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弱视眼单眼偏心注视的运动理论

A motor theory for monocular eccentric fixation of amblyopic eyes.

作者信息

Schor C

出版信息

Am J Optom Physiol Opt. 1978 Mar;55(3):183-6. doi: 10.1097/00006324-197803000-00007.

DOI:10.1097/00006324-197803000-00007
PMID:677259
Abstract

A motor theory is proposed to explain monocular eccentric fixation of amblyopic eyes. Clinical observations that suggest the involvement of a motor anomaly related to strabismus are cited. The model proposes that potentiation (after discharge) of the agonist muscle in strabismus results in a nonregistered error of monocular fixation of the amblyopic eye. The position error goes undetected as a result of reduced sensitivity of the amblyopic eye. Evidence is cited for normal muscle potentiation in nonamblyopic eyes. A suggestion is made that amblyopia be considered both a sensory and a motor disorder. The sensory disorder is the reduced acuity at the fovea of the amblyopic eye. The motor disorder is muscle potentiation that causes the amblyopic eye to fixate with an eccentric retinal region that has lower acuity than the fovea. A distinction is made between motor anomalies that have a sensory basis, such as unsteady fixation in anisometropic amblyopia, and motor anomalies that have a motor basis, such as eccentric fixation in strabismic amblyopia.

摘要

提出了一种运动理论来解释弱视眼的单眼偏心注视。文中引用了临床观察结果,这些结果表明存在与斜视相关的运动异常。该模型提出,斜视中主动肌的增强(后放电)会导致弱视眼单眼注视出现未被记录的误差。由于弱视眼敏感性降低,位置误差未被察觉。文中引用了非弱视眼正常肌肉增强的证据。有人提出,弱视应被视为一种感觉和运动障碍。感觉障碍是弱视眼中央凹视力下降。运动障碍是肌肉增强,导致弱视眼用视网膜偏心区域注视,该区域视力低于中央凹。文中区分了具有感觉基础的运动异常,如屈光参差性弱视中的不稳定注视,以及具有运动基础的运动异常,如斜视性弱视中的偏心注视。

相似文献

1
A motor theory for monocular eccentric fixation of amblyopic eyes.弱视眼单眼偏心注视的运动理论
Am J Optom Physiol Opt. 1978 Mar;55(3):183-6. doi: 10.1097/00006324-197803000-00007.
2
Eccentric fixation in amblyopia: is reduced foveal acuity the cause?弱视中的偏心注视:中央凹视力降低是原因吗?
Am J Optom Physiol Opt. 1978 Mar;55(3):139-43.
3
Visual acuity at different retinal loci of eccentrically fixating functional amblyopes.
Am J Optom Physiol Opt. 1978 Mar;55(3):144-50. doi: 10.1097/00006324-197803000-00003.
4
Slow control of eye position in strabismic amblyopia.斜视性弱视中眼球位置的缓慢控制。
Invest Ophthalmol Vis Sci. 1978 Jun;17(6):577-81.
5
Long-term changes in visual acuity and refractive error in amblyopes.弱视患者视力和屈光不正的长期变化
Optom Vis Sci. 2004 Jul;81(7):510-5. doi: 10.1097/00006324-200407000-00012.
6
Bilateral oculomotor abnormalities in strabismic amblyopes: evidence for a common central mechanism.斜视性弱视患者的双眼动眼异常:共同中枢机制的证据
Doc Ophthalmol. 1985 Jun 30;59(4):309-21. doi: 10.1007/BF00159166.
7
Fixational drift and nasal-temporal pursuit asymmetries in strabismic amblyopes.斜视性弱视患者的注视性漂移和鼻颞侧追踪不对称性
Invest Ophthalmol Vis Sci. 1990 May;31(5):968-76.
8
Characteristics of fixational eye movements in amblyopia: Limitations on fixation stability and acuity?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?
Vision Res. 2015 Sep;114:87-99. doi: 10.1016/j.visres.2015.01.016. Epub 2015 Feb 7.
9
Inter-Ocular Fixation Instability of Amblyopia: Relationship to Visual Acuity, Strabismus, Nystagmus, Stereopsis, Vergence, and Age.弱视的眼间固视不稳定:与视力、斜视、眼球震颤、立体视、辐辏和年龄的关系。
Am J Ophthalmol. 2024 Nov;267:230-248. doi: 10.1016/j.ajo.2024.06.021. Epub 2024 Jun 28.
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Monocular spatial distortion in strabismic amblyopia.斜视性弱视中的单眼空间畸变。
Invest Ophthalmol Vis Sci. 1981 Feb;20(2):263-8.

引用本文的文献

1
Monocular fixation with the optic nerve head: a case report.以视神经乳头为单眼注视点:一例报告。
Ophthalmic Physiol Opt. 2008 May;28(3):283-90. doi: 10.1111/j.1475-1313.2008.00556.x.