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Sample records for amblyopia

  1. Toxic Amblyopia (Nutritional Amblyopia)

    Science.gov (United States)

    ... Sugar Control Helps Fight Diabetic Eye Disease Are 'Workaholics' Prone to OCD, Anxiety? ALL NEWS > Resources First ... exposure to toxic substances or take nutritional supplements. Causes Toxic amblyopia may be caused by a nutritional ...

  2. CONTRAST SENSITIVITY IN AMBLYOPIA

    Institute of Scientific and Technical Information of China (English)

    1991-01-01

    Contrast sensitivity function(CSF) for sinusoid gratings of varying spatial frequencies was determined for each eye of 21 cases with unilateral amblyopia. The CSF of all amblyopic eyes, except one, showed reduced sensitivity when compared with the non-amblyopic eye of the same person. The curve showed reduction more significantly at middle and high spatial frequencies. The cut-off frequency was shifted toward lower spatial frequencies. The relationship between CSF and various degree of amblyopia was als...

  3. Amblyopia and Binocular Vision

    OpenAIRE

    Birch, Eileen E.

    2012-01-01

    Amblyopia is the most common cause of monocular visual loss in children, affecting 1.3% to 3.6% of children. Current treatments are effective in reducing the visual acuity deficit but many amblyopic individuals are left with residual visual acuity deficits, ocular motor abnormalities, deficient fine motor skills, and risk for recurrent amblyopia. Using a combination of psychophysical, electrophysiological, imaging, risk factor analysis, and fine motor skill assessment, the primary role of bin...

  4. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... YouTube Videos > NEI YouTube Videos: Amblyopia NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration Amblyopia ... of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI on Twitter NEI on YouTube NEI ...

  5. Strabismus and Amblyopia.

    Science.gov (United States)

    Trief, E.; Morse, A. R.

    1988-01-01

    Strabismus and amblyopia are two common childhood vision conditions requiring early identification and treatment. Screening devices include external examination of the eye, ability to track, a cover test, acuity tests, and stereoscopic tests. Treatment includes patching therapy, use of glasses, orthoptics, CAM vision stimulator, or a combination…

  6. Facts about Amblyopia

    Science.gov (United States)

    Skip to main content Search form Search Search Search the NEI Website NEI on Social Media | Search A-Z | en español | Text size S M L ... brain are created during this period of growth and development. Scientists are exploring whether treatment for amblyopia in ...

  7. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... NEI YouTube Videos > NEI YouTube Videos: Amblyopia NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration ... Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI on Twitter NEI on YouTube ...

  8. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Funding Division of Extramural Affairs Division of Extramural Science Programs Funding Opportunity Announcements Funding Mechanisms Supported by ... Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ...

  9. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Programs All Education National Eye Health Education Program Diabetic Eye Disease Education Program Glaucoma Education Program Low ... Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry Eye For ...

  10. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Funding Division of Extramural Activities Division of Extramural Science Programs Funding Opportunity Announcements Funding Mechanisms Supported by ... Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ...

  11. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... NEI All Research at NEI Office of the Scientific Director Office of the Clinical Director Education Programs ... Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ...

  12. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ... questions and comments to the NEI Office of Science Communications, Public Liaison, and Education. Technical questions about ...

  13. NEI You Tube Videos: Amblyopia

    Science.gov (United States)

    ... Age-Related Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry ... and comments to the NEI Office of Science Communications, Public Liaison, and Education. Technical questions about this ...

  14. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Age-Related Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry ... and comments to the NEI Office of Science Communications, Public Liaison, and Education. Technical questions about this ...

  15. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Eye Disease Dilated Eye Exam Dry Eye For Kids Glaucoma Healthy Vision Tips Leber Congenital Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ...

  16. [Dichoptic training for amblyopia].

    Science.gov (United States)

    Bach, M

    2016-04-01

    Dichoptic training is a promising new therapeutic approach to amblyopia, which employs simultaneous and separate stimulation of both eyes (thus dichoptic). The contrast for the good eye is reduced thus aiming at a balance with the amblyopic eye. In contrast to monocular patching, binocular vision is trained by video game tasks that can only be solved binocularly. To date the average gain in visual acuity achieved in currently available studies is only 0.20 ± 0.07 logMAR and is not significantly better than competing treatment options. This article explains the basic approach of dichoptic training, summarizes pertinent studies, names unsolved problems and closes with a personal critical assessment. PMID:27059985

  17. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Vision Research & Ophthalmology (DIVRO) Student Training Programs NEI Home About NEI Health Information News and Events Grants ... Research at NEI Education Programs Training and Jobs Home > NEI YouTube Videos > NEI YouTube Videos: Amblyopia NEI ...

  18. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Supported by the NEI Research at NEI All Research at NEI Office of the Scientific Director Office of the Clinical Director Education Programs ... Health Information News and Events Grants and Funding Research at NEI Education ... NEI YouTube Videos: Amblyopia NEI ...

  19. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry Eye For Kids Glaucoma Healthy Vision Tips Leber Congenital Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube ...

  20. Alexia and quadrant-amblyopia

    DEFF Research Database (Denmark)

    Habekost, Thomas; Starrfelt, Randi

    2006-01-01

    Reading difficulties caused by hemianopia are well described. We present a study of alexia in a patient (NT) with a milder visual field deficit. The patient had suffered a cerebral haemorrhage causing damage to the left occipital cortex and underlying white matter. NT's text reading was slow and ...... normal eye movements. Still, subtle reading difficulties and oculo-motor abnormalities remained. Overall, the study shows how amblyopia in one quadrant can lead to a characteristic form of alexia....

  1. Stereopsis and amblyopia: A mini-review.

    Science.gov (United States)

    Levi, Dennis M; Knill, David C; Bavelier, Daphne

    2015-09-01

    Amblyopia is a neuro-developmental disorder of the visual cortex that arises from abnormal visual experience early in life. Amblyopia is clinically important because it is a major cause of vision loss in infants and young children. Amblyopia is also of basic interest because it reflects the neural impairment that occurs when normal visual development is disrupted. Amblyopia provides an ideal model for understanding when and how brain plasticity may be harnessed for recovery of function. Over the past two decades there has been a rekindling of interest in developing more effective methods for treating amblyopia, and for extending the treatment beyond the critical period, as exemplified by new clinical trials and new basic research studies. The focus of this review is on stereopsis and its potential for recovery. Impaired stereoscopic depth perception is the most common deficit associated with amblyopia under ordinary (binocular) viewing conditions (Webber & Wood, 2005). Our review of the extant literature suggests that this impairment may have a substantial impact on visuomotor tasks, difficulties in playing sports in children and locomoting safely in older adults. Furthermore, impaired stereopsis may also limit career options for amblyopes. Finally, stereopsis is more impacted in strabismic than in anisometropic amblyopia. Our review of the various approaches to treating amblyopia (patching, perceptual learning, videogames) suggests that there are several promising new approaches to recovering stereopsis in both anisometropic and strabismic amblyopes. However, recovery of stereoacuity may require more active treatment in strabismic than in anisometropic amblyopia. Individuals with strabismic amblyopia have a very low probability of improvement with monocular training; however they fare better with dichoptic training than with monocular training, and even better with direct stereo training. PMID:25637854

  2. Point Electric Stimulation and Children's Amblyopia

    Institute of Scientific and Technical Information of China (English)

    YAN Xing-ke; CHU Hui-ju; WANG Fu-chun; YANG Bo; GAO Yang; HAN Chou-ping

    2007-01-01

    To observe the therapeutic efficacy of electric stimulation on points for children's amblyopia.Method:Ninety children amblyopia cases with ametropia upon correction were randomized into three groups:point electric stimulation,comprehensive conventional therapy and integrative therapy of the above two.And then visual function changes of kids in the three groups were observed.Results:Among the above three therapies,the recovery rates of point electric stimulation,comprehensive conventional therapy and integrative therapy of the two were 83.9%,82.6%and 94.25 respectively,showing no significant difierence(P>0.05) among the three groups.Conclusion:Point electric stimulation has similar action with comprehensive conventional therapy in the treatment of children's amblyopia,and the combination of the two therapies has better effect,indicating point electric stimulation can speed up recovery of visual function of kids with amblyopia.

  3. Neural plasticity in adults with amblyopia.

    OpenAIRE

    Levi, D M; U. Polat

    1996-01-01

    Amblyopia is a neuronal abnormality of vision that is often considered irreversible in adults. We found strong and significant improvement of Vernier acuity in human adults with naturally occurring amblyopia following practice. Learning was strongest at the trained orientation and did not transfer to an untrained task (detection), but it did transfer partially to the untrained eye (primarily at the trained orientation). We conclude that this perceptual learning reflects alterations in early n...

  4. Amblyopia

    Science.gov (United States)

    ... Eye Drops Lazy eye (defined) Pink eye (defined) Retinopathy of Prematurity Strabismus Stye (defined) Vision Screening Vision Screening Recommendations ... Eye Drops Lazy eye (defined) Pink eye (defined) Retinopathy of Prematurity Strabismus Stye (defined) Vision Screening Vision Screening Recommendations ...

  5. Comparison of anisometropes with and without amblyopia

    Directory of Open Access Journals (Sweden)

    Huban Atilla

    2011-01-01

    Full Text Available Background: To compare binocular functions in amblyopic and non-amblyopic anisometropes and to investigate the possible associated factors for amblyopia development such as type of refractive error and initial age of refractive error correction. Materials and Methods: Prospectively anisometropic subjects with (n=42 and without amblyopia (n=33 were included in the study. Full ophthalmological examination including binocularity and motility was performed. Results: There was no statistically significant difference between the ages at the time of initial refractive error correction ( p0 =0.946. All of the anisometropes (100% had fusion with Worth 4-dot test and Bagolini glasses. However 81% of amblyopic subjects had fusion with Worth 4 dot test and 88.1% had normal response with Bagolini glasses. Median stereopsis was 60 sec of arc in anisometropic subjects and 400 sec of arc in amblyopes. Conclusion: Our data support that, binocular functions are well developed in anisometropes without amblyopia and initial age at correction of refractive error has no primary effect on development of amblyopia.

  6. Active training for amblyopia in adult rodents

    Directory of Open Access Journals (Sweden)

    Nicoletta Berardi

    2015-10-01

    Full Text Available Amblyopia is the most diffused form of visual function impairment affecting one eye, with a prevalence of 1-5% in the total world population. Amblyopia is usually caused by an early functional imbalance between the two eyes, deriving from anisometropia, strabismus, or congenital cataract, leading to severe deficits in visual acuity, contrast sensitivity and stereopsis. While amblyopia can be efficiently treated in children, it becomes irreversible in adults, as result of a dramatic decline in visual cortex plasticity which occurs at the end of the critical period in the primary visual cortex. Notwithstanding this widely accepted dogma, recent evidence in animal models and in human patients have started to challenge this view, revealing a previously unsuspected possibility to enhance plasticity in the adult visual system and to achieve substantial visual function recovery. Among the new proposed intervention strategies, non invasive procedures based on environmental enrichment, physical exercise or visual perceptual learning appear particularly promising in terms of future applicability in the clinical setting. In this survey, we will review recent literature concerning the application of these behavioral intervention strategies to the treatment of amblyopia, with a focus on possible underlying molecular and cellular mechanisms.

  7. Active training for amblyopia in adult rodents.

    Science.gov (United States)

    Sale, Alessandro; Berardi, Nicoletta

    2015-01-01

    Amblyopia is the most diffused form of visual function impairment affecting one eye, with a prevalence of 1-5% in the total world population. Amblyopia is usually caused by an early functional imbalance between the two eyes, deriving from anisometropia, strabismus, or congenital cataract, leading to severe deficits in visual acuity, contrast sensitivity and stereopsis. While amblyopia can be efficiently treated in children, it becomes irreversible in adults, as a result of a dramatic decline in visual cortex plasticity which occurs at the end of the critical period (CP) in the primary visual cortex. Notwithstanding this widely accepted dogma, recent evidence in animal models and in human patients have started to challenge this view, revealing a previously unsuspected possibility to enhance plasticity in the adult visual system and to achieve substantial visual function recovery. Among the new proposed intervention strategies, non invasive procedures based on environmental enrichment, physical exercise or visual perceptual learning (vPL) appear particularly promising in terms of future applicability in the clinical setting. In this survey, we will review recent literature concerning the application of these behavioral intervention strategies to the treatment of amblyopia, with a focus on possible underlying molecular and cellular mechanisms. PMID:26578911

  8. Amblyopia in children : Therapy and follow-up

    OpenAIRE

    Agervi, Pia

    2009-01-01

    Amblyopia, the leading cause of unilateral visual impairment in children, is caused by inadequate stimulation of the visual system during the sensitive periods of visual development in childhood. Cataract, anisometropia and strabismus are well-known causes of amblyopia. Bilateral congenital cataract is a common cause of treatable childhood blindness. Early surgery and intense postoperative amblyopia therapy can result in good visual acuity (VA). In the developing world, the...

  9. The therapy of amblyopia: an analysis of the results of amblyopia therapy utilizing the pooled data of published studies.

    OpenAIRE

    Flynn, J T; Schiffman, J; Feuer, W; Corona, A.

    1998-01-01

    CONTEXT: Although the treatment of amblyopia with occlusion has changed little over the past 3 centuries, there is little agreement about which regimes are most effective and for what reasons. OBJECTIVE: To determine the outcome of occlusion therapy in patients with anisometropic, strabismic, and strabismic-anisometropic amblyopia employing the raw data from 961 patients reported in 23 studies published between 1965 and 1994. DESIGN: Analysis of the published literature on amblyopia therapy r...

  10. Development and Treatment of Astigmatism-Related Amblyopia

    OpenAIRE

    Harvey, Erin M.

    2009-01-01

    Blur induced by uncorrected astigmatism during early development can result in amblyopia, as evidenced by reduced best-corrected vision relative to normal, in measures of grating acuity, vernier acuity, contrast sensitivity across a range of spatial frequencies, recognition acuity, and stereoacuity. In addition, uncorrected astigmatism during early development can result in meridional amblyopia (MA), or best-corrected visual deficits that are greater for, or are present only for, specific sti...

  11. Occlusion-amblyopia following high dose oral levodopa combined with part time patching

    OpenAIRE

    Mihir Kothari

    2014-01-01

    Part time occlusion therapy is not reported to cause occlusion (reverse) amblyopia. However, when combined with high dose oral levodopa, an increase in the plasticity of the visual cortex can lead to occlusion amblyopia. In this case report, we describe a six year old child who developed occlusion amblyopia following part time patching combined with oral levodopa.

  12. Occlusion-amblyopia following high dose oral levodopa combined with part time patching

    Directory of Open Access Journals (Sweden)

    Mihir Kothari

    2014-01-01

    Full Text Available Part time occlusion therapy is not reported to cause occlusion (reverse amblyopia. However, when combined with high dose oral levodopa, an increase in the plasticity of the visual cortex can lead to occlusion amblyopia. In this case report, we describe a six year old child who developed occlusion amblyopia following part time patching combined with oral levodopa.

  13. Anisometropic amblyopia in a case of type 2 Waardenburg syndrome.

    Science.gov (United States)

    Akal, Ali; Göncü, Tugba; Boyaci, Nurefsan; Yılmaz, Ömer Faruk

    2013-01-01

    This study presents a case of an 8-year-old boy with iris heterochromia and anisometropic amblyopia who was diagnosed with Waardenburg syndrome (WS) type 2. An ophthalmic examination revealed iris heterochromia and anisometropic amblyopia in our patient. In the systemic examination, a white forelock and vitiligo on the arms and body were observed and neurosensory hearing loss was revealed, for which the patient used hearing aids. Identification and typing of patients with WS is crucial to address neurosensory hearing loss, glaucoma and fundus changes. While it might be challenging to communicate with a patient with speech and hearing problems, visual acuity should be examined carefully and probable amblyopia should be identified. Anterior segment changes and signs of glaucoma should also be evaluated in detail. PMID:24351514

  14. Higher Order Aberration and Astigmatism in Children with Hyperopic Amblyopia

    OpenAIRE

    Choi, Seung Kwon; Chang, Ji Woong

    2016-01-01

    Purpose To investigate the changes in corneal higher-order aberration (HOA) during amblyopia treatment and the correlation between HOA and astigmatism in hyperopic amblyopia children. Methods In this retrospective study, a total of 72 eyes from 72 patients ranging in age from 38 to 161 months were included. Patients were divided into two groups based on the degree of astigmatism. Corneal HOA was measured using a KR-1W aberrometer at the initial visit and at 3-, 6-, and 12-month follow-ups. Co...

  15. [Possibilities and limitations of amblyopia screening with auto-refractometers].

    Science.gov (United States)

    Ehrt, O

    2016-04-01

    Amblyopia is a frequent vision disorder with a prevalence of 3-6%, for which early treatment is more effective. More than half of the cases of amblyopia are due to refractive errors so that they are not obvious due to strabismus or other ocular abnormalities; therefore, examinations for early recognition are essential. Because no nationwide ophthalmological examination of infants with cycloplegia has been established in Germany, screening for refractive errors in the first 3 years of life could be very helpful. Only children with a very high risk of ametropia should be referred for a full ophthalmological and orthoptic assessment of cycloplegia in order to prevent excess prescription of eyeglasses. Mild amblyopia with a borderline refraction error can be more reliably detected with visual acuity tests at a later age of 3-4 years and still be treated successfully before entering school. Even with a good sensitivity and specificity of approximately 90%, refraction screening with handheld binocular video refractometers has a positive predictive value of 30%, which should be considered acceptable; however, screening with refractometers alone is insufficient to detect all types of amblyopia. Cataracts can easily be detected in >95% of patients but microstrabismus sufficient reliability. If other risk factors, such as a negative Lang stereopsis test, ptosis, other ocular abnormalities, developmental delay or a positive family history are present, a full ophthalmological evaluation with cycloplegic refraction is necessary. PMID:27059984

  16. Amblyopia prevention screening program in Northwest Iran (Ardabil

    Directory of Open Access Journals (Sweden)

    Habib Ojaghi

    2016-01-01

    Conclusions: The present investigation showed that coverage of amblyopia screening program was not enough in Ardabil Province. To increase the screening accuracy, standard instruments and examination room must be used; more optometrists must be involved in this program and increasing the validity of obtained results for future programming.

  17. Effects of different types of refractive errors on bilateral amblyopia

    Directory of Open Access Journals (Sweden)

    Mücella Arıkan Yorgun

    2012-12-01

    Full Text Available Objectives: Identifying effects of different types of refractiveerrors on final visual acuity and stereopsis levels inpatients with bilateral amblyopia.Materials and methods: Patients with bilateral amblyopialower than ≥1.5 D anisometropia were included. Thepatients were classified according to the level of sphericalequivalent (0-4 D and >4 D of hypermetropia, the levelof astigmatism (below and above 2D in positive cylinderand type of composed refractive error [ 4 D of hypermetropiaand 2 D of astigmatism (group III]. Initialand final binocular best corrected visual acuities (BCVAwere compared between groups.Results: The initial binocular BCVA levels were significantlylower in patients with > 4 D of hypermetropia(p=0.028, without correction after treatment (p=0.235.The initial binocular BCVA was not different betweenastigmatism groups, but final BCVA levels were significantlylower in 4-6D of astigmatism compared with 2-4D of astigmatism (p=0.001. During comparison of composedrefractive errors, only the initial binocular BCVAwas significantly lower in group I compared to group II(p=0.015. The final binocular BCVA levels were not differentbetween groups I and III (p>0.05.Conclusions: Although the initial BCVA is lower in patientswith higher levels of hypermetropia, the response ofpatients to treatment with glasses is good. The responseof patients with high levels of astigmatism seems to belimited. J Clin Exp Invest 2012; 3(4: 467-471Key words: Amblyopia, isoametropic amblyopia, hypermetropia,refractive amblyopia, visual acuity

  18. Degraded attentional modulation of cortical neural populations in strabismic amblyopia.

    Science.gov (United States)

    Hou, Chuan; Kim, Yee-Joon; Lai, Xin Jie; Verghese, Preeti

    2016-01-01

    Behavioral studies have reported reduced spatial attention in amblyopia, a developmental disorder of spatial vision. However, the neural populations in the visual cortex linked with these behavioral spatial attention deficits have not been identified. Here, we use functional MRI-informed electroencephalography source imaging to measure the effect of attention on neural population activity in the visual cortex of human adult strabismic amblyopes who were stereoblind. We show that compared with controls, the modulatory effects of selective visual attention on the input from the amblyopic eye are substantially reduced in the primary visual cortex (V1) as well as in extrastriate visual areas hV4 and hMT+. Degraded attentional modulation is also found in the normal-acuity fellow eye in areas hV4 and hMT+ but not in V1. These results provide electrophysiological evidence that abnormal binocular input during a developmental critical period may impact cortical connections between the visual cortex and higher level cortices beyond the known amblyopic losses in V1 and V2, suggesting that a deficit of attentional modulation in the visual cortex is an important component of the functional impairment in amblyopia. Furthermore, we find that degraded attentional modulation in V1 is correlated with the magnitude of interocular suppression and the depth of amblyopia. These results support the view that the visual suppression often seen in strabismic amblyopia might be a form of attentional neglect of the visual input to the amblyopic eye. PMID:26885628

  19. Prevalence of amblyopia and refractive errors among primary school children

    Directory of Open Access Journals (Sweden)

    Zhale Rajavi

    2015-01-01

    Results: Amblyopia was present in 2.3% (95% CI: 1.8% to 2.9% of participants with no difference between the genders. Amblyopic subjects were significantly younger than non-amblyopic children (P=0.004. Overall, 15.9% of hyperopic and 5.9% of myopic cases had amblyopia. The prevalence of hyperopia ≥+2.00D, myopia ≤-0.50D, astigmatism ≥0.75D, and anisometropia (≥1.00D was 3.5%, 4.9%, 22.6%, and 3.9%, respectively. With increasing age, the prevalence of myopia increased (P<0.001, that of hyperopia decreased (P=0.007, but astigmatism showed no change. Strabismus was found in 2.3% of cases. Strabismus (OR=17.9 and refractive errors, especially anisometropia (OR=12.87 and hyperopia (OR=11.87, were important amblyogenic risk factors. Conclusion: The high prevalence of amblyopia in our subjects in comparison to developed countries reveals the necessity of timely and sensitive screening methods. Due to the high prevalence of amblyopia among children with refractive errors, particularly high hyperopia and anisometropia, provision of glasses should be specifically attended by parents and supported by the Ministry of Health and insurance organizations.

  20. Altered Spontaneous Activity in Anisometropic Amblyopia Subjects: Revealed by Resting-State fMRI

    OpenAIRE

    Lin, Xiaoming; Ding, Kun; Liu, Yong; Yan, Xiaohe; SONG Shaojie; Jiang, Tianzi

    2012-01-01

    Amblyopia, also known as lazy eye, usually occurs during early childhood and results in poor or blurred vision. Recent neuroimaging studies have found cortical structural/functional abnormalities in amblyopia. However, until now, it was still not known whether the spontaneous activity of the brain changes in amblyopia subjects. In the present study, regional homogeneity (ReHo), a measure of the homogeneity of functional magnetic resonance imaging signals, was used for the first time to invest...

  1. Video-Game Play Induces Plasticity in the Visual System of Adults with Amblyopia

    OpenAIRE

    Roger W. Li; Ngo, Charlie; Nguyen, Jennie; Levi, Dennis M.

    2011-01-01

    Abnormal visual experience during a sensitive period of development disrupts neuronal circuitry in the visual cortex and results in abnormal spatial vision or amblyopia. Here we examined whether playing video games can induce plasticity in the visual system of adults with amblyopia. Specifically 20 adults with amblyopia (age 15–61 y; visual acuity: 20/25–20/480, with no manifest ocular disease or nystagmus) were recruited and allocated into three intervention groups: action videogame group (n...

  2. Nutritional amblyopia. A histopathologic study with retrospective clinical correlation.

    Science.gov (United States)

    Smiddy, W E; Green, W R

    1987-01-01

    During a 10-year period ending in 1985, we observed atrophy of the maculopapillary bundle in both eyes of 25 cases examined post mortem. We retrospectively examined the clinical history and general autopsy findings for evidence of malnutrition. An adequate clinical history was obtained in 24 patients, and an autopsy was performed on 21 patients. Our review disclosed that all 25 patients had marked nutritional deprivation, most commonly from alcohol abuse (20 patients), advanced carcinoma (8 patients, 7 of whom were also alcohol abusers), and other malnutritional and disabling conditions (4 patients). A history of heavy smoking was documented in 11 patients. Our findings support the contention that dietary deficiency plays a role in the pathogenesis of the condition that in the past has been referred to as tobacco-alcohol amblyopia and more recently has been called nutritional amblyopia. PMID:3666474

  3. Study of the wavefront aberrations in children with amblyopia

    Institute of Scientific and Technical Information of China (English)

    ZHAO Peng-fei; ZHOU Yue-hua; WANG Ning-li; ZHANG Jing

    2010-01-01

    Background Amblyopia is a common ophthalmological condition and the wavefront aberrometer is a relatively new diagnostic tool used globally to measure optical characteristics of human eyes as well as to study refractive errors in amblyopic eyes. We studied the wavefront aberration of the amblyopic children's eyes and analyzed the mechanism of the wavefront aberration in the formation of the amblyopia, try to investigate the new evidence of the treatment of the amblyopia, especially in the refractory amblyopia.Methods The WaveScan Wavefront System (VISX, USA) aberrometer was used to investigate four groups of children under dark accommodation and cilliary muscle paralysis. There were 45 cases in the metropic group, 87 in the amblyopic group, 92 in the corrected-amblyopic group and 38 in the refractory amblyopic group. One-way analysis of variance (ANOVA), t-test and multivariate linear regression were used to analyze all the data.Results Third order to 6th order aberrations showed a decreasing trend whereas in the higher order aberrations the main ones were 3rd order coma (Z3-1-Z31), trefoil (Z3-3-Z33) and 4th order aberration (Z40); and 3rd order coma represented the highest percentage of all three main aberrations. Within 3rd order coma, vertical coma (Z3-1) accounted for a greater percentage than horizontal coma (Z31). Significant differences of vertical coma were found among all clinical groups of children: vertical coma in the amblyopic group (0.17±0.15) was significantly higher than in the metropic group (0.11±0.13, P0.05).Conclusions Although lower order aberrations such as defocus (myopia and hyperopia) and astigmatism are major factors determining the quality of the retinal image, higher order aberrations also need to be considered in amblyopic eyes as their effects are significant.

  4. Investigation of the effect of age of onset on amblyopia.

    OpenAIRE

    Davis, A. R.

    2005-01-01

    This research aimed to investigate if age of onset affects the pathogenesis of amblyopia. Amblyopic subjects were compared with normal controls. Strabismic amblyopes were assigned to early or late onset groups on the basis of detailed clinical history. Confirmatory histories were obtained from parents where possible. Contrast Sensitivity (CS) to a 3.2 cyc/deg (cpd) sinusoidal grating pattern was recorded. Monocular pattern appearance visual evoked potentials (VEP) at five contrast levels were...

  5. Effectiveness of screening preschool children for amblyopia: a systematic review

    Directory of Open Access Journals (Sweden)

    Lange Stefan

    2009-07-01

    Full Text Available Abstract Background Amblyopia and amblyogenic factors like strabismus and refractive errors are the most common vision disorders in children. Although different studies suggest that preschool vision screening is associated with a reduced prevalence rate of amblyopia, the value of these programmes is the subject of a continuing scientific and health policy discussion. Therefore, this systematic review focuses on the question of whether screening for amblyopia in children up to the age of six years leads to better vision outcomes. Methods Ten bibliographic databases were searched for randomised controlled trials, non-randomised controlled trials and cohort studies with no limitations to a specific year of publication and language. The searches were supplemented by handsearching the bibliographies of included studies and reviews to identify articles not captured through our main search strategy. Results Five studies met the inclusion criteria. Of these, three studies suggested that screening is associated with an absolute reduction in the prevalence of amblyopia between 0.9% and 1.6% (relative reduction: between 45% and 62%. However, the studies showed weaknesses, limiting the validity and reliability of their findings. The main limitation was that studies with significant results considered only a proportion of the originally recruited children in their analysis. On the other hand, retrospective sample size calculation indicated that the power based on the cohort size was not sufficient to detect small changes between the groups. Outcome parameters such as quality of life or adverse effects of screening have not been adequately investigated in the literature currently available. Conclusion Population based preschool vision screening programmes cannot be sufficiently assessed by the literature currently available. However, it is most likely that the present systematic review contains the most detailed description of the main limitations in current

  6. Binocular summation of contrast remains intact in strabismic amblyopia

    OpenAIRE

    Baker, Daniel H.; Meese, Tim S.; Mansouri, Behzad; Hess, Robert F.

    2007-01-01

    PURPOSE. Strabismic amblyopia is typically associated with several visual deficits, including loss of contrast sensitivity in the amblyopic eye and abnormal binocular vision. Binocular summation ratios (BSRs) are usually assessed by comparing contrast sensitivity for binocular stimuli (sensBIN) with that measured in the good eye alone (sensGOOD), giving BSR = sensBIN/sensGOOD. This calculation provides an operational index of clinical binocular function, but does not assess whether neuronal m...

  7. Degraded attentional modulation of cortical neural populations in strabismic amblyopia

    OpenAIRE

    Hou, Chuan; Kim, Yee-Joon; Lai, Xin Jie; Verghese, Preeti

    2016-01-01

    Behavioral studies have reported reduced spatial attention in amblyopia, a developmental disorder of spatial vision. However, the neural populations in the visual cortex linked with these behavioral spatial attention deficits have not been identified. Here, we use functional MRI–informed electroencephalography source imaging to measure the effect of attention on neural population activity in the visual cortex of human adult strabismic amblyopes who were stereoblind. We show that compared with...

  8. Dichoptic training improves contrast sensitivity in adults with amblyopia.

    Science.gov (United States)

    Li, Jinrong; Spiegel, Daniel P; Hess, Robert F; Chen, Zidong; Chan, Lily Y L; Deng, Daming; Yu, Minbin; Thompson, Benjamin

    2015-09-01

    Dichoptic training is designed to promote binocular vision in patients with amblyopia. Initial studies have found that the training effects transfer to both binocular (stereopsis) and monocular (recognition acuity) visual functions. The aim of this study was to assess whether dichoptic training effects also transfer to contrast sensitivity (CS) in adults with amblyopia. We analyzed CS data from 30 adults who had taken part in one of two previous dichoptic training studies and assessed whether the changes in CS exceeded the 95% confidence intervals for change based on test-retest data from a separate group of observers with amblyopia. CS was measured using Gabor patches (0.5, 3 and 10cpd) before and after 10days of dichoptic training. Training was delivered using a dichoptic video game viewed through video goggles (n=15) or on an iPod touch equipped with a lenticular overlay screen (n=15). In the iPod touch study, training was combined with anodal transcranial direct current stimulation of the visual cortex. We found that dichoptic training significantly improved CS across all spatial frequencies tested for both groups. These results suggest that dichoptic training modifies the sensitivity of the neural systems that underpin monocular CS. PMID:25676883

  9. Treating amblyopia with liquid crystal glasses: a pilot study.

    Science.gov (United States)

    Spierer, Abraham; Raz, Judith; Benezra, Omry; Herzog, Rafi; Cohen, Evelyne; Karshai, Ilana; Benezra, David

    2010-07-01

    PURPOSE. To evaluate the use of liquid crystal glasses (LCG) for the treatment of amblyopia caused by refractive errors, strabismus, or both. METHODS. In this noncomparative, prospective, interventional case series, 28 children (age range, 4-7.8 years) with monocular amblyopia participated, of which 24 completed the study. In the LCG, the occluding and nonoccluding phases of the flicker were electronically set in all patients at a fixed rate. The rate was set so that accumulated occlusion was 5 hours during 8 hours' weartime. Occlusion was applied only to the good eye. All 24 children were followed up regularly for 9 months. Best corrected VA for distance and near, fixation patterns, and binocular function were measured. VA for distance was measured with the Snellen chart and for near with the Rossano/Weiss chart. RESULTS. Mean VA for distance at the end of the study (after 9 months) was 0.59 (SD, 0.16) compared with 0.27 (SD, 0.09) at the beginning (P compliance was defined as wearing the LCG for at least 8 hours per day.) Stereopsis at the end of treatment was good (better than 60 sec arc) in 21% of the children compared with 8% at the beginning. No serious adverse events were recorded. CONCLUSIONS. The use of LCG in patients with amblyopia yielded an improvement in near and distance VA and in stereopsis. Treatment was well accepted by children and parents. PMID:20164454

  10. Optimization of Visual Training for Full Recovery from Severe Amblyopia in Adults

    Science.gov (United States)

    Eaton, Nicolette C.; Sheehan, Hanna Marie; Quinlan, Elizabeth M.

    2016-01-01

    The severe amblyopia induced by chronic monocular deprivation is highly resistant to reversal in adulthood. Here we use a rodent model to show that recovery from deprivation amblyopia can be achieved in adults by a two-step sequence, involving enhancement of synaptic plasticity in the visual cortex by dark exposure followed immediately by visual…

  11. Association of Optic Radiation Integrity with Cortical Thickness in Children with Anisometropic Amblyopia.

    Science.gov (United States)

    Qi, Shun; Mu, Yun-Feng; Cui, Long-Biao; Li, Rong; Shi, Mei; Liu, Ying; Xu, Jun-Qing; Zhang, Jian; Yang, Jian; Yin, Hong

    2016-02-01

    Previous studies have indicated regional abnormalities of both gray and white matter in amblyopia. However, alterations of cortical thickness associated with changes in white matter integrity have rarely been reported. In this study, structural magnetic resonance imaging and diffusion tensor imaging (DTI) data were obtained from 15 children with anisometropic amblyopia and 15 age- and gender-matched children with normal sight. Combining DTI and surface-based morphometry, we examined a potential linkage between disrupted white matter integrity and altered cortical thickness. The fractional anisotropy (FA) values in the optic radiations (ORs) of children with anisometropic amblyopia were lower than in controls (P lingual cortex, lateral occipitotemporal gyrus, cuneus, occipital lobe, inferior parietal lobe, and temporal lobe (P lingual cortex, lateral occipitotemporal gyrus, lateral, superior, and medial occipital cortex, and lunate cortex. We also found a relationship between changes of cortical thickness and white matter OR integrity in amblyopia. These findings indicate that developmental changes occur simultaneously in the OR and visual cortex in amblyopia, and provide key information on complex damage of brain networks in anisometropic amblyopia. Our results also support the hypothesis that the pathogenesis of anisometropic amblyopia is neurodevelopmental. PMID:26769488

  12. Clinical Course and Response to Therapy in Different Types of Amblyopia

    Directory of Open Access Journals (Sweden)

    Reşat Duman

    2013-10-01

    Full Text Available Purpose: We aimed to compare the demographic features, visual acuities before and after treatment, amblyopia and strabismus degrees and binocular visual functions in cases with anisometropic, strabismic and/or anisometropic amblyopia. Material and Method: The study included 50 anisometropic, 50 strabismic and 50 anisometropic and strabismic cases that were followed up with the diagnosis of amblyopia, in our clinic, between January 2007 - September 2010. Amblyopia criteria was defined as the best corrected visual acuity of ≤0.8 and at least 2 lines difference between the visual acuities of two eyes. Anisometropia was defined as ≥1D difference in the spherical and cylindrical value between two eyes. Results: The groups were statistically similar in means of age and sex distribution. Visual acuities in amblyopic eyes before and after treatment were also statistically similar. There were no significant difference between 3 groups in means of compliance to occlusion therapy. In anisometropic cases, anisometropic spherical values were found to have position correlation with amblyopia degree. In hypermetropic and myopic cases, a strong correlation was shown between anisometropia and amblyopia, especially in hypermetropic cases, amblyopia degree increased as the anisometropia increased. In all strabismus cases, a positive correlation between strabismus and amblyopia degrees was shown even though it was statistically insignificant. In strabismic cases, esotropia was significantly higher than exotropia. In anisometropia group, stereopsis and fusion was found to be preserved better in comparison to the strabismic cases. It was concluded that deviation had a more profound effect on binocular function loss than anisometropia. Discussion: We recommend to follow the hypermetropic anisometropic cases and especially cases with high degree strabismus and esotropia more closely. And also we emphasize that strabismus affects binocular function loss more than

  13. Study of the perception of visual motion in amblyopia using functional MRI

    International Nuclear Information System (INIS)

    Objective: To research the pathophysiological mechanism of anisometropic and strabismic amblyopia through observation of the cortex activation under the stimulus of visual motion using functional MRI (fMRI). Methods: Seven patients with anisometropic amblyopia and 10 patients with strabismic amblyopia were examined under the stimulus with the paradigm that task and control states were rotating and stationary grating with 1.5 T MR scanners. The data were processed using software of SPM offline, and the result was analyzed with single subject. An index of interocular difference of activation (IDA) was set for Mann-Whitney rank sum test to denote the extension of difference between activation of each eye. Results: There appeared activation on bilaterally occipital lobe in both group of amblyopia patients. There was mild activation on frontal lobe when amblyopic eyes were stimulated, but no activation when sound eyes. The MT area was regarded as region of interesting when analyzed, the activation of all sound eyes was stronger than amblyopic eyes in 7 anisometropic amblyopia patients. There were 5 patients whose level of activation of amblyopic eye's were lower than sound eye, and four were higher than sound eye, among the strabismic amblyopia patients except one patient's activation was none. There was statistical difference between IDA value of two groups (Z=2.382, P=0.017). Conclusion: There are more cortex areas activated of amblyopic eye than sound eye when single eye is stimulated. The function of visual motion maybe has been affected in anisometropic amblyopia. In strabismic amblyopia, the function of visual motion may relate to the underlying mechanism of strabismic, which suggests, as for the impairment of perception of visual motion, there is difference between two types of amblyopia. (authors)

  14. CAM visual stimulation with conventional method of occlusion treatment in amblyopia: a randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Ali Reza Jafari

    2014-04-01

    Conclusion: Using of CAM visual stimulation along with conventional occlusion will further improve visual acuity and stereopsis in amblyopic children. These findings recommended the CAM visual stimulation as an accompanying and complementary method in amblyopia treatment.

  15. A case of Biateral Extensive Persistent Pupillary Membranes with Amblyopia and Cataract

    Directory of Open Access Journals (Sweden)

    Sibel Kocabeyoğlu

    2013-01-01

    Full Text Available Persistent pupillary membrane represents a congenital remnant of the anterior tunica vasculosa lentis. It can be associated with other ocular pathologies. These membranes can cause deprivation or anisometropic amblyopia. The choice of treatment depends on the patient’s age and the characteristics of the membranes. In this paper, we report the findings in a 21-year-old female patient with bilateral persistent pupillary membranes, amblyopia, and cataract. (Turk J Ophthalmol 2013; 43: 70-2

  16. Evaluation of Refractive Disorders and Amblyopia in Elementary School Children Admitted to an Outpatient Ophthalmology Clinic

    OpenAIRE

    Dadacı, Zeynep; Öncel Acır, Nurşen; Borazan, Mehmet

    2015-01-01

    Objectives: Refractive errors are among the commonest disorders among children. Vision loss related with uncorrected refractive errors may lead to decrease in educational attainment and other social problems, and also, when unilateral, causes serious diseases such as amblyopia (lazy eye). The purpose of our study is to determine the frequency of refractive disorders and amblyopia among elementary school children admitted to a general outpatient ophthalmology clinic.Materials and Methods: Medi...

  17. A Limited Role for Suppression in the Central Field of Individuals with Strabismic Amblyopia

    OpenAIRE

    Brendan T Barrett; Panesar, Gurvinder K.; Scally, Andrew J.; Pacey, Ian E.

    2012-01-01

    BACKGROUND: Although their eyes are pointing in different directions, people with long-standing strabismic amblyopia typically do not experience double-vision or indeed any visual symptoms arising from their condition. It is generally believed that the phenomenon of suppression plays a major role in dealing with the consequences of amblyopia and strabismus, by preventing images from the weaker/deviating eye from reaching conscious awareness. Suppression is thus a highly sophisticated coping m...

  18. A Meta-Analysis for Association of Maternal Smoking with Childhood Refractive Error and Amblyopia

    OpenAIRE

    Li Li; Ya Qi; Wei Shi; Yuan Wang; Wen Liu; Man Hu

    2016-01-01

    Background. We aimed to evaluate the association between maternal smoking and the occurrence of childhood refractive error and amblyopia. Methods. Relevant articles were identified from PubMed and EMBASE up to May 2015. Combined odds ratio (OR) corresponding with its 95% confidence interval (CI) was calculated to evaluate the influence of maternal smoking on childhood refractive error and amblyopia. The heterogeneity was evaluated with the Chi-square-based Q statistic and the I 2 test. Potent...

  19. Video Game Use in the Treatment of Amblyopia: Weighing the Risks of Addiction

    OpenAIRE

    Xu, Chaoying S.; Chen, Jessica S.; Ron A. Adelman

    2015-01-01

    Video games have surged in popularity due to their entertainment factor and, with recent innovation, their use in health care. This review explores the dual facets of video games in treating vision impairment in amblyopia as well as their potential for overuse and addiction. Specifically, this review examines video game addiction from a biopsychosocial perspective and relates the addictive qualities of video games with their use as a therapeutic treatment for amblyopia. Current literature sup...

  20. Treatment of amblyopia in the adult: insights from a new rodent model of visual perceptual learning.

    OpenAIRE

    Joyce eBonaccorsi; Nicoletta eBerardi; Alessandro eSale

    2014-01-01

    Abstract Amblyopia is the most common form of impairment of visual function affecting one eye, with a prevalence of about 1-5% of the total world population. Amblyopia usually derives from conditions of early functional imbalance between the two eyes, owing to anisometropia, strabismus, or congenital cataract, and results in a pronounced reduction of visual acuity and severe deficits in contrast sensitivity and stereopsis. It is widely accepted that, due to a lack of sufficient plasticity...

  1. 闪光ERG在儿童弱视诊断中的意义%Flash ERG Significance in the Youngster Amblyopia is Diagnosis

    Institute of Scientific and Technical Information of China (English)

    王安悦; 史惠琴; 胡甸萍

    2003-01-01

    Objective Probe into flash ERG significance at the diagnosis of youngster amblyopia. Methods ① In 63cases youngster 126 eyes are divided two group by correctional vision, amblyopia group and comparison group. The amblyopiamarkedness through amblyopia group photopia ERG and flicker ERG compare compalively group for the a - wave time, a -wave and b - wave swing with their difference value(P < 0.01 ). Condusion The photopia and flicker ERG may use index tothe amblyopia chargnosis and treat.

  2. A CROSS SECTIONAL STUDY ON PREVALENCE OF AMBLYOPIA IN SCHOOL GOING CHILDREN

    Directory of Open Access Journals (Sweden)

    Siddharam S

    2014-07-01

    Full Text Available Amblyopia is that condition in which there is deficiency of form or spatial vision sense resulting in the reduction of visual acuity of greater than two lines between the eyes or an absolute reduction in acuity below 6/9 either eye in Snellen's Vision Chart which cannot be corrected by refraction and cannot be attributed directly to the effect of any structural abnormality of the eye or the posterior visual pathway defects The aim of our study is to study the prevalence of amblyopia and different types of amblyopia in children between 6 – 14 years of age This prospective cross sectional study done in tertiary care centre over period of 2years. 2700 children were screened in this study out of which 54 children were found to be amblyopic. Children aged between 6 years and 14 years of age, with no previous history of strabismus surgery, with corrected or uncorrected refractive errors were included in study. RESULTS: Amblyopia was more common in male (63.79% than female children. It was lower in urban children (32.76% than in rural children (67.21%. This is because of the lack of awareness among the rural population to have regular eye check-ups. Monocular amblyopic 40(68.96% cases were common than binocular 18(21.04% cases. The most common cause of ambylopia in our study were anisometropic (36.20%, strabismic (25.86%, ametropic (12.06%, merdionic and visual deprivation (6.89%. Hypermetropia 18(46.15% was more common refractive error associated with amblyopia compared to myopia 10(25.64 and astigmatism 11(18.20%. In strabismic amblyopia (25.86%, exotropia 8 patients (53.33% are more frequent than esotropia 6 patients (40% and hypertropia 1patient (6.66 CONCLUSION: Early diagnosis and treatment of ametropias can minimize permanent loss of vision by amblyopia. Those at greater risks are children of preschool and school going ages.

  3. Efficiency of occlusion therapy for management of amblyopia in older children

    Directory of Open Access Journals (Sweden)

    Brar Gagandeep

    2006-01-01

    Full Text Available Materials and Methods: This was a retrospective consecutive case series analysis of children treated for amblyopia at a tertiary care center. All children received full time occlusion (FTO for the dominant eye. Results: Eighty-eight children older than 6 years at the time of initiation of therapy were included. Age at initiation of therapy ranged from 6 to 20 years (9.45 ± 3.11 years. Forty-two children (47.7% had strabismic amblyopia, 37 (42.0% had anisometropic amblyopia and 9 (10.2% had a combination of strabismic and anisometropic amblyopia. Eighty out of 88 eyes (90.0% had improvement in visual acuity following FTO. Visual acuity (VA improved from 0.82 ± 0.34 at presentation to 0.42 ± 0.34 ( P < 0.001 after FTO. In children with strabismic amblyopia, VA improved from 0.81 ± 0.42 to 0.42 ± 0.39 ( P < 0.001. In children with anisometropic amblyopia, visual acuity of the amblyopic eye improved from 0.82 ± 0.24 to 0.36 ± 0.29 ( P < 0.001 following FTO. Out of 13 children older than 12 years, only 6 children (46.1% had improvement in VA. Mean follow-up after complete stoppage of occlusion was 8.37 ± 1.78 months. Conclusion: Occlusion therapy yields favorable results in strabismic and/or anisometropic amblyopia, even when initiated for the first time after 6 years of age. After 12 years of age, some children may still respond to occlusion of the dominant eye.

