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在治疗性屈光参差性弱视患者的双眼而非单眼视觉处理中,时相同步辨别异常。

Temporal synchrony discrimination is abnormal in dichoptic but not monocular visual processing in treated anisometropic amblyopes.

机构信息

State Key Laboratory of Ophthalmology, Optometry and Visual Science, Eye Hospital, Wenzhou Medical University, Wenzhou, China.

National Engineering Research Center of Ophthalmology and Optometry, Eye Hospital Wenzhou Medical University, Wenzhou, China.

出版信息

Ophthalmic Physiol Opt. 2023 Mar;43(2):263-272. doi: 10.1111/opo.13090. Epub 2023 Jan 17.

Abstract

PURPOSE

To evaluate whether temporal synchrony processing deficits remain when normal visual acuity is restored in adults with unilateral anisometropic amblyopia.

METHODS

We recruited 14 clinically treated anisometropic amblyopes (mean age 23.17 ± 2.53 years) with best-corrected visual acuity ≤ 0.1 logMAR and 15 age-matched emmetropes (mean age 24.40 ± 1.92 years) with normal vision to participate in our experiment. We presented two pairs of flicking Gaussian dots (1 Hz) as visual stimuli: one pair of dots was synchronous (reference), and the other pair of dots was asynchronous (signal). Subjects were asked to determine the position of the asynchronous pair. We applied the constant stimuli method to measure the temporal synchrony threshold under monocular and dichoptic viewing conditions. There were eight temporal phase lags in the asynchronous pair. The minimum degree of the temporal phase at which a participant can discriminate a signal pair is defined as the temporal synchrony threshold.

RESULTS

Under monocular viewing conditions where both the reference and signal pairs were presented to one eye, the temporal synchrony thresholds of previous amblyopic eyes and fellow eyes were not significantly different (p = 0.15). Under dichoptic viewing conditions where both the reference and signal pairs were dichoptically presented to both eyes, the temporal synchrony threshold in the treated anisometropic amblyopes was significantly higher than that of the controls (119.34 ± 20.43 vs. 99.78 ± 16.60 ms, p = 0.009). There was no significant correlation between the monocular and dichoptic viewing conditions in the treated amblyopes (r = -0.22, p = 0.94).

CONCLUSIONS

Temporal synchrony discrimination is abnormal under dichoptic but not under monocular visual stimulation in treated anisometropic amblyopes with normalised visual acuity.

摘要

目的

评估当成年人的单侧屈光参差性弱视的正常视力得到恢复时,其时间同步处理缺陷是否仍然存在。

方法

我们招募了 14 名经过临床治疗的屈光参差性弱视患者(平均年龄 23.17±2.53 岁),他们的最佳矫正视力≤0.1 logMAR,以及 15 名年龄匹配的正视眼患者(平均年龄 24.40±1.92 岁),他们的视力正常。我们呈现了两对闪烁的高斯点(1 Hz)作为视觉刺激:一对点是同步的(参考),另一对点是异步的(信号)。要求受试者确定异步对的位置。我们应用恒定刺激法在单眼和双眼观看条件下测量时间同步阈值。在异步对中存在八个时间相位滞后。参与者可以区分信号对的最小时间相位程度定义为时间同步阈值。

结果

在单眼观看条件下,参考和信号对都呈现给一只眼时,先前弱视眼和对侧眼的时间同步阈值没有显著差异(p=0.15)。在双眼观看条件下,参考和信号对都被双眼双视呈现时,治疗性屈光参差性弱视患者的时间同步阈值明显高于对照组(119.34±20.43 与 99.78±16.60 ms,p=0.009)。治疗性弱视患者在单眼和双眼观看条件之间没有显著相关性(r=-0.22,p=0.94)。

结论

在正常化视力的治疗性屈光参差性弱视患者中,时间同步辨别在双眼但不在单眼视觉刺激下异常。

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