corrected visual acuity of the amblyopic eye, and the spontaneous activity of the right middle temporal gyrus was positively associated with the stereoacuity. This study found that adult patients with amblyopia showed abnormal spontaneous activity in the angular gyrus, cerebellum, middle temporal gyrus, and cingulate gyrus. Furthermore, the functional abnormalities in the cerebellum and middle temporal gyrus may be associated with visual acuity defects and stereopsis deficiency in patients with amblyopia. These findings help explain the neural mechanism of amblyopia, thus promoting the improvement of the treatment strategy for amblyopia.
弱视是一种由早期生活中异常视觉经验引起的视觉发育缺陷,主要表现为视力缺陷和双眼视觉障碍,被认为反映了大脑的异常发育而非眼睛的器质性病变。先前的研究报道了弱视患者存在异常的自发脑活动。然而,弱视患者异常自发活动的位置以及脑功能活动异常与临床缺陷之间的关联仍不清楚。本研究的目的是使用静息态功能磁共振成像(fMRI)数据分析弱视患者的自发脑功能活动异常及其与临床缺陷的关联。在本研究中,31名弱视患者和31名健康对照者纳入进行静息态fMRI扫描。结果显示,弱视患者右侧角回、左侧小脑后部和左侧扣带回的自发活动显著低于对照组,而右侧颞中回的自发活动在弱视患者中显著更高。此外,弱视患者左侧小脑的自发活动与弱视眼的最佳矫正视力呈负相关,右侧颞中回的自发活动与立体视锐度呈正相关。本研究发现,成年弱视患者在角回、小脑、颞中回和扣带回表现出异常的自发活动。此外,小脑和颞中回的功能异常可能与弱视患者的视力缺陷和立体视不足有关。这些发现有助于解释弱视的神经机制,从而促进弱视治疗策略的改进。
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