  4. Is the motion system relatively spared in amblyopia? Evidence from cortical evoked responses.

    Science.gov (United States)

    Kubová, Z; Kuba, M; Juran, J; Blakemore, C

    1996-01-01

    Visual evoked potentials (VEPs) produced by pattern reversal were compared with those elicited by onset of motion in 37 amblyopic children (20 with anisometropic amblyopia, seven with strabismic amblyopia and 10 with both anisometropia and strabismus). The amplitudes and peak latencies of the main P1 peak in the pattern-reversal VEP and of the motion-specific N2 peak in the motion-onset VEP through the amblyopic eye were compared with those through the normal fellow eye. Regardless of the type of amblyopia, the amplitude of the pattern-reversal VEP for full-field stimulation was significantly smaller and its latency significantly longer through the amblyopic eye (P central visual field (5 or 2 deg diameter) or to the peripheral field (excluding the central 5 deg), motion-onset responses were indistinguishable through the two eyes, while pattern-reversal responses always differed significantly in amplitude. These results suggest that the source of motion-onset VEPs (probably an extrastriate motion-sensitive area) is less affected in amblyopia than that of pattern-reversal VEPs (probably the striate cortex). The motion pathway, presumably deriving mainly from the magnocellular layers of the lateral geniculate nucleus, may be relatively spared in amblyopia. PMID:8746252

  5. Higher order aberrations in amblyopic children and their role in refractory amblyopia

    Directory of Open Access Journals (Sweden)

    Arnaldo Dias-Santos

    2014-12-01

    Full Text Available Objective: Some studies have hypothesized that an unfavourable higher order aberrometric profile could act as an amblyogenic mechanism and may be responsible for some amblyopic cases that are refractory to conventional treatment or cases of “idiopathic” amblyopia. This study compared the aberrometric profile in amblyopic children to that of children with normal visual development and compared the aberrometric profile in corrected amblyopic eyes and refractory amblyopic eyes with that of healthy eyes. Methods: Cross-sectional study with three groups of children – the CA group (22 eyes of 11 children with unilateral corrected amblyopia, the RA group (24 eyes of 13 children with unilateral refractory amblyopia and the C group (28 eyes of 14 children with normal visual development. Higher order aberrations were evaluated using an OPD-Scan III (NIDEK. Comparisons of the aberrometric profile were made between these groups as well as between the amblyopic and healthy eyes within the CA and RA groups. Results: Higher order aberrations with greater impact in visual quality were not significantly higher in the CA and RA groups when compared with the C group. Moreover, there were no statistically significant differences in the higher order aberrometric profile between the amblyopic and healthy eyes within the CA and RA groups. Conclusions: Contrary to lower order aberrations (e.g., myopia, hyperopia, primary astigmatism, higher order aberrations do not seem to be involved in the etiopathogenesis of amblyopia. Therefore, these are likely not the cause of most cases of refractory amblyopia.

  6. Using Stereoscopic 3D Technologies for the Diagnosis and Treatment of Amblyopia in Children

    CERN Document Server

    Gargantini, Angelo

    2011-01-01

    The 3D4Amb project aims at developing a system based on the stereoscopic 3D techonlogy, like the NVIDIA 3D Vision, for the diagnosis and treatment of amblyopia in young children. It exploits the active shutter technology to provide binocular vision, i.e. to show different images to the amblyotic (or lazy) and the normal eye. It would allow easy diagnosis of amblyopia and its treatment by means of interactive games or other entertainment activities. It should not suffer from the compliance problems of the classical treatment, it is suitable to domestic use, and it could at least partially substitute occlusion or patching of the normal eye.

  7. Effect of cover adjustment on binocular vision function in children with anisometropic amblyopia

    OpenAIRE

    Kai Zhu

    2016-01-01

    AIM:To explore and study the effect of cover adjustment on binocular visual function in children with anisometropic amblyopia.METHODS: Forty-five children with anisometropic amblyopia of our hospital from July 2014 to April 2015 were as the study group, and treated by cover adjustment. Then 40 cases of healthy volunteers were selected as the blank control group. The binocular visual function of the subjects was observed.RESULTS: Before treatments, at 1 and 3mo after treatments, the positive r...

  8. A dichoptic custom-made action video game as a treatment for adult amblyopia.

    Science.gov (United States)

    Vedamurthy, Indu; Nahum, Mor; Huang, Samuel J; Zheng, Frank; Bayliss, Jessica; Bavelier, Daphne; Levi, Dennis M

    2015-09-01

    Previous studies have employed different experimental approaches to enhance visual function in adults with amblyopia including perceptual learning, videogame play, and dichoptic training. Here, we evaluated the efficacy of a novel dichoptic action videogame combining all three approaches. This experimental intervention was compared to a conventional, yet unstudied method of supervised occlusion while watching movies. Adults with unilateral amblyopia were assigned to either play the dichoptic action game (n=23; 'game' group), or to watch movies monocularly while the fellow eye was patched (n=15; 'movies' group) for a total of 40hours. Following training, visual acuity (VA) improved on average by ≈0.14logMAR (≈28%) in the game group, with improvements noted in both anisometropic and strabismic patients. This improvement is similar to that obtained following perceptual learning, video game play or dichoptic training. Surprisingly, patients with anisometropic amblyopia in the movies group showed similar improvement, revealing a greater impact of supervised occlusion in adults than typically thought. Stereoacuity, reading speed, and contrast sensitivity improved more for game group participants compared with movies group participants. Most improvements were largely retained following a 2-month no-contact period. This novel video game, which combines action gaming, perceptual learning and dichoptic presentation, results in VA improvements equivalent to those previously documented with each of these techniques alone. Our game intervention led to greater improvement than control training in a variety of visual functions, thus suggesting that this approach has promise for the treatment of adult amblyopia. PMID:25917239

  9. A Meta-Analysis for Association of Maternal Smoking with Childhood Refractive Error and Amblyopia

    Directory of Open Access Journals (Sweden)

    Li Li

    2016-01-01

    Full Text Available Background. We aimed to evaluate the association between maternal smoking and the occurrence of childhood refractive error and amblyopia. Methods. Relevant articles were identified from PubMed and EMBASE up to May 2015. Combined odds ratio (OR corresponding with its 95% confidence interval (CI was calculated to evaluate the influence of maternal smoking on childhood refractive error and amblyopia. The heterogeneity was evaluated with the Chi-square-based Q statistic and the I2 test. Potential publication bias was finally examined by Egger’s test. Results. A total of 9 articles were included in this meta-analysis. The pooled OR showed that there was no significant association between maternal smoking and childhood refractive error. However, children whose mother smoked during pregnancy were 1.47 (95% CI: 1.12–1.93 times and 1.43 (95% CI: 1.23-1.66 times more likely to suffer from amblyopia and hyperopia, respectively, compared with children whose mother did not smoke, and the difference was significant. Significant heterogeneity was only found among studies involving the influence of maternal smoking on children’s refractive error (P<0.05; I2=69.9%. No potential publication bias was detected by Egger’s test. Conclusion. The meta-analysis suggests that maternal smoking is a risk factor for childhood hyperopia and amblyopia.

  10. Analysis of retinal nerve fibre layer changes in anisometropic amblyopia by Heidelberg retina tomograph

    International Nuclear Information System (INIS)

    Objective: To identify if anisometropic amblyopia is associated with changes in optic disk morphology. Methods: The study comprised a total of 80 eyes recruited from Shifa Foundation Community Health Centre and the Pakistan Institute of Medical Sciences, Islamabad between May and October 2012. Anisometropic amblyopia was the only cause of disability (visual acuity >6/12) in amblyopic eyes whereas normal eyes had a best corrected visual acuity of 6/6 and no morbidities. Patients with other causes of amblyopia, co-morbid ocular diseases, and in whom a good-quality image could not be obtained were excluded. Mean retinal nerve fiber layer thickness was analysed using Heidelberg retina tomograph. Analysis of frequency distribution, probability and regression were run on the data collected during the study using SPSS version 15.0. Results: The mean age of the patients was 23.85+-5.85 years. The retinal nerve fibre layer thickness ranged between 0.09mm and 0.35 mm (mean: 0.23mm+-0.07) in amblyopic eyes, and between 0.18mm and 0.36mm (mean: 0.25mm+-0.05) in normal eyes. The difference was not statistically significant (p=0.087). No association was found between the retinal nerve fiber layer thickness or the age and refractive error of patients. Conclusion: The optic disk does not appear to be the site of morphological changes in amblyopia. (author)

  11. Prevalence of Amblyopia or Strabismus in Asian and Non-Hispanic White Preschool Children

    Science.gov (United States)

    McKean-Cowdin, Roberta; Cotter, Susan A.; Tarczy-Hornoch, Kristina; Wen, Ge; Kim, Jeniffer; Borchert, Mark; Varma, Rohit

    2016-01-01

    Objective To determine the age- and race-specific prevalence of amblyopia in Asian and non-Hispanic white children aged 30 to 72 months and of strabismus in children aged 6 to 72 months. Design Cross-sectional survey. Participants A population-based, multiethnic sample of children aged 6 to 72 months was identified in Los Angeles and Riverside counties in California to evaluate the prevalence of ocular conditions. Methods A comprehensive eye examination and in-clinic interview were conducted with 80% of eligible children. The examination included evaluation of ocular alignment, refractive error, and ocular structures in children aged 6 to 72 months, as well as a determination of optotype visual acuity (VA) in children aged 30 to 72 months. Main Outcome Measures The proportion of 6- to 72-month-old participants with strabismus and 30- to 72-month-olds with optotype VA deficits and amblyopia risk factors consistent with study definitions of amblyopia. Results Strabismus was found in 3.55% (95% confidence interval [CI], 2.68–4.60) of Asian children and 3.24% (95% CI, 2.40–4.26) of non-Hispanic white children, with a higher prevalence with each subsequent older age category from 6 to 72 months in both racial/ethnic groups (P=0.0003 and 0.02, respectively). Amblyopia was detected in 1.81% (95% CI, 1.06–2.89) of Asian and non-Hispanic white children; the prevalence of amblyopia was higher for each subsequent older age category among non-Hispanic white children (P=0.01) but showed no significant trend among Asian children (P=0.30). Conclusions The prevalence of strabismus was similar in Asian and non-Hispanic white children and was found to be higher among older children from 6 to 72 months. The prevalence of amblyopia was the same in Asian and non-Hispanic white children; prevalence seemed to be higher among older non-Hispanic white children but was relatively stable by age in Asian children. These findings may help clinicians to better understand the patterns of

  12. Application of special computer programs for diagnostics and treatment of amblyopia.

    Science.gov (United States)

    Tsitsiashvili, E

    2007-09-01

    Under amblyopia one ought to understand a variety by origin forms of reduction of vision the reason for which are functional disorders of the visual analyzer with no changes in the fundus of the eye and without any organic affections of the visual pathways and centers. At the present time, the pathophysiological mechanisms of amblyopia remain a puzzle. Diagnostics and adequate treatment of amblyopia remains so far a topical problem in clinical ophthalmology. The objective of our investigation was to estimate functional state of the visual system and efficiency of treatment of amblyopia of varying degree by means of special computer programs. Clinical researches were based on the analysis of results of 317 patients (410 eyes) with anisometropic (120 patients-120 eyes), disbinocular (127 patients-150 eyes) and refractive (70 patients-140 eyes) amblyopias of different degrees at the age from 5 to 17 with visual acuity from 0.05 up to 0.5 on the amblyopic eye, with the symptoms of functional disturbance: decrease in achromatic and color spatial contrast sensitivity in the domain of high and middle frequencies; decrease in contrast sensitivity of on-off channels of the retinal cone system; normal sensitivity to saturated colors; decrease in color sensitivity to unsaturated, red and green colors; dramatic changes in color (red and green) sensitivity in the paracentral zone (5 degrees -10 degrees ) of the retina and 20 healthy children-40 eyes. In addition to routine ophthalmologic methods we also used the special computer programs for diagnostics and adequate treatment of amblyopia: "ZEBRA"; "OFF-ON"; "eYe" ("Shooting-gallery", "Chase", "Crosses","Spiders"); "Contour"; "MEKO" ("KONSTR", "UFO", "SHOW"). Statistical analysis of results was performed with statistical method "ANOVA". Diagnostical computer methods enable quantitative estimation of the functional state of different channels of the visual system (based on the data of spatial contrast, light, color and contrast

  13. A limited role for suppression in the central field of individuals with strabismic amblyopia.

    Directory of Open Access Journals (Sweden)

    Brendan T Barrett

    Full Text Available BACKGROUND: Although their eyes are pointing in different directions, people with long-standing strabismic amblyopia typically do not experience double-vision or indeed any visual symptoms arising from their condition. It is generally believed that the phenomenon of suppression plays a major role in dealing with the consequences of amblyopia and strabismus, by preventing images from the weaker/deviating eye from reaching conscious awareness. Suppression is thus a highly sophisticated coping mechanism. Although suppression has been studied for over 100 years the literature is equivocal in relation to the extent of the retina that is suppressed, though the method used to investigate suppression is crucial to the outcome. There is growing evidence that some measurement methods lead to artefactual claims that suppression exists when it does not. METHODOLOGY/RESULTS: Here we present the results of an experiment conducted with a new method to examine the prevalence, depth and extent of suppression in ten individuals with strabismic amblyopia. Seven subjects (70% showed no evidence whatsoever for suppression and in the three individuals who did (30%, the depth and extent of suppression was small. CONCLUSIONS: Suppression may play a much smaller role in dealing with the negative consequences of strabismic amblyopia than previously thought. Whereas recent claims of this nature have been made only in those with micro-strabismus our results show extremely limited evidence for suppression across the central visual field in strabismic amblyopes more generally. Instead of suppressing the image from the weaker/deviating eye, we suggest the visual system of individuals with strabismic amblyopia may act to maximise the possibilities for binocular co-operation. This is consistent with recent evidence from strabismic and amblyopic individuals that their binocular mechanisms are intact, and that, just as in visual normals, performance with two eyes is better than

  14. Combination of blood oxygen level–dependent functional magnetic resonance imaging and visual evoked potential recordings for abnormal visual cortex in two types of amblyopia

    OpenAIRE

    Wang, Xinmei; Cui, Dongmei; Zheng, Ling; Yang, Xiao; Yang, Hui; Zeng, Junwen

    2012-01-01

    Purpose To elucidate the different neuromechanisms of subjects with strabismic and anisometropic amblyopia compared with normal vision subjects using blood oxygen level–dependent functional magnetic resonance imaging (BOLD-fMRI) and pattern-reversal visual evoked potential (PR-VEP). Methods Fifty-three subjects, age range seven to 12 years, diagnosed with strabismic amblyopia (17 cases), anisometropic amblyopia (20 cases), and normal vision (16 cases), were examined using the BOLD-fMRI and PR...

  15. Clinicians’ perspectives of health related quality of life (HRQoL) implications of amblyopia: a qualitative study

    Science.gov (United States)

    2011-01-01

    Aims or Purpose The health related quality of life (HRQoL) implications of amblyopia and/or its treatment have been reported. However the clinician’s perspective has not previously been explored. The purpose of this study was to explore the HRQoL implications of amblyopia and/or its treatment from a clinicians’ perspective. Methods Three focus group sessions were conducted with practising orthoptists. Thematic content analysis was undertaken, to identify HRQoL themes associated with amblyopia and/or its treatment. Results Nine HRQoL themes associated with amblyopia and/or its treatment were identified. These included adult quality of life issues; hospital appointments; appearance; glasses-wear; patching treatment; atropine treatment; limited activities; relationships within the family; and treatment compliance. Conclusions The HRQoL implications of amblyopia and/or its treatment was similar to those identified in the literature. Participants acknowledged a change in societal attitudes towards glasses and patching; with glasses becoming more socially acceptable. Further research is needed to explore the exact impact of amblyopia and/or its treatment from both the child and the parental perspective. PMID:22022338

  16. Video Game Use in the Treatment of Amblyopia: Weighing the Risks of Addiction.

    Science.gov (United States)

    Xu, Chaoying S; Chen, Jessica S; Adelman, Ron A

    2015-09-01

    Video games have surged in popularity due to their entertainment factor and, with recent innovation, their use in health care. This review explores the dual facets of video games in treating vision impairment in amblyopia as well as their potential for overuse and addiction. Specifically, this review examines video game addiction from a biopsychosocial perspective and relates the addictive qualities of video games with their use as a therapeutic treatment for amblyopia. Current literature supports both the identification of video game addiction as a disease, as well as the therapeutic potential of video games in clinical trials. We show the need for clinicians to be aware of the dangers associated with video game overuse and the need for future studies to examine the risks associated with their health care benefits. PMID:26339215

  17. The challenges of developing a contrast-based video game for treatment of amblyopia

    OpenAIRE

    Hussain, Zahra; Astle, Andrew T.; Webb, Ben S.; Paul V. McGraw

    2014-01-01

    Perceptual learning of visual tasks is emerging as a promising treatment for amblyopia, a developmental disorder of vision characterized by poor monocular visual acuity. The tasks tested thus far span the gamut from basic psychophysical discriminations to visually complex video games. One end of the spectrum offers precise control over stimulus parameters, whilst the other delivers the benefits of motivation and reward that sustain practice over long periods. Here, we combined the advantages ...

  18. A computer-based anaglyphic system for the treatment of amblyopia

    Directory of Open Access Journals (Sweden)

    Rastegarpour A

    2011-09-01

    Full Text Available Ali Rastegarpour Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Purpose: Virtual reality (VR-based treatment has been introduced as a potential option for amblyopia management, presumably without involving the problems of occlusion and penalization, including variable and unsatisfactory outcomes, long duration of treatment, poor compliance, psychological impact, and complications. However, VR-based treatment is costly and not accessible for most children. This paper introduces a method that encompasses the advantages of VR-based treatment at a lower cost. Methods: The presented system consists of a pair of glasses with two color filters and software for use on a personal computer. The software is designed such that some active graphic components can only be seen by the amblyopic eye and are filtered out for the other eye. Some components would be seen by both to encourage fusion. The result is that the patient must use both eyes, and specifically the amblyopic eye, to play the games. Results: A prototype of the system, the ABG InSight, was found capable of successfully filtering out elements of a certain color and therefore, could prove to be a viable alternative to VR-based treatment for amblyopia. Conclusion: The anaglyphic system maintains most of the advantages of VR-based systems, but is less costly and highly accessible. It fulfills the means that VR-based systems are designed to achieve, and warrants further investigation. Keywords: amblyopia, computer-based, open source, virtual reality, color filters, 3-D

  19. Restoration of underdeveloped cortical functions: evidence from treatment of adult amblyopia.

    Science.gov (United States)

    Polat, Uri

    2008-01-01

    Amblyopia is a reduction of visual functions that cannot be attributed directly to the effect of any structural abnormality of the eye or the posterior visual pathway. It is caused by abnormal binocular visual experience early in life, during the 'critical period' that prevents normal development of the visual system. It is widely accepted that therapy can only be effective during the critical period, and that it is not administered after the first decade of life. Here we provide an overview describing a recent finding of visual abnormalities in amblyopia and propose a treatment that we developed based on this finding. Both previous and new results that are presented here clearly show the success of the structured method, targeted at the specific deficiencies in amblyopia, to improve vision in children and adults. Our results suggest that the training was successful in rejuvenating the visual system and in restoring lost development from the sensory obstacle period. It is possible that the perceptual learning method used here can be applied to other sensory and non-sensory brain modules suffering from developmental problems. PMID:18997316

  20. Video-game play induces plasticity in the visual system of adults with amblyopia.

    Directory of Open Access Journals (Sweden)

    Roger W Li

    2011-08-01

    Full Text Available UNLABELLED: Abnormal visual experience during a sensitive period of development disrupts neuronal circuitry in the visual cortex and results in abnormal spatial vision or amblyopia. Here we examined whether playing video games can induce plasticity in the visual system of adults with amblyopia. Specifically 20 adults with amblyopia (age 15-61 y; visual acuity: 20/25-20/480, with no manifest ocular disease or nystagmus were recruited and allocated into three intervention groups: action videogame group (n = 10, non-action videogame group (n = 3, and crossover control group (n = 7. Our experiments show that playing video games (both action and non-action games for a short period of time (40-80 h, 2 h/d using the amblyopic eye results in a substantial improvement in a wide range of fundamental visual functions, from low-level to high-level, including visual acuity (33%, positional acuity (16%, spatial attention (37%, and stereopsis (54%. Using a cross-over experimental design (first 20 h: occlusion therapy, and the next 40 h: videogame therapy, we can conclude that the improvement cannot be explained simply by eye patching alone. We quantified the limits and the time course of visual plasticity induced by video-game experience. The recovery in visual acuity that we observed is at least 5-fold faster than would be expected from occlusion therapy in childhood amblyopia. We used positional noise and modelling to reveal the neural mechanisms underlying the visual improvements in terms of decreased spatial distortion (7% and increased processing efficiency (33%. Our study had several limitations: small sample size, lack of randomization, and differences in numbers between groups. A large-scale randomized clinical study is needed to confirm the therapeutic value of video-game treatment in clinical situations. Nonetheless, taken as a pilot study, this work suggests that video-game play may provide important principles for treating amblyopia

  1. Combination of blood oxygen level–dependent functional magnetic resonance imaging and visual evoked potential recordings for abnormal visual cortex in two types of amblyopia

    Science.gov (United States)

    Wang, Xinmei; Cui, Dongmei; Zheng, Ling; Yang, Xiao; Yang, Hui

    2012-01-01

    Purpose To elucidate the different neuromechanisms of subjects with strabismic and anisometropic amblyopia compared with normal vision subjects using blood oxygen level–dependent functional magnetic resonance imaging (BOLD-fMRI) and pattern-reversal visual evoked potential (PR-VEP). Methods Fifty-three subjects, age range seven to 12 years, diagnosed with strabismic amblyopia (17 cases), anisometropic amblyopia (20 cases), and normal vision (16 cases), were examined using the BOLD-fMRI and PR-VEP of UTAS-E3000 techniques. Cortical activation by binocular viewing of reversal checkerboard patterns was examined in terms of the calcarine region of interest (ROI)-based and spatial frequency–dependent analysis. The correlation of cortical activation in fMRI and the P100 amplitude in VEP were analyzed using the SPSS 12.0 software package. Results In the BOLD-fMRI procedure, reduced areas and decreased activation levels were found in Brodmann area (BA) 17 and other extrastriate areas in subjects with amblyopia compared with the normal vision group. In general, the reduced areas mainly resided in the striate visual cortex in subjects with anisometropic amblyopia. In subjects with strabismic amblyopia, a more significant cortical impairment was found in bilateral BA 18 and BA 19 than that in subjects with anisometropic amblyopia. The activation by high-spatial-frequency stimuli was reduced in bilateral BA 18 and 19 as well as BA 17 in subjects with anisometropic amblyopia, whereas the activation was mainly reduced in BA 18 and BA 19 in subjects with strabismic amblyopia. These findings were further confirmed by the ROI-based analysis of BA 17. During spatial frequency–dependent VEP detection, subjects with anisometropic amblyopia had reduced sensitivity for high spatial frequency compared to subjects with strabismic amblyopia. The cortical activation in fMRI with the calcarine ROI-based analysis of BA 17 was significantly correlated with the P100 amplitude in VEP

  2. Clinicians' perspectives of health related quality of life (HRQoL) implications of amblyopia: a qualitative study

    OpenAIRE

    Carlton, J.

    2010-01-01

    Aims or Purpose: The health related quality of life (HRQoL) implications of amblyopia and/or its treatment have been reported. However the clinician’s perspective has not previously been explored. The purpose of this study was to explore the HRQoL implications of amblyopia and/or its treatment from a clinician’s perspective. Methods: Three focus group sessions were conducted with practising orthoptists. The transcripts were analysed using “Framework” analysis to identify HRQoL ...

  3. Prediction of amblyopia and squint by means of refraction at age 1 year.

    OpenAIRE

    Ingram, R M; Walker, C; Wilson, J M; Arnold, P E; Dally, S

    1986-01-01

    In this series amblyopia, uncorrectable by spectacles and occlusion, was highly likely (48%) if a child had +3.50 or more dioptres of meridional hypermetropia at age 1 year. 45% of children with this refraction also had a squint. All those who remained with severely defective acuity in spite of treatment had either +3.50 or more dioptres of meridional hypermetropia or 4 or more dioptres of meridional myopia at age 1 year. These children were identifiable in the 3.7% of the population at age 1...

  4. Predictors and a remedy for noncompliance with amblyopia therapy in children measured with the occlusion dose monitor

    NARCIS (Netherlands)

    S.E. Loudon (Sjoukje); M. Fronius; C.W.N. Looman (Caspar); M. Awan (Musarat); B. Simonsz-Tóth (Brigitte); P.J. van der Maas (Paul)

    2006-01-01

    textabstractPURPOSE. Noncompliance is one of the limiting factors in the success of occlusion therapy for amblyopia. Electronic monitoring was used to investigate predictors of noncompliance, and, in a prospective randomized clinical trial, determined the effectiveness of an educational program. MET

  5. Improving visual functions in adult amblyopia with combined perceptual training and transcranial random noise stimulation (tRNS

    Directory of Open Access Journals (Sweden)

    Gianluca eCampana

    2014-12-01

    Full Text Available Amblyopia is a visual disorder due to an abnormal pattern of functional connectivity of the visual cortex and characterized by several visual deficits of spatial vision including impairments of visual acuity (VA and of the contrast sensitivity function (CSF. Despite being a developmental disorder caused by reduced visual stimulation during early life (critical period, several studies have shown that extensive visual perceptual training can improve VA and CSF in people with amblyopia even in adulthood. With the present study we assessed whether a much shorter perceptual training regime, in association with high-frequency transcranial electrical stimulation (hf-tRNS, was able to improve visual functions in a group of adult participants with amblyopia. Results show that, in comparison with previous studies where a large number sessions with a similar training regime were used (Polat, Ma-Naim, Belkin & Sagi, 2004, here just eight sessions of training in contrast detection under lateral masking conditions combined with hf-tRNS, were able to substantially improve VA and CSF in adults with amblyopia.

  6. The challenges of developing a contrast-based video game for treatment of amblyopia

    Directory of Open Access Journals (Sweden)

    Zahra eHussain

    2014-11-01

    Full Text Available Perceptual learning of visual tasks is emerging as a promising treatment for amblyopia, a developmental disorder of vision characterized by poor monocular visual acuity. The tasks tested thus far span the gamut from basic psychophysical discriminations to visually complex video games. One end of the spectrum offers precise control over stimulus parameters, whilst the other delivers the benefits of motivation and reward that sustain practice over long periods. Here, we combined the advantages of both approaches by developing a video game that trains contrast sensitivity, which in psychophysical experiments, is associated with significant improvements in visual acuity in amblyopia. Target contrast was varied adaptively in the game to derive a contrast threshold for each session. We tested the game on twenty amblyopic subjects (ten children and ten adults, who played at home using their amblyopic eye for an average of 37 sessions (approximately 11 hours. Contrast thresholds from the game improved reliably for adults but not for children. However, LogMAR acuity improved for both groups (mean: 1.3 lines; range: 0-3.6 lines. We present the rationale leading to the development of the game and describe the challenges of incorporating psychophysical methods into game-like settings.

  7. The challenges of developing a contrast-based video game for treatment of amblyopia.

    Science.gov (United States)

    Hussain, Zahra; Astle, Andrew T; Webb, Ben S; McGraw, Paul V

    2014-01-01

    Perceptual learning of visual tasks is emerging as a promising treatment for amblyopia, a developmental disorder of vision characterized by poor monocular visual acuity. The tasks tested thus far span the gamut from basic psychophysical discriminations to visually complex video games. One end of the spectrum offers precise control over stimulus parameters, whilst the other delivers the benefits of motivation and reward that sustain practice over long periods. Here, we combined the advantages of both approaches by developing a video game that trains contrast sensitivity, which in psychophysical experiments, is associated with significant improvements in visual acuity in amblyopia. Target contrast was varied adaptively in the game to derive a contrast threshold for each session. We tested the game on 20 amblyopic subjects (10 children and 10 adults), who played at home using their amblyopic eye for an average of 37 sessions (approximately 11 h). Contrast thresholds from the game improved reliably for adults but not for children. However, logMAR acuity improved for both groups (mean = 1.3 lines; range = 0-3.6 lines). We present the rationale leading to the development of the game and describe the challenges of incorporating psychophysical methods into game-like settings. PMID:25404922

  8. MRI study on the cortical thickness of occipital lobe in children with ametropic amblyopia

    International Nuclear Information System (INIS)

    Objective: To study cortical thickness of the occipital lobe in children with ametropic amblyopia by using MRI technique and the FreeSurfer software. Methods: Nine children with ametropic amblyopia were included in the amblyopic group and 8 normal children were included in the control group. All the children underwent brain MRI on the Siemens Avanto 1.5 T scanner. For the cortical thickness analysis, 3-demensional MPRAGE images were collected and analyzed with FreeSurfer software package. Cortical thickness of related regions in the occipital lobe (including the cuneus, later occipital, lingual, and pericalcarine gyri) were recorded and compared. Results: The cortical thickness of the lingual, pericalcarine gyri on the left hemisphere and the cuneus, lateraloccipital, lingual gyri on the right hemisphere in amblyopic group were lower than the control group (P<0.05). Conclusion: Morphological changes existed in the occipital lobe in ametropic amblyopic children. The analysis technique with the FreeSurfer package has a potential value in the clinical application. (authors)

  9. Improving visual functions in adult amblyopia with combined perceptual training and transcranial random noise stimulation (tRNS): a pilot study

    OpenAIRE

    Campana, Gianluca; Camilleri, Rebecca; Pavan, Andrea; Veronese, Antonella; Lo Giudice, Giuseppe

    2014-01-01

    Amblyopia is a visual disorder due to an abnormal pattern of functional connectivity of the visual cortex and characterized by several visual deficits of spatial vision including impairments of visual acuity (VA) and of the contrast sensitivity function (CSF). Despite being a developmental disorder caused by reduced visual stimulation during early life (critical period), several studies have shown that extensive visual perceptual training can improve VA and CSF in people with amblyopia even i...

  10. Interactive stereo games to improve vision in children with amblyopia using dichoptic stimulation

    Science.gov (United States)

    Herbison, Nicola; Ash, Isabel M.; MacKeith, Daisy; Vivian, Anthony; Purdy, Jonathan H.; Fakis, Apostolos; Cobb, Sue V.; Hepburn, Trish; Eastgate, Richard M.; Gregson, Richard M.; Foss, Alexander J. E.

    2015-03-01

    Amblyopia is a common condition affecting 2% of all children and traditional treatment consists of either wearing a patch or penalisation. We have developed a treatment using stereo technology, not to provide a 3D image but to allow dichoptic stimulation. This involves presenting an image with the same background to both eyes but with features of interest removed from the image presented to the normal eye with the aim to preferentially stimulated visual development in the amblyopic, or lazy, eye. Our system, called I-BiT can use either a game or a video (DVD) source as input. Pilot studies show that this treatment is effective with short treatment times and has proceeded to randomised controlled clinical trial. The early indications are that the treatment has a high degree of acceptability and corresponding good compliance.

  11. Assessment of cortical dysfunction in human strabismic amblyopia using magnetoencephalography (MEG)

    International Nuclear Information System (INIS)

    The aim of this study was to use the technique of magnetoencephalography (MEG) to determine the effects of strabismic amblyopia on the processing of spatial information within the occipital cortex of humans. We recorded evoked magnetic responses to the onset of a chromatic (red/green) sinusoidal grating of periodicity 0.5-4.0 c deg-1 using a 19-channel SQUID-based neuromagnetometer. Evoked responses were recorded monocularly on six amblyopes and six normally-sighted controls, the stimuli being positioned near the fovea in the lower right visual field of each observer. For comparison, the spatial contrast sensitivity function (CSF) for the detection of chromatic gratings was measured for one amblyope and one control using a two alternate forced-choice psychophysical procedure. We chose red/green sinusoids as our stimuli because they evoke strong magnetic responses from the occipital cortex in adult humans (Fylan, Holliday, Singh, Anderson and Harding. (1997). Neuroimage, 6, 47-57). Magnetic field strength was plotted as a function of stimulus spatial frequency for each eye of each subject. Interocular differences were only evident within the amblyopic group: for stimuli of 1-2 c deg-1, the evoked responses had significantly longer latencies and reduced amplitudes through the amblyopic eye (P<0.05). Importantly, the extent of the deficit was uncorrelated with either Snellen acuity or contrast sensitivity. Localization of the evoked responses was performed using a single equivalent current dipole model. Source localizations, for both normal and amblyopic subjects, were consistent with neural activity at the occipital pole near the V1/V2 border. We conclude that MEG is sensitive to the deficit in cortical processing associated with human amblyopia, and can be used to make quantitative neurophysiological measurements. The nature of the cortical deficit is discussed. (Copyright (c) 1999 Elsevier Science B.V., Amsterdam. All rights reserved.)

  12. Prevalence of color vision deficiency and its correlation with amblyopia and refractive errors among primary school children

    OpenAIRE

    Zhale Rajavi; Hamideh Sabbaghi; Ahmad Shojaei Baghini; Mehdi Yaseri; Koroush Sheibani; Ghazal Norouzi

    2015-01-01

    Purpose: To determine the prevalence of color vision deficiency (CVD) and its correlation with amblyopia and refractive errors among primary school children. Methods: In this population-based cross-sectional study, 2160 children were selected from 36 primary schools; 60 students were from each school (10 students in each grade), with equal sex distribution. A complete eye examination including refraction using a photorefractometer, determination of visual acuity (VA) and color vision using a ...

  13. Predictors and a remedy for noncompliance with amblyopia therapy in children measured with the occlusion dose monitor

    OpenAIRE

    Loudon, Sjoukje; Fronius, M.; Looman, Caspar; Awan, Musarat; Simonsz-Tóth, Brigitte; van der Maas, Paul

    2006-01-01

    textabstractPURPOSE. Noncompliance is one of the limiting factors in the success of occlusion therapy for amblyopia. Electronic monitoring was used to investigate predictors of noncompliance, and, in a prospective randomized clinical trial, determined the effectiveness of an educational program. METHODS. Compliance was measured electronically during 1 week every 3 months in 310 newly diagnosed amblyopic children. The family's demographic parameters and the child's clinical parameters were ass...

  14. An optimized voxel-based morphometry study in the evaluation of brain structural abnormalities in anisometropic amblyopia patients

    International Nuclear Information System (INIS)

    Objective: To investigate possible neural mechanism of anisometropic amblyopia by analysing the whole brain volume changes both in grey matter and white matter using optimized voxel-based morphometry (VBM). Methods: Twelve anisometropic amblyopia patients and 12 age,gender and handedness matched healthy volunteers underwent 3-dimensional (3D) fast spoiled gradient echo (FSPGR) sequence scanning on 1.5 Tesla MR system. Raw data was processed and analyzed using statistical parametric mapping (SPM) 5. Results: Compared to healthy controls,the grey matter exhibiting significantly decreased volume in patients included right cuneus, bilateral occipital gyrus, right middle frontal gyrus, left middle temporal gyrus, right superior temporal gyrus, right precuneus,and middle part of right cingulate gyrus (clusters > 10). The grey matter showing increased volume in patients included right cerebellum,right parahippocampal gyrus, left precentral gyrus,and left superior frontal gyrus (clusters > 10). The white matter volume in bilateral optic radiation and internal capsule, especially right optic radiation, decreased significantly in patient group (clusters > 10 ). No white matter showed significantly increased volume in patient group. Conclusion: VBM can be used to investigate the changes of grey matter volume and white matter volume in the whole brain of anisometropic amblyopia children, it provides a method to illustrate the presumed neuro-mechanism from a morphologic point of view. (authors)

  15. Long-term efficacy of excimer laser in situ keratomileusis in the management of children with high anisometropic amblyopia

    Institute of Scientific and Technical Information of China (English)

    LIN Xiao-ming; YAN Xiao-he; WANG Zheng; YANG Bin; CHEN Qi-wen; SU Jin-ai; YE Xue-lian

    2009-01-01

    Background Children with anisometropic amblyopia are often noncompliant with traditional treatment including spectacules and contact lenses.This study was to evaluate the long-term efficacy of excimer laser in situ keratomileusis (LASIK) for children with high anisometropic amblyopia.Methods A retrospective analysis of 24 children with high unilateral anisometropic amblyopia,who underwent LASIK during the period between August 2000 and September 2005 in our hospital,was conducted.The mean age of these children was (7.4±1.9) years (range 5-14 years) and the mean follow-up period was (33.3±14.2) months (range 18.5-74.2 months).After LASIK,visual acuity,refraction and far or near stereoacuity were analyzed.Near stereoacuity was measured by the random-dot butterfly stereogram and the pre-school random-dot stereogram,while far stereoacuity was measured by the synoptophore with Yan's random-dot stereogram.Results Mean preoperative uncorrected visual acuity was 0.06±0.05,while mean postoperative uncorrected visual acuity was elevated to 0.43±0.33.Mean preoperative best-corrected visual acuity was 0.26±0.22,while mean postoperative best-corrected visual acuity was elevated to 0.67±0.40.For patients with myopic anisometropia,preoperative mean spherical equivalent refraction was (-8.01±2.70) D while postoperative value significantly reduced to (-1.32±2.47) D.For patients with hyperopic anisometropia,preoperative mean spherical equivalent refraction was (+7.35±1.55) D while postoperative value significantly reduced to (+3.30±0.86) D.These results demonstrated that there was statistical difference in these parameters between preoperative and postoperative tests.At the last follow-up,20 patients had near stereoacuity,and the mean near stereoacuities measured by the random-dot butterfly stereogram and the preschool random-dot stereogram were (149.00±152.93)" and (201.05±235.94)",respectively.In contrast,11 patients had far stereoacuity,and the mean far stereoacuity

  16. Perceptual learning for treating amblyopia in children based on activation of visual signal pathway Relationship of curative effects and time

    Institute of Scientific and Technical Information of China (English)

    Weimin Liu; Jiang Shen; Jianzhong Huang; Yan Luo; Hongting Liu

    2008-01-01

    BACKGROUND: Conventional methods (such as occlusion therapy, fine manipulation, complementary, and alternative medicine) take effects slowly, are time and labor consuming, and have uncertain curative effects in the treatment of amblyopia. Perceptual learning, a new method for treating amblyopia, improves the ability to process signals from the cerebral optic nerve system by specific visual stimulation and visual learning, as well as activation of the visual signal pathway utilizing brain nervous system plasticity.OBJECTIVE: This study investigated and evaluated the curative effects of perceptual learning, which can directionally increase brain plasticity, on the treatment of amblyopia in children. The relationship between curative effect and time was also analyzed.DESIGN: A self-control experiment. SETTING: Visual Science and Optometry Center, People's Hospital of Guangxi Zhuang Autonomous Region. PARTICIPANTS: A total of 125 amblyopic children (250 amblyopic eyes), 73 males, 52 females, averaging (6 ± 2) years of age, received treatment at the Visual Science and Optometry Center, People's Hospital of Guangxi Zhuang Autonomous Region between September 2006 and February 2007 and were recruited for this study. All children presented with no structural disease of the eyeballs. Written informed consent for therapeutic regiments was obtained from each child's parent. The protocol received approval from the Hospital's Ethics Committee. METHODS: Visual function was tested with a perceptual learning system (Research Center for Human Health and Development of Sun Yat-sen University, National Engineering Technique Research Center for Medical Care Implement) for visual noise, position noise, contour discrimination, contrast sensitivity, grating stereogram, and random-dot fusion. These tests helped to evaluate the efficiency of visual information processing of these children, and to determine the degree of defects of the optic nerve cells and the connections of visual

  17. Mechanism of Neurophysiological Treatment of Amblyopia Using Functional Magnetic Resonance Imaging

    Institute of Scientific and Technical Information of China (English)

    Guangming Lu; Zhiqiang Zhang; Ping Liang; Wenzhen Zhou; Lin Li

    2006-01-01

    Purpose: To research the mechanism of neurophysiological treatment of amblyopia by observing the visual cortex activation under rotating grating stimulus with functional magnetic resonance imaging (MRI), and identify the components of the activation.Methods: Nine healthy volunteers were examined using gradient-recalled echo and echo-planar imaging (GRE-EPI) pulse sequence performed at the 1.5 Tesla MRI scanner. In the block designing, rotating grating, stationary grating and luminance were plotted as task states, stationary grating, luminance and darkness as control states, respectively. The tasks of stimuli included 6 steps. Imaging processing and statistical analysis were carried out off-line using statistical parametric mapping (SPM99) software in single-subject.Results: Some individual areas of visual cortex were activated by various stimuli information supplied by rotating grating. The strong activation in the middle of occipital lobe related to the stimuli of luminance, bilateral activation of Brodmann's 19th area related to visual motion perception, and the mild activation in the middle of occipital lobe related to form perception.Conclusion: The plotting of control state is important in bock design. The effective visual information of rotating grating includes components of luminance, visual motion perception and form perception. Functional MRI has potential as a tool for studying the physiological mechanism of visual cortex.

  18. A comparison between amblyopic and fellow eyes in unilateral amblyopia using spectral-domain optical coherence tomography

    Directory of Open Access Journals (Sweden)

    Araki S

    2014-11-01

    Full Text Available Syunsuke Araki,1 Atsushi Miki,1,2 Tsutomu Yamashita,1,2 Katsutoshi Goto,1,2 Kazuko Haruishi,1 Yoshiaki Ieki,1 Junichi Kiryu1 1Department of Ophthalmology, Kawasaki Medical School, Kurashiki, Japan; 2Department of Sensory Science, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare, Kurashiki, Japan Purpose: To compare the macular retinal thickness and characteristics of optic nerve head (ONH parameters in amblyopic and fellow eyes in patients with unilateral amblyopia.Patients and methods: A total of 21 patients with unilateral amblyopia (14 patients with anisometropic amblyopia, four patients with strabismic amblyopia, and three patients with both were examined using spectral-domain optical coherence tomography. The mean age of the patients was 8.5±3.5 years. The examined parameters included the mean macular (full, inner, and outer, ganglion cell complex and circumpapillary retinal nerve fiber layer (cpRNFL thicknesses, and ONH parameters (rim volume, nerve head volume, cup volume, rim area, optic disc area, cup area, and cup-to-disc area ratio.Results: The amblyopic eyes were significantly more hyperopic than the fellow eyes (P<0.001. Among the macular retinal thickness parameters, the cpRNFL thickness (P<0.01, macular full retinal thickness (3 mm region (P<0.01, and macular outer retinal thickness (1 and 3 mm regions (P<0.05 were significantly thicker in the amblyopic eyes than in the fellow eyes, while the ganglion cell complex thickness, macular full retinal thickness (1 mm region, and macular inner retinal thickness (1 and 3 mm regions were not significantly different. Among the ONH parameters, the rim area was significantly larger and the cup-to-disc area ratio was smaller in the amblyopic eyes than in the fellow eyes (P<0.05. None of the other ONH parameters were significantly different between the investigated eyes. The differences in the cpRNFL thickness and macular outer retinal thickness in the 1 mm

  19. Evaluation of central, steady, maintained fixation grading for predicting inter-eye visual acuity difference to diagnose and treat amblyopia in strabismic patients

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    Kothari Mihir

    2009-01-01

    Full Text Available Background : Diagnosis of amblyopia in preverbal strabismic patients is frequently made by binocular fixation preference (BFP testing. The reports on reliability of BFP are equivocal. This study evaluated the reliability of BFP testing in patients with horizontal strabismus. Materials and Methods: This prospective observational study included patients with manifest, horizontal, comitant deviation> 10 prism diopter (PD. Inter-eye acuity difference (IEAD was calculated by converting Snellen visual acuity to logMAR and was compared with BFP testing. The fixation behavior of the non-preferred eye was evaluated by a single investigator as central or uncentral, steady or unsteady and maintained or unmaintained. Amblyopia was defined as the IEAD of> 0.2 logMAR. Results: Of total 61 patients 36 were females and 36 had convergent squint, mean age 9.8 years. The correlation of BFP testing with IEAD was good for esotropia and exotropia. The sensitivity, specificity, positive and negative predictive value of central, steady, maintained (CSM grading was 93%, 78%, 79%, and 93% respectively. Sensitivity and negative predictive values were higher in children aged four to nine years and anisometropia> 1 diopter. The correlation between IEAD and lower grades of BFP testing was poor. Conclusions: CSM grading for BFP testing is useful for the detection of strabismic amblyopia but not useful to differentiate the depth of the amblyopia.

  20. The Sensitivity, Specificity and Predictive Values of Snellen Chart Compared to the Diagnostic Test in Amblyopia Screening Program in Iran

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    Fatemeh Rivakani

    2015-12-01

    Full Text Available Introduction Amblyopia is a leading cause of visual impairment in both childhood and adult populations. Our aim in this study was to assess the epidemiological characteristics of the amblyopia screening program in Iran. Materials and Methods A cross-sectional study was done on a randomly selected sample of 4,636 Iranian children who were referred to screening program in 2013 were participated in validity study, too. From each provinces the major city were selected. Screening and diagnostic tests were done by instructors in first stage and optometrists in second stage, respectively. Finally data were analyzed by Stata version 13. Results The sensitivity was ranged from 74% to 100% among the various provinces such that Fars and Ardabil province had maximum and minimum values, respectively. The pattern of specificity was differ and ranged 44% to 84% among the provinces; Hormozgan and Fars had maximum and minimum values, respectively. The positive predictive value was also ranged from 35% to %81 which was assigned to Khuzestan and Ardabil provinces, respectively. The range of Negative Predictive value was 61% to 100% which was belonged to Ardabil and Fars provinces. Conclusion The total sensitivity (89% and negative predictive values (93% of screening test among children aged 3-6 years is acceptable, but only 51% of children refereed to second stage are true positive and this imposes considerable cost to health system.

  1. Binocular summation and other forms of non-dominant eye contribution in individuals with strabismic amblyopia during habitual viewing.

