Quere M A, Pechereau A, Lavenant F
J Fr Ophtalmol. 1981;4(5):421-30.
In relation to symmetrical vergence, a study of asymmetrical vergence reveals, in normal cases, particular kinetic phenomena of the most marked degree. In binocular fixation, Johannes Müller's phenomenon is noticed on the axial eye. It exhibits reflex competition between fast and slow vergence, and is always impaired in amblyopias. Monocular fixation with the centered open eye induces a pure and slow consensual vergence on the excentric occluded eye. The movement is mainly be accommodative in nature, and anomalies are shown to very frequent. Monocular fixation with the excentric open eye induces a relative vergence characterized by a fast version phase, limited and corrected by a slow vergence phase. Relative vergence is largely impaired in amblyopias, convergence deficiencies, functional squints and oculo-motor palsies. Generally, the different methods for investigating kinetic vergence patterns reveal a more or less physiological asymmetry in sensori motor potentialities of each eye. This asymmetry strongly increases in nearly all oculo-motor disorders.
关于对称聚散,对非对称聚散的研究表明,在正常情况下,存在程度最为显著的特定动力学现象。在双眼注视时,在轴性眼上可观察到约翰内斯·米勒现象。它表现为快速和慢速聚散之间的反射竞争,且在弱视中总是受损。用中央注视的开放眼进行单眼注视会在偏心遮盖眼上诱发纯粹且缓慢的共感聚散。该运动本质上主要是调节性的,且异常情况非常常见。用偏心注视的开放眼进行单眼注视会诱发一种相对聚散,其特征为快速转动阶段,随后由缓慢聚散阶段限制并纠正。相对聚散在弱视、集合不足、功能性斜视和动眼神经麻痹中大多受损。一般来说,研究动力学聚散模式的不同方法揭示了每只眼睛在感觉运动潜能方面或多或少的生理不对称性。这种不对称性在几乎所有动眼神经障碍中都会显著增加。