Wesemann W, Norcia A M, Manny R E
Smith-Kettlewell Eye Research Institute, San Francisco, CA, USA.
Klin Monbl Augenheilkd. 1996 Jan;208(1):11-7. doi: 10.1055/s-2008-1035161.
The visual abilities of infants and small children, who are unable to communicate verbally, can be determined with "objective" visual acuity tests as, e.g., preferential looking (PL) or visual evoked potentials (VEP). Both methods provide an estimate of grating visual acuity, but are unable to determine optotype visual acuity. Grating acuity, however, is not an optimum indicator for visual performance, as it is less affected than optotype acuity by pathological changes. The diagnostic relevance of objective methods may be improved by testing visual functions that are more strongly degraded by a malfunction of the fovea than is grating acuity. Visual functions such as vernier acuity and relative motion sensitivity are potential candidates.
Characteristic properties of vernier- and motion-VEP have been determined on adult subjects with a rapid-sweep-technique at various eccentricities.
Both vernier and motion stimuli elicited VEP-responses at the 2nd harmonic (F2) of the stimulus frequency. A VEP-response at the fundamental frequency (F1) could be recorded with the vernier stimulus only. Foveal VEP-thresholds were very similar to psychophysical thresholds lying in the range from 11 to 25 arcsecs. The eccentricity dependence of the VEP-threshold recorded with vernier- and motion stimuli shows different cortical magnifications and supports the notion that the F1 response is related to the detection of the vernier offset, whereas the F2 response is generated by motion components of the stimuli.
Vernier and relative motion-related VEP thresholds can be recorded with the steady-state VEP. They may provide more sensitive tests of foveal vision loss than grating visual acuity tests.
无法进行言语交流的婴幼儿的视觉能力可通过“客观”视力测试来确定,例如优先注视(PL)或视觉诱发电位(VEP)。这两种方法都能提供光栅视力的估计值,但无法确定视标视力。然而,光栅视力并非视觉表现的最佳指标,因为与视标视力相比,它受病理变化的影响较小。通过测试比光栅视力更容易因中央凹功能障碍而严重下降的视觉功能,可能会提高客观方法的诊断相关性。诸如游标视力和相对运动敏感度等视觉功能就是潜在的候选指标。
利用快速扫描技术在成年受试者的不同偏心度下测定了游标VEP和运动VEP的特征特性。
游标刺激和运动刺激均在刺激频率的二次谐波(F2)处引发了VEP反应。仅游标刺激能记录到基频(F1)处的VEP反应。中央凹VEP阈值与心理物理学阈值非常相似,范围在11至25角秒之间。用游标刺激和运动刺激记录的VEP阈值的偏心度依赖性显示出不同的皮质放大率,并支持以下观点:F1反应与游标偏移的检测有关,而F2反应是由刺激的运动成分产生的。
可以通过稳态VEP记录游标和与相对运动相关的VEP阈值。与光栅视力测试相比,它们可能对视中央凹视力丧失提供更敏感的检测。