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    Brendan T Barrett

    Full Text Available BACKGROUND: Adults with amblyopia ('lazy eye', long-standing strabismus (ocular misalignment or both typically do not experience visual symptoms because the signal from weaker eye is given less weight than the signal from its fellow. Here we examine the contribution of the weaker eye of individuals with strabismus and amblyopia with both eyes open and with the deviating eye in its anomalous motor position. METHODOLOGY/RESULTS: The task consisted of a blue-on-yellow detection task along a horizontal line across the central 50 degrees of the visual field. We compare the results obtained in ten individuals with strabismic amblyopia with ten visual normals. At each field location in each participant, we examined how the sensitivity exhibited under binocular conditions compared with sensitivity from four predictions, (i a model of binocular summation, (ii the average of the monocular sensitivities, (iii dominant-eye sensitivity or (iv non-dominant-eye sensitivity. The proportion of field locations for which the binocular summation model provided the best description of binocular sensitivity was similar in normals (50.6% and amblyopes (48.2%. Average monocular sensitivity matched binocular sensitivity in 14.1% of amblyopes' field locations compared to 8.8% of normals'. Dominant-eye sensitivity explained sensitivity at 27.1% of field locations in amblyopes but 21.2% in normals. Non-dominant-eye sensitivity explained sensitivity at 10.6% of field locations in amblyopes but 19.4% in normals. Binocular summation provided the best description of the sensitivity profile in 6/10 amblyopes compared to 7/10 of normals. In three amblyopes, dominant-eye sensitivity most closely reflected binocular sensitivity (compared to two normals and in the remaining amblyope, binocular sensitivity approximated to an average of the monocular sensitivities. CONCLUSIONS: Our results suggest a strong positive contribution in habitual viewing from the non-dominant eye in

  2. 影响弱视早期发现的相关因素调查%Investigation of Relative Factors Affecting the Early Discovery of Amblyopia

    Institute of Scientific and Technical Information of China (English)

    刘文舟; 陶虹; 黄洁成; 马成; 程杰

    2001-01-01

    Objective To investigate the relative factors affecting the earlier discovery of amblyopia in children. Method 220 cases of amblyopia children got through answer papers, and the results had been analyzed by SPSS software. Result On the total of 220 child patients, 14.5 per cent had been found less than 6 years old, many of cases been found above 6 years old, in them the age between 8 and 10 years old was the most; 61.4 per cent had less knowledge of eyesight health education, checkout or protection. In all of amblyopia cases, 14.5 per cent had been found by children themselves, 38.6 per cent by their parents or teachers and 66.5 per cent of parents and teachers had less knowledge of the disease. Conclusion The major reason which led children to amblyopia was that many parents or teachers had less knowledge about amblyopia and the checkout ways to find the disease.%目的 调查本地区影响儿童弱视早期发现的相关因素。方法 对220名弱视儿童的发病情况作走访问卷式调查,采用SPSS软件进行统计分析。结果 220名患者中,<6岁的只占14.5%,而大部分于6岁以后才被发现,而且以8~10岁最多,占27.7%;平时卫生用眼教育及视力检查和保护措施做得不好者占61.4%。调查220名患儿弱视的发现方式,由儿童自己表述发现者,所占比例14.5%,家长或教师无意中发现者最多,占38.6%,家长及教师对弱视的基本知识认识不足者占到66.8%。结论 多数家长及教师对儿童弱视的基本知识及常用的儿童视力的主客观检查方法了解不足,是导致儿童弱视不能早期发现的一个重要原因。

  3. 远视性弱视儿童的心理行为分析%Analysis of psychogenic behavior in children with hyperopic amblyopia

    Institute of Scientific and Technical Information of China (English)

    魏欣; 江灵莉; 肖满意; 李筠萍

    2011-01-01

    Objective To investigate psychogenic problems in children with hyperopic amblyopia, we compare the showing of psychological behavior in hyperopic amblyopia with emmetropia's of children. Methods 78 children definitely diagnosed as hyperopic amblyopia and 80 control normal children with uncorrected refraction error were collected. Their parents complete two psychological evaluated with the Achenbach Child Behavior Checklist (CBCL ) and the Conners Rating Scales (Parent Symptom Questionnaire, PSQ). Two groups had divided into four groups as gender. T-test was used to compare children with amblyopia and those without. Results This had adverse consequences for hyperopic amblyopia children's psychosocial well-being. Both girls and boys had the problems of school scales and social competence. While the girls had the problems of Impulsivity-hyperactivity, the boys had the problems of delinquent behavior aggressive behavior activities and psychosomatic disorder. Conclusions Given that amblyopia can affect children's psychosocial well-being, and the boys had more problems than the girls. Although abnormal psychogenic behavior exist in children of hyperopic amblyopia, the values of change have not reach the standard of mental illness. Health outcomes need to integrate both vision and psychosocial implications of treatment.%目的 通过比较远视性弱视儿童与正常同龄儿童的心理行为探讨弱视对儿童心理行为的影响,关注弱视儿童行为心理发育健康.方法 将门诊受试儿童分为2组:1.弱视组(78例)2.正常对照组(80例).采用Achenbach儿童行为量表家长用表和Conners父母症状问卷对同龄的远视性弱视和对照组儿童进行评定并进行比较分析.结果 Achenbach儿童行为量表显示:弱视组的男孩中,社交问题、违纪行为、攻击性行为、活动情况、学校情况、社会能力总分的评分显著高于对照组(P<0.05);女孩中,学校情况、社会能力总分的评分显著高

  4. Comparison of curative effects of visual perceptual learning and traditional treatment for the children under 8 years with astigmatism amblyopia with rule and astigmatism amblyopia against rule%8岁以下顺、逆规散光性弱视儿童视感知疗法与传统疗法疗效比较

    Institute of Scientific and Technical Information of China (English)

    孔旻; 刘伟民; 林泉; 赵武校

    2011-01-01

    目的:比较8岁以下患儿视感知学习疗法(perceptual learning)与传统疗法治疗顺、逆规散光性弱视的疗效.方法:将252例(504眼)8岁以下顺、逆规散光性弱视患儿,分别行视感知学习(154例,308眼)和传统疗法(98例,196眼)治疗,2年后对结果进行统计学分析.结果:8岁以下的顺、逆规散光性弱视患儿视感知学习疗法组的总有效率均高于传统疗法组,组间比较差异均有统计学意义(P<0.05).结论:8岁以下的顺、逆规散光性弱视患者在视感知学习疗法中的总有效率高于其在传统疗法的总有效率.%Objective: To compare the curative effects of visual perceptual learning and traditional treatment for the children under 8 years with astigmatism amblyopia with rule and astigmatism amblyopia against rule. Methods: 252 children (504 eyes) under 8 years with astigmatism amblyopia with rule and astigmatism amblyopia against rule were divided into visual perceptual learning group (154 children, 308 eyes) and traditional treatment group (98 children, 196 eyes), then the results were analyzed statistically after two years. Results; The total effective rate in visual perceptual learning group was significantly higher than that in traditional treatment group (P < 0. 05) . Conclusion;The total effective rate in the children under 8 years with astigmatism amblyopia with rule and astigmatism amblyopia against rule treated with visual perceptual learning is significantly higher than that treated with traditional treatment

  5. Nogo Receptor 1 Limits Ocular Dominance Plasticity but not Turnover of Axonal Boutons in a Model of Amblyopia.

    Science.gov (United States)

    Frantz, Michael G; Kast, Ryan J; Dorton, Hilary M; Chapman, Katherine S; McGee, Aaron W

    2016-05-01

    The formation and stability of dendritic spines on excitatory cortical neurons are correlated with adult visual plasticity, yet how the formation, loss, and stability of postsynaptic spines register with that of presynaptic axonal varicosities is unknown. Monocular deprivation has been demonstrated to increase the rate of formation of dendritic spines in visual cortex. However, we find that monocular deprivation does not alter the dynamics of intracortical axonal boutons in visual cortex of either adult wild-type (WT) mice or adult NgR1 mutant (ngr1-/-) mice that retain critical period visual plasticity. Restoring normal vision for a week following long-term monocular deprivation (LTMD), a model of amblyopia, partially restores ocular dominance (OD) in WT andngr1-/- mice but does not alter the formation or stability of axonal boutons. Both WT andngr1-/- mice displayed a rapid return of normal OD within 8 days after LTMD as measured with optical imaging of intrinsic signals. In contrast, single-unit recordings revealed thatngr1-/- exhibited greater recovery of OD by 8 days post-LTMD. Our findings support a model of structural plasticity in which changes in synaptic connectivity are largely postsynaptic. In contrast, axonal boutons appear to be stable during changes in cortical circuit function. PMID:25662716

  6. Effectiveness of the addition of citicoline to patching in the treatment of amblyopia around visual maturity: A randomized controlled trial

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    Prachee Vasant Pawar

    2014-01-01

    Full Text Available Aim: To study the effectiveness of the addition of citicoline to patching in the treatment of amblyopia in the age group of 4-13 years. Materials and Methods: A randomized controlled trial, which included patients who were randomly divided into two groups. Both the groups received patching therapy till plateau was achieved in phase 1 of the study. Then in phase 2, group I received citicoline plus patching and group II continued to receive only patching. Outcome Measures: Outcome was measured by the visual acuity in logMAR every month in phase 1 till plateau was achieved and then for 12 months in phase 2. Results: No significant difference was found in the mean visual acuities in these two groups in phase 1 till plateau was reached. In phase 2, for the initial four months, there was no significant difference in the visual acuities in these two groups, at the respective intervals. However, five months onward, up to 12 months, there was a significant difference in the visual acuities in these groups.The result was the same in younger patients ( seven years of age. In phase 2, the mean proportional improvement in group I was significantly more than that in group II, at two months and onward, at the respective intervals. Conclusion: The improvement in visual acuity with citicoline plus patching was significantly more than that with patching alone, in one year of treatment.

  7. 综合疗法治疗儿童弱视的远期疗效分析%Analysis of Long-term Efficacy of Comprehensive Therapy for the Treatment of Amblyopia in Chil-dren

    Institute of Scientific and Technical Information of China (English)

    李凤云; 谭星平

    2013-01-01

    [目的]探讨综合疗法治疗儿童弱视的远期疗效。[方法]对557例(967眼)儿童弱视进行屈光矫正,遮盖及行红闪(激光)、光刷、多光谱、视觉刺激、视觉定位、精细目力训练等综合治疗1~5年。[结果]治愈率79.42%,有效率96.59%,屈光不正性弱视疗效优于斜视性弱视和屈光参差性弱视,弱视程度越低、年龄越小、治疗时间越长效果越好。[结论]弱视治疗效果与弱视类型、弱视程度、治疗时间、治疗年龄有关,综合疗法可以提高治愈率。%[Objective] To explore the long-term efficacy of comprehensive therapy for the treatment of ambly-opia in children .[Methods] A total of 557 pediatric patents (967 eyes) with amblyopia received comprehensive therapy such as refraction correction ,cover ,red flash light(laser) ,light brush ,multi-spectrum ,visual stimula-tion ,visual positioning and fine eyesight training for 1~5 years .[Results]The therapeutic efficacy was satisfacto-ry .The curative rate was 79 .42% and effective rate was 96 .59% .The therapeutic efficacy of ametropic amblyopia was better than that of strabismus amblyopia and anisometropia amblyopia .The lower the degree of amblyopia , the smaller the age and the longer the treatment time ,the better the results .[Conclusion]The therapeutic efficacy of amblyopia is related with the type and degree of amblyopia ,treatment time and patients'age .Comprehensive therapy can improve the curative rate .

  8. Performance of Spot Photoscreener in Detecting Amblyopia Risk Factors in Chinese Pre-school and School Age Children Attending an Eye Clinic

    Science.gov (United States)

    Mu, Yajun; Bi, Hua; Ekure, Edgar; Ding, Gang; Wei, Nan; Hua, Ning; Qian, Xuehan; Li, Xiaorong

    2016-01-01

    Purpose To evaluate the effectiveness of Spot photoscreener in detecting amblyopia risk factors meeting 2013 the American Association of Pediatric Ophthalmology and Strabismus (AAPOS) criteria in Chinese preschool and school-age children. Methods One hundred and fifty-five children (310 eyes), aged between 4 to 7 years (5.74 ± 1.2 years) underwent complete ophthalmologic examination, photoscreening, and cycloplegic retinoscopy refraction. The agreement of the results obtained with the photoscreening and retinoscopy was evaluated by linear regression and Bland-Altman plots. The sensitivity and specificity of detecting amblyopia risk factors were calculated based on the AAPOS 2013 guidelines. The overall effectiveness of detecting amblyopia risk factors was analyzed with Receiver Operating Characteristic (ROC) curves. Result The mean refractive errors measured with the Spot were: spherical equivalent (SE) = 0.70 ± 1.99 D, J0 = 0.87 ± 1.01 D, J45 = 0.09 ± 0.60 D. The mean results from retinoscopy were: SE = 1.19 ± 2.22 D, J0 = 0.77 ± 1.00 D, J45 = -0.02 ± 0.45 D. There was a strong linear agreement between results obtained from those two methods (R2 = 0.88, P<0.01). Bland–Altman plot indicated a moderate agreement of cylinder values between the two methods. Based on the criteria specified by the AAPOS 2013 guidelines, the sensitivity and specificity (in respective order) for detecting hyperopia were 98.31% and 97.14%; for detecting myopia were 78.50% and 88.64%; for detecting astigmatism were 90.91% and 80.37%; for detecting anisometropia were 93.10% and 85.25%; and for detection of strabismus was 77.55% and 88.18%. Conclusion The refractive values measured from Spot photoscreener showed a moderate agreement with the results from cycloplegic retinoscopy refraction, however there was an overall myopic shift of -0.49D. The performance in detecting individual amblyopia risk factors was satisfactory, but could be further improved by optimizing criteria based on

  9. 新诊断标准下儿童弱视的远期疗效分析%Long term efficacy of comprehensive treatment for children with amblyopia in new standard of diagnosis

    Institute of Scientific and Technical Information of China (English)

    杨帆; 郑煜; 林世斌; 公为芬

    2015-01-01

    Objective In new standard of diagnosis, to investigate the long term efficacy of comprehensive treatment for amblyopia in children and the effect factors.Methods According to the expert consensus of amlbyopia diagnosis in 2011, totally 72 cases (116 eyes) were classified by the type of amblyopia, degree of amblyopia, and age, treated with correction of refractive error,occlusion therapy, family fine eyesight training and red light therapy, comprehensive therapeutic apparatus, and followed up 5 years.Results Follow up 5 year,the total effective rate is 90.5% , the total cure rate is 72.4%.Ametropic amblyopia ( 97.8%) was significantly higher than the anisometropic(57.1%), strabismic amblyopia(54.3%) in the cure rate.Mild amblyopia(98%) was significantly higher than the moderate(68.9%) and severe amblyopia(15%) in the cure rate.The younger treatment of amblyopia, the better efficacy.The 4 to 7-year-old group ( 88.2 %) was significantly higher than 8 to 14-year-old group(42.5 %) .Conclusions Amblyopia treatment efficacy is closely related to type of amblyopia, degree of amblyopia, age of starting treatment, the duration of treatment, and it may be influenced by the standard of the diagnosis.%目的:分析新的诊断标准下,综合疗法治疗弱视的远期疗效及相关因素的影响。方法以2011年弱视诊断专家共识,作为研究的入选标准,对72例(116眼)弱视儿童按年龄,弱视类型及程度分类,进行综合疗法治疗,随访5年,对比分析其疗效及其相关因素。结果在72例(116眼)弱视儿童中,5年综合治疗后,总有效率为90.5%,总痊愈率为72.4%。其中屈光不正性弱视的基本痊愈率为97.8%,与屈光参差性弱视(57.1%)和斜视性弱视(54.3%)组间差异有显著性(P<0.05)。轻度弱视的基本痊愈率为98%,与中度弱视(68.9%)和重度弱视(15%)相比,组间差异有显著性(P<0.05)。4~7

  10. 182例儿童弱视综合治疗临床观察%Clinical outcome of 182 cases of Amblyopia in Children after Combined Modality Therapy

    Institute of Scientific and Technical Information of China (English)

    林媚; 张至菲; 关翠柳

    2014-01-01

    Objective To observe the clinical outcome of amblyopia in children after 3 years of treatment.To compare effectiveness of treatment among different age groups,types and severity groups of amblyopia.Methods 182 cases(276 eyes) aging from 3 years old to 13 years old,male 95 cases(157 eyes),female 87 cases(119 eyes).All of the patients were given 1%Atropine sulfate eye ointment for mydriatic refractometry and proper correction of refractive errors.Every 6 to 12 months,all the patients underwent a mydriatic refractometry and were given proper combination of the following management including occlusion treatment,medication,optical penalization and photic stimulation.Patients were followed up from 18 months to 36 months(ave. 24 months) with eyesight check up every month.Results The overall therapeutic efficacy in this group of patients was as high as 90.22%,cure rate 57.61%,improvement rate 32.61%and no effect 9.78%.Among which,age 3 to 6 years old group had an overall therapeutic efficacy as high as 95.92%while the 7 to 13 years age group had one only at 76.25%(P<0.05);mild amblyopia group had a therapeutic efficacy of 98.79%,moderate amblyopia group had a therapeutic efficacy of 82.95%,both of which were much higher than the severe group with a therapeutic efficacy only at 56.52%(P<0.05);group amblyopias had a therapeutic efficacy of 94.76%while group anisometropic amblyopia’s therapeutic efficacy was 90.62%,both of which were higher than that of group strabismic amblyopia at 73.58%(P<0.05);central fixation group’s therapeutic efficacy was 99.45% which was much better than that of eccentric fixation 72.04%(P<0.05). Conclusion To achieve optimal outcome,early diagnosis,early interference with aggressive combined therapy is highly recommended to cure amblyopia in children.%目的:总结分析一组弱视儿童3年综合治疗随访结果,观察不同年龄、不同类型、不同程度弱视治疗的疗效。方法:182例(276眼)3~13

  11. Phakic anterior chamber intraocular lens (Verisyse™ implantation in children for treatment of severe ansiometropia myopia and amblyopia: Six-month pilot clincial trial and review of literature

    Directory of Open Access Journals (Sweden)

    Amir Pirouzian

    2009-06-01

    Full Text Available Amir Pirouzian1,3, Kenneth C Ip2, Henry S O’Halloran31The Permanente Medical Group, Santa Clara, CA, USA; 2The Permanente Medical Group, San Francisco, CA, USA; 3Rady’s Children’s Hospital of San Diego, San Diego, CA, USAPurpose: The current study aims to evaluate both safety and efficacy of Verisyse™ (AMO, Irvine, CA phakic anterior chamber intraocular lens (IOL in the reduction of clinically significant (>-8 D myopic anisometropia in children who are noncompliant to traditional medical treatment including spectacle correction or contact lenses.Design: Retrospective interventional case series.Methods: Six anisometropic myopic pediatric patients in one practice were identified through chart-review. None of the patients were compliant with specatacle correction or contact lens wear and as a result had dense amblyopia of less than 20/400 by Snellen or Allen visual acuity (mean <20/400. All patients underwent Verisyse™ phakic IOL implantation in the more myopic eye by one surgeon (AP. Pre- and post-operative visual acuity, anterior/posterior segment examination, stereoacuity, axial biometry measurements, cycloplegic refraction, and endothelial cell counts were performed in all patients whenever feasible.Results: The age of patients ranged from 5–11 years. The mean post-operative follow-up time was six months from the time of IOL insertion. Improvement in visual acuity >6 lines was achieved in four patients (mean visual acuity of 20/70 at six months. Improvement in stereoacuity was noted in all six patients (from total mean zero seconds-arc to six-months post-operative mean of 500 seconds-arc by randot stereoacuity testing. Improvement of >2 lines of visual acuity lines was achieved in the other two patients. No patient lost any lines of visual acuity. Enhanced physical activity, coordination, and improved social interaction were noted in patients and were reported by the parents. No intra/post-operative complications were noted

  12. Phakic anterior chamber intraocular lens (Verisyse™) implantation in children for treatment of severe ansiometropia myopia and amblyopia: Six-month pilot clincial trial and review of literature

    Science.gov (United States)

    Pirouzian, Amir; Ip, Kenneth C; O’Halloran, Henry S

    2009-01-01

    Purpose: The current study aims to evaluate both safety and efficacy of Verisyse™ (AMO, Irvine, CA) phakic anterior chamber intraocular lens (IOL) in the reduction of clinically significant (>−8 D) myopic anisometropia in children who are noncompliant to traditional medical treatment including spectacle correction or contact lenses. Design: Retrospective interventional case series. Methods: Six anisometropic myopic pediatric patients in one practice were identified through chart-review. None of the patients were compliant with specatacle correction or contact lens wear and as a result had dense amblyopia of less than 20/400 by Snellen or Allen visual acuity (mean 6 lines was achieved in four patients (mean visual acuity of 20/70 at six months). Improvement in stereoacuity was noted in all six patients (from total mean zero seconds-arc to six-months post-operative mean of 500 seconds-arc by randot stereoacuity testing). Improvement of >2 lines of visual acuity lines was achieved in the other two patients. No patient lost any lines of visual acuity. Enhanced physical activity, coordination, and improved social interaction were noted in patients and were reported by the parents. No intra/post-operative complications were noted. Discussion: Irreversible or intractable amblyopia secondary to severe anisometropic myopia is a serious medical concern in the pediatric population. Failure of compliance with contact lens therapy consistently leads to visual loss. Anterior chamber phakic IOLs may provide a safe alternative in treatment of noncompliant anisometropic myopic patients who do not accept spectacle wear or contact lens therapy. Conclusion: To reduce or eliminate highly significant anisometropic myopia in children who are noncompliant with traditional medical treatment, phakic anterior chamber IOL implantation may be considered as an alternative modality of treatment. PMID:19668592

  13. Amblyopia: Lazy Eye Symptoms

    Science.gov (United States)

    ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center ...

  14. Amblyopia: Lazy Eye Diagnosis

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  15. Amblyopia: Lazy Eye Treatment

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  16. Amblyopia (For Parents)

    Science.gov (United States)

    ... that fits securely over one lens. For parents, enforcing the use of an eye patch might seem ... KidsHealth About Nemours Contact Us Partners Editorial Policy Privacy Policy & Terms of Use Visit the Nemours Web ...

  17. An investigation on binocular summation response of visual evoked potential in children with hyperopia amblyopia%弱视儿童双眼总和视觉诱发电位变化的研究

    Institute of Scientific and Technical Information of China (English)

    于春红; 廖瑜俊; 杨洋; 邓燕; 彭小维; 鄢涛; 殷小龙

    2009-01-01

    Objective Conventional examination for vision function adopts subjective psychophysics methods.Pattern visual evoked potential (P-VEP) binocular summation response is a new objective way for the test of vision function.But its clinical value in evaluating vision function of amblyopia children is still in controversy.This study was to explore the binocular vision and the feature of P-VEP binocular summation in children with amblyopia and evaluate the significance of P-VEP binocular summation in binocular vision.MethodsThis is a case-controlled study.P-VEP binocular summation response and single ocular P-VEP response was respectively recorded in 151 hyperopia amblyopia children and 80 age- and gender-matched normal children.P-VEP response from children with hyperopia amblyopia was recorded under the corrected vision.The hyperopia amblyopia was diagnosed based on the standard of National Children Amblyopia and Strabismus Prevention and Treatment Working Group.The feature of P-VEP binocular summation was further analyzed and compared with monocular VEP response.Informed consent was obtained from each subject or custodian prior to the trail.ResultsNo significant difference was found in latency between P-VEP binocular summation response and monocular P-VEP response whether amblyopia children or normal children(P>0.05).Binocular response/monocular response value in amblyopia children was lower than that in normal children(P<0.05).Binocular response/monocular response value in mild or moderate amblyopia children was higher than that in severe amblyopia children(P<0.05).Binocular response/monocular response value was significantly reduced in the children with binocular vision than in the children without binocular vision (P<0.05).ConclusionP-VEP binocular vision,acting as an evaluation factor,could impartially reflect the function of binocular vision of amblyopia children.%目的 探讨弱视儿童双眼视功能及总和图形视觉诱发电位(P-VEP)反应的特

  18. P-VEP games aided combined treatment of amblyopia in children%P-VEP游戏辅助综合疗法治疗儿童弱视

    Institute of Scientific and Technical Information of China (English)

    尹峥; 李小影; 邝英桥; 李婷; 黄慕贞; 夏旭光

    2014-01-01

    AIM: To evaluate the efficacy of combined therapy for amblyopia in children by making use of pattern visual evoked potential ( P-VEP) game. METHODS: This was a prospective case control study. These asthenopic children were divided into two groups. The control group ( 66 eyes of 49 patients ): occlusive therapy with glasses, cover, precision work, red light treatment and so on, later the stereo vision training was added. The experimental group (72 eyes of 52 patients):conventional methods mentioned above with P - VEP games. RESULTS: The total effective rate and cure rate of experimental group in 6mo were higher than those of control group. The overall effective rate was 94. 4% in the experimental group and 83. 3% in the control group. There was a statistically significant difference between them (P CONCLUSION: The comprehensive therapy by making use of P-VEP game is an individualized effective new way in treating amblyopia.%目的:评价图形视觉诱发电位( pattern visual evoked potential,P-VEP )游戏辅助综合疗法治疗儿童弱视的疗效。  方法:采取前瞻性病例对照研究。设立试验组(个性化P-VEP电脑游戏辅助综合疗法)52例72眼和对照组(综合疗法组)49例66眼。对照组采用戴镜,遮盖+精细用目作业疗法,以及弱视红光治疗等生理刺激综合疗法,后期再加入立体视觉训练。试验组在综合治疗上辅助个性化P-VEP电脑游戏弱视训练。  结果:两组患儿治疗周期6 mo。试验组的疗效优于对照组,试验组中有效率达94.4%,对照组有效率为83.3%。差异有统计学意义。  结论:P-VEP电脑游戏辅助综合疗法是一种个性化的有效治疗儿童弱视的新方案。

  19. TREATMENT EXPERIENCE OF USING PHARMACOLOGICAL PENALIZATION OF WEARING CALLEIDIC CONTACT LENS FOR ANISOMETROPIC AMBLYOPIA IN 42 ELDER CHILDREN%42例临床疗效

    Institute of Scientific and Technical Information of China (English)

    郑志刚; 刘博; 廖慧芳

    2013-01-01

    Objective To observe the clinical efficacy of using pharmacological penalization of wearing calleidic contact lens for anisometropic amblyopia in elder children. Methods In this retrospective case-series study, 42 cases of anisometropic amblyopic children aged from 8 to 15 were treated with pharlogical penalization of wearing calleidic contact lens based on the treatment of refractive correction and refined eyesight examination. All the patients were followed up above two years. Results The basically cured rate was 50. 00% and the total effective rate was 85. 71%. The effective rate in mild, moderate and severe amblyopic was 100. 00% , 85. 71% , 25. 00% ( P < 0. 01) respectively, and the effective rate in children aged from 8 to 12 and aged from 13 to 15 were 91. 12% and 62. 50% ( P < 0.01) . Conclusion It is a feasible method that pharmacological penalization of wearing calleidic contact lens can be used based on the treatment of spectacle correction and refined eyesight examination for anisometropic amblyopia in elder children. The method is worthy of being studied further.%目的 观察采用医用美容片压抑治疗大龄儿童屈光参差性弱视的临床疗效.方法 回顾性分析在屈光矫正、精细作业治疗基础上配戴医用美容片进行压抑治疗8~15岁大龄儿童屈光参差性弱视42例,随访2年以上.结果 基本治愈率50.00%,总有效率85.71%,轻、中、重度弱视有效率分别为100.00%、85.71%、25.00%(P<0.01 ),年龄8~12岁、13~15岁有效率分别为91.12%、62.50%(P<0.01).结论 在屈光矫正、精细作业治疗基础上配戴医用美容片压抑治疗大龄儿童屈光参差性弱视,方法可行,值得临床再进一步研究.

  20. Stereoacuity and Amblyopia and Strabismus of Children in China%中国儿童的弱视、斜视与立体视锐度

    Institute of Scientific and Technical Information of China (English)

    张龙禄

    2000-01-01

    Objective: This study is to discover a developing status of stereoacuity of normal Chinese pre-school children and the relationship between stereoacuity and sex (part l), and to observe the impairment of stereopsis of patients with amblyopia and strabismus in detail (part 2). Methods: In part 1, the random sampling were used. The stereoacuity of 473 normal children(232 boys and 241 girls)were studied. The subjects were tested with five screening items. In part 2, 122 consecutive patients with confirmed diagnosis of amblyopia and strabismus seen in a ophthalmology clinic were enrolled. The general routine eye examination wereperformed. The Chinese Random-dot Stereograms were used in the study. Results: In part1 465 children (98.3%)passed the 120″level and 402(85.0%)passed the 60″tlevet. There wasno noticeable difference in the stereoacuity between the male and female pre-school children(p0.05). It is observed that_theimpairment of stereopsis due to concomitant esotropia is more severe than that due toconcomitant exotropia(p<0.01).Conclusion: The developing status of stereoaeuity of normalChinese pre-school children are good. The impairment of stereopsis of patients with amblyopiaand strabismus are severe.%目的:为中国正常学龄前儿童立体视功能发育提供重要的基本数据,并了解立体视与性别的关系;揭示弱视与斜视患者立体视损害的规律.方法:随机抽样测定473名(男232人,女241人)4~6岁正常儿童的立体视锐度.同时无选择地测定122例弱视与斜视门诊患者的立体视.结果:473名儿童中,465人(98.3%)通过120",402人(85%)通过60″,且无性别差异.122例患者中100人(82%)为立体视盲,弱视愈深,立体视愈差,其立体视损害与注视性质及斜视的发生有关(P<0.05),单、双眼弱视间无显著性差异(P>0.05),共同性内斜视患者的立体视损害较共同性外斜视者更重(P<0.01).结论:我国正常

  1. The comparision of clinical effect for two different combined therapy in myopic amblyopia%近视弱视两种综合治疗方法疗效对比分析

    Institute of Scientific and Technical Information of China (English)

    黄玲华; 任兵; 刘秀琴; 曹小鹏; 李明; 张燕

    2012-01-01

    Objective To compare the clinical effect of two different combined therapy which minimal occlusion + Haidinger brush + flicker red light +training at near activity and occlusion + flicker red light + training at near activity in treating children's myopic amblyopia. Methods 92 children (172eyes) with myopic amblyopia were treated, 46 children (87eyes) in Group A aged 4~10y (5.65±1.57y) were treated with minimal occlusion + Haidinger brush + flicker red light + training at near activity and 46 children (85eyes) in Group B aged 3~9y (5.57±1.36y) were treated with occlusion + flicker red light + training at near activity. The patients with mild myopic, moderate myopic and high myopic were 23,45 and 19eyes in group A and 25,43 and 17 eyes in group B (χ2=0.2l7 ,P>0.05), The patients with low amblyopia, medium amblyopia and severe amblyopia were 20,35 and 32eyes in group A and 18,36 and 31 eyes in group B (χ2=0.H2,P>0.05). All patients were followed up 24 months, To compare and analysis the clinical effect of the two different combined therapy. Results The recovery rate, effective rate and inefficacy rate was 57.47%, 27.59% and 14.94%, respectively in Group A. And 38.82%, 40.00% and 21.18%, respectively in Group B ( χ2 = 5.99,P<0.05). Conclusions there are a better effect for the combined therapy of minimal occlusion + Haidinger brush + flicker red light + training at near activity in treating myopic amblyopia children and the combined therapy can be regarded as one of the appropriate treatment for myopic amblyopia.%目的 对比分析短小遮盖+海丁格刷+闪烁红光+近距离功能训练和完全遮盖+闪烁红光+近距离功能训练两种综合治疗方法在近视性弱视治疗中的疗效.方法 选择近视性弱视患儿甲、乙两组共92例172只眼,甲组46例87只眼,年龄4~10岁(5.65±1.57岁),乙组46例85只眼,年龄4~9岁(5.57±1.36岁),其中甲组轻度、中度、高度近视眼分别为23只眼、45只眼、19只眼;乙组为25

  2. 口服叶黄素治疗低龄单眼弱视儿童的疗效观察%The effect of oral lutein treatment in young children with unilateral amblyopia

    Institute of Scientific and Technical Information of China (English)

    张大卫

    2016-01-01

    目的:观察综合治疗联合口服叶黄素对轻、中度单眼弱视低龄儿童的临床疗效。方法将轻、中度单眼弱视患儿随机分为两组。实验组除进行综合治疗外,同时口服叶黄素;对照组只进行配戴眼镜、健眼单眼遮盖及弱视眼精细目力训练的综合治疗。结果治疗后1个月,实验组视力提高的有效率为36.36%,高于对照组的30.43%,但差异无显著性(χ2=0.178,=0.673)。治疗后6个月视力变化比较,实验组有效率81.82%,高于对照组的64.95%,但差异无显著性(χ2=1.585,=0.208)。结论综合治疗联合口服叶黄素对轻、中度单眼弱视低龄儿童更为有效。%Objective To observe the effect of complex treatment combined with oral lutein in young children with mild and moderate unilateral amblyopia. Methods Young children with unilateral amblyopia were divided into two groups randomly, complex treatment combined with oral lutein in experimental group and complex treatment in control group which included wearing glasses, healthy eye cover and fine eyesight training for amblyopic eye. Results Effective rate of VA(visual acuity)improvement in the experimental group was 36.36%, higher than 30.43%of the control group after one month treat-ment, but there was no significant difference (χ2=0.178, =0.673).After six months treatment, VA improvement rate in the experimental group was 81.82%, higher than 64.95%of the control group, but there was no significant difference (χ2=1.585,=0.208). Conclusions Complex treatment combined with oral lutein was more effetive than complex treatment in young children with mild and moderateunilateral amblyopia.

  3. Avaliação da espessura da camada de fibras nervosas da retina e mácula em pacientes com ambliopia Thickness of the retinal nerve fiber layer, macular thickness, in patients with amblyopia

    Directory of Open Access Journals (Sweden)

    Juliana Mitre

    2010-02-01

    Full Text Available OBJETIVO: Avaliar a espessura da camada de fibras nervosas da retina em olhos amblíopes e comparar com olhos normais e certificar se há correlação com a redução da acuidade visual. Além disso, este estudo se propõe avaliar a eficácia e eficiência em uma série de casos do protótipo de um equipamento nacional de magnificação para leitura. MÉTODOS: Participaram deste estudo 30 pacientes na faixa etária entre 9 e 80 anos (17 do sexo masculino. Foi desenvolvido um aparelho portátil, patenteado pela Unifesp (PI#020050145260, com um sistema de captura de imagens acoplado a um monitor de 5,6 polegadas proporcionando um aumento de 15 x. Foram analisadas a eficácia da acuidade visual e a eficiência de leitura após a utilização do protótipo proposto. RESULTADOS: Seis pacientes (20% apresentaram AV 8M, 12 pacientes (40% apresentaram AV 6M, 7 pacientes (23,3% apresentaram 5 M, 5 pacientes (16,7% apresentaram 4M. A média de acuidade visual antes da utilização do SLP medida pela tabela LHNV-1 logMAR foi de 5,75M e após a utilização 100% dos pacientes atingiram a eficácia de AV J1. CONCLUSÃO: O protótipo do SLP mostrou-se um recurso alternativo no processo de inclusão social das pessoas com baixa visão com diferentes níveis de resíduo visual. Também pode proporcionar incentivo psicológico, permitir conforto, mobilidade e independência àqueles que necessitam de uma leitura mais prolongada e maior distância de trabalho.OBJECTIVE: To compare the thickness of the retinal nerve fiber layer (RNFLand the macular thickness of the amblyopic eye with those of the non-amblyopic eye in patients with unilateral amblyopia using optical coherence tomography (OCT. METHODS: OCT was performed for13 patients with unilateral amblyopia who had no neurologic disease. Nine male andfour female patients, whose ages ranged from 23 to 63 years, were enrolled in the study. The RNFL thickness average analysis program was used to evaluate mean

  4. Clinical efficacy of eye point massage in Chinese drug iontherapy for children amblyopia%眼部穴位按摩在中药离子导入治疗儿童弱视中的疗效观察

    Institute of Scientific and Technical Information of China (English)

    韦丽娇; 何碧华; 谢祥勇

    2013-01-01

    目的观察按摩眼部穴位在中药离子导入治疗儿童弱视中的作用及疗效。方法对纳入标准的弱视儿童120例(224眼),按就诊日期单双号分为对照组60例(110眼),观察组60例(114眼)。两组均用1%阿托品滴眼后验光配镜,并采用遮盖方法及精细作业治疗作为基础治疗。对照组采用补肝益肾、养血明目中药方眼部离子导入,每次导入15 min。观察组在中药眼部离子导入同时,予以眼部穴位按摩,10 min/次。两组均以3个月为1个疗程,治疗期间监测两组视力、起效时间及疗程长短。结果观察组总有效率为95.6%,对照组总有效率为91.8%,两者比较差异无统计学意义(P>0.05),但观察组起效时间快,疗程短于对照组。结论眼部穴位按摩配合基础治疗加中药眼部离子导入疗法,具有促进弱视眼视功能恢复的作用。%Objective To observe the efficacy of eye point massage in Chinese drug iontherapy for children amblyopia.Methods One hundred and twenty amblyopia patients (224 eyes) were randomly divided into control group with 60 patients(110 eyes) and observation group with 60 patients(114 eyes).Both of two groups were got their eyeglasses by mydriatic refractometry after 1% atropine, and treated with occlusion and penalization .At the same time,control group were iontophoresed Chinese drugs each time 15 min, observation group were massaged the eye point each massage time 10 min after iontophoresing Chinese drugs , observing for 2 courses and 3 months made up of a course.The eyesight, onset time and duration were compared between the two groups .Results The effective rate for observation group was 95.6%,the control group 91.8%,showing that was no significant difference (P>0.05) between the two groups.But the onset time and duration of observation group were better than that of control group . Conclusion Eye point massage has similar action with Chinese drug

  5. 弱激光联合阿托品疗法对屈光不正性弱视的疗效%Efficacy of low level laser combined with atropine in treatment of ametropic amblyopia

    Institute of Scientific and Technical Information of China (English)

    刘真; 陈玮; 刘玉岭; 赵梅

    2010-01-01

    Objective To observe the therapeutic effect of low level laser combined with atropine in treatment of ametropic amblyopia. Methods One hundred and twenty children (240 eyes with ametropic amblyopia) were grouped randomly, and the improvement of visual acuity and visual function between the two methods were compared. Results The differences in binocularvision improvement and stereopsis visual acuity of the two methods were significant(t=2.24,P<0.05).Conclusions Low level laser combined with atropine therapy seems to be superio to traditional treatment in binocularvision improvement and recovery.%目的 观察弱激光联合阿托品疗法对屈光不正性弱视的疗效.方法 120例(240只弱视眼)患儿随机分为治疗组(弱激光联合阿托品疗法)和对照组(传统治疗),比较两种方法对视力的提升效果及双眼视功能的改善情况.结果 弱激光联合阿托品疗法使弱视眼视力进步有效率及立体视锐度与对照组比较差异有统计学意义(t=2.24,P<0.05).结论 弱激光联合阿托品疗法更有利于患儿视力提升、双眼视力恢复.

  6. Changes of thickness of retinal nerve fiber layer and central fovea of macula in children with ametropic amblyopia%屈光不正性弱视儿童视网膜神经纤维层和黄斑中心凹厚度的变化

    Institute of Scientific and Technical Information of China (English)

    金守梅; 冯运红; 谢静; 郑小媚; 陈兆升; 许锦芳

    2015-01-01

    Objective To compare the thickness of retinal nerve fiber layer (RNFL) and central fovea of macula in children with ametropic amblyopia. Methods A total of 25 children (50 eyes) with ametropic amblyopia and 24 normal children (48 eyes) were enrolled. Thickness of RNFL and central fovea of macula of all subjects were measured by the Optical Coherence Tomography and compared and analyzed. Results The average thickness of the RNFL of the ametropic amblyopia group 121.32±8.06μm was significantly higher than that of the normal group 104.63±6.24μm, 0.05. The average thicknesses of the retinal nerve fiber layer had a negative correlation with the axis in normal eyes,=-0.42, 0.05,而正常组患者的视网膜神经纤维层平均厚度与眼轴呈明显相关,r=-0.42,P<0.05。结论屈光不正性弱视可影响患者的视网膜神经纤维层厚度。

  7. NEI You Tube Videos: Amblyopia

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  15. Visual cortical functional mediating stereopsis in children anisometropic amblyopia: evidence from fMRI%儿童屈光参差性弱视立体视觉中枢区激活的fMRI研究

    Institute of Scientific and Technical Information of China (English)

    杨磊; 燕振国; 马强华; 叶建军

    2012-01-01

    目的 利用血氧水平依赖性功能性磁共振成像(BOLD-fMRI)技术评价屈光参差性弱视儿童在规范弱视训练后,立体觉映射的脑皮层功能区的恢复情况.方法 自身前后对照研究.选择11例屈光参差性弱视初诊患儿,行任务态组块式(Blocks)设计的fMRI实验,在弱视治疗后1周、2周及4周时复查BOLD-fMRI.采用基于Matlab 7.12.0.635的SPM8软件包进行图像后处理,采用随机效应法分别获得各组脑皮层激活的矩阵数据,利用假设驱动法对各治疗阶段结果进行自身前后配对t 检验,获得治疗前后各组视皮层激活的差异数据.立体图像为计算机生成的随机点立体视觉检查图,通过配戴红蓝眼镜观察立体视图像,当识别立体视图像后迅速点按反馈键.结果 弱视训练至4周时,左侧枕叶(BA18)、枕中回(BA19)、边缘叶(BA19)及右侧枕叶舌回(BA17)和双侧顶上小叶(BA7)激活范围不同程度扩大,与治疗前的平均激活强度差异t值分别是1.636、1.902、1.727、1.350与1.777(P<0.01),但增进幅度偏小,且与随机点立体视图的恢复不平行.结论 儿童屈光参差性弱视对立体觉映射的脑皮层功能损害严重、短期恢复困难.%Objective The aim of this study was to evaluate the recovery about the visual cortex function of stereopsis in anisometropic amblyopia after regular amblyopia treatment with blood oxygenation level dependent functional MRI techniques (BOLD-fMRI).Methods In this study,selfcontrolled study before and after treatment was used,and blocks-designed fMRI was performed on 11 children with first amblyopic treatment,and review BOLD-fMRI inspection after regular amblyopia treatment 1 week,2 weeks and 1 month.Functional MRI data were processed by using SPM8 which based on the MATLAB7.12.0.635.Random effect group analysis was performed in each group to acquire average cerebral cortex activated functional images data.Through the hypothesis drive method

  16. Evaluating the parameters in OCT characteristics of the macula in adolescent with unilateral anisometropic amblyopia%青少年屈光参差性弱视黄斑区视网膜参数的OCT研究

    Institute of Scientific and Technical Information of China (English)

    张玮; 史春; 张靖华; 应坚; 蔡季平; 徐惠娣; 丁蕙

    2014-01-01

    AIM: To compare the retinal macular thickness and macular volume between amblyopic eyes and non -amblyopic eyes in adolescent with unilateral anisometropic amblyopia by optical coherence tomography ( OCT) . METHODS: Thirty -one juveniles with unilateral anisometropic amblyopia were selected.Macular retinal thickness and macular volume were measured by OCT with both eyes in all participants, and the differences between amblyopic eyes and non-amblyopic eyes were compared.Axial length ( AL ) was measured by A-ultrasound.The relationship between AL and the factors of macula was analyzed. RESULTS: The central sector region and the nasal inner region in amblyopic eyes were thicker than those in normal eyes ( P=0.0358, 0.0003 ), but there was no significant difference in any other region between amblyopic eyes and normal eyes ( P >0.05 ). No significant difference was found in macular volume between amblyopic eyes and normal eyes (P>0.05).The factors of the macula in both eyes were not significantly related to the AL. CONCLUSION: There exists some difference in structure of macula between amblyopic eyes and non-amblyopic eyes in adolescent with unilateral anisometropic amblyopia.%目的:通过光学相干断层扫描( optical coherence tomography ,OCT)检查比较屈光参差性单眼弱视青少年弱视眼与非弱视眼黄斑区视网膜厚度( macular retinal thickness ,MRT)、黄斑容积的差异,研究弱视眼视网膜黄斑参数的特征。  方法:选取屈光参差性单眼弱视青少年31例,利用OCT技术分别检测双眼黄斑视网膜厚度和容积,比较同一受检者弱视眼与非弱视眼的差异。并用A超测量眼轴长度,分析黄斑厚度、黄斑容积与眼轴的关系。  结果:弱视眼黄斑中心凹1 mm区域及鼻侧内圈厚度比正常眼厚( P=0.0358,0.0003),而黄斑部位其它分区厚度及黄斑总容积弱视眼和正常眼相比差异均无统计学意义(P>0.05)。

  17. 经MRI研究屈光不正性弱视患儿枕叶皮质厚度%MRI study on the cortical thickness of occipital lobe in children with ametropic amblyopia

    Institute of Scientific and Technical Information of China (English)

    杜寒剑; 王健; 黎川; 张久权; 陈利; 刘波

    2008-01-01

    Objective To study cortical thickness of the occipital lobe in children with ametropic amblyopia by using MRI technique and the FreeSurfer software.MethOds Nine children with ametropic amblyopia were included in the amblyopic group and 8 normal children were included in the control group.All the children underwent brain MRI on the Siemens Avanto 1.5 T scanner.For the cortical thickness analysis,3-demensional MPRAGE images were collected and analyzed with FreeSurfer software package.Cortical thickness of related regions in the occipital lobe (including the cuneus,later occipital,lingual,and pericalcarine gyri) were recorded and compared. Results The cortical thickness of the lingual,pericalcarine gyri on the left hemisphere and the cuneus,lateraloccipital,lingual gyri on the right hemisphere in amblyopic group were lower than the control group (P<0.05). Conclusion Morphological changes existed in the occipital lobe in ametropic amblyopic children.The analysis technique with the FreeSurfer package has a potential value in the clinical application.%目的 探讨屈光不正性弱视患儿枕叶皮质厚度改变.方法 以1.5 T MR仪对9例屈光不正性弱视患儿及8名视力正常儿童进行全脑扫描,应用三维磁化准备快速梯度回波(3D MPRAGE)序列扫描,采集3D解剖数据,采用FreeSurfer软件进行处理分析.观察指标为双侧半球枕叶4个部位即楔叶、舌回、枕外侧叶和距状沟周边区的皮质厚度.结果 屈光不正性弱视患儿双侧半球舌回、左侧距状沟周边区、右侧半球楔叶及枕外侧叶皮质厚度与对照组相比均明显变薄(P<0.05).结论 屈光不正性弱视儿童枕叶皮质存在形态学改变;通过对MR的3D解剖数据分析可以无创性衡量屈光不正性弱视患儿视觉相关枕叶皮质发育情况,具有潜在的临床应用价值.

