Herzau V
Sektion für Motilitätsstörungen, Abteilung II, Universitäts-Augenklinik Tübingen.
Ophthalmologe. 1998 Oct;95(10):710-6. doi: 10.1007/s003470050340.
Many patients with acquired strabismus do not suffer from diplopia and confusion after an individually and age-dependent interval. They inhibit the image of the deviated eye by binocular rilvary and particularly by the physiological ability to disregard visually disturbing stimuli. In strabismus with early onset, binocular rivalry is also demonstrable, even for stimuli that do not normally lead to suppression. On the basis of anomalous retinal correspondence, this rivalry occurs between retinal points onto which the same object projects. The retinal area with the lesser eccentricity receives the dominance. The fovea of the deviated eye is therefore not suppressed. In small-angle strabismus with smaller functional differences between anomalous corresponding retinal points anomalous fusion and even stereopsis can be possible as long as strong suprathreshold stimuli are presented. Strabismic amblyopia as a consequence of interfoveal suppression can only develop before anomalous retinal correspondence dominates in the strabismic child.
许多后天性斜视患者在经过一段与个体和年龄相关的间隔期后,不会出现复视和混淆。他们通过双眼竞争,特别是通过忽略视觉干扰刺激的生理能力,抑制偏斜眼的图像。在早发性斜视中,即使对于通常不会导致抑制的刺激,双眼竞争也很明显。基于异常视网膜对应,这种竞争发生在同一物体投射到的视网膜点之间。离心率较小的视网膜区域占主导地位。因此,偏斜眼的中央凹不会被抑制。在异常对应视网膜点之间功能差异较小的小角度斜视中,只要呈现强阈上刺激,就可能出现异常融合甚至立体视觉。作为中央凹间抑制的结果,斜视性弱视只会在斜视儿童中异常视网膜对应占主导之前发展。