  18. 氦氖激光联合综合疗法治疗儿童弱视的临床分析%Clinical Analysis of He-Ne Lasers Combined with Comprehensive Therapy in the Treatment of Amblyopia in Children

    Institute of Scientific and Technical Information of China (English)

    李萍

    2015-01-01

    Objective To analyze and research the clinical effect of he-Ne Lasers combined with comprehensive therapy in the treatment of amblyopia in children. Methods 106 cases of amblyopia children treated from September 2013 to October 2014 were selected and divided into two groups according to the treatment method, the control group (50 cases) received red light flashing method and fine eyesight training treatment, the observation group (56 cases) received He-Ne Lasers com-bined with comprehensive therapy and the method and effect of which were compared. Results In the observation group, the basic cure rates of mild, moderate and severe were 77.3%, 63.3%and 46.2%respectively, the basic cure rates at the age of 4-7, 8-11 and 12-15 were 66.7%,58.0%and 20.0%respectively, in the control group, the basic cure rates of mild, moder-ate and severe were 55.0%, 46.4% and 40.9% respectively, the basic cure rates at the age of 4-7, 8-11 and 12-15 were 60.5%,30.8%and 16.7%, the lower the degree of illness, the more obvious the effect, the younger the age, the more obvious the effect, the basic cute rate of central fixation(58.7%) was better than that of non-central fixation(10.0%), the difference was statistically significant, P<0.05. There were no complications during the period of statistics and treatment. Conclusion He-Ne Lasers combined with comprehensive therapy in the treatment of amblyopia in children has obvious effects, and we should find it in time.%目的:分析研究氦氖激光联合综合疗法治疗儿童弱视的临床效果。方法研究对象为该院从2013年9月—2014年10月收治的106例弱视儿童,依据治疗方法不同划为两组,对照组50例采用红光闪烁方法以及精细目力训练治疗,观察组56例采用氦氖激光联合综合疗法,对比分析方法疗效。结果观察组病情轻度、中度、重度基本治愈率分别为77.3%、63.3%、46.2%,47岁、811岁、1215岁基本治愈率分别为66.7%、58.0%、20.0%,对照

  19. 3~6岁弱视集体儿童在幼儿园的治疗和护理干预%3 to 6 Years old Amblyopia Collective Treatment and Care of Children in Kindergarten Intervention

    Institute of Scientific and Technical Information of China (English)

    陈冬玲; 孙莹莹; 曾路执

    2013-01-01

      Objective Discuss the treatment and nursing care methods of amblyopia children group in kindergarden. Methods Cooperation with the regular kindergarden with《clinical waste disposal permit》in our city, establish amplyopia treatment health clinic. Choice 96 cases ampliyopia children in the kindergarden be the experimental group, and the 98 cases ampliyopia children in hospital outpatient department be the control group. According the children’ condition of visual function, make corresponding treatment and nursing care plan for each of group. Result After careful treatment and nursing care, two groups all have progress, but had difference, the effect of 3~4 year old children is obviously better than the 5~6 year old children. Conclusion The high quality of treatment and nursing has important implications to promote the recovery of visual function and ampliyopia cure of ampliyopia children.%  目的探讨3~6岁弱视集体儿童在幼儿园的治疗与护理干预方法。方法与我区持有《医疗许可证》的正规幼儿园合作,在幼儿园建立弱视治疗保健室,选择合作中幼儿园的96例弱视儿童作为实验组,在医院门诊进行治疗的98例患儿作为对照组,根据患儿的视功能情况,分别为实验组和对照组的患儿制定出相应的治疗方案与护理计划。结果经过精心的治疗与护理,两组均有进步,但相比有差异,3~4岁的治疗效果比5~6岁明显。结论高质量的幼儿园集体集中治疗与护理,对于促进弱视患儿的视功能恢复,对于儿童弱视的治愈有着重要的意义。

  20. Tratamento do coloboma de pálpebra superior pela técnica de Cutler-Beard e sua associação com ambliopia: relato de caso Upper eyelid coloboma treatment with the Cutler-Beard technique and its association with amblyopia: case report

    Directory of Open Access Journals (Sweden)

    André Bezerra de Menezes Reiff

    2002-09-01

    Full Text Available Neste relato é apresentado um caso de coloboma congênito de pálpebra superior reconstruído por meio de retalho de transposição de pálpebra inferior (retalho de Cutler-Beard, com bom resultado estético e funcional. A paciente apresentou como complicação o desenvolvimento de ambliopia por privação de imagem (em função do período de oclusão visual, entre a primeira e a segunda intervenção cirúrgica, que respondeu adequadamente à terapêutica instituída. Realizou-se revisão bibliográfica, comentando-se os princípios que regem a reconstrução de defeitos da pálpebra superior, mostrando vantagens e desvantagens de cada técnica e levantou-se discussão quanto ao melhor método de reconstrução nos recém-nascidos, em função dos riscos da ocorrência de ambliopia.The authors present a case of a large congenital coloboma of the upper eyelid which was reconstructed through a transposition flap from the lower eyelid (Cutler-Beard technique, with good esthetic and functional result. The patient presented as a complication, development of deprivation amblyopia, (as a result of the time of visual axis occlusion between the first and second operation, which was solved utilizing appropriate therapy. A bibliographic review was made and the principles that rule the treatment of upper eyelid defects were commented, showing the advantages and disadvantages of each technique. Discussion was raised about the best method of reconstruction in newborns, facing the risks of occurrence of amblyopia.

  1. Vision-related theory-based design of vision detection system for dysopsia features in amblyopic patients New pathway for amblyopia screening%基于视觉相关理论设计的视知觉检测系统——理解弱视视觉缺陷特征:弱视筛查新途径

    Institute of Scientific and Technical Information of China (English)

    刘伟民; 赵武校; 林泉; 杨佳

    2009-01-01

    BACKGROUND:Previous studies have demonstrated that amblyopic patients have a variety of dysopsia compared with normal people.Engineered visual system could find amblyopia through detection of human visual system.OBJECTIVE:To screen sensitive indexes for amblyopia through visual function examination to establish a intemet-based amblyopia screening method.DESIGN,TIME AND SETTING:Randomized,blinded,and controlled experiment.The study was performed at Department of Optometry,People's Hospital of Guangxi Zhuang Autonomous Region from September to November 2008.PARTICIPANTS:A total of 80 volunteers undergoing visual examination in Department of Optometry,People's Hospital of Guangxi Zhuang Autonomous Region were selected,aged 4-19 years.All people had no organic diseases of eyes.They were divided into normal group (n=40) and ambiyopic group (n=40) according to their corrected visual acuity (whether > 4.9).METHODS:Using vision system,the various visual function indexes of each participant were examined.The data from single eye and both eyes were collected and analyzed using Fisher.The sensitive indexes were selected to establish identification function for amblyopia screening.MAIN OUTCOME MEASURES:Age,visual noise,orientation identification and contour integration of participants were examined.RESULTS:Results showed that age,visual noise,orientation identification and contour integration were clinically significant indexes,and cross validation suggested that the identification correct rate was 92.5%.The discriminant function of amblyopia was Y1=1.175X1+0.786X2+0.928X3+1.061X4-0.225X5+2.547X6+1.313X7-18.651;the discdminant function of normal vision was Y2=1.369X1+ 1.728X2+1.779X3+1.549X4-1.912X5+2.665X6+0.387X7 26.640.CONCLUSION:Visual noise,orientation identification and contour integration in vision detection system could be used to screen amblyopia in children,in particular with assistance of internat.%背景:既往的研究揭示,与正常人相比,弱视患者存

  2. Accommodative Performance of Children With Unilateral Amblyopia

    OpenAIRE

    Manh, Vivian; Chen, Angela M.; Tarczy-Hornoch, Kristina; Cotter, Susan A.; Candy, T. Rowan

    2015-01-01

    This study of amblyopic children shows an increased accommodative error during monocular viewing of naturalistic targets with the amblyopic eye compared to nonamblyopic and control eyes. These errors could degrade retinal image quality in the amblyopic eye during patching therapy.

  3. 单眼弱视儿童视网膜神经纤维层和黄斑中心凹厚度分析%Thickness of retinal nerve fiber layer and central fovea of macula in children with unilateral amblyopia

    Institute of Scientific and Technical Information of China (English)

    傅扬; 唐敏; 孙晓东; 许迅

    2012-01-01

    Objective To compare the thickness of peripapillary retinal nerve fiber layer ( RNFL) and central fovea of macula between amblyopic eyes and non-amblyopic eyes in children with unilateral amblyopia. Methods Twenty-three children with unilateral amblyopia were selected, the thickness of RNFL around optic disk ( superior, temporal, inferior and nasal quadrants) and mean thickness of RNFL were measured by optical coherence tomography ( OCT ) , the mean thickness of central fovea of 1 mm in diameter and the smallest thickness of cental fovea of macula were examined, and the differences between amblyopic eyes and non-amblyopic eyes were compared. Results The thickness of RNFL in the temporalquadrant in amblyopic eyes was smaller than that in non-amblyopic eyes (t = -4.671, P =0.000 1), while there was no significant difference in the thickness of RNFL in the superior, inferior or nasal quadrants and the mean thickness of RNFL between amblyopic eyes and non-amblyopic eyes (P >0.05) . There was no significant difference in the mean thickness of fovea of 1 mm in diameter between amblyopic eyes and non-amblyopic eyes (t = 0. 082 3, P = 0. 935 1) , while the smallest thickness in central fovea of macula in amblyopic eyes was smaller than that in non-amblyopic eyes (t = -2. 371 0, P = 0.026 9). Conclusion There exist differences in peripapillary RNFL and structure of macula between amblyopic eyes and non-amblyopic eyes in children with unilateral amblyopia.%目的 比较单眼弱视儿童弱视眼与非弱视眼的视盘周围神经纤维层(RNFL)和黄斑中心凹厚度的差异.方法 选取单眼弱视儿童23人,利用光学相干断层扫描(OCT)技术分别检测双眼视盘上方、颞侧、下方、鼻侧4个象限RNFL厚度及RNFL平均厚度,检测黄斑中心凹1 mm直径区域平均厚度和黄斑中心凹最小厚度,比较同一受检者弱视眼与非弱视眼的差异.结果 弱视眼视盘颞侧象限RNFL厚度小于非弱视眼(t=-4.671,P=0.000 1),而视盘

  4. 胞二磷胆碱联合物理疗法治疗弱视随机对照临床研究文献的Meta分析%A Meta-analysis of randomized controlled trials on citicoline combined physical therapy for amblyopia

    Institute of Scientific and Technical Information of China (English)

    邢家铭; 盛雪燕; 马重兵; 朱田田; 韩雅迪; 赵中亭; 严兴科

    2015-01-01

    目的:评价胞二磷胆碱联合物理疗法治疗弱视的有效性。方法计算机检索1999年~2014年间中国期刊网全文数据库(CNKI)、万方全文数据库、美国医学文摘数据库(PubMed)中关于胞二磷胆碱联合物理疗法治疗弱视的临床文献,纳入胞二磷胆碱联合物理疗法治疗弱视与单纯物理治疗比较的随机对照试验(RCT)和临床对照试验(CCT),按照循证医学(Cochrane)系统评价的方法,逐一评价纳入研究的质量,并根据改良后Jadad评分量表对纳入文献进行评分,提取有效数据,采用RevMan5.1统计软件进行Meta分析。结果10篇文献符合纳入标准,共计1363例病例。Meta分析显示胞二磷胆碱治疗弱视与临床其他治疗方法总有效率比较,差异具有统计学意义[合并OR(固定效应模型)=4.22,95%可信区间(3.26,5.47),Z=10.96,P<0.00001]。结论胞二磷胆碱联合物理疗法治疗弱视的总有效率优于物理疗法,所以可以初步认为,胞二磷胆碱联合物理疗法治疗弱视有效。但鉴于缺乏高质量的随机对照研究支持,且文献发表偏倚的存在,尚需要更多设计良好的临床随机对照试验来进一步证实其效果。%OBJECTIVE To assess the evidence of efficacy of Citicoline combined physical therapy for amblyopia. METHODS Computer searched trials published randomized controlled trials (RCT) and controlled clinical trials (CCT) that evaluated the effect of citicoline combined physical therapy for amblyopia compared with conventional treatment were identified in 1999~2014 China National Knowledge Infrastructure (CNKI) Wanfang, and PubMed. The methodological quality of the included trials was assessed based on the Jadad scale. Data synthesis was facilitated using RevMan 5.1. RESULTS Ten trials involving 1363 participants satisfied the minimum criteria for meta-analysis. The evidence showed that the total effective rate of

  5. Amblyopia: Who Is at Risk for Lazy Eye?

    Science.gov (United States)

    ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center ...

  6. How the Visual Cortex Handles Stimulus Noise: Insights from Amblyopia

    Science.gov (United States)

    Bankó, Éva M.; Körtvélyes, Judit; Weiss, Béla; Vidnyánszky, Zoltán

    2013-01-01

    Adding noise to a visual image makes object recognition more effortful and has a widespread effect on human electrophysiological responses. However, visual cortical processes directly involved in handling the stimulus noise have yet to be identified and dissociated from the modulation of the neural responses due to the deteriorated structural information and increased stimulus uncertainty in the case of noisy images. Here we show that the impairment of face gender categorization performance in the case of noisy images in amblyopic patients correlates with amblyopic deficits measured in the noise-induced modulation of the P1/P2 components of single-trial event-related potentials (ERP). On the other hand, the N170 ERP component is similarly affected by the presence of noise in the two eyes and its modulation does not predict the behavioral deficit. These results have revealed that the efficient processing of noisy images depends on the engagement of additional processing resources both at the early, feature-specific as well as later, object-level stages of visual cortical processing reflected in the P1 and P2 ERP components, respectively. Our findings also suggest that noise-induced modulation of the N170 component might reflect diminished face-selective neuronal responses to face images with deteriorated structural information. PMID:23818947

  7. Torpedo maculopathy with an anisometropic amblyopia in a 5-year-old Caucasian girl: case report

    Directory of Open Access Journals (Sweden)

    Marco Dutra-Medeiros

    2013-08-01

    Full Text Available The aim of this study is to report a clinical case of asymptomatic female Caucasian children with torpedo maculopathy. A 5-year-old girl was referred to our clinic for routine evaluation. The ophthalmic examination revealed best-corrected visual acuity of 20/20 in both eyes, without any changes in the biomicroscopy. Fundus examination showed normal findings in one eye, whereas in the contralateral eye it disclosed, in the temporal sector of the macular region, a whitish, atrophic, oval chorioretinal lesion with clearly defined margins. Posterior evaluations documented the stability of the lesion. Torpedo maculopathy diagnosis is based on its characteristic shape and peculiar location. The differential diagnosis has to be estabilished versus choroidal lesions (melanoma and nevus, congenital or iatrogenic hyperplasia of the retinal pigment epithelium (RPE and particularly versus the congenital pigmented lesions associated with Gardner's syndrome.

  8. Interferon-alfa treatment of facial infantile haemangiomas

    DEFF Research Database (Denmark)

    Fledelius, Hans C.; Illum, N.; Jensen, H.;

    2001-01-01

    ophthalmology, haemangiomas of the face, infancy, Interferon alfa, eye at risk, amblyopia, induced refractive change, ultrasound imaging......ophthalmology, haemangiomas of the face, infancy, Interferon alfa, eye at risk, amblyopia, induced refractive change, ultrasound imaging...

  9. Phakic anterior chamber intraocular lens (Verisyse™) implantation in children for treatment of severe ansiometropia myopia and amblyopia: Six-month pilot clincial trial and review of literature

    OpenAIRE

    Pirouzian, Amir; Ip, Kenneth C; O’Halloran, Henry S

    2009-01-01

    Purpose: The current study aims to evaluate both safety and efficacy of Verisyse™ (AMO, Irvine, CA) phakic anterior chamber intraocular lens (IOL) in the reduction of clinically significant (>−8 D) myopic anisometropia in children who are noncompliant to traditional medical treatment including spectacle correction or contact lenses. Design: Retrospective interventional case series. Methods: Six anisometropic myopic pediatric patients in one practice were identified through chart-review. None ...

  10. Compliance of amblyopic patients with occlusion therapy: A pilot study

    OpenAIRE

    Sana Al-Zuhaibi; Iman Al-Harthi; Pascale Cooymans; Aisha Al-Busaidi; Yahya Al-Farsi; Anuradha Ganesh

    2009-01-01

    Background: Increasing evidence shows that good compliance with occlusion therapy is paramount for successful amblyopia therapy. Purpose: To study the degree of compliance and explore factors affecting compliance in patients undergoing occlusion therapy for amblyopia in our practice. Design: Nonrandomized clinical intervention study. Materials and Methods: A total of 31 families with a child (aged 2-12 years), undergoing unilateral amblyopia treatment at the pediatric ophthalmology ...

  11. Phakic anterior chamber intraocular lens (Verisyse™) implantation in children for treatment of severe ansiometropia myopia and amblyopia: Six-month pilot clincial trial and review of literature

    OpenAIRE

    Pirouzian, Amir

    2009-01-01

    Amir Pirouzian1,3, Kenneth C Ip2, Henry S O’Halloran31The Permanente Medical Group, Santa Clara, CA, USA; 2The Permanente Medical Group, San Francisco, CA, USA; 3Rady’s Children’s Hospital of San Diego, San Diego, CA, USAPurpose: The current study aims to evaluate both safety and efficacy of Verisyse™ (AMO, Irvine, CA) phakic anterior chamber intraocular lens (IOL) in the reduction of clinically significant (>-8 D) myopic anisometropia in childre...

  12. 屈光不正性弱视治愈前后立体视觉的临床初步观察%Stereopsis of ametropic amblyopia before and after orthoptic treatment

    Institute of Scientific and Technical Information of China (English)

    成娟娟; 卢炜

    2008-01-01

    目的 了解屈光不正性弱视儿童在治疗前和治愈后立体视觉状况.方法 对43例屈光不正性弱视儿童分别在治疗前和治愈后采用颜少明检测其立体视锐度以及同视机三级功能的检测.结果 (1)弱视患者治愈前(矫正视力0.1~0.8)后(矫正视力0.9~1.5)黄斑视锐度和周边立体视锐度的结果在统计学上的差异有显著性(P<0.05),(2)弱视患者治愈前后融合范围和定性远立体视的结果在统计学上均无统计学意义(P>0.05).结论 (1)屈光不正性弱视不仅影响视力发育同时也影响整体立体视的发育.(2)随着视力的治愈整体立体视锐度也有显著的改善.(3)在弱视的诊断治疗中注意整体立体视的变化.

  13. 儿童近视性屈光参差弱视LASIK治疗新进展%New progress of excimer laser in situ keratomileusis in the management of children with myopia anisometropic amblyopia

    Institute of Scientific and Technical Information of China (English)

    肖情; 冯光强

    2013-01-01

    文献检索近10年来在Pubmed,Embase,the Cochrane library等数据库发表LASIK治疗儿童屈光参差弱视的中英文文献,探讨国内外LASIK治疗儿童近视性屈光参差弱视的新进展,通过研究发现LASIK对儿童近视性屈光参差弱视治疗有明显矫治效果,LASIK是治疗儿童近视性屈光参差弱视的一种安全有效的方法.

  14. Abnormal Head Position

    Science.gov (United States)

    ... cause a head tilt. This is typically called congenital torticollis. A patch test in the office can also ... amblyopia) are other treatment alternatives. Physical therapy helps congenital torticollis from tight neck muscles. Updated 03/2015 Eye ...

  15. Fetal Alcohol Syndrome

    Science.gov (United States)

    ... behavioral problems, learning disabilities and neurocognitive disorders affecting IQ (mild to severe) occur in association with FAS ... are the eye problems in FAS treated? Strabismus, amblyopia, and the need for glasses (refractive error) can ...

  16. Glaucoma

    Medline Plus

    Full Text Available ... Programs All Education National Eye Health Education Program Diabetic Eye Disease Education Program Glaucoma Education Program Low ... Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry Eye For ...

  17. Glaucoma

    Medline Plus

    Full Text Available ... Age-Related Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry ... and comments to the NEI Office of Science Communications, Public Liaison, and Education. Technical questions about this ...

  18. Glaucoma

    Science.gov (United States)

    ... Age-Related Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry ... and comments to the NEI Office of Science Communications, Public Liaison, and Education. Technical questions about this ...

  19. Toxoplasmosis (and the Eye)

    Science.gov (United States)

    ... of known infected babies. What happens to the eyes of babies born with congenital toxoplasmosis? The infection ... to further reduce the inflammation. Updated 03/2015 Eye Terms & Conditions Most Common Searches Adult Strabismus Amblyopia ...

  20. A double dissociation of the acuity and crowding limits to letter identification, and the promise of improved visual screening.

    Science.gov (United States)

    Song, Shuang; Levi, Dennis M; Pelli, Denis G

    2014-01-01

    Here, we systematically explore the size and spacing requirements for identifying a letter among other letters. We measure acuity for flanked and unflanked letters, centrally and peripherally, in normals and amblyopes. We find that acuity, overlap masking, and crowding each demand a minimum size or spacing for readable text. Just measuring flanked and unflanked acuity is enough for our proposed model to predict the observer's threshold size and spacing for letters at any eccentricity. We also find that amblyopia in adults retains the character of the childhood condition that caused it. Amblyopia is a developmental neural deficit that can occur as a result of either strabismus or anisometropia in childhood. Peripheral viewing during childhood due to strabismus results in amblyopia that is crowding limited, like peripheral vision. Optical blur of one eye during childhood due to anisometropia without strabismus results in amblyopia that is acuity limited, like blurred vision. Furthermore, we find that the spacing:acuity ratio of flanked and unflanked acuity can distinguish strabismic amblyopia from purely anisometropic amblyopia in nearly perfect agreement with lack of stereopsis. A scatter diagram of threshold spacing versus acuity, one point per patient, for several diagnostic groups, reveals the diagnostic power of flanked acuity testing. These results and two demonstrations indicate that the sensitivity of visual screening tests can be improved by using flankers that are more tightly spaced and letter like. Finally, in concert with Strappini, Pelli, Di Pace, and Martelli (submitted), we jointly report a double dissociation between acuity and crowding. Two clinical conditions-anisometropic amblyopia and apperceptive agnosia-each selectively impair either acuity A or the spacing:acuity ratio S/A, not both. Furthermore, when we specifically estimate crowding, we find a double dissociation between acuity and crowding. Models of human object recognition will need to

  1. Comparison of the Wave Amplitude of Visually Evoked Potential in Amblyopic Eyes between Patients with Esotropia and Anisometropia and a Normal Group

    Science.gov (United States)

    Talebnejad, Mohammad Reza; Hosseinmenni, Saeedeh; Jafarzadehpur, Ebrahim; Mirzajani, Ali; Osroosh, Enayatollah

    2016-01-01

    Background: We compared the wave amplitude of visually evoked potential (VEP) between patients with esotropic and anisometropic amblyopic eyes and a normal group. Methods: The wave amplitude of VEP was documented in 2 groups of persons with amblyopia (15 with esotropia and 28 with anisometropia) and 1 group of individuals with normal visual acuity (n, 15). The amplitude of P100 was recorded monocularly with different spatial frequencies. Results: Our statistical analysis revealed that the wave amplitude in the 2 groups with amblyopia was significantly decreased compared to that in the normal group (P<0.001). There was a significant difference regarding the amplitude in high spatial frequencies in both high- and low-contrast conditions between the groups with esotropia and anisometropia and the normal group (P<0.001). There were also significant differences in large check-size stimuli and low-contrast condition between the amblyopic groups with esotropia and anisometropia and the normal group (P=0.013 and P=0.044, respectively). In large check-size stimuli and high-contrast condition, a significant difference was indicated only in the comparison between the esotropic amblyopic eyes and the normal eyes (P=0.036). Conclusion: The wave amplitude parameter of VEP was influenced by both types of amblyopia, but it seems that this parameter was more sensitive to esotropic amblyopia than anisometropic amblyopia. This outcome may reflect a non-parallel pattern of cortical responses in the comparison of the 2 types of amblyopia with each other and with the control group, which may be beneficial for the diagnosis and treatment of amblyopia. PMID:26989279

  2. 低强度半导体激光治疗少年儿童弱视逐米观察法的疗效检验%To Test Curative Effect of Zhumi Observation Method with which the Amblyopia of Youngster and Children are Treated by Lose Intension Semiconductor Laser

    Institute of Scientific and Technical Information of China (English)

    鲁立刚; 丁锟; 孙佳英; 杨忠伟; 马桂芬

    2002-01-01

    通过对6~16岁少年儿童四种类型弱视经过三个疗程的低强度半导体激光的照射治疗,利用医用统计学方法中的秩和检验方法对其疗效进行检验及统计推断,治疗效果显著.

  3. The Indication of Surgical Treatment and Visual Rehabilitation in the Congenital Cataracts

    Directory of Open Access Journals (Sweden)

    Uğur Keklikçi

    2005-01-01

    Full Text Available Congenital cataracts constitute an important part of blindness in childhood. It’s a curable disease which is one of the most common causes of blindness in childhood. Main treatment is surgical operation. Timing of surgery, appropriate and rapid post sur- gery visual rehabilitation have a major effect on prognosis. Surgery should be perfor-med as soon as possible after the diagnosis in order to prevent amblyopia.Visual rehabi- litation of congenital cataract includes optical correction and amblyopia treatment. The most effective treatment of amblyopia is occlusion therapy. In this article congenital cataracts were evaluated in the light of recent literature and the importance of the timing of surgery and visual rehabilitation were attempted to be emphasized.

  4. Sensory experience during locomotion promotes recovery of function in adult visual cortex

    OpenAIRE

    Kaneko, Megumi; Stryker, Michael P.

    2014-01-01

    eLife digest Amblyopia, otherwise known as ‘lazy eye’, is a condition in which vision fails to develop normally during childhood, not due to problems with the eye itself but due to problems with the transmission of information from the eye to the brain. It occurs when disorders such as squint—in which the eyes point in different directions—cause the brain to continually ignore input from one eye, with the result that vision in that eye never fully develops. If detected in infancy, amblyopia c...

  5. Ptosis - infants and children

    Science.gov (United States)

    Blepharoptosis-children; Congenital ptosis; Eyelid drooping-children; Eyelid drooping-amblyopia; Eyelid drooping-astigmatism ... Ptosis in infants and children is often due to a problem with the muscle that raises the eyelid. A nerve problem in the eyelid can ...

  6. 77 FR 52381 - Qualification of Drivers; Exemption Applications; Vision

    Science.gov (United States)

    2012-08-29

    ... the FDMS published in the Federal Register on January 17, 2008 (73 FR 3316), or you may visit http... moving violations in a CMV. Robert S. Gibson, Jr. Mr. Gibson, 39, has had strabismic amblyopia in his... violations in a CMV. Joel M. Hunter Mr. Hunter, 48, has complete loss of vision in his left eye due to...

  7. Familial correlation of retinal vascular caliber in Singapore Chinese

    NARCIS (Netherlands)

    L.-J. Li (Ling-Jun); J. Liao (Jie); Q. Fan (Qiao); C.Y.-L. Cheung (Carol Yim-Lui); M.A. Ikram (Arfan); C-Y. Cheng (Ching-Yu); S-M. Saw (Seang-Mei); T.Y. Wong (Tien)

    2013-01-01

    textabstractPurpose. Our study aimed to explore the heritability of retinal vascular caliber among Singapore Chinese families. Methods. In the Strabismus, Amblyopia, and Refractive Error Study in Singaporean Chinese Preschoolers (STARS) family study conducted from 2008 to 2010, a total of 727 partic

  8. 77 FR 38381 - Qualification of Drivers; Exemption Applications; Vision

    Science.gov (United States)

    2012-06-27

    ..., 2008 (73 FR 3316), or you may visit http://edocket.access.gpo.gov/2008/pdf/E8-785.pdf . FOR FURTHER... vision in his right eye due to trauma sustained in childhood. The best corrected visual acuity in his... amblyopia in his left eye since childhood. The best corrected visual acuity in his right eye is 20/30,...

  9. Prevalence of myopia among school going children

    Directory of Open Access Journals (Sweden)

    Suresh B. Hittalamani

    2015-10-01

    Conclusions: Early diagnosis and visual rehabilitation of myopic students can be achieved by periodic eye examination at regular intervals by school teachers and basic health workers and this can help in preventing the development of amblyopia thereby reducing the burden of morbidity due to myopia. [Int J Res Med Sci 2015; 3(10.000: 2786-2790

  10. Glaucoma

    Medline Plus

    Full Text Available ... YouTube Videos > NEI YouTube Videos: Glaucoma NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration Amblyopia ... of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Glaucoma NEI on Twitter NEI on YouTube NEI ...

  11. Outcome after surgery of congenital cataract

    OpenAIRE

    Lundvall, Anna

    2002-01-01

    The visual outcome in infants undergoing surgery for bilateral congenital cataract has improved considerably because of improved surgical methods and the realisation that early detection, allowing early cataract extraction and immediate optical correction, can prevent otherwise irreversible deprivation amblyopia. The management of unilateral congenital cataract is still of the most difficult problems in paediatric ophtalmology. In unilateral congenital cataract, interven...

  12. Congenital cataract. Report 2. Current strategies of congenital cataract management in children: a review

    OpenAIRE

    N. Ya. Senchenko; K. A. Nagaeva; E. K. Ayuyeva1; T.N. Iureva

    2014-01-01

    Different approaches to surgical and pleoptic treatment of congenital cataract and amblyopia of obscure origin in children are represented. Main tendencies that determine the indications to surgical procedures and their terms are described. Current techniques of aphakia correction, their advantages and disadvantages as well as pleoptic methods of visual system stimulation are discussed

  13. Glaucoma

    Medline Plus

    Full Text Available ... Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry Eye For Kids Glaucoma Healthy Vision Tips Leber Congenital Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube ...

  14. Use of interferometry in preschool children.

    Science.gov (United States)

    Richman, J E; Kozol, N; Crawford, R D

    1989-05-01

    Any procedure that can help to predict the outcome of treatment for a vision disorder is a desired clinical goal. Interferometry has shown such an ability for predicting the post-treatment visual acuities in amblyopia and other vision disorders. In this study, we investigated the effectiveness of using interferometry with preschool children, aged 3-5 years. We determined that they can be reliably tested in 5-10 minutes using a non-verbal, forced choice technique. Due to developmental differences, the 3-year-olds needed slightly more time to test and were more variable in their responses than the 4-years-olds. Overall, the prognostic value of interferometer visual acuity measures should be considered for use in preschool children with visual acuity disorders, e.g., amblyopia. PMID:2732416

  15. Congenital cataract screening

    Directory of Open Access Journals (Sweden)

    Zhale Rajavi

    2016-01-01

    Full Text Available Congenital cataract is a leading cause of visual deprivation which can damage the developing visual system of a child; therefore early diagnosis, management and long-term follow-up are essential. It is recommended that all neonates be screened by red reflex examination at birth and suspected cases be referred to ophthalmic centers. Early surgery (1 year is highly recommended. After surgery, amblyopia treatment and periodic follow-up examinations should be started as soon as possible to achieve a satisfactory visual outcome. Practitioners should consider the possibility of posterior capsular opacity, elevated intraocular pressure and amblyopia during follow-up, especially in eyes with microphthalmia and/or associated congenital anomalies. All strabismic children should undergo slit lamp examination prior to strabismus surgery to rule out congenital lens opacities. From a social point of view, equal and fair medical care should be provided to all children regardless of gender.

  16. Pleoptic and orthoptic training for visually impaired children in preschool age.

    OpenAIRE

    ŠTOČKOVÁ, Šárka

    2009-01-01

    The theoretical part of this bachelor's paper is aimed at the development of visual perception since the child{\\crq}s birth until pre-school age, and further at pleoptic and orthoptic training. The paper also mentions the anatomy of the organ of vision, and the eyesight impairments of childhood. The theoretical part examines in more detail binocular vision, as pleoptic and orthoptic training are aimed exactly at binocular vision impairments (strabismus and amblyopia). The practical part prese...

  17. Natural history of infantile anisometropia.

    OpenAIRE

    Abrahamsson, M.; Sjöstrand, J

    1996-01-01

    AIMS/BACKGROUND: In a previous study longitudinal changes of anisometropia were investigated. It was shown that anisometropia arises and vanishes during the emmetropisation process and that the associated risk for amblyopia is low. The aim of this study was to follow acuity and refraction longitudinally in children with marked anisometropia at 1 year of age. METHODS: Refractive errors and visual acuity were estimated every sixth month for a selected group of 20 children with marked anisometro...

  18. The KwaZulu-Natal Child Eye Care Programme: Delivering refractive error services to primary school learners

    OpenAIRE

    Y. I. Mahraj; K. S. Naidoo; R. Dabideen; P. Ramson

    2011-01-01

    Globally, over 300 million people are estimated to be visually impaired. Uncorrected refractive error is the primary cause of almost half of all visual impairment, resulting in the global economy losing $269 billion in productivity annually. There is a definitive level of urgency in the treatment of refractive error in children as uncorrected refractive error results in the failure of normal visual maturation, termed amblyopia, which cannot be corrected in adult life. In South Africa, the lac...

  19. Reading Performance Is Enhanced by Visual Texture Discrimination Training in Chinese-Speaking Children with Developmental Dyslexia

    OpenAIRE

    Xiangzhi Meng; Ou Lin; Fang Wang; Yuzheng Jiang; Yan Song

    2014-01-01

    Background High order cognitive processing and learning, such as reading, interact with lower-level sensory processing and learning. Previous studies have reported that visual perceptual training enlarges visual span and, consequently, improves reading speed in young and old people with amblyopia. Recently, a visual perceptual training study in Chinese-speaking children with dyslexia found that the visual texture discrimination thresholds of these children in visual perceptual training signif...

  20. Axial myopia in computed and magnetic resonance tomography

    International Nuclear Information System (INIS)

    The case of a 44-year old woman suffering from amblyopia on the left eye with unilateral proptosis caused by axial (progressive) myopia is presented. The clinical and radiological findings were discussed in reference to the literature. The diagnosis was established by ruling out neoplastic, inflammatory or endocrine causes for the exophtalmos. CT and MR scans revealed an enlarged left globe without evidence of orbital masses. The findings were regarded as typical for the diagnosis at axial myopia. (orig.)

  1. Congenital ectopia lentis : diagnosis and treatment

    OpenAIRE

    Rysä Konradsen, Tiina

    2012-01-01

    Congenital ectopia lentis (EL) is an ocular condition, which typically causes a high grade of refractive errors, mainly myopia and astigmatism. These might be difficult to compensate for, especially in children, who might develop ametropic amblyopia. Surgery on ectopic lenses has previously been controversial, due to the risk of sightthreatening complications. In paper I we studied retrospectively visual outcomes and complications in children, who were operated for congen...

  2. Prevalence of uncorrected refractive error and other eye problems among urban and rural school children

    OpenAIRE

    Padhye Amruta; Khandekar Rajiv; Dharmadhikari Sheetal; Dole Kuldeep; Gogate Parikshit; Deshpande Madan

    2009-01-01

    Background: Uncorrected refractive error is an avoidable cause of visual impairment. Aim: To compare the magnitude and determinants of uncorrected refractive error, such as age, sex, family history of refractive error and use of spectacles among school children 6-15 years old in urban and rural Maharashtra, India. Study Design: This was a review of school-based vision screening conducted in 2004-2005. Materials and Methods: Optometrists assessed visual acuity, amblyopia and strabismus ...

  3. Visual Impairment Secondary to Congenital Glaucoma in Children: Visual Responses, Optical Correction and Use of Low Vision Aids

    OpenAIRE

    Maria Aparecida Onuki Haddad; Marcos Wilson Sampaio; Ernst Werner Oltrogge; Newton Kara-José; Alberto Jorge Betinjane

    2009-01-01

    INTRODUCTION: Congenital glaucoma is frequently associated with visual impairment due to optic nerve damage, corneal opacities, cataracts and amblyopia. Poor vision in childhood is related to global developmental problems, and referral to vision habilitation/rehabilitation services should be without delay to promote efficient management of the impaired vision. OBJECTIVE: To analyze data concerning visual response, the use of optical correction and prescribed low vision aids in a population of...

  4. Acquired mitochondrial impairment as a cause of optic nerve disease.

    OpenAIRE

    Sadun, A.

    1998-01-01

    BACKGROUND: Blindness from an optic neuropathy recently occurred as an epidemic affecting 50,000 patients in Cuba (CEON) and had clinical features reminiscent of both tobacco-alcohol amblyopia (TAA) and Leber's hereditary optic neuropathy (Leber's; LHON). Selective damage to the papillomacular bundle was characteristic, and many patients also developed a peripheral neuropathy. Identified risk factors included vitamin deficiencies as well as exposure to methanol and cyanide. In all 3 syndromes...

  5. An appraisal of childhood vision problems : : evaluating risk factors and the psychosocial impact of strabismus in children

    OpenAIRE

    Carpiuc, Kimbach Tran

    2013-01-01

    Strabismus is an anomaly of ocular alignment, resulting in a departure from the parallel nature of a normal gaze, and affects approximately 1-5% of the population. Left uncorrected, strabismus can result in amblyopia, a permanent vision loss in an otherwise normal eye. Although strabismus can happen at any age, the peak age of onset is around 3 years. Despite being a relatively common eye problem in young children, little attention has been given to strabismus in the published literature, wit...

  6. The Indication of Surgical Treatment and Visual Rehabilitation in the Congenital Cataracts

    OpenAIRE

    Uğur Keklikçi

    2005-01-01

    Congenital cataracts constitute an important part of blindness in childhood. It’s a curable disease which is one of the most common causes of blindness in childhood. Main treatment is surgical operation. Timing of surgery, appropriate and rapid post sur- gery visual rehabilitation have a major effect on prognosis. Surgery should be perfor-med as soon as possible after the diagnosis in order to prevent amblyopia.Visual rehabi- litation of congenital cataract includes optical correction and am...

  7. Vision Screening by Color Photography

    Science.gov (United States)

    Jayroe, R.; Richardson, J. R.; Kerr, J.; Hay, S.; Mcbride, R.

    1985-01-01

    Screening test developed for detecting a range of vision defects in eye, including common precursors to amblyopia. Test noninvasive, safe, and administered easily in field by operator with no medical training. Only minimal momentary cooperation of subject required: Thus, test shows promise for use with very young children. Test produces color-slide images of retinas of eyes under specially-controlled lighting conditions. Trained observer screens five children per minute.

  8. Assessment of visual disability using visual evoked potentials

    OpenAIRE

    Jeon Jihoon; Oh Seiyul; Kyung Sungeun

    2012-01-01

    Abstract Background The purpose of this study is to validate the use of visual evoked potential (VEP) to objectively quantify visual acuity in normal and amblyopic patients, and determine if it is possible to predict visual acuity in disability assessment to register visual pathway lesions. Methods A retrospective chart review was conducted of patients diagnosed with normal vision, unilateral amblyopia, optic neuritis, and visual disability who visited the university medical center for regist...

  9. A New Visual Stimulation Program for Improving Visual Acuity in Children with Visual Impairment: A Pilot Study

    OpenAIRE

    Tsai, Li-Ting; Hsu, Jung-Lung; Wu, Chien-Te; Chen, Chia-Ching; Su, Yu-Chin

    2016-01-01

    The purpose of this study was to investigate the effectiveness of visual rehabilitation of a computer-based visual stimulation (VS) program combining checkerboard pattern reversal (passive stimulation) with oddball stimuli (attentional modulation) for improving the visual acuity (VA) of visually impaired (VI) children and children with amblyopia and additional developmental problems. Six children (three females, three males; mean age = 3.9 ± 2.3 years) with impaired VA caused by deficits alon...

  10. Survey of Paralytic Strabismus: A Regional Survay

    OpenAIRE

    Medghalchi Abdolreza

    2009-01-01

    One of the important causes of strabismus in all ages is extraocular muscles paralysis due to 3rd, 4th and 6th cerebral nerve palsies. Exact and on-time treatment can result in improvement of deviation, am-blyopia and abnormal head posture. We studied epidemiological characteristics of extraocular muscles paralysis. This retrospective study performed on 131 subjects (58% male). Records of patients with diagnosis of paralytic strabismus referred to private clinics between 1995 and 2005 were st...

  11. Evaluating the Perceptual and Pathophysiological Consequences of Auditory Deprivation in Early Postnatal Life: A Comparison of Basic and Clinical Studies

    OpenAIRE

    Whitton, Jonathon P.; Polley, Daniel B.

    2011-01-01

    Decades of clinical and basic research in visual system development have shown that degraded or imbalanced visual inputs can induce a long-lasting visual impairment called amblyopia. In the auditory domain, it is well established that inducing a conductive hearing loss (CHL) in young laboratory animals is associated with a panoply of central auditory system irregularities, ranging from cellular morphology to behavior. Human auditory deprivation, in the form of otitis media (OM), is tremendous...

  12. ЭЛЕКТРОФИЗИОЛОГИЧЕСКИЕ ОСОБЕННОСТИ АМБЛИОПИИ У ДЕТЕЙ С ГИПЕРМЕТРОПИЧЕСКИМ АСТИГМАТИЗМОМ

    OpenAIRE

    Азнаурян, И.

    2008-01-01

    Studied were the clinical peculiarities of meridional form of amblyopia with hypertropic astigmatism, defined the diagnostic criteria together with the development of objective diagnostic methods. In all patients the investigation of induced visual potentials was carried out by applying stimuli as black and white stripes with a rectangular profile of illumination with angular dimensions of 60 and 20 minutes, which enable selective excitation of the receptive retinal fields which are oriented ...

  13. Axial myopia in computed and magnetic resonance tomography

    Energy Technology Data Exchange (ETDEWEB)

    Beyer-Enke, S.A.; Goerich, J.; Gamroth, A.

    1987-08-01

    The case of a 44-year old woman suffering from amblyopia on the left eye with unilateral proptosis caused by axial (progressive) myopia is presented. The clinical and radiological findings were discussed in reference to the literature. The diagnosis was established by ruling out neoplastic, inflammatory or endocrine causes for the exophtalmos. CT and MR scans revealed an enlarged left globe without evidence of orbital masses. The findings were regarded as typical for the diagnosis at axial myopia.

  14. Common Problems in Pediatric Ophthalmology

    OpenAIRE

    Carruthers, Jean

    1988-01-01

    Because in children the neurological connections of sight are still plastic, any condition that is able to cause a reduction of visual acuity will also cause cortical suppression of the input from that eye. Early management of amblyopia is essential to its effective treatment. Prompt recognition of strabismus, nystagmus, dyslexia, retinoblastoma and albinism will also lead to an improved visual prognosis for the affected child. In the child with retinoblastoma, it will also vastly improve the...

  15. Relationship of Visual Cortex Function and Visual Acuity in Anisometropic Amblyopic Children

    Directory of Open Access Journals (Sweden)

    Chuanming Li, Lin Cheng, Qiongwu Yu, Bing Xie, Jian Wang

    2012-01-01

    Full Text Available Purpose: To detect the functional deficit of the visual cortex in anisometropic amblyopia children using functional magnetic resonance imaging (fMRI technique, and investigate the relationship between visual acuity and visual cortex function.Methods: Blood oxygenation level-dependent fMRI (BOLD-fMRI was performed in ten monocular anisometropic amblyopia children and ten normal controls. fMRI images were acquired in two runs with visual stimulation delivered separately through the sound and amblyopic eyes. Measurements were performed in cortical activation of striate and extrastriate areas at the occipital lobe. The relationship between cortex function and visual acuity was analyzed by Pearson partial analysis.Results: The activation areas of both the striate and extrastriate cortices in the amblyopic eyes were significantly lower than that of the sound fellow eyes. No relationship was found between the striate and extrastriate cortex activation. No relationship was found between the visual cortical activation of striate, extrastriate areas and visual acuity of anisometropic amblyopes.Conclusions: BOLD-fMRI revealed the independent striate and extrastriate cortical deficits in anisometropic amblyopes. In addition, the visual acuity lesion and the striate and extrastriate cortical deficits were not parallel, and results of fMRI examination have much potential value in the evaluation of amblyopia.

  16. A Study of Essential Infantile Esotropia.

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    Sonam Patel

    2015-12-01

    Full Text Available Introduction: Essential infantile esotropia is an entity in squint that requires particular attention because of its varied etiology and variable associated findings and that it most of the times requires early surgical intervention. Aims and Objectives: Our aim is to study incidence of occurrence, associated findings and binocular status of these patients. Materials and Methods: This is a retrospective study of 50 cases of Essential infantile esotropia who attended squint clinic of a tertiary referral center between September 2009 to September 2012 & were studied for their age of presentation, squint, cycloplegic refraction, binocular status and amblyopia. Results: Amongst 50 cases 46% were male and 54% were female patients. Most i.e. 62% cases presented between 1 to 2 years of age. 76% patients had unilateral deviation. Incidence of amblyopia was 76%. 2% cases had myopia, 90% had mild to moderate hypermetropia, and 8% cases had high hypermetropia. 52% patients had inferior oblique over-action, 28% had nystagmus, 8% had head posture, 8% had Dissociated Vertical Deviation. Stereopsis was not present in a single case. Conclusion: Our study assesses that the age of presentation is between 1 to 2 years. Amblyopia is commonly associated with unilateral deviation. Moderate hypermetropia is common. Inferior oblique over action is the most common association.

  17. Iris pigment epithelial cysts in a newborn

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    Zargar, Shabnam

    2016-04-01

    Full Text Available Purpose: We report a case of iris pigment epithelial cysts in a newborn and discuss the importance of an accurate diagnosis for prevention of amblyopia.Methods: We describe a case of an abnormal red reflex seen on a newborn exam.Results: A full-term female born via normal spontaneous vaginal delivery without any complications was seen in the newborn nursery. She was noted to have an abnormal eye exam. Pupils were large with circular dark excrescences of the iris pigment epithelium. She was referred to a pediatric ophthalmologist where she was noted to fixate and follow faces. No afferent pupillary defect was seen. OD red reflex was normal whereas OS red reflex was blocked mostly by dark excrescences. A 2– dark brown lesion was seen in the OD iris and a 3–5 mm dark brown lesion was seen in the OS iris, consistent with a pupillary iris pigment epithelial cyst. Central visual axis was clear OU. Glaucoma was not present and patching was not performed. Observations and clinical photographs were recommended with follow-up in three months.Conclusion: Iris pigment epithelial cysts are uncommonly seen in children. The primary care provider first seeing a newborn must be aware of lesions obscuring a red reflex with appropriate follow-up. Follow-up in three months with IOP measurements is recommended. Iris pigment epithelial cysts in children may be a cause of amblyopia, thus prompt evaluation is important for prognostic purposes and the prevention of amblyopia.

  18. Prevalence of uncorrected refractive error and other eye problems among urban and rural school children

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    Padhye Amruta

    2009-01-01

    Full Text Available Background: Uncorrected refractive error is an avoidable cause of visual impairment. Aim: To compare the magnitude and determinants of uncorrected refractive error, such as age, sex, family history of refractive error and use of spectacles among school children 6-15 years old in urban and rural Maharashtra, India. Study Design: This was a review of school-based vision screening conducted in 2004-2005. Materials and Methods: Optometrists assessed visual acuity, amblyopia and strabismus in rural children. Teachers assessed visual acuity and then optometrists confirmed their findings in urban schools. Ophthalmologists screened for ocular pathology. Data of uncorrected refractive error, amblyopia, strabismus and blinding eye diseases was analyzed to compare the prevalence and risk factors among children of rural and urban areas. Results: We examined 5,021 children of 8 urban clusters and 7,401 children of 28 rural clusters. The cluster-weighted prevalence of uncorrected refractive error in urban and rural children was 5.46% (95% CI, 5.44-5.48 and 2.63% (95% CI, 2.62-2.64, respectively. The prevalence of myopia, hypermetropia and astigmatism in urban children was 3.16%, 1.06% and 0.16%, respectively. In rural children, the prevalence of myopia, hypermetropia and astigmatism was 1.45%, 0.39% and 0.21%, respectively. The prevalence of amblyopia was 0.8% in urban and 0.2% in rural children. Thirteen to 15 years old children attending urban schools were most likely to have uncorrected myopia. Conclusion: The prevalence of uncorrected refractive error, especially myopia, was higher in urban children. Causes of higher prevalence and barriers to refractive error correction services should be identified and addressed. Eye screening of school children is recommended. However, the approach used may be different for urban and rural school children.

  19. The amblyopic eye in subjects with anisometropia show increased saccadic latency in the delayed saccade task

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    Maciej ePerdziak

    2014-10-01

    Full Text Available The term amblyopia is used to describe reduced visual function in one eye (or both eyes, though not so often which cannot be fully improved by refractive correction and explained by the organic cause observed during regular eye examination. This developmental disorder of spatial vision affects about 2-5% of the population and is associated with abnormal visual experience (e.g. anisometropia, strabismus during infancy or early childhood. Several studies have shown prolongation of saccadic latency time in amblyopic eye. In our opinion, study of saccadic latency in the context of central vision deficits assessment, should be based on central retina stimulation. For this reason, we proposed saccade delayed task. It requires inhibitory processing for maintaining fixation on the central target until it disappears – what constitutes the GO signal for saccade. The experiment consisted of 100 trials for each eye and was performed under two viewing conditions: monocular amblyopic / non-dominant eye and monocular dominant eye. We examined saccadic latency in 16 subjects (mean age 30±11 years with anisometropic amblyopia (two subjects had also microtropia and in 17 control subjects (mean age 28±8 years. Participants were instructed to look at central (fixation target and when it disappears, to make the saccade toward the periphery (10 deg as fast as possible, either left or the right target. The study results have proved the significant difference in saccadic latency between the amblyopic (mean 262±48 ms and dominant (mean 237±45 ms eye, in anisometropic group. In the control group, the saccadic latency for dominant (mean 226±32ms and non-dominant (mean 230±29 ms eye was not significantly different.By the use of LATER (Linear Approach to the Threshold with Ergodic Rate decision model we interpret our findings as a decrease in accumulation of visual information acquired by means of central (affected retina in subjects with anisometropic amblyopia.

  20. Long-term visual results in eyes cured for retinoblastoma by radiation

    Energy Technology Data Exchange (ETDEWEB)

    Holbek, S.; Ehlers, N. (Department of Ophthalmology, Aarhus University Hospital, Aarhus (Denmark))

    1989-01-01

    Twenty-four eyes from 18 patients cured for retinoblastoma by radiation on an average 12 years previously, were re-examined with respect to visual performance. The macular functions, i.e. visual acuity, colour vision and contrast sensitivity demonstrated performances predictable from tumour localization and radiation dose to the macula. The rod functions, i.e. visual field and dark adaptation were found to be relatively resistant to the radiation treatment. A special problem encountered in two-eyed patients was the unavoidable amblyopia dut to unequal handicaps in the two eyes at the vulnerable age. (author).

  1. Iris pigment epithelial cysts in a newborn

    OpenAIRE

    Zargar, S; Prendiville, KJ; Martinez, E.

    2016-01-01

    Purpose: We report a case of iris pigment epithelial cysts in a newborn and discuss the importance of an accurate diagnosis for prevention of amblyopia.Methods: We describe a case of an abnormal red reflex seen on a newborn exam.Results: A full-term female born via normal spontaneous vaginal delivery without any complications was seen in the newborn nursery. She was noted to have an abnormal eye exam. Pupils were large with circular dark excrescences of the iris pigment epithelium. She wa...

  2. Development and evaluation of a patching treatment questionnaire for Chinese amblyopic children

    Institute of Scientific and Technical Information of China (English)

    Xu Jinling; Lu Qun; Huang Ying; Chen Yuanyuan; Chen Jie; Yu Xinping

    2014-01-01

    Background Amblyopia is a common disease for children.The main treatment approach for amblyopia is to patch the normally sighted eye and force the use of the amblyopic eye.However,patching treatment in children may negatively impact psychological well-being of both the child and family.At present,no specific questionnaire is available to assess the health-related quality of life (HRQoL) of amblyopic treatment for children and their families in China.The purpose of our study was to develop a Chinese version of patching treatment questionnaire,and evaluate its reliability and validity.Methods The original patching treatment questionnaire of amblyopia treatment index (ATI) was translated into Chinese.Amblyopic patients aged 4-9 years receiving patching 4-8 hours per day or full-time were recruited.The reliability and validity of the Chinese version of the patching treatment questionnaire were determined by internal consistency,test-retest reliability,item-scale correlations,and construct validity.The associated baseline factors and the questionnaire responses were assessed.Results One hundred and nine children with amblyopia treated with patching were enrolled.Distribution of response options for individual items and correlation with the respective subscale were calculated.Factor analysis revealed that 16 of the 21 items were loaded in the three subscales as follows:"adverse effects" of treatment,“difficulties with compliance" and "social stigma" of treatment.Intemal consistency values measured by Cronbach's a coefficient (0.768) and split-half coefficient (0.790) were satisfactory for the total scales.The intra-class correlation coefficient for test-retest reliability was 0.998.No significant difference was found between the overall questionnaire scores and children's age,sex,baseline visual acuity of amblyopic eyes,improvement of the amblyopic eye,or patching time.Conclusions We developed a Chinese version of the patching treatment questionnaire with satisfactory

  3. Activation of lateral geniculate nucleus and primary visual cortex as detected by functional magnetic resonance imaging in normal subjects and in patients with visual disturbance

    International Nuclear Information System (INIS)

    Functional magnetic resonance imaging (fMRI) during visual stimulation can detect regional cerebral blood flow changes that reflect neural activity in the lateral geniculate nucleus and primary visual cortex, which are major relay points in the human afferent visual system. FMRI has been used in the clinical evaluation of visual disorders such as homonymous hemianopia and unilateral eye diseases (optic neuritis, amblyopia, and so on). Future development in the data acquisition and data analysis may facilitate the use of fMRI for the management of patients with visual deficits and understanding of the visual disorders. (author)

  4. Facilitation of vertical vergence by horizontal saccades, found in a patient with dissociated vertical deviation.

    OpenAIRE

    Simonsz, Huib; Dijk, Laurens

    1994-01-01

    textabstractAbstract The authors examined vertical vergence in a Is-year-old girl with dissociated vertical deviation, a 60 convergent strabismus, no binocular vision, latent nystagmus, and a minimal left amblyopia. Eye movements were recorded during 4s-periods of (1) both eyes open, alternated with 4speriods of (2a) right eye covered, (2b) left eye covered or (2C) both eyes closed. The patient preferred fixation with the right eye; when this eye was covered, the left eye took over fixation w...

  5. [NERVOUS SYSTEM LESIONS ASSOCIATED WITH RELAPSING POLYCHONDRITIS: ANALYSIS OF ORIGINAL OBSERVATIONS].

    Science.gov (United States)

    Chernyak, V I; Savel'ev A I; Men'shikova, I V; Pogromov, A P

    2016-01-01

    Three clinical cases are described including two of relapsing polychondritis with lesions in the central and peripheral nervous system (one of long-standing aseptic lymphocytic meningitis and one of cranial neuropathy of 2, 5, 7, and 8 pairs) and the third case of the optic nerve lesion with amblyopia. The two former cases were successfully treated with high doses of corticosteroids, the third one with moderate doses of the same medications. The data from the current literature concerning variants of clinical manifestations, methods for diagnostics and treatment of neurologic manifestations of relapsing polychondritis are discussed. PMID:27459759

  6. Evaluation and management of Periocular Capillary Hemangioma: A review

    International Nuclear Information System (INIS)

    To review the salient features of periocular capillary hemangioma, provide the ophthalmologist with clinical, diagnostic and histological features characteristic of the tumor and discuss various methods of management. Methods were literature review of periocular capillary hemangioma, diagnostic evaluation with emphasis on treatment through the presentation of illustrative clinical cases. Capillary hemangioma is the most common benign vascular tumor found on the head and neck area including eyelids and orbit. The lesion typically manifests within the first few weeks of life, grows rapidly in the first year during the proliferative phase, then invariably and slowly regresses over the next 4 to 5 years during the involutional phase. The lesion may resolve without leaving any significant cosmetic sequelae in vast majority of patients, however, the functional defects in the form of amblyopia, squint, facial disfigurement and rarely optic atrophy may persist long after complete resolution of the tumor. The diagnosis of the capillary hemangioma requires a combination of clinical and imaging studies such as ultrasonography, computerized tomography, magnetic resonance imaging and angiography in selected cases. With the advent of less invasive diagnostic techniques, the need for biopsy in capillary hemangioma has decreased. Nevertheless, it should be differentiated from other periocular tumors such as rhabdomyosarcoma, lymphangioma, chloroma, neuroblastoma, orbital cyst, and orbital cellulites. Treatment is indicated to prevent amblyopia or cosmetic disfigurement. If indicated, intra-lesional corticosteroids may be used to enhance resolution of the tumor. Other forms of treatment tried with variable success include systematic and topical corticosteroids, radiation, surgical excision and intravenous embolization of the tumor. Indecent years, laser ablation of the tumor has been found effective in some cases. Interferon-u has been utilized effectively in cases of capillary

  7. A new apparatus for visual field testing with binocular fixation

    Directory of Open Access Journals (Sweden)

    Hasegawa,Eiichi

    1978-07-01

    Full Text Available A new instrument for visual field examination with binocular fixation is described. The binocular vision was dissociated with polarizing plates. Only the point of fixation was visible to both eyes while the testing chart (Amsler chart was visible to one eye in the use of this apparatus. The examination was done with both the patient's eyes open. With the use of this apparatus, not only was the visual line fixed steadily in order to detect various changes of the central visual field due to maculopathy or optic neuropathy and these changes were detected accurately and quickly, but also suppression scotoma associated with amblyopia or squint could be detected quantitatively.

  8. Danish Rural Eye Study

    DEFF Research Database (Denmark)

    Høeg, Tracy B; Moldow, Birgitte; Ellervik, Christina;

    2015-01-01

    older from a Danish rural municipality received a complete general health examination and an ophthalmological interview and examination. This study included a comprehensive ophthalmologic interview, measurement of best corrected visual acuity (BCVA) in each eye, Hirschberg's test for strabismus and two...... 45-degree retinal fundus photographs of each eye. A complete ophthalmologic examination was performed when indicated. RESULTS: The prevalence of monocular visual impairment (MVI) was 4.26% (95% CI, 3.66-4.95, n = 163). Amblyopia was the most common cause, accounting for 33%. The prevalence of...

  9. Severe penetrating ocular injury from ninja stars in two children.

    Science.gov (United States)

    Jeng, B H; Steinemann, T L; Henry, P; Brodsky, M C

    2001-01-01

    The authors describe two cases of penetrating ocular trauma in children resulting from ninja stars. In the first case, despite a scleral laceration, loss of iris tissue, and a vitreous hemorrhage, the child had a good result with a final best corrected visual acuity of 20/20. Unfortunately, the child in the second case did not fare as well. In this case, the child suffered a large corneal laceration and traumatic cataract. He ultimately required a penetrating keratoplasty, and he is currently being treated for amblyopia, strabismus, and elevated intraocular pressures. His best corrected visual acuity is 20/70. PMID:11475403

  10. Binocular eyelid closure promotes anatomical but not behavioral recovery from monocular deprivation.

    Science.gov (United States)

    Duffy, Kevin R; Bukhamseen, Dalia H; Smithen, Matthew J; Mitchell, Donald E

    2015-09-01

    Deprivation of patterned vision of frontal eyed mammals early in postnatal life alters structural and functional attributes of neurones in the central visual pathways, and can produce severe impairments of the vision of the deprived eye that resemble the visual loss observed in human amblyopia. A traditional approach to treatment of amblyopia has been the occlusion of the stronger fellow eye in order to force use of the weaker eye and thereby strengthen its connections in the visual cortex. Although this monocular treatment strategy can be effective at promoting recovery of visual acuity of the amblyopic eye, such binocular visual functions as stereoscopic vision often remain impaired due in part to the lack of concordant vision during the period of unilateral occlusion. The recent development of binocular approaches for treatment of amblyopia that improve the possibility for binocular interaction have achieved success in promoting visual recovery. The full and rapid recovery of visual acuity observed in amblyopic kittens placed in complete darkness is an example of a binocular treatment whose success may in part derive from a restored balance of visually-driven neural activity. In the current study we examined as an alternative to dark rearing the efficacy of binocular lid suture (BLS) to stimulate anatomical and visual recovery from a preceding amblyogenic period of monocular deprivation. In the dorsal lateral geniculate nucleus (dLGN) of monocularly deprived kittens, darkness or BLS for 10days produced a complete recovery of neurone soma size within initially deprived layers. The growth of neurone somata within initially deprived dLGN layers after darkness or BLS was accompanied by an increase in neurotrophin-4/5 labeling within these layers. Although anatomical recovery was observed in both recovery conditions, BLS failed to promote any improvement of the visual acuity of the deprived eye no matter whether it followed immediately or was delayed with respect to

  11. Temporal Instabilities in Amblyopic Perception: A Quantitative Approach.

    Science.gov (United States)

    Thiel, Aylin; Iftime, Adrian

    2016-04-01

    The purpose of this study is to quantify the temporal characteristics of spatial misperceptions in human amblyopia. Twenty-two adult participants with strabismus, strabismic, anisometropic, or mixed amblyopia were asked to describe their subjective percept of static geometrical patterns with different spatial frequencies and shapes, as seen with their non-dominant eye. We generated digital reconstructions of their perception (static images or movies) that were subsequently validated by the subjects using consecutive matching sessions. We calculated the Shannon entropy variation in time for each recorded movie, as a measure of temporal instability. Nineteen of the 22 subjects perceived temporal instabilities that can be broadly classified in two categories. We found that the average frequency of the perceived temporal instabilities is ∼1 Hz. The stimuli with higher spatial frequencies yielded more often temporally unstable perceptions with higher frequencies. We suggest that type and amount of temporal instabilities in amblyopic vision are correlated with the etiology and spatial frequency of the stimulus. PMID:26786394

  12. Pediatric Patient with Oculocutaneous Albinism: A Case Report

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    Casandra Solis, OD

    2015-08-01

    Full Text Available Background: Oculocutaneous albinism (OCA is a rare genetic disorder that occurs due to a mutation in one of the genes that affects the melanin biosynthesis pathway. OCA is autosomal recessive and affects people of all ethnic backgrounds. Oculocutaneous albinism often presents with nystagmus and pale coloring of the skin and hair. The patient with OCA has normal development, intelligence, fertility, and lifespan. Case Report: A two-month-old female presented with a new-onset intermittent nystagmus. A complete vision exam resulted in a diagnosis of oculocutaneous albinism with nystagmus secondary to foveal hypoplasia. The findings were discussed with the parents, and a follow-up was scheduled. At the five-month follow-up, the patient was progressing well and had a reduction in the amplitude of her nystagmus. Conclusion: Oculocutaneous albinism is often discovered first with a visit to the eye care professional due to a recent onset of nystagmus. Foveal hypoplasia causes an onset of nystagmus between two and three months. Additional ocular manifestations include reduced visual acuity, strabismus, high refractive error, amblyopia, increased decussation of visual fibers, color vision defects, photophobia, transillumination, and hypopigmentation of the retinal pigmented epithelium. Assistance for the child with OCA consists of correcting the refractive error; amblyopia treatment when necessary; and concurrent physical, occupational, and low vision therapy. Communication and collaboration with other medical specialties is warranted throughout life.

  13. Ocular problems in children with cerebral palsy

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    Esra Ayhan Tuzcu

    2012-09-01

    Full Text Available The aim of this study is to evaluate eye problemsin children with cerebral palsy in our region.Materials and Methods: 90 patients which was diagnosedas cerebral palsy, treated and followed up in PediatricNeurology Department of Mustafa Kemal University,were included to this study. The history was taken, anda physical examination was performed to determine theetiology of the disease and type of SP. All of the patientswere underwent a detailed ophthalmological examinationincluding visual acuity, refractive error, amblyopia, strabismus,nystagmus and fundus examination.Results: Totally 90 patients, 51 male and 39 female,were included to the study. When the etiologic factorswere evaluated, the asphyxia was seen in 33.3% of thepatients. The most common type of cerebral palsy wasspastic quadriplegia at the rate of 43.3%. Eye problemswere detected in 60% of our cases. Of this, 54.4% wererefractive errors, 35.6% were strabismus, and 22.2%were optic nerve pathologies. Amblyopia was found in11.1% of cases. Although strabismus is more common inspastic diplegia type of cerebral palsy, there was no statisticallysignificant differenceConclusions: In conclusion, eye problems are commonin children with cerebral palsy. Therefore, we recommendroutine eye examination in these patients due to be beneficialin reducing the detection and communication difficulties.Key words: Cerebral palsy, refractive error, strabismus,optic atrophy

  14. Prevalence of refractive errors and ocular disorders in preschool and school children of Ibiporã - PR, Brazil (1989 to 1996

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    Schimiti Rui Barroso

    2001-01-01

    Full Text Available Purpose: To establish the prevalence of refractive errors and ocular disorders in preschool and schoolchildren of Ibiporã, Brazil. Methods: A survey of 6 to 12-year-old children from public and private elementary schools was carried out in Ibiporã between 1989 and 1996. Visual acuity measurements were performed by trained teachers using Snellen's chart. Children with visual acuity <0.7 in at least one eye were referred to a complete ophthalmologic examination. Results: 35,936 visual acuity measurements were performed in 13,471 children. 1.966 children (14.59% were referred to an ophthalmologic examination. Amblyopia was diagnosed in 237 children (1.76%, whereas strabismus was observed in 114 cases (0.84%. Cataract (n=17 (0.12%, chorioretinitis (n=38 (0.28% and eyelid ptosis (n=6 (0.04% were also diagnosed. Among the 614 (4.55% children who were found to have refractive errors, 284 (46.25% had hyperopia (hyperopia or hyperopic astigmatism, 206 (33.55% had myopia (myopia or myopic astigmatism and 124 (20.19% showed mixed astigmatism. Conclusions: The study determined the local prevalence of amblyopia, refractive errors and eye disorders among preschool and schoolchildren.

  15. Ocular Morbidity In Children With Autism

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    Sonisha Neupane, BOptom

    2013-01-01

    Full Text Available Background: Autism Spectrum Disorder is a range of complex neuro-developmental disorders characterized by social impairment, communication difficulty, and restricted, repetitive, and stereotyped patterns of behavior. Children on the autism spectrum exhibit variable refractive errors, strabismus, oculomotor dysfunction, and atypical gaze. This project was an attempt at early identification of, and intervention for, ocular and visual abnormalities in children on the autism spectrum. Methods: Thirty-six children from four rehabilitation centers in Nepal underwent detailed optometric examinations including refractive, oculomotor, binocular, and disease evaluations. Results: Visual abnormalities were seen in 24 (66% children that included myopia, hyperopia, and astigmatism. Strabismus was present in eight (22% children. Amblyopia was present in 11 (31% children. Amblyopia due to refractive error and strabismus was present in nine (25% and two (6% children, respectively. Nystagmus was seen in only one (3% patient. Conclusion: The relatively high prevalence of visual disorders in this group would indicate that the visual needs of patients on the autism spectrum must be addressed. The need for early and regular eye examinations is warranted.

  16. The Case of the Missing Muscles

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    Mira Silbert Aumiller, OD

    2015-02-01

    Full Text Available Background: Congenital absence of the superior oblique (SO is a rare cause of strabismus. It should be suspected in a patient with a presumed diagnosis of SO palsy presenting with amblyopia, an unusually large vertical deviation, and a significant horizontal deviation. Case Report: We report a case of an infant presenting at five months of age with a significant right head tilt since birth and significant vertical and horizontal strabismus. The patient was not meeting developmental milestones. The infant was referred for surgery, where it was discovered that she had a congenital lack of SO muscles. After surgery, the patient was treated with amblyopia therapy and vision therapy and followed for six years. Surgical and non-surgical intervention led to a good visual outcome, enhanced achievement of developmental milestones, and improved cosmesis. Conclusion: Although absence of SO muscles is a rare etiology for torticollis and strabismus, it should be considered in cases of early and significant ocular misalignment. The presence of horizontal and vertical strabismus in a patient with a presumed congenital SO palsy should raise suspicion of an absent SO. Early intervention can make a significant difference for the patient in terms of both visual outcome and cosmesis. This patient is the youngest documented case of SO aplasia and the first published case using surgery and vision therapy in combination.

  17. A DEFINITE SURGICAL CORRECTION TO RARE UNCORRECTED INFANTILE ESOTROPIA WITH ANOMALOUS MEDIAL RECTUS INSERTION

    Directory of Open Access Journals (Sweden)

    Padmini

    2016-02-01

    Full Text Available INTRODUCTION Infantile esotropia is an idiopathic esotropia previously called as congenital esotropia where there is an inward movement of one or both eyes. Up to 4 months of age, infrequent episodes of convergence are normal but thereafter ocular misalignment is abnormal. Congenital esotropia commonly referred as crossed eyes is not present since birth but usually develops within first six months of life in an otherwise normal infant with no significant refractive error and no limitation of ocular motility. Angle of deviation is usually constant and fairly large >30*. Infantile esotropia is usually associated with inferior oblique over action usually developing after one year of age, dissociated vertical deviation (DVD in about 70-90% cases and latent horizontal nystagmus. Patients with infantile esotropia usually do not develop binocular vision. There is alternate fixation in primary gaze and in lateral gaze there is cross fixation. Amblyopia develops in 25-40% when patient fixes more with one eye. Thus surgical correction should be done early in life to avoid amblyopia. Here we encounter a rare case of infantile esotropia with medial rectus insertion anomaly who presented in her adolescence and underwent a definite cosmetic surgical correction by medial rectus recession and ipsilateral lateral rectus resection at same time.

  18. Managing elevated intraocular pressure in a patient with optic nerve hypoplasia

    Directory of Open Access Journals (Sweden)

    Karina Marcovitch

    2009-10-01

    Full Text Available Karina Marcovitch, Joseph SowkaNova Southeastern University, College of Optometry, Davie, FL, USABackground: Optic nerve hypoplasia (ONH is a congenital optic disc anomaly, often manifesting with visual deficits.Case: A 51-year-old woman with a history of bilateral amblyopia was referred for glaucoma evaluation due to elevated intraocular pressure. The patient demonstrated the classic nerve head appearance of bilateral ONH with “double ring sign” and indistinguishable cupping. Despite demonstrating functional and structural measurements consistent with glaucomatous optic neuropathy, it was felt that these deficits were more likely longstanding and secondary to ONH. Additionally, in the absence of any amblyogenic factors, it was also concluded that the patient’s bilateral “amblyopia” was the result of ONH. In that the patient presented with a significant and modifiable risk factor for glaucomatous development and pre-existing retinal nerve fiber layer and visual field defects, the patient was treated with topical glaucoma medications. Conclusion: Diagnosing glaucoma in patients with concurrent anomalies is a clinical conundrum. This report provides a review of ONH with emphasis on the common misdiagnosis of amblyopia in these patients as well as presenting a strategy for diagnosing and managing glaucoma in patients with preexisting, confounding conditions. Keywords: optic nerve hypoplasia, glaucoma, visual field loss, scanning laser polarimetry, threshold automated perimetry

  19. Prevalence and causes of visual impairment and blindness in Sistan‐va‐Baluchestan Province, Iran: Zahedan Eye Study

    Science.gov (United States)

    Shahriari, Hossein‐Ali; Izadi, Shahrokh; Rouhani, Mohammad‐Reza; Ghasemzadeh, Farzaneh; Maleki, Ali‐Reza

    2007-01-01

    Aim To determine the prevalence and causes of visual impairment and blindness in the Sistan‐va‐Baluchestan Province of Iran. Methods A population‐based cross‐sectional study with a multistage cluster sampling technique was used to identify the study subjects. Visual acuity (VA) was defined for all participants aged ⩾10 years. Participants with a VA of visual impairment (VA Visual impairment increased with age and illiteracy. Bilateral blindness doubled in women aged >40 years. The causes of visual impairment and blindness were cataract (37.7%), corneal opacity (15.0%), amblyopia (15.0%), glaucoma (5.7%) and hyperopia (5.0%). 39.5% of the visual impairment cases were potentially curable. Conclusion The estimated magnitude of visual impairment and blindness was much higher than our expectations. Further investigation of the pattern of vision loss in women and children, particularly as a result of trachoma and amblyopia, is warranted. Implementation of measures to treat curable cases of the study population can improve the situation in the region dramatically. PMID:17124245

  20. Relieving the attentional blink in the amblyopic brain with video games.

    Science.gov (United States)

    Li, Roger W; Ngo, Charlie V; Levi, Dennis M

    2015-01-01

    Video game play induces a generalized recovery of a range of spatial visual functions in the amblyopic brain. Here we ask whether video game play also alters temporal processing in the amblyopic brain. When visual targets are presented in rapid succession, correct identification of the first target (T1) can interfere with identification of the second (T2). This is known as the "attentional blink". We measured the attentional blink in each eye of adults with amblyopia before and after 40 hours of active video game play, using a rapid serial visual presentation technique. After videogame play, we observed a ~40% reduction in the attentional blink (identifying T2 200 ms after T1) seen through the amblyopic eye and this improvement in performance transferred substantially to the untrained fellow sound eye. Our experiments show that the enhanced performance cannot be simply explained by eye patching alone, or to improved visual acuity, but is specific to videogame experience. Thus, videogame training might have important therapeutic applications for amblyopia and other visual brain disorders. PMID:25715870

  1. 多巴胺在眼科相关领域中的研究进展%An updated view on dopamine in ophthalmology

    Institute of Scientific and Technical Information of China (English)

    吕瀛娟

    2014-01-01

    多巴胺是中枢神经递质之一,在人体内与相应的膜受体结合后可激活或抑制环磷酸腺苷(cAMP)的活性,从而调控细胞的钙信号;同时多巴胺也是视网膜中一种主要的神经递质与调质,在整个视觉通路中参与视觉系统的信号传递与调控过程,如视网膜、外侧膝状体、视皮层等.近年来研究发现,多巴胺量的变化影响弱视、近视眼的形成,此外,它还通过与受体结合参与眼压的调控,这些研究对眼科临床上弱视的治疗、近视的预防和眼压的控制等方面提供了新的思路.就视网膜中多巴胺在调控形觉剥夺、光学离焦诱导的近视眼形成、眼压的调节、眼轴的发育及弱视的形成与治疗等方面的研究进展进行综述.%Dopamine is one of neurotransmitters of the central nervous system,and it can activate or inhibit cAMP by binding the corresponding membrane receptor and further regulate calcium signals.Dopamine is also primary neurotransmitter and modulator in retina,and it plays very important roles over the entire visual pathway including retina,lateral geniculate body and visual cortex.Recent study showed that dopamine participates in the pathogenesis of amblyopia and myopia.In addition,it is also involved in the regulation of intraocular pressure (IOP).These studies offered some new clues for the treatment and prevention of amblyopia and myopia as well as the regulation of IOP.Hence,this paper describes the new progress of retinal dopamine in the form deprivation myopia,myopic defocus,the regulation of IOP,the eye growth and the treatment of amblyopia.

  2. [Early detection and treatment of strabismus].

    Science.gov (United States)

    Mojon, Daniel

    2016-01-01

    An early diagnosis of strabismus is important in order to rule out treatable organic causes and in children, if indicated, to start as early as possible with an amblyopia treatment. Early detection will also decrease the risk for accidents secondary to diplopia, to the loss of binocular vision and to the restriction of the binocular visual field in case of esodeviations. The following therapeutic options exist: in some cases the prescription of the correct refraction will be sufficient, for small deviations a prismatic correction may allow a longstanding treatment, for larger or incomitant deviations strabismus surgery will be necessary, which nowadays can be performed using minimal-invasive technique on an outpatient base. PMID:26982644

  3. Novel occurrence of axenfeld: Rieger syndrome in a patient with blepharophimosis ptosis epicanthus inversus syndrome

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    Bhavin M Shah

    2014-01-01

    Full Text Available Blepharophimosis ptosis epicanthus inversus syndrome (BPES is a complex eyelid malformation characterized by the classical tetrad of blepharophimosis, telecanthus, ptosis, and epicanthus inversus. It has been reported to be associated with other ocular anomalies such as euryblepharon, strabismus, nystagmus, amblyopia, microphthalmos, lacrimal drainage apparatus abnormality, extra ocular muscle abnormalities, microcornea, trabecular dysgenesis, optic nerve hypoplasias, and colobomas of the optic disk. We describe a case of BPES with Axenfeld-Rieger syndrome, a neurocristopathy characterized by maldevelopment of the anterior segment with predisposition to development of glaucoma. Interestingly, both syndromes are caused by mutations in the same class of genes, namely the winged-helix/forked transcription factors (FOX involved in a variety of developmental processes.

  4. A Case of Congenital Retinal Macrovessel Crossing the Foveola

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    Cem Özgönül

    2014-03-01

    Full Text Available Congenital retinal macrovessel is generally the presence of unilateral aberrant vessel crossing over the horizontal raphe through the macula. Typically, visual acuity is unaffected, although in rare cases, macular hemorrhage, foveolar cysts, foveal contour impairment, and the presence of anomalous vessel in the foveola can affect the vision. In our case, visual acuity of the right eye was counting fingers at 3 meters. He had four diopter oblique astigmatism, esotropia, and dissociated vertical deviation. Fundoscopy revealed a aberrant vein crossing the foveola. Spectral OCT examination showed hiperreflectivity of the vessel and fluorescein angiography showed no leakage of the vessel. Although in the literature it is specified that the aberrant vein crossing the fovea is a factor of lowering visual acuity, in our case we thought, low visual acuity is due to deep amblyopia. (Turk J Ophthalmol 2014; 44: 154-5

  5. Acute exacerbation of combined pulmonary fibrosis and emphysema associated with Hermansky-Pudlak syndrome.

    Science.gov (United States)

    Sugino, Keishi; Gocho, Kyoko; Kikuchi, Naoshi; Shibuya, Kazutoshi; Uekusa, Toshimasa; Homma, Sakae

    2016-03-01

    A 30-year-old male smoker with congenital amblyopia and oculocutaneous albinism was admitted to our hospital complaining of progressive dyspnea on exertion. Chest computed tomography images revealed diffuse reticular opacities and honeycombing in the bilateral lower lobes with sparing of the subpleural region along with emphysema predominantly in the upper lobes. Lung biopsy specimens showed a mixture of usual interstitial pneumonia and a non-specific interstitial pneumonia pattern with emphysema. Of note, cuboidal epithelial cells with foamy cytoplasm on the alveolar walls and phagocytic macrophages with ceroid pigments in the fibrotic lesions were observed. The patient was diagnosed with Hermansky-Pudlak syndrome (HPS) associated with combined pulmonary fibrosis and emphysema (CPFE). Six years following the patient's initial admission to our hospital, he died from acute exacerbation (AE) of CPFE associated with HPS. This is one of only few reports available on the clinicopathological characteristics of AE in CPFE associated with HPS. PMID:26839694

  6. Management of pediatric corneal limbal dermoids.

    Science.gov (United States)

    Pirouzian, Amir

    2013-01-01

    This paper reviews the data in the published literature (PubMed from 1937 to 2011) concerning the medical and surgical management of pediatric limbal dermoids. Current standard medical treatment for grade I pediatric limbal dermoids (ie, with superficial corneal involvment) is initially conservative. In stages II (ie, affecting the full thickness of the cornea with/without endothelial involvement) and III (ie, involvement of entire cornea and anterior chamber), a combination of excision, lamellar keratoplasty, and amniotic membrane and limbal stem cell tranplantation are advocated. Combinations of these approaches seem to yield better and more stable long-term ocular surface cosmesis and fewer complications in comparison with traditional methods of excision and lamellar keratoplasty. Management of amblyopia (i.e. occlusion treatment, chemical penalization with/without spectacle wear, etc) must continue after surgical excision to yield optimal results when or if the surgery is done at a younger age. PMID:23576860

  7. Strategies for the Management of Congenital Iris Cysts.

    Science.gov (United States)

    Chaudhry, Shabana; Shoaib, Khawaja Khalid; Hing, Stephen; Smith, James

    2016-06-01

    Iris cysts can arise from iris pigment epithelium or stroma. We present 3 cases of iris cysts which have been managed in different ways. In a one-month neonate, cyst was punctured with keratome and gentle diode laser endophotocoagulation was applied to the base. A2.5-month infant presented with watering and blepharospasm since birth. Clear fluid was aspirated from the cyst with a 27-gauge needle and Ethanol 96% (ETOH) was injected into the cyst and then aspirated. It was followed by injection/aspiration of 0.3 ml of balanced salt solution thrice. Cyst wall was excised. A13-month toddler presented with 4-month history of intermittent irritation and photophobia. The cyst was aspirated with a 25-gauge needle and the cyst walls were nibbled with 20-gauge vitrectomy cutter. Excision is better than injection of sclerosing solutions. The aim is to remove the whole cyst to avoid recurrence and to prevent amblyopia. PMID:27376231

  8. Ocular motility, visual acuity and dysfunction of neuropsychological impairment in children with shunted uncomplicated hydrocephalus.

    Science.gov (United States)

    Zeiner, H K; Prigatano, G P; Pollay, M; Biscoe, C B; Smith, R V

    1985-01-01

    Children with shunted, uncomplicated, communicating hydrocephalus were tested to determine (1) the persistence of neuropsychological impairment and (2) the relationship between neuropsychological functioning, ocular motility, and acuity abnormalities. Eighteen hydrocephalic and 18 individually age- and sex-matched controls were given a neuropsychological battery, repeated after an interval of 1 year. Hydrocephalic children were also tested at the beginning of the second year for strabismus, amblyopia and visual acuity. Their medical records were reviewed for history of ocular motility and/or acuity abnormalities. Hydrocephalic children with normal range IQ were found to have lower verbal IQ, memory, and fine motor skills compared to controls. A history of ocular motility and acuity abnormalities was associated with impaired visuospatial and verbal problem-solving skills. PMID:4005882

  9. Plasticity in the Human Visual Cortex: An Ophthalmology-Based Perspective

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    Andreia Martins Rosa

    2013-01-01

    Full Text Available Neuroplasticity refers to the ability of the brain to reorganize the function and structure of its connections in response to changes in the environment. Adult human visual cortex shows several manifestations of plasticity, such as perceptual learning and adaptation, working under the top-down influence of attention. Plasticity results from the interplay of several mechanisms, including the GABAergic system, epigenetic factors, mitochondrial activity, and structural remodeling of synaptic connectivity. There is also a downside of plasticity, that is, maladaptive plasticity, in which there are behavioral losses resulting from plasticity changes in the human brain. Understanding plasticity mechanisms could have major implications in the diagnosis and treatment of ocular diseases, such as retinal disorders, cataract and refractive surgery, amblyopia, and in the evaluation of surgical materials and techniques. Furthermore, eliciting plasticity could open new perspectives in the development of strategies that trigger plasticity for better medical and surgical outcomes.

  10. Approach to diagnosis and management of optic neuropathy

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    Sharik Mustafa

    2014-01-01

    Full Text Available Visual loss consequent to anterior visual pathway involvement can occur in a variety of clinical settings. In a tropical country like India, apart from the usual suspects, nutritional, infective, and toxic amblyopia have to be considered in the differential diagnosis. The mode of onset (acute/chronic, unilateral versus bilateral involvement, accompanying occular pain or the lack of it, and pattern of visual loss are some of the pointers which help to differentiate optic neuropathy clinically. The presence of concurrent neurological deficits, evidence of other systemic illnesses, and the results of serological and radiological investigations help to confirm the diagnosis. This article briefly describes the important causes of optic neuropathy in the Indian context and outlines a practical approach to management.

  11. Outcomes of Surgery for Posterior Polar Cataract Using Torsional Ultrasound

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    Selçuk Sızmaz

    2013-10-01

    Full Text Available Purpose: The aim of this study is to report outcomes of surgery for posterior polar cataract using torsional ultrasound. Material and Method: Medical records of 26 eyes of 21 consecutive patients with posterior polar cataract who had cataract surgery using the torsional phacoemulsification were evaluated retrospectively. The surgical procedure used, phacoemulsification parameters, intraoperative complications, and postoperative visual outcome were recorded. Results: Of the 26 eyes, 24 (92.3% had small to medium posterior polar opacity. Two eyes had large opacity. All surgeries were performed using the torsional handpiece. Posterior capsule rupture occurred in 4 (15.3% eyes. The mean visual acuity improved significantly after surgery (p<0.001. The postoperative visual acuity was worse than 20/20 in 5 eyes. The cause of the low acuity was amblyopia. Discussion: Successful surgical results and good visual outcome can be achieved with phacoemulsification using the torsional handpiece. (Turk J Ophthalmol 2013; 43: 345-7

  12. Association of extensive myelinated nerve fibers and high degree myopia: Case report

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    Elvan Yalcın

    2013-01-01

    Full Text Available Unilateral extensive myelination of the peripapillary nerve fibers may be associated with anisometropic myopia, strabismus, and reduced vision. Myelination of optic nerve fibers terminate at lamina cribrosa. Yet in some patients, myelination progresses into the peripapillary retinal nerve fibers and may affect the visual acuity. In this report, we described 4 patients. All patients presented extensive peripapillary myelinated nerve fibers associated with myopic anisometropia. After routine ophthalmic and orthoptic examinations, all patients underwent treatment for amblyopia through correction with spectacles, contact lenses, and the occlusion of the good eye. Corrected visual acuity improved in 1 patient, but 3 patients had no increase in visual acuity despite treatment with full cycloplegic refraction and appropriate patching. Probably because of structural abnormalies of the macula, visual results are often disappointing with appropriate correction of the refractive error and occlusion.

  13. Fractality of sensations and the brain health: the theory linking neurodegenerative disorder with distortion of spatial and temporal scale-invariance and fractal complexity of the visible world

    Directory of Open Access Journals (Sweden)

    Marina Vladimirovna Zueva

    2015-07-01

    Full Text Available The theory that ties normal functioning and pathology of the brain and visual system with the spatial-temporal structure of the visual and other sensory stimuli is described for the first time in the present study. The deficit of fractal complexity of environmental influences can lead to the distortion of fractal complexity in the visual pathways of the brain and abnormalities of development or aging. The use of fractal light stimuli and fractal stimuli of other modalities can help to restore the functions of the brain, particularly in the elderly and in patients with neurodegenerative disorders or amblyopia. Nonlinear dynamics of these physiological processes have a strong base of evidence, which is seen in the impaired fractal regulation of rhythmic activity in aged and diseased brains. From birth to old age, we live in a nonlinear world, in which objects and processes with the properties of fractality and non-linearity surround us. Against this background, the evolution of man took place and all periods of life unfolded. Works of art created by man may also have fractal properties. The positive influence of music on cognitive functions is well-known. Insufficiency of sensory experience is believed to play a crucial role in the pathogenesis of amblyopia and age-dependent diseases. The brain is very plastic in its early development, and the plasticity decreases throughout life. However, several studies showed the possibility to reactivate the adult's neuroplasticity in a variety of ways. We propose that a non-linear structure of sensory information on many spatial and temporal scales is crucial to the brain health and fractal regulation of physiological rhythms. Theoretical substantiation of the author's theory is presented. Possible applications and the future research that can experimentally confirm or refute the theoretical concept are considered.

  14. Cyclopentolate as a cycloplegic drug in determination of refractive error

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    Bolinovska Sofija

    2008-01-01

    Full Text Available Cycloplegia is loss of the power of accommodation with inhibition of a ciliary muscle. We obtain in this way the smallest refraction of the lens and make it possible to determine the presence and size of the particular refractive error in cycloplegia by using cyclopentolate. Cyclopentolate is a synthetic anticholinergic drug and antagonist of the muscarine receptors. If applied in the eye, it blocks the effect of cholinergic stimulation on the sphincter pupillae muscle and ciliary muscle. It provokes severe mydriasis (dilation of the pupil and cycloplegia (paralysis of the accommodation. Cyclopentolate has been used occasionaly in diagnostic purposes: defining ocular refraction and in ophthalmoscopy. This is the prospective study which included 200 children (400 eyes aged 3-18 years, carried out in one ambulatory ophthalmological examination. The results were analysed using standard statistical methods. The most often refractive error in the examined group of children is hyperopia with hyperopic astigmatism, then myopia with myopic astigmatism and mixtus astigmatism are the most often in the oldest group of children. The mean value of corneal astigmatism on the right eye was 1.24 D, on the left eye 1.23 D. Anisometropy was found in 40% children. The presence of myopia, myopic and astigmatism mixtus tended to increase, and hyperopia and hyperopic astigmatism tended to decrease toward older groups of children. Refractive error could result in a poor development of visual acuity, causing amblyopia and strabismus, and because of that represents an important public health problem. As one of amblyogenic risk factors in children, it can be prevented with screening program and appropriate treatment, thus providing prevention of amblyopia as one form of blindness.

  15. Could Visual Impairment in the Pediatric Age Group Be Reduced?

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    Doğan Ceyhan

    2013-06-01

    Full Text Available Pediatric age is the most important period for preventive eye care services and research. Vision loss in this period could cause a long life without sight and also significant financial and moral losses, in terms of people and society. Rational screening programs may reduce vision loss in childhood and this issue increases the value of the subject. Retinopathy of prematurity, congenital/infantile cataracts and glaucoma, optic nerve and retinal pathologies, refractive errors, amblyopia, and strabismus are the major clinical pictures causing visual loss in childhood. Using the epidemiological data, it could be estimated that every year approximately two to three thousand children suffer an ophthalmologic disease that causes significant visual loss. Regarding the refractive errors and amblyopia, it could be estimated that hundreds of thousands of children need ophthalmological follow-up in the country. For the timely treatment of these pathologies, a couple of short eye examination programs seem more realistic. Childhood vision loss in the country could be reduced, by informing pediatricians and family physicians and by proper guiding of the public opinion. Effective eye screening could be achieved with the implementation of simple methods like red reflex/Brückner test with ophthalmoscopy, or simultaneous (binocular retinoscopy and ophthalmoscopy of both eyes. Screening programs could be spread throughout the country by appropriate training of the physicians in the health institutions of the country. Screening programs will contribute to reduce the rate of visual disability by disseminating ophthalmologic practices throughout the country. (Turk J Ophthalmol 2013; 43: 195-201

  16. Factors Influencing the Surgical Success in Patients with Infantile Esotropia

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    Fatma Gül Yılmaz Çınar

    2013-12-01

    Full Text Available Purpose: To determine the factors that influence the surgical success in patients with infantile esotropia and to evaluate the relationship between amount of bilateral medial rectus recession and convergence. Material and Method: We retrospectively investigated the records of 188 patients with infantile esotropia who were operated on. The surgical success rate, the factors that influence the surgical success, and the relationship between amount of bilateral medial rectus recession and convergence deficiency were evaluated. Successful outcome was defined as deviation amount lower than 10 prism diopters postoperatively. Results: The mean age of the 188 patients included in the study at presentation was 54.9±56.8 (5-276 months, and the mean surgical age was 60.7±54.8 (7-276 months. Success was provided in 70.7% of patients after the first surgery and in 86.7% of patients after repeated surgeries. It was seen that gender, surgical age, refractive error, surgical procedure and the presence of fusion before surgery did not affect surgical success. Residual esotropia was found more frequently in patients with large-angle preoperative deviation, whilst both residual esotropia and consecutive exotropia were found more frequently in patients with amblyopia. It was observed that augmented bilateral medial rectus recession did not cause an increase in postoperative convergence deficiency. Discussion: Since the presence of amblyopia affects the surgical success negatively, it must be identified and treated preoperative. Residual esotropia is more frequently seen in patients with large-angle deviation preoperative, and more than one surgery may be required to provide orthophoria. In these cases, augmented bilateral medial rectus recession is a safe and effective method that rescues the patient from repeated surgeries and may be preferred to three-or four-muscle surgeries. (Turk J Ophthalmol 2013; 43: 413-8

  17. Screening Preschool Children for Visual Disorders: A Pilot Study

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    Suman Adhikari, BOptom

    2013-12-01

    Full Text Available Purpose: Ocular and/or vision defects are one of the most common reasons for the referral of young children to the hospital. Vision disorders are the fourth most common disability of children and the leading cause of handicapping conditions in childhood. In preschool-age children, amblyopia and amblyogenic risk factors, such as strabismus and significant refractive errors, are the most prevalent and important visual disorders. The purpose of this pilot study was to determine the prevalence of visual disorders in preschool children in Kathmandu Valley, Nepal.Methods: Four hundred and eighty-four children attending eight preschools in Kathmandu Valley underwent detailed optometric examination. Visual acuity was assessed with either Sheridan Gardiner or Kay Picture chart monocularly. Binocularity was assessed with cover test and prism bar neutralisation. Refraction was carried out in all children. In most instances this was done without the use of a cycloplegic agent. Stereopsis was assessed with the Lang stereo test. Anterior and posterior segment abnormalities were assessed by using a pen light, hand-held slit lamp, and direct ophthalmoscope.Results: Refractive error was the most common visual disorder. Considering our criteria of refractive error for myopia ≥ 0.50 D, hyperopia ≥ 1.50 D, astigmatism ≥ 1.00 D, and anisometropia ≥ 1.00 D, the overall prevalence of refractive error in our study was 31.82%. The overall prevalence of myopia, hyperopia, and astigmatism was 24.17%, 2.48%, and 5.17%, respectively. Anisometropia was present in 1.65% of the participants, and 2%, 1.4%, and 0.2% had strabismus, amblyopia, and nystagmus, respectively.Conclusion: The relatively high prevalence of refractive error in our studied population needs more attention. The results suggest that there is a need for a large-scale community-based preschool screening program in Nepal so that affected children can be identified early and appropriate treatment can be

  18. Prevalence of Visual Impairment in Low Birth Weight and Normal Birth Weight School Age Children

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    Ashraf Mohammadzadeh

    2009-09-01

    Full Text Available Objective:Studies demonstrated that 5-10% of preschool children have visual impairment. By age seven, up to 13% of children will have some defect in visual acuity. Both prematurity and low birth weight have been associated with an increased incidence of ophthalmic disorders. In this study we determined prevalence of visual impairment in low birth weight and normal birth weight school age children in Mashhad.Methods: This is a cross sectional study. The target population consisted of all children referred to educational organizations for screening before entering school in Mashhad, Iran. 2400 children enrolled in the study and were evaluated for amblyopia, refractive errors, color vision disturbance and optic nerve problems. Data were analyzed by SPSS.Findings: Prevalence of ophthalmic problems in all children was 5.43% and in low birth weight and normal birth weight 8.29% and 5.74% respectively. Incidence of ophthalmic problems was significantly (P=0.029 higher in low birth weight children than in normal birth weight children. The most common ophthalmic disease in both low birth weight and normal birth weight children was refractive errors 81.5% vs. 68.8 % (P< 0.05. Prevalence of myopia, amblyopia and color vision disturbance was also higher in low birth weight than in normal birth weight children.Conclusion:Low birth weight children are at greater risk of the visual impairment that may occur at an early age and result in long term morbidity. Visual outcome of low birth weight neonates should be evaluated routinely.

  19. Refractive status among the students presenting to Geta Eye Hospital, Kailali, Nepal.

    Science.gov (United States)

    Pant, B P; Ghising, R; Awasthi, S; Pant, S R; Bhatta, R C

    2010-06-01

    A retrospective hospital based study was designed in order to evaluate the refractive status of students presenting to Geta Eye Hospital. All the hospital record of secondary level school students were collected from the record unit of the hospital. Children below 5 years of age and those with incomplete record were excluded from the study. All students who visited Geta Eye hospital during May 1 to July 30, 2007 AD were included in the study. Out of 328 students presenting to Geta Eye Hospital, presenting visual acuity was normal (6/6) in 67.4% students, while 32.6% had reduced presenting visual acuity. Altogether 7.0% students had presenting visual acuity worse than 6/18 in the better eye and 2.4% improved to better than 6/18 with correction. Significant refractive error (>0.50 D Spherical Equivalent) was found in total of 32.0% students. Myopia was present in 11.89% students, whereas Astigmatism and hypermetropia were present in 11.3% and 8.8% of the total students respectively. Out of total students, 95.4% students were found to have best corrected visual acuity of 6/6-6/18 in the better eye. There were 4.0% students in MVI category and 0.6% in SVI category after correction. Altogether 7.6% cases of amblyopia were found. Hyperopia was most commonly associated with amblyopia. Associated ocular morbidity in either eye was assessed and was found in 25.0% students. 6.4% cases had convergence insufficiency. About one third of the students presenting to hospital had significant refractive error. Thus, School can be our peripheral referral unit if we could train teachers to detect abnormal vision. PMID:21222406

  20. Vision Therapy/Orthoptics among Three to Seven Year Old Children

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    Zhale Rajavi

    2015-07-01

    Full Text Available Background: Vision Therapy/Orthoptics(VT/O is a package of treatments that enables patients to achieve the maximum level of visual performance.The aim was to determine the effect of three months vision therapy/orthoptics on best corrected visual acuity (BCVA, fusion, stereopsis and ocular alignment in 3-7 year old children.Materials and Methods: In this randomized clinical trial study, 80 children with amblyopia and/or non-paralytic horizontal deviations were randomly divided into intervention and control groups. Intervention group was treated by vision therapy/orthoptics for three months. These modalities included patch, red filter, sector patch, over minus lens, prism and synoptophore exercises. Controls were treated by only patching for the same period. Pre and post-treatment BCVA, fusion, stereopsis and alignment were compared. Visual performance was classified as excellent (BCVA≥20/30, deviation≤10pd and stereopsis≤70sec/are, acceptable (BCVA≥20/30, deviation ≤10pd and stereopsis 70 to 3000sec/are and unsatisfactory (BCVA<20/30, deviation>10pd and no stereopsis.Results: A total of 80 cases (56 girls and 24 boys with the mean age of 5.6±1.4 years entered the study. Although more improvement of fusion and stereopsis was seen in the intervention group (P<0.001 for both groups, there was no significant differences in BCVA and alignment between two groups. Also the difference of visual performance was not statistically significant between two groups, whereas the improvement was significant in each group (P<0.001, for both groups.Conclusion: Vision therapy/orthoptics treatment can be effective for improving sensory status in 3 to 7 year old children with amblyopia and/or strabismus. Further studies with larger sample sizes and focusing on accommodation and fusional amplitude are warranted.

  1. Experience-induced interocular plasticity of vision in infancy

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    Wayne eTschetter

    2011-06-01

    Full Text Available Animal model studies of amblyopia have generally found that enduring effects of monocular deprivation (MD on visual behavior (i.e. loss of visual acuity are limited to the deprived eye, and are restricted to juvenile life. We have previously reported, however, that lasting effects of MD on visual function can be elicited in adulthood by stimulating visuomotor experience through the non-deprived eye. To test whether visuomotor experience would also induce interocular plasticity of vision in infancy, we assessed in rats from eye opening on postnatal day (P15, the effect of pairing MD with daily threshold measurements of opto-kinetic tracking (OKT. Combining MD with OKT experience up to P25 led to a ~60% enhancement of the spatial frequency threshold through the non-deprived eye for OKT during the MD, which was followed by loss of function (~60% below normal through both eyes when the deprived eye was opened. Strictly limiting the period of deprivation to infancy, by opening the deprived eye at P19, resulted in comparable loss of function. Thresholds recovered by P30 unless binocular OKT experience was stimulated through both eyes from P25-P30, which was sufficient to maintain the lost function indefinitely. The ability to generate the plasticity, as well as to maintain lost function, was dependent on visual cortex. Animals with reduced visuomotor thresholds also exhibited significantly reduced visual acuity, measured independently in a discrimination task. Thus, a form of interocular plasticity, in which the stimulation of visual experience during MD can induce amblyopia, is present before the beginning of juvenile life.

  2. Prevalence of Visual Impairment in Low Birth Weight and Normal Birth Weight School Age Children

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    Rana Amiri

    2009-09-01

    Full Text Available Objective:Studies demonstrated that 5-10% of preschool children have visual impairment. By age seven, up to 13% of children will have some defect in visual acuity. Both prematurity and low birth weight have been associated with an increased incidence of ophthalmic disorders. In this study we determined prevalence of visual impairment in low birth weight and normal birth weight school age children in Mashhad. Methods: This is a cross sectional study. The target population consisted of all children referred to educational organizations for screening before entering school in Mashhad, Iran. 2400 children enrolled in the study and were evaluated for amblyopia, refractive errors, color vision disturbance and optic nerve problems. Data were analyzed by SPSS. Findings: Prevalence of ophthalmic problems in all children was 5.43% and in low birth weight and normal birth weight 8.29% and 5.74% respectively. Incidence of ophthalmic problems was significantly (P=0.029 higher in low birth weight children than in normal birth weight children. The most common ophthalmic disease in both low birth weight and normal birth weight children was refractive errors 81.5% vs. 68.8 % (P<0.05. Prevalence of myopia, amblyopia and color vision disturbance was also higher in low birth weight than in normal birth weight children. Conclusion:Low birth weight children are at greater risk of the visual impairment that may occur at an early age and result in long term morbidity. Visual outcome of low birth weight neonates should be evaluated routinely.

  3. Fractality of sensations and the brain health: the theory linking neurodegenerative disorder with distortion of spatial and temporal scale-invariance and fractal complexity of the visible world.

    Science.gov (United States)

    Zueva, Marina V

    2015-01-01

    The theory that ties normal functioning and pathology of the brain and visual system with the spatial-temporal structure of the visual and other sensory stimuli is described for the first time in the present study. The deficit of fractal complexity of environmental influences can lead to the distortion of fractal complexity in the visual pathways of the brain and abnormalities of development or aging. The use of fractal light stimuli and fractal stimuli of other modalities can help to restore the functions of the brain, particularly in the elderly and in patients with neurodegenerative disorders or amblyopia. Non-linear dynamics of these physiological processes have a strong base of evidence, which is seen in the impaired fractal regulation of rhythmic activity in aged and diseased brains. From birth to old age, we live in a non-linear world, in which objects and processes with the properties of fractality and non-linearity surround us. Against this background, the evolution of man took place and all periods of life unfolded. Works of art created by man may also have fractal properties. The positive influence of music on cognitive functions is well-known. Insufficiency of sensory experience is believed to play a crucial role in the pathogenesis of amblyopia and age-dependent diseases. The brain is very plastic in its early development, and the plasticity decreases throughout life. However, several studies showed the possibility to reactivate the adult's neuroplasticity in a variety of ways. We propose that a non-linear structure of sensory information on many spatial and temporal scales is crucial to the brain health and fractal regulation of physiological rhythms. Theoretical substantiation of the author's theory is presented. Possible applications and the future research that can experimentally confirm or refute the theoretical concept are considered. PMID:26236232

  4. Gain beyond cosmesis: Demonstration of psychosocial and functional gains following successful strabismus surgery using the adult strabismus questionnaire adult strabismus 20

    Directory of Open Access Journals (Sweden)

    Danish Alam

    2014-01-01

    Full Text Available Background: Strabismus adversely affects psychosocial and functional aspects; while its correction impacts positively. Aim: The aim was to evaluate the gains in scores: Overall scores (OASs, psychosocial subscale scores (PSSs and functional subscale scores (FSSs following successful surgical alignment. Settings and Design: We evaluated changed scores in the adult strabismus 20 (AS-20 questionnaire, administered before and after successful surgery. Materials and Methods: Thirty adults horizontal strabismics, were administered the AS-20, at baseline, and at 6-week and 3-month. Group-wise analysis was carried out based on gender, strabismus type (esotropia [ET] or exotropia [XT], back-ground and amblyopia. Statistical Analysis: We used Wilcoxon, and Mann-Whitney U-tests. Significance was set at P ≤ 0.05. Results: At baseline, there were no significant differences within the groups, except that those with amblyopia significantly scored less than nonamblyopes in OAS (median scores: 53.8 vs. 71.3; P = 0.009 and FSS (56.3 vs. 85.3; P = 0.009. OAS, PSS and FSS showed significant gains at 6-week and 3-month (all Wilcoxon P < 0.001. Compared with males, females showed significantly more gain at 3-month (OAS: 37.9 vs. 28.7; P = 0.02, on account of PSS gain (49.6 vs. 37.5; P = 0.01. The ET performed better than XT only on the FSS at 6-week (28.7 vs. 15.0; P = 0.02. Vis-à-vis the nonamblyopes, the amblyopes showed significantly more benefit at 6-week alone (OAS: 18.7 vs. 28.7; P = 0.04, largely due to gains in PSS. Conclusions: Successful strabismus surgery has demonstrated significant gains in psychosocial, functional and overall functions. There is some evidence that gains may be more in females; with a trend to better outcomes in ET and amblyopes up to 6-week.

  5. Refractive error, visual acuity and causes of vision loss in children in Shandong, China. The Shandong Children Eye Study.

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    Jian Feng Wu

    Full Text Available PURPOSE: To examine the prevalence of refractive errors and prevalence and causes of vision loss among preschool and school children in East China. METHODS: Using a random cluster sampling in a cross-sectional school-based study design, children with an age of 4-18 years were selected from kindergartens, primary schools, and junior and senior high schools in the rural Guanxian County and the city of Weihai. All children underwent a complete ocular examination including measurement of uncorrected (UCVA and best corrected visual acuity (BCVA and auto-refractometry under cycloplegia. Myopia was defined as refractive error of ≤-0.5 diopters (D, high myopia as ≤ -6.0D, and amblyopia as BCVA ≤ 20/32 without any obvious reason for vision reduction and with strabismus or refractive errors as potential reasons. RESULTS: Out of 6364 eligible children, 6026 (94.7% children participated. Prevalence of myopia (overall: 36.9 ± 0.6%;95% confidence interval (CI:36.0,38.0 increased (P<0.001 from 1.7 ± 1.2% (95%CI:0.0,4.0 in the 4-years olds to 84.6 ± 3.2% (95%CI:78.0,91.0 in 17-years olds. Myopia was associated with older age (OR:1.56;95%CI:1.52,1.60;P<0.001, female gender (OR:1.22;95%CI:1.08,1.39;P = 0.002 and urban region (OR:2.88;95%CI:2.53,3.29;P<0.001. Prevalence of high myopia (2.0 ± 0.2% increased from 0.7 ± 0.3% (95%CI:0.1,1.3 in 10-years olds to 13.9 ± 3.0 (95%CI:7.8,19.9 in 17-years olds. It was associated with older age (OR:1.50;95%CI:1.41,1.60;P<0.001 and urban region (OR:3.11;95%CI:2.08,4.66;P<0.001. Astigmatism (≥ 0.75D (36.3 ± 0.6%;95%CI:35.0,38.0 was associated with older age (P<0.001;OR:1.06;95%CI:1.04,1.09, more myopic refractive error (P<0.001;OR:0.94;95%CI:0.91,0.97 and urban region (P<0.001;OR:1.47;95%CI:1.31,1.64. BCVA was ≤ 20/40 in the better eye in 19 (0.32% children. UCVA ≤ 20/40 in at least one eye was found in 2046 (34.05% children, with undercorrected refractive error as cause in 1975 (32.9% children. Amblyopia

  6. EARLY DETECTION OF LAW VISION WITH PRE-SCHOOL CHILDREN TRHOUG SYSTEMATIC CHECK-UPS AT THE AGE OF 3 AND 5 IN BITOLA

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    M. SOTIROVSKA-SIRVINI

    1997-12-01

    Full Text Available The early detection of the law vision of pre-school children has been carried out through systematic check-ups by an ophthalmologist sent by the Department for preventive protection-Advisory Division at the Medical Center since 1977.The children are invited by the Advisory Center and during the systematic check-ups they are sent to the Cabinet for orthoptics and pleoptics for the ophthamologic check-up.The parents are motivated for the check-up and are explained how to prepare the child for cooperation during the examination. The findings are recorded in the child record card in the Advisory Center together with the findings of the psychologist, blood test, urine, faecal test of parasites and some other necessary tests.The records of the examination were obtained from the evidence on systematic check-ups at the Cabinet for orthoptics and pleoptics.From 1987 till August this year, 5.414 children-3.609 at the age of 3 and 1.805 at the age of 5 came for systematic check-ups at the Cabinet.Among the examined children, 5.7% were with echophobia, 2.3% were with astigmatism, 1.6% with amblyopia, 1.4% with hypermetropia, 0.9% with strabismus and 0.2% with miopia.Among the children with sight problems, the echophobia is present with 47.3%, astigmatism with 18.8%, amblyopia with 13.2%, hypermetropia with 11.9%, strabism with 7.2% and miopia with 1.8%.Children whose parents, brothers and sisters wear glasses were sent for check-ups at the age of 18 to 3 years. The earliest findings of sight difficulties are obtained with children who cooperate during the check-ups.As soon as the low vision is discovered, the defectologist-orthoptic therapist starts the necessary exercises and the sight is corrected with the glasses.At this age, children easily adapt to wearing glasses and they do not oppose them as the children whose sight correction started at the school age.

  7. Intraocular correction of high-degree ametropia using individual multifocal LentisMPlus IOL

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    I.S. Fedorova

    2013-03-01

    Full Text Available ABSTRACT Background. For surgical correction of high-degree ametropia aggravated with astigmatism the following options are available: excimer laser correction; phakic lens implantation; bioptika – a combination of ablating the transparent crystalline lens (ATL with implantation of multifocal toric diopter IOL of standard series and LASIK for the correction of a residual refractive error, ATL using 2 IOLs according to the Technology «Piggy Back»; additional meniscus IOL implantation «Add-On»; ATL with implantation of an individual multifocal toric IOL. Purpose. To show a possibility of intraocular correction of high ametropia aggravated with astigmatism using toric multifocal custom IOLs. Material and methods. We observed two patients: the first female patient, 39 years old with a diagnosis of OU: high myopia, compound myopic astigmatism, initial complicated cataract, moderate amblyopia, peripheral chorioretinal degeneration (PCRD. On admission the distance visual acuity was vis OD=0.01 sph (- 15.5 D cyl (- 2.5 D ax 0°=0.6; vis OS=0.01 sph (- 18.0 D cyl (- 2.5 D ax 0°=0.5. The second patient was a 35-year woman with a diagnosis of OU: high hyperopia, compound hyperopic astigmatism, moderate amblyopia. Distance visual acuity on admission was OD=0.03 sph (+ 8.0 D cyl (+ 1.5 D ax 95°=0.5; OS=0.03 sph (+ 8.0 D cyl (+ 0.75 D ax 75°=0.6. Individual multifocal toric IOLs were implanted in both patents after the removal of the lens phacoemulsification. All standard ophthalmic examinations were used as well as the ultrasound biomicroscopy (UBM. Results. In the follow-up: 6 months after the surgery in the first patient the uncorrected visual acuity (UCVA was far vis OD=0.6, vis OS=0.5, near vis OD=0.4, vis OS=0.5, middle distance vis OD=0.4, vis OS=0.4. The second patient 3 months after surgery had the UCVA far vis OD=0.5, vis OS=0.6, near vis OD=0.4, vis OS=0.5, middle distance vis OD=0.2, vis OS=0.3. The maximum possible distance visual acuity

  8. Cataract surgery: factors influencing decision to treat and implications for training (south-east Scotland 2008–2014

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    Sniatecki JJ

    2015-09-01

    Full Text Available Jan J Sniatecki, Caroline Styles, Natalie Boyle, Roshini Sanders Cataract Unit, Queen Margaret Hospital, Dunfermline, Fife, UK Purpose: To describe the population referred for cataract surgery, identify factors that influenced decision to treat, and patients suitable for ophthalmic training. Patients and methods: A total of 2,693 consecutive referrals over 6 years were interrogated using Business Objects software on cataract electronic patient records. Results: A total of 2,693 patients were referred for cataract surgery (group A. Of these patients 2,132 (79% had surgery (group B and 561 (21% did not (group C. Age for group B vs group C: 672 (32% vs 115 (20% ≤69 years, P<0.001; 803 (38% vs 225 (40% 70–79 years, P=0.48; 586 (27% vs 203 (36% 80–89 years, P<0.05; 71 (3% vs 18 (3% ≥90 years, P=1.0. Visual acuity, group B vs group C: 556 (26% vs 664 (59% 6/12 or better; 1,275 (60% vs 367 (33% 6/18–6/60; 266 (12% vs 64 (6% counting fingers or worse, P<0.05. Medical history for group B vs C: cognitive impairment: 55 (2.6% vs 29 (5.2%, P<0.05; cardiovascular accident: 158 (7.4% vs 60 (10.7%, P<0.05; diabetes: 372 (17.4% vs 96 (17.1%, P=0.87; COPD/asthma: 382 (17.9% vs 93 (16.6%, P=0.53; heart disease: 535 (25.1% vs 155 (27.6%, P=0.35; hypertension: 971 (45.5% vs 263 (46.9%, P=0.73. Ocular history for group B vs C was significant (P<0.05 for age-related macular degeneration 255 (12.0% vs 93 (16.6%, other macular pathology 38 (1.8% vs 25 (4.5%, corneal pathology 92 (4.3% vs 36 (6.4%, amblyopia 37 (1.7% vs 22 (3.9%. Detailed data on presenting complaint, ophthalmic history, and social status is discussed. Conclusion: We observed that surgery at a younger age with good levels of visual acuity was a factor in deferring cataract surgery. Cognitive impairment, cardiovascular accident, amblyopia, corneal and macular pathology significantly affected decision not to operate. We estimate that 80% of patients would be suitable for ophthalmic training

  9. Neural architectures for stereo vision.

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    Parker, Andrew J; Smith, Jackson E T; Krug, Kristine

    2016-06-19

    Stereoscopic vision delivers a sense of depth based on binocular information but additionally acts as a mechanism for achieving correspondence between patterns arriving at the left and right eyes. We analyse quantitatively the cortical architecture for stereoscopic vision in two areas of macaque visual cortex. For primary visual cortex V1, the result is consistent with a module that is isotropic in cortical space with a diameter of at least 3 mm in surface extent. This implies that the module for stereo is larger than the repeat distance between ocular dominance columns in V1. By contrast, in the extrastriate cortical area V5/MT, which has a specialized architecture for stereo depth, the module for representation of stereo is about 1 mm in surface extent, so the representation of stereo in V5/MT is more compressed than V1 in terms of neural wiring of the neocortex. The surface extent estimated for stereo in V5/MT is consistent with measurements of its specialized domains for binocular disparity. Within V1, we suggest that long-range horizontal, anatomical connections form functional modules that serve both binocular and monocular pattern recognition: this common function may explain the distortion and disruption of monocular pattern vision observed in amblyopia.This article is part of the themed issue 'Vision in our three-dimensional world'. PMID:27269604

  10. Management of pediatric corneal limbal dermoids

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    Pirouzian A

    2013-03-01

    Full Text Available Amir Pirouzian1,21Tayani Institute, Division of Ophthalmology and Cornea, Mission Viejo in affiliation with Children’s Hospital of Orange County at Mission Hospital, CA, USA; 2Rady’s Children’s Hospital of San Diego, San Diego, CA, USAAbstract: This paper reviews the data in the published literature (PubMed from 1937 to 2011 concerning the medical and surgical management of pediatric limbal dermoids. Current standard medical treatment for grade I pediatric limbal dermoids (ie, with superficial corneal involvment is initially conservative. In stages II (ie, affecting the full thickness of the cornea with/without endothelial involvement and III (ie, involvement of entire cornea and anterior chamber, a combination of excision, lamellar keratoplasty, and amniotic membrane and limbal stem cell tranplantation are advocated. Combinations of these approaches seem to yield better and more stable long-term ocular surface cosmesis and fewer complications in comparison with traditional methods of excision and lamellar keratoplasty. Management of amblyopia (i.e. occlusion treatment, chemical penalization with/without spectacle wear, etc must continue after surgical excision to yield optimal results when or if the surgery is done at a younger age.Keywords: limbal dermoid, amniotic membrane, surgical management, tissue adhesive

  11. PETER’S TYPE II ANOMALY ASSOCIATED WITH CONGENITAL HEART DEFECT: RARE CASE REPORT

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    Darshan Kumar

    2015-03-01

    Full Text Available PURPOSE: Reporting a case of Peters’ type II with congenital heart defect a rare form of anterior segment dysgenesis in which abnormal cleavage of the anterior chamber occurs. It is characterized by central corneal opacification secondary to defects in a posterior corneal stroma, Descemet's membrane, and endothelium. Majority of cases are sporadic, bilateral , and associated with other systemic malformations. MATERIAL AND METHOD: A18 year old female presented with a history of bilateral cloudy corneas and diminution of vision since early child hood. Visual acuity was RE 6/60, LE 6/60 with PH improvement in B E 6/36 . Slit lamp examination showed BE micro cornea with central and paracentral macular grade opacity with lenticulo - irido - corneal adhesions. Iris was found to be fused with the posterior s urface of the peripheral cornea with poor formation of the anterior chamber with coloboma of iris. Lens was cataractous. Fundus examination in the left eye showed no abnormality. She was diagnosed as Peters’ type II anomaly. Systemic examination revealed congenital heart defects. Echocardiography showed congenital bicuspid aortic valve, grade 3 aortic regurgitation. RESULT: Patient require penetrating keratoplasty with combined procedure ( C ataract extraction with trabeculectomy. CONCLUSION: Early detectio n of the disease will help in early treatment, with good vision development to combat amblyopia.

  12. Beyond photography: Evaluation of the consumer digital camera to identify strabismus and anisometropia by analyzing the Bruckner's reflex

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    Bani, Sadat A. O.; Amitava, Abadan K.; Sharma, Richa; Danish, Alam

    2013-01-01

    Amblyopia screening is often either costly or laborious. We evaluated the Canon Powershot TX1 (CPTX1) digital camera as an efficient screener for amblyogenic risk factors (ARF). We included 138 subjects: 84-amblyopes and 54-normal. With the red-eye-reduction feature off, we obtained Bruckner reflex photographs of different sized crescents which suggested anisometropia, while asymmetrical brightness indicated strabismus; symmetry implied normalcy. Eight sets of randomly arranged 138 photographs were made. After training, 8 personnel, marked each as normal or abnormal. Of the 84 amblyopes, 42 were strabismus alone (SA), 36 had anisometropia alone (AA) while six were mixed amblyopes (MA). Overall mean sensitivity for amblyopes was 0.86 (95% CI: 0.83-0.89) and specificity 0.85 (95% CI: 0.77-0.93). Sub-group analyses on SA, AA and MA returned sensitivities of 0.86, 0.89 and 0.69, while specificities were 0.85 for all three. Overall Cohen's Kappa was 0.66 (95% CI: 0.62-0.71). The CPTX1 appears to be a feasible option to screen for ARF, although results need to be validated on appropriate age groups. PMID:24212318

  13. Visual impairment in urban school children of low-income families in Kolkata, India.

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    Ghosh, Sambuddha; Mukhopadhyay, Udayaditya; Maji, Dipankar; Bhaduri, Gautam

    2012-01-01

    To evaluate pattern of visual impairment in school children from low-income families in Kolkata, India, an institutional cross-sectional study was conducted among 2570 children of 10 primary schools. Ocular examination including refraction was done and pattern of visual impairment and refractive error was studied. The age range was 6-14 years. Refractive error was seen in 14.7%. Only 4 children were already wearing correction. Myopia and hypermetropia was present in 307 (11.9%) and 65 (2.5%) children, respectively. Visual acuity of less than 6/12 in better eye was present in 109 (4.2%) and 5 (0.2%) children pre- and post-correction, respectively. Eighteen children had amblyopia. Although prevalence of refractive error in this group is less compared to school children of all income categories reported from other cities of India, it is more compared to school children of all income categories from the same city. Refractive error mostly remains uncorrected in this group. PMID:22910628

  14. Controversies in intraocular lens implantation in pediatric uveitis.

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    Phatak, Sumita; Lowder, Careen; Pavesio, Carlos

    2016-12-01

    Cataract is one of the most common and visually debilitating complications of pediatric uveitis. It develops as a consequence of chronic inflammation and steroid use and is seen most often in juvenile idiopathic arthritis (JIA)-associated uveitis. Cataract extraction with intraocular lens (IOL) insertion has been carried out with a measure of success in non-uveitic pediatric eyes, but in cases of uveitis, multiple factors affect the final outcome. Chronic inflammation and its sequelae such as band keratopathy, posterior synechiae, and cyclitic membranes make surgical intervention more challenging and outcome less certain. Postoperative complications like increased inflammation, glaucoma, posterior capsular opacification, retrolental membranes, and hypotony may compromise the visual outcome. Early refractive correction is imperative in pediatric eyes to prevent amblyopia. The use of contact lenses and intraocular lenses in pediatric uveitic eyes were fraught with complications in the past. Surgical interventions such as vitreo-lensectomy followed by contact lens fitting and small incision cataract surgery followed by different types of intraocular lenses have been utilized, and many reports have been published, albeit in small patient groups. This review analyzes and discusses the existing literature on intraocular lens implantation in cases of pediatric uveitic cataract surgery. PMID:27009616

  15. OPHTHALMOLOGIC ABNORMALITIES IN CHILDREN WITH IMPAIRED HEARING

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    Inderjit

    2014-02-01

    Full Text Available AIM: To determine the nature of ophthalmologic abnormalities in severe and profound grades of hearing impaired children and to treat visual impairment if any at the earliest . MATERIAL AND METHODS: Study was conducted on100 children in the age group of 5 - 14 years with severe and profound hearing loss visiting outpatient department of Ram Lal Eye and ENT hospital Govt. Medical College Amritsar and subjected to detailed ophthalmological examination. RESULTS: 100 children in the age group 5 - 14 years with hearing impairment were enrolled for t he study , 68 had profound and 32 had severe hearing loss . Visual disorders were found to be as high as 71%. Highest percentage was seen in children aged 7 years. Majority of them (50% had refractive error. Out of these 50 children , 28(56% had myopia , 10 (20% hypermetropia and 12(24% had astigmatism . The other ophthalmic abnormalities in our study were conjunctivitis 14(19.71% , fundus abnormalities and squint 11(15.49% , blepharitis 5 (7.04% , vitamin A deficiency 6 (8.04% , amblyopia 8 (11.26% , pupil disorder 3 (4.22% , cataract 3 (4.22% and heterochromia iridis 7 (9.85%. CONCLUSION : The high prevalence of ophthalmic abnormalities in deaf children mandate screening them for possible ophthalmic abnormalities. Early diagnosis and correction of visual d isturbances would go a long way in social and professional performance of these children.

  16. 婴儿先天性白内障摘除一期人工晶状体植入的研究进展%Primary intraocular lens implantation after extraction of congenital cataract in infants

    Institute of Scientific and Technical Information of China (English)

    刘馨; 罗怡

    2012-01-01

    近年来,婴儿先天性白内障摘除后一期植入人工晶状体受到越来越多眼科医生的认可,并在临床实践中逐步开展.25G玻璃体切除系统在婴儿白内障手术中的应用,大大降低了术后并发症的发生;新型屈光度计算公式和近视漂移预测公式的发展,提高了人工晶状体屈光度选择的准确性;更适合婴幼儿的人工晶状体和弱视训练方法的发展,提升了术后视功能重建的效果.%Primary intraocular lens (IOL) implantation after extraction of congenital cataract in infants has been accepted and gradually applied to clinic by an increasing number of ophthalmologists in recent years.Incidence of postoperative complications has largely reduced after application of the 25-gauge vitrectomy system in cataract surgery in infants.Accuracy of IOL power calculation has been increased because of the developments of new generation of I0L power calculation formula and prediction formula of myopia shift.Visual rehabilitation has improved due to the developments of the infants-suitable IOLs and the means of amblyopia training.

  17. Recovering stereo vision by squashing virtual bugs in a virtual reality environment.

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    Vedamurthy, Indu; Knill, David C; Huang, Samuel J; Yung, Amanda; Ding, Jian; Kwon, Oh-Sang; Bavelier, Daphne; Levi, Dennis M

    2016-06-19

    Stereopsis is the rich impression of three-dimensionality, based on binocular disparity-the differences between the two retinal images of the same world. However, a substantial proportion of the population is stereo-deficient, and relies mostly on monocular cues to judge the relative depth or distance of objects in the environment. Here we trained adults who were stereo blind or stereo-deficient owing to strabismus and/or amblyopia in a natural visuomotor task-a 'bug squashing' game-in a virtual reality environment. The subjects' task was to squash a virtual dichoptic bug on a slanted surface, by hitting it with a physical cylinder they held in their hand. The perceived surface slant was determined by monocular texture and stereoscopic cues, with these cues being either consistent or in conflict, allowing us to track the relative weighting of monocular versus stereoscopic cues as training in the task progressed. Following training most participants showed greater reliance on stereoscopic cues, reduced suppression and improved stereoacuity. Importantly, the training-induced changes in relative stereo weights were significant predictors of the improvements in stereoacuity. We conclude that some adults deprived of normal binocular vision and insensitive to the disparity information can, with appropriate experience, recover access to more reliable stereoscopic information.This article is part of the themed issue 'Vision in our three-dimensional world'. PMID:27269607

  18. Pediatric cataract: challenges and future directions.

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    Medsinge, Anagha; Nischal, Ken K

    2015-01-01

    Cataract is a significant cause of visual disability in the pediatric population worldwide and can significantly impact the neurobiological development of a child. Early diagnosis and prompt surgical intervention is critical to prevent irreversible amblyopia. Thorough ocular evaluation, including the onset, duration, and morphology of a cataract, is essential to determine the timing for surgical intervention. Detailed assessment of the general health of the child, preferably in conjunction with a pediatrician, is helpful to rule out any associated systemic condition. Although pediatric cataracts have a diverse etiology, with the majority being idiopathic, genetic counseling and molecular testing should be undertaken with the help of a genetic counselor and/or geneticist in cases of hereditary cataracts. Advancement in surgical techniques and methods of optical rehabilitation has substantially improved the functional and anatomic outcomes of pediatric cataract surgeries in recent years. However, the phenomenon of refractive growth and the process of emmetropization have continued to puzzle pediatric ophthalmologists and highlight the need for future prospective studies. Posterior capsule opacification and secondary glaucoma are still the major postoperative complications necessitating long-term surveillance in children undergoing cataract surgery early in life. Successful management of pediatric cataracts depends on individualized care and experienced teamwork. We reviewed the etiology, preoperative evaluation including biometry, choice of intraocular lens, surgical techniques, and recent developments in the field of childhood cataract. PMID:25609909

  19. Visual impairment in urban school children of low-income families in Kolkata, India

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    Sambuddha Ghosh

    2012-01-01

    Full Text Available To evaluate pattern of visual impairment in school children from low-income families in Kolkata, India, an institutional cross-sectional study was conducted among 2570 children of 10 primary schools. Ocular examination including refraction was done and pattern of visual impairment and refractive error was studied. The age range was 6-14 years. Refractive error was seen in 14.7%. Only 4 children were already wearing correction. Myopia and hypermetropia was present in 307 (11.9% and 65 (2.5% children, respectively. Visual acuity of less than 6/12 in better eye was present in 109 (4.2% and 5 (0.2% children pre- and post-correction, respectively. Eighteen children had amblyopia. Although prevalence of refractive error in this group is less compared to school children of all income categories reported from other cities of India, it is more compared to school children of all income categories from the same city. Refractive error mostly remains uncorrected in this group.

  20. Long-term potentiation and long-term depression: a clinical perspective

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    Timothy V.P. Bliss

    2011-01-01

    Full Text Available Long-term potentiation and long-term depression are enduring changes in synaptic strength, induced by specific patterns of synaptic activity, that have received much attention as cellular models of information storage in the central nervous system. Work in a number of brain regions, from the spinal cord to the cerebral cortex, and in many animal species, ranging from invertebrates to humans, has demonstrated a reliable capacity for chemical synapses to undergo lasting changes in efficacy in response to a variety of induction protocols. In addition to their physiological relevance, long-term potentiation and depression may have important clinical applications. A growing insight into the molecular mechanisms underlying these processes, and technological advances in non-invasive manipulation of brain activity, now puts us at the threshold of harnessing long-term potentiation and depression and other forms of synaptic, cellular and circuit plasticity to manipulate synaptic strength in the human nervous system. Drugs may be used to erase or treat pathological synaptic states and non-invasive stimulation devices may be used to artificially induce synaptic plasticity to ameliorate conditions arising from disrupted synaptic drive. These approaches hold promise for the treatment of a variety of neurological conditions, including neuropathic pain, epilepsy, depression, amblyopia, tinnitus and stroke.

  1. Current concepts in the diagnosis and management of developmental glaucomas

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    Mandal Anil

    1993-01-01

    Full Text Available Developmental glaucoma is a global problem and has a broad range of ocular manifestations and is sometimes associated with systemic disorders and syndromes. It poses a major diagnostic and management problem to the ophthalmologists. A proper diagnostic evaluation under general anesthesia is advisable for all children who do not cooperate for an office examination. Surgery remains the principal therapeutic modality in the management of developmental glaucoma and medical therapy is limited to a supplemental role while the child is being prepared for surgery. Conventional angle incision surgery (goniotomy and trabeculotomy ab externo is uniquely valuable in the management of primary developmental glaucoma, while combined trabeculotomy cum trabeculectomy offers the best hope of success in advanced cases. In recent years, artificial drainage devices such as the Molteno implant seem to be promising for safe and effective pressure control in children with refractory developmental glaucoma. Visual rehabilitation involves correction of refractive errors, removal of opacities in media (i.e. cataract or corneal scarring and aggressive amblyopia therapy. Early diagnosis, prompt institution of therapy combined with commitment from the family for postoperative follow-up care are critical for the restoration of good visual function.

  2. Parenteral corticosteroids followed by early surgical resection of large amblyogenic eyelid hemangiomas in infants

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    El Essawy R

    2013-05-01

    Full Text Available Rania El Essawy,1 Rasha Essameldin Galal21Department of Ophthalmology, 2Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, EgyptBackground: The purpose of this study was to evaluate the results and complications of early surgical resection of large amblyogenic subdermal eyelid hemangiomas in infants after prior short-term parenteral administration of corticosteroids.Methods: Sixteen infants were given dexamethasone 2 mg/kg/day in two divided doses for three consecutive days prior to scheduled surgical excision of large eyelid hemangiomas. The lesions were accessed via an upper eyelid crease, subeyebrow incision, or a lower eyelid subciliary incision.Results: In all cases, surgical excision of the entire lesion was possible with no significant intraoperative or postoperative complications. The levator muscle/aponeurosis complex was involved in 31.25% of cases and was managed by reinsertion or repositioning without resection. A satisfactory lid position and contour with immediate clearing of the visual axis was achieved in all but one case (93.8%.Conclusion: Parenteral corticosteroids helped in reducing volume and blood flow from the hemangiomas, allowing for very early total excision of large subdermal infantile hemangiomas without significant intraoperative hemorrhage. This resulted in immediate elimination of any reason for occlusion amblyopia. Long-term follow-up of visual development in these patients would help to demonstrate the effectiveness of this strategy compared with more conservative measures.Keywords: large eyelid hemangiomas, early surgical resection, parenteral corticosteroids

  3. Management of hypertension emergencies.

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    Elliott, William J

    2003-12-01

    Although they have become less common, hypertensive emergencies occur with an incidence of approximately 1 to 2/100,000 people per year. Our knowledge about this problem, its pathophysiology, risk factors, and appropriate treatment options has expanded during the past decade. A hypertensive emergency can be declared when an elevated blood pressure is associated with acute target-organ damage. Rapid evaluation and treatment (typically with an intravenously administered agent) should be instituted, usually in an intensive care unit setting, and the patient should be observed carefully during acute blood-pressure lowering. When properly treated, the prognosis for these patients is not nearly as dismal as it was more than 60 years ago, and the initial level of function of target organs (brain, heart, kidneys) is more indicative of an emergency than the actual level of blood pressure. Therapeutic options include the time-tested sodium nitroprusside (which has toxic metabolic products and is contraindicated in pregnancy, tobacco amblyopia, and Leber's optic atrophy); fenoldopam mesylate; and nicardipine. When properly treated, "malignant hypertension" need be considered malignant no longer. PMID:14594569

  4. Intelligence Quotient (IQ in Congenital Strabismus

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    Abbas Bagheri

    2013-01-01

    Full Text Available Purpose: To evaluate intelligence quotient (IQ in patients with congenital strabismus. Methods: All patients with congenital strabismus scheduled for surgery were enrolled consecutively over a one year period in a cross-sectional study and were evaluated for verbal, performance and total IQ scores, and compared to the mean normal IQ of 100±15. Results: During the study period, 109 patients with mean age of 18.4±10.5 (range, 4-63 years were included. Educational status in most patients (80% was less than high-school. Most patients (80% lived in urban areas and 46 patients (42.2% had some degrees of unilateral or bilateral amblyopia. Mean verbal IQ was 87.2±19.6 (range, 45-127, performance IQ was 81±15.5 (range, 44-111 and total IQ was 83.5±18.3 (range, 40-120. Total IQ was significantly lower in comparison to the normal population (P0.05 for all comparisons. Conclusion: Patients with congenital strabismus in this study had lower mean IQ scores than the normal population which may be due to genetic background or acquired causes secondary to strabismus.

  5. Intelligence Quotient (IQ) in Congenital Strabismus*

    Science.gov (United States)

    Bagheri, Abbas; Fallahi, Mohammad Reza; Tamannaifard, Shima; Vajebmonfared, Sara; Zonozian, Saideh

    2013-01-01

    Purpose To evaluate intelligence quotient (IQ) in patients with congenital strabismus. Methods All patients with congenital strabismus scheduled for surgery were enrolled consecutively over a one year period in a cross-sectional study and were evaluated for verbal, performance and total IQ scores, and compared to the mean normal IQ of 100±15. Results During the study period, 109 patients with mean age of 18.4±10.5 (range, 4-63) years were included. Educational status in most patients (80%) was less than high-school. Most patients (80%) lived in urban areas and 46 patients (42.2%) had some degrees of unilateral or bilateral amblyopia. Mean verbal IQ was 87.2±19.6 (range, 45-127), performance IQ was 81±15.5 (range, 44-111) and total IQ was 83.5±18.3 (range, 40-120). Total IQ was significantly lower in comparison to the normal population (Pamblyopia and alternate deviation had lower IQ levels. Verbal IQ was insignificantly higher in myopes than emmetropes and hyperopes. IQ was better with vertical deviations and was higher in esotropes than exotropes; however, these differences were not statistically significant (P>0.05 for all comparisons). Conclusion Patients with congenital strabismus in this study had lower mean IQ scores than the normal population which may be due to genetic background or acquired causes secondary to strabismus. PMID:23943689

  6. Acuity assessment of non-verbal infants and children: clinical experience with the acuity card procedure.

    Science.gov (United States)

    Mohn, G; van Hof-van Duin, J; Fetter, W P; de Groot, L; Hage, M

    1988-04-01

    The acuity card procedure was used to assess the visual acuity of 510 neurologically normal and abnormal infants and children. Acuity estimates were obtained for 93 per cent of 842 binocular and 279 monocular tests. The observed development of binocular acuity of normal fullterm and preterm infants agreed well with previous reports using the traditional forced-choice preferential looking technique. Monocular tests seemed to support earlier suggestions that grating acuity may be relatively insensitive to strabismic amblyopia. Infants at risk of later neurological deficits but developing normally had only a slight delay in development of acuity, but there was a high incidence of acuity deficits (54 per cent) among those with severe neurological defects. The great majority of a group of multiply handicapped children had low acuity for age. Repeat tests showed a high degree of test-retest consistency. The acuity card procedure was a successful and useful method for assessing the acuity of infants and children who cannot be tested with standard ophthalmological methods. PMID:3384203

  7. Refractive errors in Cameroonians diagnosed with complete oculocutaneous albinism

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    Eballé AO

    2013-07-01

    Full Text Available André Omgbwa Eballé1,3, Côme Ebana Mvogo2, Christelle Noche4, Marie Evodie Akono Zoua2, Andin Viola Dohvoma21Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon, 2Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon; 3Yaoundé Gynaeco-obstetric and Paediatric Hospital. Yaoundé, Cameroon; 4Faculty of Medicine, Université des Montagnes. Bangangté, CameroonBackground: Albinism causes significant eye morbidity and amblyopia in children. The aim of this study was to determine the refractive state in patients with complete oculocutaneous albinism who were treated at the Gynaeco-Obstetric and Paediatric Hospital, Yaoundé, Cameroon and evaluate its effect on vision.Methods: We carried out this retrospective study at the ophthalmology unit of our hospital. All oculocutaneous albino patients who were treated between March 1, 2003 and December 31, 2011 were included.Results: Thirty-five patients (70 eyes diagnosed with complete oculocutaneous albinism were enrolled. Myopic astigmatism was the most common refractive error (40%. Compared with myopic patients, those with myopic astigmatism and hypermetropic astigmatism were four and ten times less likely, respectively, to demonstrate significant improvement in distance visual acuity following optical correction.Conclusion: Managing refractive errors is an important way to reduce eye morbidity-associated low vision in oculocutaneous albino patients.Keywords: albinism, visual acuity, refraction, Cameroon

  8. Early screening of an infant's visual system

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    Costa, Manuel F. M.; Jorge, Jorge M.

    1999-06-01

    It is of utmost importance to the development of the child's visual system that she perceives clear focused retinal images. Furthermore if the refractive problems are not corrected in due time amblyopia may occur--myopia and hyperopia can only cause important problems in the future when they are significantly large, however for the astigmatism (rather frequent in infants) and anisometropia the problems tend to be more stringent. The early evaluation of the visual status of human infants is thus of critical importance. Photorefraction is a convenient technique for this kind of subjects. Essentially a light beam is delivered into the eyes. It is refracted by the ocular media, strikes the retina, focusing or not, reflects off and is collected by a camera. The photorefraction setup we established using new technological breakthroughs on the fields of imaging devices, digital image processing and fiber optics, allows a fast noninvasive evaluation of children visual status (refractive errors, accommodation, strabismus, ...). Results of the visual screening of a group of risk' child descents of blinds or amblyopes will be presented.

  9. A case of sarcoidosis with generalized increased uptake of 67Ga-citrate

    International Nuclear Information System (INIS)

    A case of sarcoidosis was reported in which gallium-67 scintigraphy showed increased uptake in generalized sarcoid lesions. Gallium-67 uptake in skin lesions was also seen, which is rare in literature. A 22-year-old male patient was admitted to our hospital. The patient had a history of general fatigue, polydipsia and polyuria. On physical examination, swelling of the bilateral parotid glands and lacrimal glands was noted. There were many subcutaneous nodules, especially in both arms. Superficial lymphademopathy was also noted in cervical and inguinal regions. He complained of bilateral amblyopia, and gonioscopy revelaed some nodules of the uvea. Coexistent diabetes insipidus was diagnosed with dehydration test. Chest roentgenogram showed bilateral hilar lymphadenopathy. Gallium-67 scintigram showed increased uptake in bilateral parotid glands and lacrimal glands. There were multiple abnormal uptakes in the neck, mediastinum and the inguinal region. Abnormal uptake was also noted in the subcutaneous nodules. Biopsy was performed from the lesions in the parotid glands, cervical lymph nodes, subcutaneous nodules and triceps muscles. Diagnosis of sarcoidosis was confirmed histopathologically. (J.P.N.)

  10. Production scientific on the evaluation of children’s vision: a bibliometric study in the database LILACS

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    Raquel Cristina Pinheiro

    2012-03-01

    Full Text Available This study aimed to perform bibliometric analysis of scientific literature on evaluation of vision available in the database Lilacs. The research methodology has observed the following steps: review of literature on the evaluation of vision and bibliometrics, collection of data in the database Lilacs, organization, processing and bibliometric analysis of data collected using the software MS Excel. Using the search terms “visual assessment”, “assessment of vision”, “functional assessment of vision”, “visually impaired”, “low vision” and “disorders of vision”, being selected 27 articles. As a results were produced the following indicators: the predominant languages of scientific productions were Portuguese and Spanish, the original article written in co-authorship is the predominant type of publication, the themes discussed were: low vision, visual acuity, amblyopia and glaucoma. It was also noted that not all authors have specifically or on assessments of vision, and proposed the cognitive assessment and quality of life of visually impaired. It is advisable to conduct further research to demonstrate the importance of early assessment of vision in children, to ensure that the intervention, when necessary, take place as soon as possible and prevent the delay caused by visual impairment. It should also ensure that these visual findings are complementary with assessments that characterize situations in which individuals who already have some type of disability can use their vision more effectively

  11. Efficacy and safety of acupuncture in children: an overview of systematic reviews.

    Science.gov (United States)

    Yang, Chunsong; Hao, Zilong; Zhang, Ling-Li; Guo, Qin

    2015-08-01

    In recent years, acupuncture has increasingly being integrated into pediatric health care. It was used on ~150,000 children (0.2%). We aim to update the evidence for the efficacy and safety of acupuncture for children and evaluate the methodological qualities of these studies to improve future research in this area. We included 24 systematic reviews, comprising 142 randomized controlled trials (RCTs) with 12,787 participants. Only 25% (6/24) reviews were considered to be high quality (10.00 ± 0.63). High-quality systematic reviews and Cochrane systematic reviews tend to yield neutral or negative results (P = 0.052, 0.009 respectively). The efficacy of acupuncture for five diseases (Cerebral Palsy (CP), nocturnal enuresis, tic disorders, amblyopia, and pain reduction) is promising. It was unclear for hypoxic ischemic encephalopathy, attention deficit hyperactivity disorder, mumps, autism spectrum disorder (ASD), asthma, nausea/vomiting, and myopia. Acupuncture is not effective for epilepsy. Only six reviews reported adverse events (AEs) and no fatal side effects were reported. The efficacy of acupuncture for some diseases is promising and there have been no fatal side effects reported. Further high-quality studies are justified, with five diseases in particular as research priorities. PMID:25950453

  12. Theater for Development Methodology in Childhood Cataract Case Finding

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    Roseline Ekanem Duke

    2016-03-01

    Full Text Available The key informant methodology for case finding for childhood cataract  was utilized  in a rural population in Nigeria to identify suitable children who would benefit surgically from intervene for cataract and restore vision such children. It was however noticed that some parents who had children with cataract did not bring their children to the primary health center for examination and recommendation. The purpose of this study is to investigate the benefits of using the theatre for development approach in childhood cataract case finding. The delay in identification and referral of children with cataract at an appropriate age for surgical intervention and optical rehabilitation is the main cause of poor vision following surgery for the condition as amblyopia results. Therefore early presentation, identification, referral and surgical intervention as well as appropriate optical rehabilitation is the key to successful surgical outcome of childhood cataract and good visual prognosis. The theater for development (TfD approach methodology was implemented in a community in Akpabuyo local government are of Cross River state, Nigeria as a means to enhance community participation, health promotion and education and to complement the key informant methodology in case finding for childhood cataract. Three children with cataracts were referred by the community following the TfD intervention, for cataract surgery and uptake of follow up care after surgery. The TfD approach appears to be a useful method for encouraging community participation in the case finding of childhood cataract.

  13. Surgical management of third nerve palsy

    Science.gov (United States)

    Singh, Anupam; Bahuguna, Chirag; Nagpal, Ritu; Kumar, Barun

    2016-01-01

    Third nerve paralysis has been known to be associated with a wide spectrum of presentation and other associated factors such as the presence of ptosis, pupillary involvement, amblyopia, aberrant regeneration, poor bell's phenomenon, superior oblique (SO) overaction, and lateral rectus (LR) contracture. Correction of strabismus due to third nerve palsy can be complex as four out of the six extraocular muscles are involved and therefore should be approached differently. Third nerve palsy can be congenital or acquired. The common causes of isolated third nerve palsy in children are congenital (43%), trauma (20%), inflammation (13%), aneurysm (7%), and ophthalmoplegic migraine. Whereas, in adult population, common etiologies are vasculopathic disorders (diabetes mellitus, hypertension), aneurysm, and trauma. Treatment can be both nonsurgical and surgical. As nonsurgical modalities are not of much help, surgery remains the main-stay of treatment. Surgical strategies are different for complete and partial third nerve palsy. Surgery for complete third nerve palsy may involve supra-maximal recession - resection of the recti. This may be combined with SO transposition and augmented by surgery on the other eye. For partial third nerve, palsy surgery is determined according to nature and extent of involvement of extraocular muscles. PMID:27433033

  14. Duane Syndrome. Presentation of a case.

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    Pedra Palmero Aragón

    2010-04-01

    Full Text Available It was carried out an observational descriptive prospective longitudinal study including the period from march 2008 till june 20, 2008 in the Ophthalmology Service of the Provincial Educational Pediatric Hospital: “José Martí Pérez” in Sancti Spiritus, with the objective to identify the clinical and epidemiological characteristics of a patient with Duane Syndrome who went to consultation without receiving previous ophthalmological attention, the diagnosis age was determined, which was tardy, bracket the most affected eye and the kind of Duane, and also if there was any refractive defect and the presence of amblyopia , identifying the criteria for being operated, for collecting data a format was completed by the specialists, which included observation, interrogatory, ophthalmological medical record of the ill person and pictures, these elements allowed us to make a correct analysis. With the previous information we arrived as a conclusion that is all about a patient with 28 years of age who lives in Sancti Spiritus Municipality, with White skin, male, carried on the Duane Syndrome type I, unilateral left. A light Hypermetropia was presented in both eyes as a refractive defect, accompanied by a light bilateral amplyopia in the right eye and moderate in the left eye. It is necessary to stay that the patient was under surgical criterium by esotropia of more than 15 degrees in PPM and unacceptable torticollis although the time of evolution; there were no difficulties related to the surgical act. The postoperative picture can reflect the result of the surgery.

  15. The effect of distance visual training through reading red visual acuity chart in children with myopic ambly- opia%红色视力表远距离视功能训练在近视性弱视治疗中的疗效分析

    Institute of Scientific and Technical Information of China (English)

    黄玲华; 任兵; 高晓唯; 张燕; 李明

    2013-01-01

    目的:对比观察分析红色视力表远距离视功能训练在近视性弱视治疗中的疗效。方法近视性弱视患儿甲、乙两组共112例212眼,甲组62例117眼,年龄4-12岁(5.71±1.78岁),乙组50例95眼,年龄3-12岁(5.96±1.83岁);其中甲组轻度、中度、高度近视眼分别为21眼(17.95%)、67眼(57.26%)、29眼(24.79%),乙组为18眼(18.95%)、55眼(57.89%)、22眼(23.16%)(χ2=0.09,P>0.05);甲组轻度、中度、重度弱视眼分别为30眼(23.15%)、64眼(54.70%)、23眼(19.66%);乙组为24眼(25.26%)、54眼(56.84%)、17眼(17.89%)(χ2=0.133,P>0.05);甲组病例采用短小遮盖+近距离视功能训练;乙组病例采用短小遮盖+红色视力表远距离视功能训练,所有病例治疗随访时间17个月,对比分析两种治疗方法在近视性弱视治疗中的疗效。结果甲组基本治愈率为39.32%,有效率为43.59%,无效率为17.09%;乙组基本治愈率为47.37%,有效率为36.84%,无效率为15.79%,统计学检验差异无显著性(χ2=1.434,P>0.05);甲乙两组治疗后轻、中、高度近视眼数分别为:4眼(3.42%)、65眼(55.56%)、48眼(41.03%)和5眼(5.26%)、67眼(70.53%)、23眼(24.21%)统计学检验差异有显著性(χ2=6.734,P0.05).The patients with low amblyopia, medium amblyopia and severe amblyopia were 30, 64 and 23 eyes in group A and 24, 54 and 17 eyes in group B (χ²=0.133 , P>0.05). All patients were followed up 17 months. To observe the clinical effect of the two different combined therapy. Results The recovery rate, effective rate and inefficacy rate was 39.32%, 43.59%, 17.09%, respectively in Group A. and 47.37%, 36.84%, 15.79%, respectively in Group B (χ²=1.434 , P>0.05);The patients with mild myopia, moderate myopia and high myopia were 4, 65 and 48 eyes in group A and 5, 67 and 23 eyes in group B after therapy (χ²=6.734 , P

  16. Distribution of ametropia in 1 170 preschool children with low vision

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    Li-Li Sun

    2016-03-01

    Full Text Available AIM:To observe and study the distribution of ametropia in 1 170 preschool children with low vision.METHODS:Ten kindergartens in the urban area of Jinzhou were randomly selected. For the preschool children aged from 3 to 6, the vision conditions including sight test, ocular inspection, refraction status, conventional ophthalmic testing and stereo tests were conducted. The children with visionRESULTS:(1rates of abnormal vision were 6.37% in children aged 3,7.79% in those aged 4,15.24% in those aged 5 and 8.93% in those aged 6; abnormal rate in children aged 5 was significantly higher than those in the other age groups(PCONCLUSION:For preschool children with low vision, the abnormal rate is reduced with the increasing ages since the vision is gradually mature. Based on the results, hyperopia is the main causes for low vision in preschool children(aged from 3 to 6. Based on the factors of myopia, strabismus and amblyopia, it is important to conduct the general survey in curing eye diseases as early as possible.

  17. Antimetropia in a 10-year-old boy with unilateral tilted disc syndrome

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    Makino S

    2014-05-01

    Full Text Available Shinji MakinoDepartment of Ophthalmology, Jichi Medical University, Shimotsuke, Tochigi, JapanAbstract: Antimetropia is a condition in which one eye is myopic, while the fellow eye is hyperopic. This report describes a case of antimetropia associated with unilateral tilted disc syndrome. A 10-year-old boy presented with the complaint of diminished vision for distant objects in his right eye for several months. His uncorrected distance visual acuity was 0.15 in the right eye and 1.0 in the left eye. Best corrected visual acuity was 1.0, with -6.00 D/-2.00 D 170° in the right eye and +1.50 D in the left eye. The cover test revealed right esotropia and hypertropia. Bifoveal fixation was achieved using a 14 prism diopter (PD base at 220° in the right eye. Fundus examination revealed a tilted disc with inferior staphyloma in the right eye, but no abnormal findings were observed in the left eye. In addition, the patient occasionally experienced diplopia under casual viewing conditions. A cycloplegic refraction revealed -6.00 D/-2.00 D 170° in the right eye and +1.50 D/-2.00 D 5° in the left eye. Thus, prism glasses were prescribed. While wearing the prism glasses, the patient has shown no diplopia and maintains good binocular function.Keywords: amblyopia, strabismus, anisometropia, staphyloma

  18. Epidemiological survey of school-age children with low vision in Zhouqu County of Gannan Tibetan autonomous prefecture of Gansu province

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    Le-Xin Yang,

    2013-05-01

    Full Text Available AIM: To have a detailed picture of school-age children's eyesight status, and the main factors that caused their low vision in Zhouqu County of Gannan Tibetan autonomous prefecture of Gansu province. METHODS: The census work of knowing school-age children's eyesight status was implemented through visual inspection, conventional ophthalmic examination, optometry checks, etc. The results were compared with other domestic epidemiological data. RESULTS: Altogether 536 people with low vision were identified through survey and the rate was 21.12%. Among those people, the number of myopia patients accounted for 80.59% and the prevalence rate was 17.02%. Besides, the prevalence rate of presbyopia was 2.05%, amblyopia 2.76%, strabismus 1.02%, ocular trauma 0.95%, and congenital eye disease 0.71%. CONCLUSION: The prevalence rate of low vision was related with several factors such as gender and nationality. The rate increases with age and the myopia is the primary element that causes low vision.

  19. TO ASSESS THE IMPACT OF THE EDUCATIONAL INTERVENTIONS FOR UNCORRECTED REFRACTIVE ERROR AMONG SCHOOL CHILDREN IN MEERUT.

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    A Davey

    2013-08-01

    Full Text Available Background: Eyes are the best God gift to our body as vision is important in development as it allows interaction with the environment. Appropriate correction prevents the development of childhood amblyopia and enables better performance at school. Later in life carrier of the youth is very much dependent on the visual acuity. Therefore study aims to find the prevalence of the uncorrected refractive error among school children in the age group of 13-16 years and factors contributing to the refractive error. Methods: It is institutional based crossed sectional study in English medium private school children in the age group 13-16 years. For one week they were screened for visual acuity from a Standard Snellen Chart. On pre-informed date educational intervention was conducted; they were followed up after one week of intervention for final assessment. Results: Prevalence of the uncorrected refractive error was 14.8% Distance for watching TV less than 3 m and computer less than 1 m were highly significant. Prolonged duration of TV watching for more than 4 hours in a day and indulgence in computers for more than one year were also significant. In follow up after education intervention, all the children with uncorrected refractive error except 2 had paid visit to ophthalmologist. Conclusion: Community based screening through school is most appropriate strategy to detect early any visual impairment, but school based approach must include teachers orientation also for prevention of eye disease.

  20. Improvement of uncorrected visual acuity (UCVA and contrast sensitivity (UCCS with perceptual learning and transcranial random noise stimulation (tRNS in individuals with mild myopia

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    Rebecca Camilleri

    2014-10-01

    Full Text Available Perceptual learning has been shown to produce an improvement of visual acuity (VA and contrast sensitivity (CS both in subjects with amblyopia and refractive defects such as myopia or presbyopia. Transcranial random noise stimulation (tRNS has proven to be efficacious in accelerating neural plasticity and boosting perceptual learning in healthy participants. In this study we investigated whether a short behavioural training regime using a contrast detection task combined with online tRNS was as effective in improving visual functions in participants with mild myopia compared to a two-month behavioural training regime without tRNS (Camilleri et al., 2014. After two weeks of perceptual training in combination with tRNS, participants showed an improvement of 0.15 LogMAR in uncorrected VA (UCVA that was comparable with that obtained after eight weeks of training with no tRNS, and an improvement in uncorrected CS (UCCS at various spatial frequencies (whereas no UCCS improvement was seen after eight weeks of training with no tRNS. On the other hand, a control group that trained for two weeks without stimulation did not show any significant UCVA or UCCS improvement. These results suggest that the combination of behavioural and neuromodulatory techniques can be fast and efficacious in improving sight in individuals with mild myopia.

  1. A 1.6-Mb microdeletion in chromosome 17q22 leads to NOG-related symphalangism spectrum disorder without intellectual disability.

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    Xiuhong Pang

    Full Text Available Microdeletions in chromosome 17q22, where the NOG gene resides, have been reported leading to the NOG-related symphalangism spectrum disorder (NOG-SSD, intellectual disability and other developmental abnormalities. In this study we reported a dominant Chinese Han family segregating with typical NOG-SSD symptoms including proximal symphalangism, conductive hearing loss, amblyopia and strabismus, but not intellectual disability. Sanger sequencing identified no pathogenic mutation in the coding regions of candidate genes NOG, GDF5 and FGF9. SNP genotyping in the genomic region surrounding NOG identified loss of heterozygosity in the affected family members. By array comparative genomic hybridization and quantitative real-time polymerase chain reaction, we identified and mapped the breakpoints of a novel 1.6-Mb microdeletion in chromosome 17q22 that included NOG and twelve other genes. It is the first microdeletion reported in chromosome 17q22 that is associated with NOG-SSD only but not with intellectual disability. Our results may help identifying the dosage sensitive genes for intellectual disability and other developmental abnormalities in chromosome 17q22. Our study also suggested that genomic deletions in chromosome 17q22 should be screened in the NOG-SSD patients in which no pathogenic mutation is identified by conventional sequencing methods.

  2. Intraocular lenses and clinical treatment in paediatric cataract

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    Camila Ribeiro Koch Pena

    2015-06-01

    Full Text Available Pediatric cataract is the most common treatable cause of blindness in children. Prevalence, etiology and morphology vary with the socioeconomic development. The treatment goal is to reduce amblyopia, being difficult management especially in unilateral cases. The decision on aphakia or primary intraocular lens should be individualized as well as correction with contact lens or spectacles. The intraocular lens single-piece hydrophobic acrylic are the most implanted in children and the preferably is in the capsular bag. The Sanders-Retzlaff-Kraff theoretic (SRK/T stressing that is described as more predictable, following Holladay I and SRK II and the recommendation is to under correction +6.0 or +8.0 dioptrias expecting the growth of the eye. The posterior capsule opacity is the most frequent complication and varies with the material choice of the lens. Glaucoma is the most serious postoperative complication and depends on the timing of the surgery, primary lens implantation and time of post surgical follow-up. The adherence to occlusion therapy with patching is critical to the visual prognosis and is determined by the child’s age and laterality of the cataract. There was significant improvement in the surgery and in IOLs, however the final visual prognosis is still not desirable.

  3. Barriers to follow-up for pediatric cataract surgery in Maharashtra, India: How regular follow-up is important for good outcome. The Miraj Pediatric Cataract Study II

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    Parikshit Gogate

    2014-01-01

    Full Text Available Background: Regular follow up and amblyopia treatment are essential for good outcomes after pediatric cataract surgery. Aim: To study the regularity of follow-up after cataract surgery in children and to gauge the causes of poor compliance to follow up. Subjects: 262 children (393 cataracts who underwent cataract surgery in 2004-8. Materials and Methods: The children were identified and examined in their homes and a "barriers to follow-up" questionnaire completed. Demographic data collected, visual acuity estimated, and ocular examination performed. Statistical Analysis: SPSS version 19. Results: Of the 262 children, only 53 (20.6% had been regularly following up with any hospital, 209 (79.4% had not. A total of 150 (57.3% were boys and the average age was 13.23 years (Std Dev 5 yrs. Poor follow up was associated with the older age group ( P 1 line with regular follow-up. Conclusion: Regular follow-up is important and improves vision; eye care practitioners need to take special efforts to ensure better follow-up.

  4. Learning, attentional control, and action video games.

    Science.gov (United States)

    Green, C S; Bavelier, D

    2012-03-20

    While humans have an incredible capacity to acquire new skills and alter their behavior as a result of experience, enhancements in performance are typically narrowly restricted to the parameters of the training environment, with little evidence of generalization to different, even seemingly highly related, tasks. Such specificity is a major obstacle for the development of many real-world training or rehabilitation paradigms, which necessarily seek to promote more general learning. In contrast to these typical findings, research over the past decade has shown that training on 'action video games' produces learning that transfers well beyond the training task. This has led to substantial interest among those interested in rehabilitation, for instance, after stroke or to treat amblyopia, or training for various precision-demanding jobs, for instance, endoscopic surgery or piloting unmanned aerial drones. Although the predominant focus of the field has been on outlining the breadth of possible action-game-related enhancements, recent work has concentrated on uncovering the mechanisms that underlie these changes, an important first step towards the goal of designing and using video games for more definite purposes. Game playing may not convey an immediate advantage on new tasks (increased performance from the very first trial), but rather the true effect of action video game playing may be to enhance the ability to learn new tasks. Such a mechanism may serve as a signature of training regimens that are likely to produce transfer of learning. PMID:22440805

  5. Eye diseases in children in jourdan

    International Nuclear Information System (INIS)

    Objective: To investigate eye diseases in children in Jordan and to see whether it is necessary to conduct a visual screening programme. Methods: The study was conducted between July 2010 and July 2012 at four Royal Medical Service hospitals located in northern, eastern, middle and southern parts of Jordan. Children aged (6-14 years) attending paediatric clinics for various reasons were enrolled. Ophthalmologic assessment included visual acuity and anterior and posterior segment examination. Patients with visual acuity of less than 20/20 underwent refraction under cyclopegia. Results: Of the 3200 children in the study ocular abnormalities were found in 366 (11.4%); 312 (9.8%) had visual acuity less than 20/20 in one or both eyes. Refractive error was seen in 286 (8.9%); while vernal catarrh was the second most common ocular abnormality with 51 (1.6%) patients followed by squint 16(0.5%). Four (0.12%) patients had severe visual impairment and one (0.03%) patient was blind. Conclusion: The prevalence of refractive error was high in school children in the study area. It is important to conduct a visual screening programme in early school years in order to prevent amblyopia. (author)

  6. Beyond photography: Evaluation of the consumer digital camera to identify strabismus and anisometropia by analyzing the Bruckner′s reflex

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    Sadat A. O. Bani

    2013-01-01

    Full Text Available Amblyopia screening is often either costly or laborious. We evaluated the Canon Powershot TX1 (CPTX1 digital camera as an efficient screener for amblyogenic risk factors (ARF. We included 138 subjects: 84-amblyopes and 54-normal. With the red-eye-reduction feature off, we obtained Bruckner reflex photographs of different sized crescents which suggested anisometropia, while asymmetrical brightness indicated strabismus; symmetry implied normalcy. Eight sets of randomly arranged 138 photographs were made. After training, 8 personnel, marked each as normal or abnormal. Of the 84 amblyopes, 42 were strabismus alone (SA, 36 had anisometropia alone (AA while six were mixed amblyopes (MA. Overall mean sensitivity for amblyopes was 0.86 (95% CI: 0.83-0.89 and specificity 0.85 (95% CI: 0.77-0.93. Sub-group analyses on SA, AA and MA returned sensitivities of 0.86, 0.89 and 0.69, while specificities were 0.85 for all three. Overall Cohen′s Kappa was 0.66 (95% CI: 0.62-0.71. The CPTX1 appears to be a feasible option to screen for ARF, although results need to be validated on appropriate age groups.

  7. Prevalence of Preventable Causes of Low Vision in Different Ages and Genders

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    Mohsen Akhgary

    2014-01-01

    Full Text Available Background: Much of the vision loss from age-related eye disease can be prevented. The purpose of this study is to determine 5Tthe prevalence5T 5Tof preventable5T 5Tcauses5T 5Tof low5T 5Tvision. Materials and Methods: In this study, files of 204 patients were evaluated5T.5T Low vision was defined as best-corrected visual acuity in the better eye between 20/70 to 20/200. Diagnosis of anterior and posterior segment disease was based on the eye examination that performed with Topcon slit-lamp biomicroscope and direct and indirect ophthalmoscope examination7T. Results: The prevalence of 5Tpreventable5T 5Tcauses of5T 5Tlow 5Twas respectively:5T diabetic retinopathy,5T 5Tin 335T 5Tpatients (5T16.18%, 5Tglaucoma 5Tin 6 5Tpatients (5T2.94%, 5Tand amblyopia5T in 5T2 patients (1%5T. Conclusion: The majority of cases have treatable and/or preventable causes; reduction of low vision or blindness can be achieved by appropriate screening strategies.

  8. Retinopathy of Prematurity: An Evaluation in the Keelung Area of Taiwan over A 10- Year Period.

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    Ko-Jen Yang

    2005-01-01

    Full Text Available Background: We report on the experience of retinopathy of prematurity (ROP at ChangGang Memorial Hospital (CGMH, Keelung, Taiwan over a 10-year period.Methods: A retrospective review was made of data of all premature infants with a diagnosisof ROP at Keelung CGMH between 1994 and 2003. Data on certaincharacteristics including gender, gestational age (GA, birth body weight(BBW, stage of ROP, and treatment modalities were collected and analyzed.Results: Among the 458 infants screened for ROP, 148 eyes of 74 premature infantswere diagnosed as having ROP. Threshold ROP occurred in 24 eyes of 12infants. The average BBW and GA were significantly lower in the thresholdthan in the non-threshold ROP group (p < 0.05. According to medicalrecords of the 24 eyes of the 12 patients receiving transscleral cryotherapy,anatomical success was attained in 13 (81.3% of 16 eyes.Conclusions: This review found low GA and BBW to be major risk factors for ROP. Thisreview shows that transscleral cryotherapy for treating threshold ROPachieved anatomical success in about 80% of eyes. However, myopia,amblyopia, and strabismus remain major sequelae. Laser therapy is nowbelieved to be less damaging to ocular structures and just as effective ascryotherapy in treating ROP.

  9. Correção cirúrgica da esotropia em portadores de fixação excêntrica Surgical correction of esotropia in eccentric fixation patients

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    Andréa Alejandra González Martinez

    2005-10-01

    Full Text Available OBJETIVO: Avaliar o resultado da correção cirúrgica da esotropia em pacientes com fixação excêntrica e compará-lo com o de pacientes esotrópicos operados que não possuíam essa alteração sensorial. MÉTODOS: Estudo retrospectivo do resultado da correção cirúrgica da esotropia essencial de 19 pacientes com fixação excêntrica do Serviço de Motilidade Ocular Extrínsica da Santa Casa de São Paulo. Como grupo-controle, foram estudados 17 pacientes esotrópicos com ambliopia estrábica e fixação central e 16 pacientes esotrópicos sem ambliopia. O teste estatístico utilizado foi aplicação de variância para proporções (ANOVA. RESULTADOS: Nos 3 grupos estudados prevaleceu a subcorreção, 12 (63,2% casos no grupo I, 13 (76,5% casos no grupo II e 13 (81,3% pacientes no grupo III. O sucesso cirúrgico (desvios ABSTRACT PURPOSE: To evaluate the result of the surgical correction of esotropic patients with eccentric fixation and to compare it with operated on esotropic patients who did not have this sensorial disorder. METHODS: A retrospective study of the result of the surgical correction of essential esotropia in 19 patients with eccentric fixation of the "Santa Casa de São Paulo". As group controls, 17 esotropic patients with strabismic amblyopia and central fixation and 16 esotropic patients without amblyopia who had been operated on. The statistical test was application of variance for proportions (ANOVA. RESULTS: In the 3 studied groups undercorrection prevailed, 12 (63,2% cases in group I, 13(76,5% cases in group II and 13 (81,3% patients in group III. The surgical success occurred in 7 (36,8% patients of the group with eccentric fixation, of whom 4 cases were overcorrected and 3 of orthotropia. In group II, of the 7 cases of surgical success, 3 (17,6% had orthotropia and 1 (5,9% case presented with overcorrection. In group III, we had 5 (31,3% cases of surgical success, 1 (6,3% of them with orthotropia. Among the 36

  10. 儿童视力残疾因素及防治对策%Children with Visual Disability Factors and Countermeasures

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    李华

    2014-01-01

    目的:探讨儿童视力残疾因素,据此提出防治对策。方法:采取随机抽样方法抽取笔者所在市0~6岁儿童进行儿童盲和低视力抽样调查,由专业医师检查视力,筛查诊断原因并提出治疗措施。结果:140例视残儿童中,85例表现为低视力,占总数的60.7%,55例为不同程度的儿童盲,占39.3%。男童视力残疾比例普遍高于女童。导致儿童低视力的主要因素是弱视(57.6%),其次是先天性白内障(24.7%);而致盲的主要病因是先天及遗传性眼部疾病,如先天性白内障、先天性小眼球、先天性青光眼等。结论:0~6岁儿童视力残疾以低视力为主,而弱视系导致低视力的主要原因;先天和遗传因素是致儿童盲的首要因素。对弱视等视力残疾可通过早期治疗可脱残。%Objective:Children explore the factors of visual disability , pursuant to propose countermeasures .Methods:I take a ran-dom sampling method where city children 0-6 years old children sample survey of blindness and low vision , visual inspection by a profes-sional physician, screening and diagnosis of the cause and proposed treatment .Results:Depending disabled children 40 cases, 85 cases showed low vision, accounting for 60.7%of the total, 55 cases of varying degrees of blindness in children , accounting for 39.3%.The proportion of boys than girls in general visual disability .The main factors that cause low vision children are amblyopia (57.6%), followed by congenital cataracts (24.7%);while the main cause of blindness is congenital and hereditary eye diseases , such as congenital cata-racts, congenital eye , congenital glaucoma .Conclusion:0-6 years old children with low vision -based visual disabilities , and the lead-ing cause of low vision in the amblyopic Department of; congenital and genetic factors are the primary factor in the cause of childhood blindness .For amblyopia and other visual

  11. Asymmetric severity of diabetic retinopathy in Waardenburg syndrome: response to authors

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    Gupta A

    2012-03-01

    Full Text Available Aditi Gupta, Rajiv Raman, Tarun SharmaShri Bhagwan Mahavir Department of Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, IndiaWe read with great interest the recent article by Kashima et al,1 in which the authors report a case of asymmetric severity of diabetic retinopathy in Waardenburg syndrome. We want to highlight some concerns regarding this report. Previous reports have described many systemic and local factors associated with the development of asymmetric diabetic retinopathy.2,3 These include myopia ≥5 D, anisometropia >1 D, amblyopia, unilateral elevated intraocular pressure, complete posterior vitreous detachment, unilateral carotid artery stenosis, ocular ischemic syndrome, and chorioretinal scarring.2,3 In any suspected case of asymmetric diabetic retinopathy, it is prudent to rule out the abovementioned factors first. In the present case, although the authors clearly mention the absence of internal carotid and ophthalmic artery obstruction on magnetic resonance angiography, it would have been more informative if the authors had also provided the refractive error, intraocular pressure, and posterior vitreous detachment status of both the eyes.Likewise, it would have been useful to note the arm-retina time and retinal arteriovenous filling time in both the eyes on fundus fluorescein angiography, which is usually used to diagnose ocular ischemic syndrome by monitoring extension of the retinal circulation time, including time of blood circulation from the arm to the retina and the retinal arteriovenous filling time.4,5 The mere absence of internal carotid obstruction on magnetic resonance angiography cannot rule out the presence of ocular ischemic syndrome because, rarely, ocular ischemic syndrome can also occur secondary to other causes, such as arteritis.6,7 Comparing the arm-retina time and retinal arteriovenous filling time on fundus fluorescein angiography in both the eyes would be more helpful to rule out ocular

  12. Safety and efficacy of intrathecal ziconotide in the management of severe chronic pain

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    Howard S Smith

    2009-07-01

    Full Text Available Howard S Smith,1 Timothy R Deer21Albany Medical College, Department of Anesthesiology, Albany, New York, USA; 2The Center for Pain Relief, Clinical Professor, West Virginia, University, Charleston, West Virginia, USAAbstract: Ziconotide is a conopeptide intrathecal (IT analgesic which is approved by the US Food and Drug Administration (FDA for the management of severe chronic pain. It is a synthetic equivalent of a naturally occurring conopeptide found in the venom of the fish-eating marine cone snail and provides analgesia via binding to N-type voltage-sensitive calcium channels in the spinal cord. As ziconotide is a peptide, it is expected to be completely degraded by endopeptidases and exopeptidases (Phase I hydrolytic enzymes widely located throughout the body, and not by other Phase I biotransformation processes (including the cytochrome P450 system or by Phase II conjugation reactions. Thus, IT administration, low plasma ziconotide concentrations, and metabolism by ubiquitous peptidases make metabolic interactions of other drugs with ziconotide unlikely. Side effects of ziconotide which tend to occur more commonly at higher doses may include: nausea, vomiting, confusion, postural hypotension, abnormal gait, urinary retention, nystagmus/amblyopia, drowsiness/somnolence (reduced level of consciousness, dizziness or lightheadedness, weakness, visual problems (eg, double vision, elevation of serum creatine kinase, or vestibular side effects. Initially, when ziconotide was first administered to human subjects, titration schedules were overly aggressive and led to an abundance of adverse effects. Subsequently, clinicians have gained appreciation for ziconotide’s relatively narrow therapeutic window. With appropriate usage multiple studies have shown ziconotide to be a safe and effective intrathecal analgesic alone or in combination with other intrathecal analgesics.Keywords: pain, ziconotide, intrathecal analgesics, safety, patient

  13. Pars planitis: Epidemiology, clinical characteristics, management and visual prognosis

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    Pinar Cakar Ozdal

    2015-01-01

    Full Text Available Pars planitis is an idiopathic chronic intermediate uveitis which predominantly affects children and adolescents, and accounts for 5-26.7% of pediatric uveitis. Although an autoimmune process with a genetic predisposition has been suggested, its etiology still remains unknown. The most common presenting symptoms are floaters and blurred vision. Diffuse vitreous cells, haze, snowballs and snowbanks are typical findings of pars planitis. Peripheral retinal vasculitis, optic disc edema and anterior segment inflammation are other well-known findings. Although pars planitis is known to be a benign form of uveitis in most cases, it may become a potentially blinding disease due to complications including cataract, cystoid macular edema, vitreous opacities and optic disc edema. Cystoid macular edema is the most common cause of visual morbidity. Band keratopathy, epiretinal membrane formation, vitreous condensation, neovascularizations, vitreous hemorrhage, retinal detachment, cyclitic membranes, glaucoma and amblyopia may develop as a consequence of the chronic course of the disease. Exclusion of infectious and non-infectious causes which may present with intermediate uveitis is of utmost importance before starting treatment. Treatment of pars planitis has been a controversial issue. There is no consensus specifically for treatment of cases with minimal inflammation and relatively good visual acuity. However, current experience shows that pars planitis may cause severe inflammation and needs an aggressive treatment. A stepladder approach including corticosteroids, immunosupressive agents, anti-tumor necrosis factor-alpha and pars plana vitrectomy and/or laser photocoagulation is the most commonly used method for treatment of pars planitis. Adequate control of inflammation and prompt detection of associated complications are crucial in order to improve the overall prognosis of the disease.

  14. Severe visual Impairment and blindness in infants: Causes and opportunities for control

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    Parikshit Gogate

    2011-01-01

    Full Text Available Childhood blindness has an adverse effect on growth, development, social, and economic opportunities. Severe visual impairment (SVI and blindness in infants must be detected as early as possible to initiate immediate treatment to prevent deep amblyopia. Although difficult, measurement of visual acuity of an infant is possible. The causes of SVI and blindness may be prenatal, perinatal, and postnatal. Congenital anomalies such as anophthalmos, microphthalmos, coloboma, congenital cataract, infantile glaucoma, and neuro-ophthalmic lesions are causes of impairment present at birth. Ophthalmia neonatorum, retinopathy of prematurity, and cortical visual impairment are acquired during the perinatal period. Leukocoria or white pupillary reflex can be cause by congenital cataract, persistent hyperplastic primary vitreous, or retinoblastoma. While few medical or surgical options are available for congenital anomalies or neuro-ophthalmic disorders, many affected infants can still benefit from low vision aids and rehabilitation. Ideally, surgery for congenital cataracts should occur within the first 4 months of life. Anterior vitrectomy and primary posterior capsulotomy are required, followed by aphakic glasses with secondary intraocular lens implantation at a later date. The treatment of infantile glaucoma is surgery followed by anti-glaucoma medication. Retinopathy of prematurity is a proliferation of the retinal vasculature in response to relative hypoxia in a premature infant. Screening in the first few weeks of life can prevent blindness. Retinoblastoma can be debulked with chemotherapy; however, enucleation may still be required. Neonatologists, pediatricians, traditional birth attendants, nurses, and ophthalmologists should be sensitive to a parent′s complaints of poor vision in an infant and ensure adequate follow-up to determine the cause. If required, evaluation under anesthesia should be performed, which includes funduscopy, refraction

  15. Prevalence and causes of blindness and visual impairment among school children in south-western Nigeria.

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    Ajaiyeoba, A I; Isawumi, M A; Adeoye, A O; Oluleye, T S

    2005-01-01

    The aim of the study was to assess the prevalence and identify the causes of blindness and visual impairment in school children of Ilesa-East Local Government Area of Osun State, Nigeria. A total of 1144 school children in primary and secondary schools were selected using a 2-stage random sampling method and examined to determine the prevalence and causes of blindness and visual impairment. A total of 17 (1.48%) children were blind or visually impaired. These comprised of 11 (0.96%) children who were visually impaired and 4 (0.3%) who were severely visually impaired. Only 2 (0.15%) school children were blind. The causes of visual impairment were refractive error 10 (0.87%) and immature cataract 1 (0.08%), causes of severe visual impairment included corneal opacities 2 (0.2%), amblyopia leading to squint 1 (0.08%) and 1 cataract 1 (0.08%). The causes of blindness in school children were corneal scars presumed to be due to vitamin A deficiency 1 (0.08%) and keratoconus 1 (0.08%). Causes of blindness and visual impairment in children attending regular schools in Nigeria were treatable. Prevention, early recognition and prompt treatment of these diseases by regular screening of school children would definitely reduce unnecessary visual handicap in Nigerian school children so that they can attain their full potential in the course of their education. Also, information from this study is relevant for the purpose of planning eye care programmes for the prevention of blindness in Nigerian school children. This will go a long way in the prevention of unnecessary blindness and visual impairment in school children. PMID:17200795

  16. Retinal nerve fiber layer thickness in normal Indian pediatric population measured with optical coherence tomography

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    Neelam Pawar

    2014-01-01

    Full Text Available Purpose: To measure the peripapillary retinal nerve fiber layer (RNFL thickness in normal Indian pediatric population. Subjects and Methods: 120 normal Indian children ages 5-17 years presenting to the Pediatric Clinic were included in this observational cross-sectional study. RNFL thickness was measured with stratus optical coherence tomography (OCT. Children with strabismus or amblyopia, with neurological, metabolic, vascular, or other disorders and those with abnormal optic discs were excluded. One eye of each subject was randomly selected for statistical analysis. The effect of age, refraction and gender on RNFL thickness was investigated statistically. Result: OCT measurements were obtained in 120 of 130 (92.3% subjects. Mean age was 10.8 ± 3.24 years (range 5-17. Average RNFL thickness was (± SD 106.11 ± 9.5 μm (range 82.26-146.25. The RNFL was thickest inferiorly (134.10 ± 16.16 μm and superiorly (133.44 ± 15.50 μm, thinner nasally (84.26 ± 16.43 μm, and thinnest temporally (70.72 ± 14.80 μm. In univariate regression analysis, age had no statistical significant effect on RNFL thickness (P = 0.7249 and refraction had a significant effect on RNFL thickness (P = 0.0008. Conclusion: OCT can be used to measure RNFL thickness in children. Refraction had an effect on RNFL thickness. In normal children, variation in RNFL thickness is large. The normative data provided by this study may assist in identifying changes in RNFL thickness in Indian children.

  17. Practitioners’ opinions on the presentation of ocular pathology and ametropia in patients wearing ready-made reading spectacles

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    K. C. Phillips

    2008-01-01

    Full Text Available This paper presents the findings of a study to determine optometrists’ opinions on the presentation of ocular pathology and ametropia in patients wearing ready-made reading spectacles. Ninety-seven optometrists completed a questionnaire pertaining to ametropia and ocular diseases among these patients. The questionnaire contained information regarding patient demographics, ocular pathology, ocular ametropia and the regulatory and public health aspects of ready-made readers.Ninety-five percent of respondents stated that they had seen patients with ready-made readers in their practice and 62% of these stated that they had found the presence of ocular pathology in these patients. The pathologies most commonly reported as seen by practitioners were dry eye (86% of practitioners, cataracts (80% and diabetic retinopathy (54%. In addition, 39% of practitioners reported seeing patients with anisometropia. The majority of practitioners (71% stated that they sold ready-made readers in their practice. Sixty-three percentof practitioners indicated that they would be prepared to offer a service whereby a reduced consultation fee and a pair of ready-made readers could be incorporated into an indigent “package”. An overwhelming 88% of the practitioners felt that the sale of ready-made readers should be more regulated and 74% of practitioners felt that the Professional Board for Optometry and Dispensing Opticians should be responsible for monitoring their sale. The research suggests that wearers of ready-made readers should be screened for ocular pathology, reduced visual acuity and amblyopia. Current regulations should be tightened and a public awareness education campaign should be initiated. The use of ready-made reading spectacles, in deference to an eye examination by an optometrist, appears to be largely as a result of the perceived costs of pri-vate practice combined with ignorance and apathy

  18. A New Visual Stimulation Program for Improving Visual Acuity in Children with Visual Impairment: A Pilot Study

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    Tsai, Li-Ting; Hsu, Jung-Lung; Wu, Chien-Te; Chen, Chia-Ching; Su, Yu-Chin

    2016-01-01

    The purpose of this study was to investigate the effectiveness of visual rehabilitation of a computer-based visual stimulation (VS) program combining checkerboard pattern reversal (passive stimulation) with oddball stimuli (attentional modulation) for improving the visual acuity (VA) of visually impaired (VI) children and children with amblyopia and additional developmental problems. Six children (three females, three males; mean age = 3.9 ± 2.3 years) with impaired VA caused by deficits along the anterior and/or posterior visual pathways were recruited. Participants received eight rounds of VS training (two rounds per week) of at least eight sessions per round. Each session consisted of stimulation with 200 or 300 pattern reversals. Assessments of VA (assessed with the Lea symbol VA test or Teller VA cards), visual evoked potential (VEP), and functional vision (assessed with the Chinese-version Functional Vision Questionnaire, FVQ) were carried out before and after the VS program. Significant gains in VA were found after the VS training [VA = 1.05 logMAR ± 0.80 to 0.61 logMAR ± 0.53, Z = –2.20, asymptotic significance (2-tailed) = 0.028]. No significant changes were observed in the FVQ assessment [92.8 ± 12.6 to 100.8 ±SD = 15.4, Z = –1.46, asymptotic significance (2-tailed) = 0.144]. VEP measurement showed improvement in P100 latency and amplitude or integration of the waveform in two participants. Our results indicate that a computer-based VS program with passive checkerboard stimulation, oddball stimulus design, and interesting auditory feedback could be considered as a potential intervention option to improve the VA of a wide age range of VI children and children with impaired VA combined with other neurological disorders. PMID:27148014

  19. Pediatric cataract: challenges and future directions

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    Medsinge A

    2015-01-01

    Full Text Available Anagha Medsinge,1,2 Ken K Nischal1,2 1Pediatric Ophthalmology, Strabismus, and Adult Motility, Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center, (UPMC 2University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Abstract: Cataract is a significant cause of visual disability in the pediatric population worldwide and can significantly impact the neurobiological development of a child. Early diagnosis and prompt surgical intervention is critical to prevent irreversible amblyopia. Thorough ocular evaluation, including the onset, duration, and morphology of a cataract, is essential to determine the timing for surgical intervention. Detailed assessment of the general health of the child, preferably in conjunction with a pediatrician, is helpful to rule out any associated systemic condition. Although pediatric cataracts have a diverse etiology, with the majority being idiopathic, genetic counseling and molecular testing should be undertaken with the help of a genetic counselor and/or geneticist in cases of hereditary cataracts. Advancement in surgical techniques and methods of optical rehabilitation has substantially improved the functional and anatomic outcomes of pediatric cataract surgeries in recent years. However, the phenomenon of refractive growth and the process of emmetropization have continued to puzzle pediatric ophthalmologists and highlight the need for future prospective studies. Posterior capsule opacification and secondary glaucoma are still the major postoperative complications necessitating long-term surveillance in children undergoing cataract surgery early in life. Successful management of pediatric cataracts depends on individualized care and experienced teamwork. We reviewed the etiology, preoperative evaluation including biometry, choice of intraocular lens, surgical techniques, and recent developments in the field of childhood cataract. Keywords: children, pediatric cataract, infantile

  20. Developmental changes in GABAergic mechanisms in human visual cortex across the lifespan

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    Joshua G A Pinto

    2010-06-01

    Full Text Available Functional maturation of visual cortex is linked with dynamic changes in synaptic expression of GABAergic mechanisms. These include setting the excitation-inhibition balance required for experience-dependent plasticity, as well as, intracortical inhibition underlying development and aging of receptive field properties. Animal studies have shown developmental regulation of GABAergic mechanisms in visual cortex. In this study, we show for the first time how these mechanisms develop in the human visual cortex across the lifespan. We used Western blot analysis of postmortem tissue from human primary visual cortex (n=30, range: 20 days to 80 years to quantify expression of 8 pre- and post-synaptic GABAergic markers. We quantified the inhibitory modulating cannabinoid receptor (CB1, GABA vesicular transporter (VGAT, GABA synthesizing enzymes (GAD65/GAD67, GABAA receptor anchoring protein (Gephyrin, and GABAA receptor subunits (GABAA∝1, GABAA∝2, GABAA∝3. We found a complex pattern of changes, many of which were prolonged and continued well into into the teen, young adult, and even older adult years. These included a monotonic increase or decrease (GABAA∝1, GABAA∝2, a biphasic increase then decrease (GAD65, Gephyrin, or multiple increases and decreases (VGAT, CB1 across the lifespan. Comparing the balances between the pre- and post-synaptic markers we found 3 main transitions (early childhood, early teen years, aging when there were rapid switches in the composition of the GABAergic signaling system, indicating that functioning of the GABAergic system must change as the visual cortex develops and ages. Furthermore, these results provide key information for translating therapies developed in animal models into effective treatments for amblyopia in humans.

  1. About the correctness of laser refractive surgery in children

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    V. V. Kurenkov

    2016-01-01

    Full Text Available Disturbances of refraction are one of the most urgent problems of pediatric ophthalmology. Late and incomplete correction of refractive errors leads to the development of amblyopia, disturbances of binocular vision, the appearance of strabismus. Such complications reduce the quality of life, drastically limit the choice of professional child. Pediatric Ophthalmology always face a choice: many drugs and technologies are not approved for use in pediatric patients, practitioners are forced to use their «off-label», but such situations require great care and strict medical indications. For example, refractive surgery has worked well in adults, but its use remains controversial in children for security reasons and unpredictable effects. Several authors have described the use of laser refractive surgery in children under the age of 18 years, but there are no results of a multicenter, controlled study evaluating the safety, efficacy, and especially long-term results. In all the studies, the calculation was performed on adult nomograms ablation, while not proved how they are accurate for children. Long-term results and data on the endothelial cell density, corneal curvature changes in catamnesis are presented no longer than two years. Despite the fact that currently there is insufficient information about the results of remote application keratorefractive laser surgery in children, and there are no indication system and contraindications, modern achievements in medicine should be used in pediatric patients, and our successful track record proves it clearly. Undoubtedly, the positive experience of the laser surgery use in a child with clouding of the cornea in the outcome of herpetic keratitis, which provided a positive result: high visual acuity, binocular vision and lack of infection relapses for 2 years, requires study, evidence multicenter studies, and possibly expansion of indications for refractive laser surgery.

  2. Visual impairment secondary to congenital glaucoma in children: visual responses, optical correction and use of low vision AIDS

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    Maria Aparecida Onuki Haddad

    2009-01-01

    Full Text Available INTRODUCTION: Congenital glaucoma is frequently associated with visual impairment due to optic nerve damage, corneal opacities, cataracts and amblyopia. Poor vision in childhood is related to global developmental problems, and referral to vision habilitation/rehabilitation services should be without delay to promote efficient management of the impaired vision. OBJECTIVE: To analyze data concerning visual response, the use of optical correction and prescribed low vision aids in a population of children with congenital glaucoma. METHOD: The authors analyzed data from 100 children with congenital glaucoma to assess best corrected visual acuity, prescribed optical correction and low vision aids. RESULTS: Fifty-five percent of the sample were male, 43% female. The mean age was 6.3 years. Two percent presented normal visual acuity levels, 29% mild visual impairment, 28% moderate visual impairment, 15% severe visual impairment, 11% profound visual impairment, and 15% near blindness. Sixty-eight percent received optical correction for refractive errors. Optical low vision aids were adopted for distance vision in 34% of the patients and for near vision in 6%. A manual monocular telescopic system with 2.8 × magnification was the most frequently prescribed low vision aid for distance, and for near vision a +38 diopter illuminated stand magnifier was most frequently prescribed. DISCUSSION AND CONCLUSION: Careful low vision assessment and the appropriate prescription of optical corrections and low vision aids are mandatory in children with congenital glaucoma, since this will assist their global development, improving efficiency in daily life activities and promoting social and educational inclusion.

  3. Reading performance is enhanced by visual texture discrimination training in Chinese-speaking children with developmental dyslexia.

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    Xiangzhi Meng

    Full Text Available High order cognitive processing and learning, such as reading, interact with lower-level sensory processing and learning. Previous studies have reported that visual perceptual training enlarges visual span and, consequently, improves reading speed in young and old people with amblyopia. Recently, a visual perceptual training study in Chinese-speaking children with dyslexia found that the visual texture discrimination thresholds of these children in visual perceptual training significantly correlated with their performance in Chinese character recognition, suggesting that deficits in visual perceptual processing/learning might partly underpin the difficulty in reading Chinese.To further clarify whether visual perceptual training improves the measures of reading performance, eighteen children with dyslexia and eighteen typically developed readers that were age- and IQ-matched completed a series of reading measures before and after visual texture discrimination task (TDT training. Prior to the TDT training, each group of children was split into two equivalent training and non-training groups in terms of all reading measures, IQ, and TDT. The results revealed that the discrimination threshold SOAs of TDT were significantly higher for the children with dyslexia than for the control children before training. Interestingly, training significantly decreased the discrimination threshold SOAs of TDT for both the typically developed readers and the children with dyslexia. More importantly, the training group with dyslexia exhibited significant enhancement in reading fluency, while the non-training group with dyslexia did not show this improvement. Additional follow-up tests showed that the improvement in reading fluency is a long-lasting effect and could be maintained for up to two months in the training group with dyslexia.These results suggest that basic visual perceptual processing/learning and reading ability in Chinese might at least partially rely on

  4. Vision screening in children with developmental delay can be improved: analysis of a screening programme outside the ophthalmic clinic.

    Science.gov (United States)

    Nielsen, Lisbeth Sandfeld; Skov, Liselotte; Jensen, Hanne

    2007-07-01

    The purpose of the present study was to evaluate the effectiveness of a new vision-screening programme in detecting ophthalmic disorders in children with developmental delay (DD; IQIQ. A group of 467 children with an IQIQ>80 (85 males, 38 females; age range 3-16y; mean age 10y 5mo [SD 3y 2mo]) had an examination that included new vision-screening items: distance and near visual acuity and stereopsis for near objects (Lang stereo test II). A full ophthalmological examination was also conducted to determine the effectiveness of the new screening items. The previous screening programme consisted of only monocular visual acuity at distance. Sensitivity, specificity, the positive predictive value (PPV), and negative predictive value (NPV) of the tests were calculated with regard to the following ophthalmic disorders: hyperopia, myopia, astigmatism, anistometropia, amblyopia, low vision, and strabismus. Overall, the prevalence of ophthalmic disorders was 33.4% in children with DD and 11.4% in typically developing children. With the use of the new programme, the effectiveness of vision screening in both groups of children was improved. In children with DD, sensitivity increased from 49.4 to 80.1%, specificity decreased from 98.1 to 83.3%, PPV decreased from 92.8 to 70.6%, and NPV increased from 79.4 to 89.3%. In typically developing children, sensitivity improved from 50.0 to 85.7%, specificity declined from 98.2 to 87.2%, PPV decreased from 77.8 to 46.2%, and NPV increased from 93.9 to 97.9%. We conclude that the currently used vision-screening programme can be significantly improved. The speed and simplicity of the proposed screening programme makes it suitable for use by school nurses. The improvements were most prominent in children with DD. PMID:17593122

  5. Causes of Visual Impairment in the Van City Area According to the Health Committee’s Reports

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    Doğan Ceyhan

    2012-03-01

    Full Text Available Pur po se: In this study, disability reports of the Health Committee of the Hospital of the Yüzüncü Yıl University School of Medicine will be evaluated. The demographic characteristics, causes and degree of visual loss, visual system impairment rating and whole body impairment rating of the people with visual impairment will be determined. Ma te ri al and Met hod: Health committee disability reports of our hospital, between September 2006 and August 2010, were evaluated. Relevant variables of each patient were recorded and evaluated. Re sults: 415 health committee reports for visual impairment were found to be prepared during the period of the study. One hundred fifty three (36,9% of the cases were female and 262 (63.1% were male and the mean age was 41.8±22.4 years. The most frequent causes of visual impairment were macular diseases, evisceration and phitisis, amblyopia, optic nerve diseases, degenerative myopia, acquired corneal and hereditary retinal diseases. The patients who had a disability report had a mean of 41.69±25.92% visual system impairment rating and 60,76±24,67% whole body impairment rating. Dis cus si on: This research was planned for contributing to the epidemiologic information about visual impairment in our country. This data may serve to compute the cost of visual disability reports. The information is also expected to contribute to determine the causes and measures for the prevention of diseases and conditions leading to visual disability. (Turk J Ophthalmol 2012; 42: 131-4

  6. Layer- and cell-type-specific subthreshold and suprathreshold effects of long-term monocular deprivation in rat visual cortex.

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    Medini, Paolo

    2011-11-23

    Connectivity and dendritic properties are determinants of plasticity that are layer and cell-type specific in the neocortex. However, the impact of experience-dependent plasticity at the level of synaptic inputs and spike outputs remains unclear along vertical cortical microcircuits. Here I compared subthreshold and suprathreshold sensitivity to prolonged monocular deprivation (MD) in rat binocular visual cortex in layer 4 and layer 2/3 pyramids (4Ps and 2/3Ps) and in thick-tufted and nontufted layer 5 pyramids (5TPs and 5NPs), which innervate different extracortical targets. In normal rats, 5TPs and 2/3Ps are the most binocular in terms of synaptic inputs, and 5NPs are the least. Spike responses of all 5TPs were highly binocular, whereas those of 2/3Ps were dominated by either the contralateral or ipsilateral eye. MD dramatically shifted the ocular preference of 2/3Ps and 4Ps, mostly by depressing deprived-eye inputs. Plasticity was profoundly different in layer 5. The subthreshold ocular preference shift was sevenfold smaller in 5TPs because of smaller depression of deprived inputs combined with a generalized loss of responsiveness, and was undetectable in 5NPs. Despite their modest ocular dominance change, spike responses of 5TPs consistently lost their typically high binocularity during MD. The comparison of MD effects on 2/3Ps and 5TPs, the main affected output cells of vertical microcircuits, indicated that subthreshold plasticity is not uniquely determined by the initial degree of input binocularity. The data raise the question of whether 5TPs are driven solely by 2/3Ps during MD. The different suprathreshold plasticity of the two cell populations could underlie distinct functional deficits in amblyopia. PMID:22114282

  7. The Surgical Outcome of Strabismus in Patients with General Fibrosis Syndrome

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    Li-Chen Wei

    2005-03-01

    Full Text Available Background: This study investigates the clinical features of strabismus in patients withgeneral fibrosis syndrome (GFS and the results of surgery performed onsuch patients.Methods: We conducted a retrospective review of patients with GFS who visited ourclinic at Chang Gung Memorial Hospital between 1 August 1992 and 31January 2002. After evaluating the family histories of 9 patients with GFS,patients were given a complete ophthalmic evaluation. Myectomies of theinferior rectus muscle were performed to correct hypotropia and recessionsand/or resections of medial rectus and/or lateral rectus were performed tocorrect esotropia or exotropia, respectively. The post-operative conditions ofthe survey patients were reviewed for at least 6 months after the completionof the procedures.Results: Six patients (67% were identified with inherited autosomal dominance. Allpatients displayed the characteristic ‘chin-up’ position, limited extraocularmuscle movement and eye abnormalities. High astigmatism (>=-2.0 diopterwas noted in 9 eyes (50% and amblyopia was noted in all cases. With regardto vertical eye deviation, 11 eyes (61% were corrected through myectomy ofthe inferior rectus muscle to within 5° as measured using a Hirschberg test.Furthermore, three cases (33% were complicated by lower scleral show.Conclusion: The presence of GFS complicates the surgical correction of strabismus makingprocedure results more difficult to predict. Strabismus surgery has beendemonstrated to reduce eye deviation in the primary position, thus improvingpatients’ head posture. The resulting improvements to cosmetic appearanceand functionality lead us to recommend that strabismus surgery be performedin conjunction with ptosis surgery for GFS patients.

  8. Prevalence of Accommodative and Non-Strabismic Binocular Anomalies in a Puerto Rican Pediatric Population

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    Stefania M. Paniccia, OD, MS

    2015-06-01

    Full Text Available Background: There exists a considerable void in the literature of studies that examine the prevalence of non-strabismic binocular and accommodative disorders in the pediatric population of Puerto Rico. The purpose of this retrospective study was to fill this void by performing a comprehensive record review of the pediatric clinical population of the InterAmerican University College of Optometry satellite clinics. Methods: This study was performed using a random selection of 593 existing health records of patients between the ages of 5 and 20 years. Patients had participated in a complete optometric assessment between the years 2004 and 2012. The criteria for selection were the absence of strabismus, amblyopia, nystagmus, vertical deviation, corneal pathology, retinal pathology, lens pathology, or any other parameter outside of population requirements. Results: Statistical analysis was performed using the IBM SPSS program. Results of this study indicate that the most common non-strabismic and accommodative anomalies in the studied population are accommodative insufficiency (39.0%, convergence insufficiency (12.6%, convergence excess (9.1%, and accommodative infacility (7.6%. Conclusions: Accommodative and non-strabismic binocular vision problems are prevalent in the pediatric population of the InterAmerican satellite clinics. This is the first epidemiologic study about the prevalence of these conditions in Puerto Rico. Due to the possibility of these non-strabismic and accommodative anomalies resulting in a reduced quality of life for children and affecting school performance, sports performance, and play activities, an appropriate vision evaluation, diagnosis, and treatment is important. Lastly, further comprehensive studies should be conducted in Puerto Rico using this study as a base for data collection and analysis.

  9. Functional MRI, DTI and neurophysiology in horizontal gaze palsy with progressive scoliosis

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    Haller, Sven; Wetzel, Stephan G. [University Hospital Basel, Institute of Radiology, Department of Neuroradiology, Basel (Switzerland); Luetschg, Juerg [University Children' s Hospital (UKBB), Basel (Switzerland)

    2008-05-15

    Horizontal gaze palsy with progressive scoliosis (HGPPS) is an autosomal recessive disease due to a mutation in the ROBO3 gene. This rare disease is of particular interest because the absence, or at least reduction, of crossing of the ascending lemniscal and descending corticospinal tracts in the medulla predicts abnormal ipsilateral sensory and motor systems. We evaluated the use of functional magnetic resonance imaging (fMRI) for the first time in this disease and compared it to diffusion tensor imaging (DTI) tractography and neurophysiological findings in the same patient with genetically confirmed ROBO3 mutation. As expected, motor fMRI, somatosensory evoked potentials (SSEP) and motor evoked potentials (MEP) were dominantly ipsilateral to the stimulation side. DTI tractography revealed ipsilateral ascending and descending connectivity in the brainstem yet normal interhemispheric connections in the corpus callosum. Auditory fMRI revealed bilateral auditory activation to monaural left-sided auditory stimulation. No significant cortical activation was observed after monaural right-sided stimulation, a hearing defect having been excluded. Prosaccades fMRI showed no activations in the eye-movement network. Motor fMRI confirmed the established findings of DTI and neurophysiology in the same patient. In suspected HGPPS, any technique appears appropriate for further investigation. Auditory fMRI suggests that a monaural auditory system with bilateral auditory activations might be a physiological advantage as compared to a binaural yet only unilateral auditory system, in analogy to anisometropic amblyopia. Moving-head fMRI studies in the future might show whether the compensatory head movements instead of normal eye movements activate the eye-movement network. (orig.)

  10. Retinal detachment after laser In Situ keratomileusis

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    Saba Al-Rashaed

    2011-01-01

    Full Text Available Purpose : To report characteristics and outcome of rhegmatogenous retinal detachment (RRD after laser in situ keratomileusis (LASIK for myopia. Materials and Methods : A retrospective chart review of patients who presented with RRD after myopic LASIK over a 10-year period. Results : Fourteen eyes were identified with RRD. Of these, two of 6112 LASIK procedures were from our center. The mean age of patients with RRD was 35.43 years. The mean interval of RRD after LASIK was 37.71 months (range, 4 months to 10 years. The macula was involved in eight eyes and spared in six eyes. Retinal breaks included a macular hole in two eyes, and giant tear in two eyes. Multiple breaks (>2 breaks occurred in 6 cases. Pars plana vitrectomy (PPV was performed in 3 (21.4% eyes, a scleral buckle (SB was performed in 4 (28.5% eyes and 7 (50% eyes underwent combined PPV and SB. Mean follow-up was 15.18 months (range, 1 month to 7 years. The retina was successfully attached in all cases. The final visual acuity was 20/40 or better in 7 (50% eyes, 20/40 to 20/60 in 4 (28.5% eyes, and 20/200 or less in 3 (21.4% eyes. Poor visual outcome was secondary to proliferative vitreoretinopathy, epiretinal membrane, macular scar and amblyopia. Conclusion : The prevalence of RRD after LASIK was low at our institute. Anatomical and visual outcomes were acceptable in eyes that were managed promptly. Although there is no cause-effect relationship between LASIK and RRD, a dilated fundus examination is highly recommended before and after LASIK for myopia.

  11. Visual function of Egyptian children with low vision and the demographic determinants

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    El Byoumi Boshra

    2010-01-01

    Full Text Available Aims: To determine whether the LV Prasad-Functional Vision Questionnaire (LVP-FVQ could be used to assess self-reported visual function and quality of visual life in Egyptian school aged children. Materials and Methods: The LVP-FVQ was used to assess the quality of visual function in school-age children. All subjects were students at the time of assessment. Subjects underwent a visual function assessment that included distance and near visual acuity, contrast sensitivity, color vision and visual field examination where possible. Data analysis were for both descriptive and inference statistics. A P < 0.05 was considered statistically significant. Results: Fifty children aged 11.28 ± 3.5 years (range, 5 years to 18 years with moderate-to-severe visual impairment most of their lives were enrolled. Twenty-two subjects (44% had albinism, 18 (36% subjects had hereditary retinal dystrophy, 6 (12% subjects had cone dystrophy, 2 (4% subjects had bilateral amblyopia and 2 (4% subjects had congenital coloboma without other disabilities. The four most difficult tasks were related to the following daily activities alluded to in the questionnaire such as reading a textbook at arms length, copying from the blackboard, seeing somebody across the road and identifying colors. There was no statistically significant association between the demographic variables and the level of visual functioning, sex, age, type of school, family history or consanguinity (P > 0.05 for all variables. Conclusion: LVP-FVQ can be used to screen Egyptian children with visual impairment. Input and integration of the parents and the school teachers to evaluate the child s behavior at home and the school is essential to developing a balanced questionnaire.

  12. Pediatric open globe injury: A review of the literature

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    Xintong Li

    2015-01-01

    Full Text Available Open globe injury (OGI is a severe form of eye trauma estimated at 2-3.8/100,000 in the United States. Most pediatric cases occur at home and are the result of sharp object penetration. The aim of this article is to review the epidemiology, diagnosis, management, and prognosis of this condition by conducting a systematic literature search with inclusion of all case series on pediatric OGI published between 1996 and 2015. Diagnosis of OGI is based on patient history and clinical examination supplemented with imaging, especially computed tomography when indicated. Few prospective studies exist for the management of OGI in pediatric patients, but adult recommendations are often followed with success. The main goals of surgical management are to repair the open globe and remove intraocular foreign bodies. Systemic antibiotics are recommended as medical prophylaxis against globe infection, or endophthalmitis. Other complications are similar to those seen in adults, with the added focus of amblyopia therapy in children. Severe vision decline is most likely due to traumatic cataracts. The ocular trauma score, a system devised to predict final visual acuity (VA in adults, has proven to be of prognostic value in pediatric OGI as well. Factors indicating poor visual prognosis are young age, poor initial VA, posterior eye involvement, long wound length, globe rupture, lens involvement, vitreous hemorrhage, retinal detachment, and endophthalmitis. A thorough understanding of OGI and the key differences in epidemiology, diagnosis, management, and prognosis between adults and children is critical to timely prevention of posttraumatic vision loss early in life.

  13. A new visual stimulation program for improving visual acuity in children with visual impairment: a pilot study

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    Li-Ting eTsai

    2016-04-01

    Full Text Available The purpose of this study was to investigate the effectiveness of visual rehabilitation of a computer-based visual stimulation (VS program combining checkerboard pattern reversal (passive stimulation with oddball stimuli (attentional modulation for improving the visual acuity (VA of visually impaired (VI children and children with amblyopia and additional developmental problems. Six children (3 females, 3 males; mean age = 3.9 ± 2.3 years with impaired VA caused by deficits along the anterior and/or posterior visual pathways were recruited. Participants received eight rounds of VS training (two rounds per week of at least 8 sessions per round. Each session consisted of stimulation with 200 or 300 pattern reversals. Assessments of VA (assessed with the Lea symbol VA test or Teller VA cards, visual evoked potential (VEP, and functional vision (assessed with the Chinese-version Functional Vision Questionnaire, FVQ were carried out before and after the VS program. Significant gains in VA were found after the VS training (VA=1.05 logMAR ± 0.80 to 0.61 logMAR ± 0.53, Z=-2.20, asymptotic significance (2-tailed =0.028. No significant changes were observed in the FVQ assessment (92.8 ± 12.6 to 100.8 ± SD=15.4, Z=-1.46, asymptotic significance (2-tailed = 0.144. VEP measurement showed improvement in P100 latency and amplitude or integration of the waveform in two participants. Our results indicate that a computer-based VS program with passive checkerboard stimulation, oddball stimulus design, and interesting auditory feedback could be considered as a potential intervention option to improve the VA of a wide age range of VI children and children with impaired VA combined with other neurological disorders.

  14. A New Visual Stimulation Program for Improving Visual Acuity in Children with Visual Impairment: A Pilot Study.

    Science.gov (United States)

    Tsai, Li-Ting; Hsu, Jung-Lung; Wu, Chien-Te; Chen, Chia-Ching; Su, Yu-Chin

    2016-01-01

    The purpose of this study was to investigate the effectiveness of visual rehabilitation of a computer-based visual stimulation (VS) program combining checkerboard pattern reversal (passive stimulation) with oddball stimuli (attentional modulation) for improving the visual acuity (VA) of visually impaired (VI) children and children with amblyopia and additional developmental problems. Six children (three females, three males; mean age = 3.9 ± 2.3 years) with impaired VA caused by deficits along the anterior and/or posterior visual pathways were recruited. Participants received eight rounds of VS training (two rounds per week) of at least eight sessions per round. Each session consisted of stimulation with 200 or 300 pattern reversals. Assessments of VA (assessed with the Lea symbol VA test or Teller VA cards), visual evoked potential (VEP), and functional vision (assessed with the Chinese-version Functional Vision Questionnaire, FVQ) were carried out before and after the VS program. Significant gains in VA were found after the VS training [VA = 1.05 logMAR ± 0.80 to 0.61 logMAR ± 0.53, Z = -2.20, asymptotic significance (2-tailed) = 0.028]. No significant changes were observed in the FVQ assessment [92.8 ± 12.6 to 100.8 ±SD = 15.4, Z = -1.46, asymptotic significance (2-tailed) = 0.144]. VEP measurement showed improvement in P100 latency and amplitude or integration of the waveform in two participants. Our results indicate that a computer-based VS program with passive checkerboard stimulation, oddball stimulus design, and interesting auditory feedback could be considered as a potential intervention option to improve the VA of a wide age range of VI children and children with impaired VA combined with other neurological disorders. PMID:27148014

  15. Survey of Paralytic Strabismus: A Regional Survay

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    Medghalchi Abdolreza

    2009-10-01

    Full Text Available One of the important causes of strabismus in all ages is extraocular muscles paralysis due to 3rd, 4th and 6th cerebral nerve palsies. Exact and on-time treatment can result in improvement of deviation, am-blyopia and abnormal head posture. We studied epidemiological characteristics of extraocular muscles paralysis. This retrospective study performed on 131 subjects (58% male. Records of patients with diagnosis of paralytic strabismus referred to private clinics between 1995 and 2005 were studied and their demographic data and clinical characters were extracted and evaluated. Average age of patients was 23 years old. Unilateral involvement was seen in 94% of cases. The types of paralysis were 4th nerve (70.2%, 6th nerve (17.8%, 3rd nerve (12% and all nerves palsy (3,4 Nerves (2.2%. The most common causes of nerve injury were congenital (62.5%, trauma (19.8%, vascular (3.8%, iatrogenic (3%, tumor and aneurysm (2.2% and miscellaneous (9%. The most common causes in 3rd nerve palsy were trauma (40%, congenital (20%, iatrogenic (10%, aneurysm (5%, vascular (5% and miscellaneous (10%. Pupilary involvement was seen in 55% of cases and complete form of 3th nerve in 50% of patients. The most common causes in 4th nerve palsy were congenital (81.5%, traumatic (8.5% and miscellaneous (10%. In 6th nerve palsy, the most common causes were trauma (50%, vascular (13.6%, congenital (9%. This study indicates that the most common type of palsy is 4th, 6th and 3rd nerves and the most common causes are congenital and trauma.

  16. PREVALENCE OF MYOPIA AMONG URBAN SCHOOL CHILDREN

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    Sandeep

    2015-04-01

    Full Text Available BACKGROUND : Refractive error is the second leading cause of treatable blindness . 46 . 69% of all ocular morbidity in the country is directly attributed to refractiv e errors and myopia is the commonest type of refractive error . School age children constitute a particularly vulnerable group because uncorrected refractive errors may lead to amblyopia , subnormal binocularity or strabismus resulting in permanent visual lo ss . Studies have shown that there has been an increase in the proportion of myopia among students . In view of the importance of detecting the eye defects in school children in our region where staple food and socio - demography is different from rest of the country an effort has been made in the present study to find out the extent of problem of refractive errors particularly Myopia among school children . OBJECTIVES : To study and evaluate Myopia among School children . METHODS : A cross - sectional study on rando m control sample of school children of 7 - 15 year was carried out in the Hubli city . Visual acuity tests were done all students . Students with 6/6 ( p or less vision were subjected for slit lamp examination , retinoscopy , fundus examination , keratometry and A - scan . RESULTS : 13 . 5% of children had refractive errors . 4 . 54% had Myopia . Myopia was more common in females with a peak in 13 - 15 year group . CONCLUSION : Significant proportion of children of this area had uncorrected refractive errors . Regular screening and correction of refractive error will help to improve vision , prevent further deterioration and hence irreversible changes in the visual system .

  17. Surgical Results of Symmetric and Asymmetric Surgeries and Dose-Response in Patients with Infantile Esotropia

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    Nazife Sefi Yurdakul

    2015-10-01

    Full Text Available Objectives: To evaluate the results of symmetric and asymmetric surgery and responses to surgical amounts in patients with infantile esotropia. Materials and Methods: The records of patients with infantile esotropia who underwent bilateral medial rectus recession (symmetric surgery and unilateral medial rectus recession with lateral rectus resection (asymmetric surgery were analyzed. The results of the cases with symmetric (group 1 and asymmetric (group 2, successful (group 3 and failed (group 4 surgeries were compared, and responses to the amount of surgery were investigated. Results: There were no significant differences between group 1 (n=71 and group 2 (n=13 cases in terms of gender, refraction, preoperative distance deviation, anisometropia and postoperative deviation angles, binocular vision, surgical success or follow-up period (p>0.05. The rate of amblyopia, near deviation and amount of surgery were higher in group 2 cases (p0.05. The average postoperative follow-up period was 15.41±19.93 months (range, 6-98 months in group 3 cases and 40.45±40.06 months (range, 6-143 months in group 4 cases (p=0.000. No significant difference was detected in the amount of deviation corrected per 1 mm of surgical procedure between the successful cases in the symmetric and asymmetric groups (p>0.05. Conclusion: Symmetric or asymmetric surgery may be preferable in patients with infantile esotropia according to the clinical features. It is necessary for every clinic to review its own dose-response results. (Turk J Ophthalmol 2015; 45: 197-202

  18. VISUAL OUTCOME AND CHANGE IN REFRACTIO N AFTER PAEDIATRIC CATARACT SUR GERY

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    Swapna Kaipu

    2015-01-01

    Full Text Available NTRODUCTION : Cataract remains one of the most important avoidable causes of blindness in children. IOL implantation has the advantage of immediate visual rehabilitation, less hospital visits and less vigorous supervision by the ophthalmologists. We assessed the effects of intra ocular lens implantation on post - operative complications, method of optical correction, and presence of amblyopia as immediate visual outcomes. Additionally, changes in refraction in one year follow up period. METHOD S : We studied congenital and developmental cataract who underwent extra capsular cataract extraction (ECCE with posterior capsulotomy and anterior vitrectomy between 2007 and 2010. Patient demographics, cataract type, presenting symptom, complications of surgery, post - operative visual acuity and refractive changes were recorded. RESULTS : 34 children were included and a total 50 eyes of were evaluated. Unilateral cataracts were present in 18(51.43% patients, and are predominantly in age group of 9 - 14 years. Post operatively 13 patients had visual acuiy<6/60, compared to 47 patients at admission. The most common early post - operative complication observed was fibrinous uveitis which occurred in 6 patients. At the end of 1 year follow up 28 eyes showed increase in axial length of that 13 patients are in age group of 1 - 4 years. CONCLUSION : Primary IOL implantation and primary posterior capsulorrhexis with anterior vitrectomy is a safe and effective method for pediatric cataract, We observed less post - operative complications, improved visual acuity, and less refractive changes. Intraocular lens implantation acts as an aid for early visual rehabilitation for pediatric cataracts if the children undergo surgery before abnormal foveolar function develops

  19. Crotoxin in humans: analysis of the effects on extraocular and facial muscles

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    Geraldo de Barros Ribeiro

    2012-12-01

    Full Text Available PURPOSE: Crotoxin is the main neurotoxin of South American rattlesnake Crotalus durissus terrificus. The neurotoxic action is characterized by a presynaptic blockade. The purpose of this research is to assess the ability of crotoxin to induce temporary paralysis of extraocular and facial muscles in humans. METHODS: Doses of crotoxin used ranged from 2 to 5 units (U, each unit corresponding to one LD50. We first applied 2U of crotoxin in one of the extraocular muscles of 3 amaurotic individuals to be submitted to ocular evisceration. In the second stage, we applied crotoxin in 12 extraocular muscles of 9 patients with strabismic amblyopia. In the last stage, crotoxin was used in the treatment of blepharospasm in another 3 patients. RESULTS: No patient showed any systemic side effect or change in vision or any eye structure problem after the procedure. The only local side effects observed were slight conjunctival hyperemia, which recovered spontaneously. In 2 patients there was no change in ocular deviation after 2U crotoxin application. Limitation of the muscle action was observed in 8 of the 12 applications. The change in ocular deviation after application of 2U of crotoxin (9 injections was in average 15.7 prism diopters (PD. When the dose was 4U (2 applications the change was in average 37.5 PD and a single application of 5U produced a change of 16 PD in ocular deviation. This effect lasted from 1 to 3 months. Two of the 3 patients with blepharospasm had the hemifacial spasm improved with crotoxin, which returned after 2 months. CONCLUSIONS: This study provides data suggesting that crotoxin may be a useful new therapeutic option for the treatment of strabismus and blepharospasm. We expect that with further studies crotoxin could be an option for many other medical areas.

  20. Implications of CI therapy for Visual Deficit Training

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    Edward eTaub

    2014-10-01

    Full Text Available We address here the question of whether the techniques of CI therapy, a family of treatments that has been employed in the rehabilitation of movement and language after brain damage might apply to the rehabilitation of such visual deficits as unilateral spatial neglect and visual field deficits. CI therapy has been used successfully for the upper and lower extremities after chronic stroke, cerebral palsy (CP, multiple sclerosis (MS, other CNS degenerative conditions, resection of motor areas of the brain, focal hand dystonia, and aphasia. Treatments making use of similar methods have proven efficacious for amblyopia.The CI therapy approach consists of four major components: intensive training, training by shaping, a transfer package to facilitate the transfer of gains from the treatment setting to everyday activities, and strong discouragement of compensatory strategies.CI therapy is said to be effective because it overcomes learned nonuse, a learned inhibition of movement that follows injury to the CNS. In addition, CI therapy produces substantial increases in the grey matter of motor areas on both sides of the brain. We propose here that these mechanisms are examples of more general processes: learned nonuse being considered parallel to sensory nonuse following damage to sensory areas of the brain, with both having in common diminished neural connections (DNC in the nervous system as an underlying mechanism. CI therapy would achieve its therapeutic effect by strengthening the diminished neural connections. Use-dependent cortical reorganization is considered to be an example of the more general neuroplastic mechanism of brain structure repurposing (BSR. If the mechanisms involved in these broader categories are involved in each of the deficits being considered, then it may be the principles underlying efficacious treatment in each case may be similar. The lessons learned during CI therapy research might then prove useful for the treatment of

  1. Implications of CI therapy for visual deficit training.

    Science.gov (United States)

    Taub, Edward; Mark, Victor W; Uswatte, Gitendra

    2014-01-01

    We address here the question of whether the techniques of Constraint Induced (CI) therapy, a family of treatments that has been employed in the rehabilitation of movement and language after brain damage might apply to the rehabilitation of such visual deficits as unilateral spatial neglect and visual field deficits. CI therapy has been used successfully for the upper and lower extremities after chronic stroke, cerebral palsy (CP), multiple sclerosis (MS), other central nervous system (CNS) degenerative conditions, resection of motor areas of the brain, focal hand dystonia, and aphasia. Treatments making use of similar methods have proven efficacious for amblyopia. The CI therapy approach consists of four major components: intensive training, training by shaping, a "transfer package" to facilitate the transfer of gains from the treatment setting to everyday activities, and strong discouragement of compensatory strategies. CI therapy is said to be effective because it overcomes learned nonuse, a learned inhibition of movement that follows injury to the CNS. In addition, CI therapy produces substantial increases in the gray matter of motor areas on both sides of the brain. We propose here that these mechanisms are examples of more general processes: learned nonuse being considered parallel to sensory nonuse following damage to sensory areas of the brain, with both having in common diminished neural connections (DNCs) in the nervous system as an underlying mechanism. CI therapy would achieve its therapeutic effect by strengthening the DNCs. Use-dependent cortical reorganization is considered to be an example of the more general neuroplastic mechanism of brain structure repurposing. If the mechanisms involved in these broader categories are involved in each of the deficits being considered, then it may be the principles underlying efficacious treatment in each case may be similar. The lessons learned during CI therapy research might then prove useful for the treatment

  2. Structural brain MRI studies in eye diseases: are they clinically relevant? A review of current findings.

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    Prins, Doety; Hanekamp, Sandra; Cornelissen, Frans W

    2016-03-01

    Many eye diseases reduce visual acuity or are associated with visual field defects. Because of the well-defined retinotopic organization of the connections of the visual pathways, this may affect specific parts of the visual pathways and cortex, as a result of either deprivation or transsynaptic degeneration. For this reason, over the past several years, numerous structural magnetic resonance imaging (MRI) studies have examined the association of eye diseases with pathway and brain changes. Here, we review structural MRI studies performed in human patients with the eye diseases albinism, amblyopia, hereditary retinal dystrophies, age-related macular degeneration (AMD) and glaucoma. We focus on two main questions. First, what have these studies revealed? Second, what is the potential clinical relevance of their findings? We find that all the aforementioned eye diseases are indeed associated with structural changes in the visual pathways and brain. As such changes have been described in very different eye diseases, in our view the most parsimonious explanation is that these are caused by the loss of visual input and the subsequent deprivation of the visual pathways and brain regions, rather than by transsynaptic degeneration. Moreover, and of clinical relevance, for some of the diseases - in particular glaucoma and AMD - present results are compatible with the view that the eye disease is part of a more general neurological or neurodegenerative disorder that also affects the brain. Finally, establishing structural changes of the visual pathways has been relevant in the context of new therapeutic strategies to restore retinal function: it implies that restoring retinal function may not suffice to also effectively restore vision. Future structural MRI studies can contribute to (i) further establish relationships between ocular and neurological neurodegenerative disorders, (ii) investigate whether brain degeneration in eye diseases is reversible, (iii) evaluate the use

  3. A comparison of the visual status of dyslexic and non-dyslexic schoolchildren in Durban, South Africa

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    S. O. Wajuihian

    2011-12-01

    Full Text Available Background:   Reading difficulties constitute an impediment to the learning process and in the educational achievement of a child. Consequently, several studies examined the visual status of dyslexic children in the Caucasian populations. Such studies are lacking in the African populations.Aim: To determine the prevalence of vision defects and investigate if there is an association between dyslexia and vision in a South African population of dyslexic school children.  Methods:  This comparative study assessed the visual function of 62 children (31 dyslexic and 31 normally-reading children, mean age 13 ± 1.42 years and 11.90 ± 0.93 years respectively. The participants were matched for gender, race and socio-economic status. The visual functions evaluated and the techniques used were: visual acuity (LogMAR acuity chart, refraction (static retinos-copy, ocular alignment (cover test near point of convergence (RAF rule, accommodation facility (± 2 D flipper lenses, amplitude of accommodation (push-up method relative accommodation(trial lenses accommodation posture (monocular estimation technique and vergence reserves (prism bars. Results:   In the following, results are  provided for the dyslexic versus control:  Refractive errors: (hyperopia 6.5% vs 3%, (myopia 6.5% vs 6.5%, (astigmatism 10% vs 13%, (anisometropia 6.5% vs 6.5% (amblyopia 6.5% vs 0%, (remote NPC 33% vs 48% (esophoria at near 3%  vs 0% (exophoria at near 9.5% vs 0%, (accommodative infacility at near  54% vs 33%, lag of accommodation 39.28% vs 41,93%,  (poor positive fusional amplitude at near, 25% vs 16%. Only the binocular accommodative facility at near was significantly associated with dyslexia (p=0.027. Conclusion: The prevalence of vision defects was similar between the dyslexic and non-dyslexic participants, which suggest that an association between dyslexia and vision variables investigated, cannot be inferred.  This study provides a research perspective on the

  4. The KwaZulu-Natal Child Eye Care Programme: Delivering refractive error services to primary school learners

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    Y. I. Mahraj

    2011-12-01

    Full Text Available Globally, over 300 million people are estimated to be visually impaired. Uncorrected refractive error is the primary cause of almost half of all visual impairment, resulting in the global economy losing $269 billion in productivity annually. There is a definitive level of urgency in the treatment of refractive error in children as uncorrected refractive error results in the failure of normal visual maturation, termed amblyopia, which cannot be corrected in adult life. In South Africa, the lack of appropriatechild eye care strategies has posed a serious problem to the visual health of children. In 2006, the International Centre for Eye Care Education (ICEE conducted a situational analysis of child eye care services in the province of KwaZulu-Natal (KZN. The findings of this analysis indicated a dire need for comprehensive services in the province. Stakeholders (the KwaZulu-Natal Department of Healthand the KwaZulu-Natal Department of Education were advised on the value of a short-term strategy as the underpinning of a long-term sustainable approach. This resulted in the formation of a trialliance to implement the KZN Child Eye Care Programme. Eighty (80 individuals who were previously volunteers for the KZN Department of Health were trained in vision screening. These vi-sion screeners screened 239 606 primary school children from February 2007 to May 2008. Seven percent (15 944 of the children failed the vision screening and were referred for optometric assessments. Of the 15 944 children that failed the vision screening, 10 707 children were examined by optometrists and 1083 were found to have a refractive error and were therefore supplied with spectacles. The study indicates that a short-term programme to address a backlog of services can reach many underserved children. This programme identified many challenges of implementing a vision screening programme such as poor uptake of refractive services by learners in the absence of an appropriate

  5. Posterior segment causes of reduced visual acuity after phacoemulsification in eyes with cataract and obscured fundus view

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    Jammal HM

    2012-11-01

    Full Text Available Hisham M Jammal,1,3 Yousef Khader,2 Riham Shawer,3 Muawyah Al Bdour41Department of Ophthalmology, Jordan University of Science and Technology, Irbid, Jordan; 2Department of Community Medicine, Public Health and Family Medicine, Jordan University of Science and Technology, Irbid, Jordan; 3Department of Ophthalmology, King Abdullah University Hospital, Irbid, Jordan; 4Department of Ophthalmology, The University of Jordan, Amman, JordanPurpose: To determine posterior segment causes of reduced visual acuity after phacoemulsification in eyes with cataract and obscured fundus view.Patients and methods: Retrospective review of medical records of patients with cataract, obscured fundus view, and normal B-scan ultrasonography, undergoing phacoemulsification from May 2005 to March 2012 was conducted. Eyes with fundus pathology, previous trauma, surgery, glaucoma, amblyopia, or uveitic cataract were excluded. Ocular comorbid conditions, preoperative visual acuity (VA, intraoperative and early postoperative complications, and final best corrected visual acuity (BCVA at 1 month were abstracted from the records.Results: All 201 eyes of 179 patients studied had a preoperative VA of ≤6/60. Preoperative ocular comorbidity was present in 31 eyes (15.5%. Intraoperative complications occurred in 20 eyes (10%. Postoperative complications developed in 34 eyes (17.0%. One month postoperatively, 175 eyes (87.1% achieved a BCVA of ≥6/12; whereas 26 eyes (12.9% achieved a BCVA of ≤6/18. The most common posterior segment causes of reduced VA in the 26 eyes were age-related macular disease in ten eyes (38.5% and diabetic maculopathy in six eyes (23.1%. Similar fundus pathology was seen preoperatively in the fellow fundus in 10 of the 26 eyes (38.5%.Conclusion: One month after phacoemulsification in eyes with cataract and obscured fundus view, age-related macular disease and diabetic maculopathy were the most common posterior segment causes of reduced final BCVA. To

  6. Citicoline retards myopia progression following form deprivation in guinea pigs.

    Science.gov (United States)

    Mao, Junfeng; Liu, Shuangzhen; Fu, Chunyan

    2016-06-01

    The retinal dopaminergic system is involved in the myopic shift following form deprivation. Citicoline has been demonstrated to stimulate the dopaminergic system in the brain and retina. Furthermore, citicoline has been used in many neurogenic diseases, such as senile cognitive impairment, stroke and Parkinson's disease as well as in amblyopia and glaucoma. Our aim was to investigate the effect of citicoline on the refractive state and retinal dopamine level in form deprivation myopia of guinea pigs. Guinea pigs, at an age of four weeks, were randomly divided into normal control, deprivation, deprived + citicoline and deprived + vehicle groups. Form deprivation myopia was induced by a translucent eye shield covering the right eye. Citicoline was injected intraperitoneally twice a day (500 mg/kg, 9 am and 9 pm) for 10 days. In vitro, retinal explants were cultured with citicoline for 24 h, with a final citicoline concentration of 100 µmol/L. The ocular refractive parameters and retinal dopamine content were measured. After occlusion for 10 days, the form-deprived eyes became myopic with an increase in axial length and a decrease in retinal dopamine content. The intraperitoneal injection of citicoline reduced the myopic degree (from -3.25 ± 0.77D to -0.62 ± 0.47D, P < 0.001) and partially raised retinal dopamine levels (from 0.55 ± 0.21 ng to 0.81 ± 0.24 ng, P < 0.01) in the form-deprived eyes. After 24 h of culturing retinal explants with citicoline, retinal dopamine content increased significantly (from 0.42 ± 0.14 ng to 0.62 ± 0.21 ng, P < 0.05). These results demonstrated that an intraperitoneal injection of citicoline could retard the myopic shift induced by form deprivation in guinea pigs, which was mediated by an increase in the retinal dopamine levels. PMID:26979720

  7. Visual impairment in school children in Southern India

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    Kalikivayi Venkataramana

    1997-01-01

    Full Text Available This study was done to determine the prevalence of visual impairment due to refractive errors and ocular diseases in lower middle class school children of Hyderabad, India. A total of 4,029 children, which included 2,348 males and 1,681 females, in the age range of 3 to 18 years from 9 schools were screened with a detailed ocular examination protocol. Among 3,669 children in whom visual acuity could be recorded, on presentation 115 (3.1% had visual acuity < 6/18 in the better eye (equivalent to visual impairment, while 41 (1.1% had visual acuity of 6/60 in the better eye (equivalent to legal blindness out of which 18 (0.5% had visual acuity < 6/60 in the better eye (equivalent to economic blindness. Of 115 children who presented with initial visual acuity < 6/18, vision improved to ≥6/18 with refraction in 109 (94.8%. No child was legally or economically blind after refractive correction. Prevalence of hyperopia was 22.6%, myopia 8.6% and astigmatism 10.3%. The prevalence of myopia was significantly higher among children ≥10 years of age (P<0.001. The maximum, mean and median values for myopia were 10.00, 1.35 and 0.75 D in the better eye. For hyperopia these values were 8.50, 0.65 and 0.50 D. The major causes for best corrected visual acuity < 6/9 in the worse eye for 51 (1.4% children included amblyopia in 40 (1.1%, corneal diseases in 5 (0.1%, cataract in 2 (0.05% and others in 4 (0.1%. Out of the total, 30 (0.7% children had strabismus. These data support the assumption that vision screening of school children in developing countries could be useful in detecting correctable causes of decreased vision, especially refractive errors, and in minimising long term permanent visual disability.

  8. The level of health in Elementary School Students in Training and Research Areas and Evaluation of School Screening Examination Results

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    Cemalettin Kalyoncu

    2011-10-01

    Full Text Available AIM: The research was planned in order to evaluate the level of health’s elementary schools located in Eskisehir Osmangazi University School of Medicine Public Health Department Training and Research Areas and the school health services they have been receiving for the last eight years. METHOD: 1st, 2nd, 7th and 8th grade students studying in 12 elementary schools located in the Training and Research Areas in 2009-2010 academic year were enrolled to the study. On days of the screenings, a total of 1405 students available (1405/1569: %89.5 in the schools were reached. Growth, seeing, hearing, mouth-teeth health, systemic physical examination and by consulting to the teachers, state of mind and existence of chronic diseases were researched. For each child, information containing the existence of school enrolment examination, the number of periodic examinations that have been conducted on the child, and also the results of the examination of the same year was inquired. RESULTS: 1.0 % of the students were detected as very weak, 4.8 % as weak, 75.9 % as normal, 15.8 % as overweight and 2.5 % as obese. In eye examinations, 10.5% of the students had refractive error, 6.2 % had amblyopia and 3.1% had diplopia. In the ear examination, it was determined that 48.7 % of the students had plug, 2.5 % had perforated tympanum, and 3.1 % had hearing loss. In mouth and teeth examination, it was detected that 64.8% of the students had tooth decay. All of the students who were claimed to have undergone school enrolment examination were first grade students and that examinations included examination results of this year. Health forms containing the results of school enrolment examination and periodic examinations of 2nd, 7th and 8th grade students were not found. School screening were conducted only in two district elementary schools. The eye examination results reported in the records appeared to be inconsistent with screning results. CONCLUSION: It was shown

  9. Anestesia congênita de córnea associada à anestesia de ramo do trigêmio: relato de caso Congenital corneal anesthesia related to trigeminal anesthesia: case report

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    Miguel José Calix Netto

    2005-12-01

    Full Text Available A anestesia corneana por ser uma condição rara, freqüentemente é confundida ou não diagnosticada durante o exame de rotina do segmento anterior. Relato de caso de um paciente de 18 anos encaminhado ao ambulatório de córnea e doenças externas com quadro clinico de síndrome de olho seco e com diagnóstico provável de síndrome de Sjögren. Era amblíope de olho direito devido à opacidade corneana no eixo visual secundária a trauma com unha na infância. Foi pesquisada sensibilidade corneana que era ausente em ambos os olhos; olho seco grave e com BUT (tempo de quebra do filme lacrimal menor que 4 segundos. Foi feito diagnóstico de anestesia corneana congênita associada a hipoestesia do nervo trigêmio pela avaliação neurológica da sensibilidade facial e movimentos bruscos do queixo que evidenciavam alterações sensoriais do nervo. O oftalmologista geral e principalmente o especialista em segmento anterior devem ter como rotina a pesquisa da sensibilidade corneana no exame do segmento anterior.Corneal anesthesia is a rare condition, therefore its diagnosis is frequently impaired or it is not noticed during the anterior segment examination. Case report of a 18-year-old patient referred to our Corneal and External Disease Department who complained of dry eye symptoms and with a suspicion of Sjögren's syndrome. She had amblyopia of the right eye, consequence of corneal leucoma over the visual axis secondary to a fingernail traumatism inflicted by herself in childhood. On the ophthalmologic examination corneal sensitivity was absent in both eyes. Severe dry eye and breakup time less than four seconds. Diagnosis of congenital corneal anesthesia was established, secondary to trigeminal anesthesia found on neurological evaluation of facial sensitivity. She also showed sudden movements of the chin which evidenced sensorial pathology of the trigeminal nerve. The general ophthalmologist and specially anterior segment specialists must

  10. Application of intraocular lens in infant cataract surgery%IOL在婴幼儿白内障手术中的应用

    Institute of Scientific and Technical Information of China (English)

    祁锦艳; 肖伟; 王明玥; 濮伟

    2015-01-01

    Cataract extraction and the intraocular lens ( IOL ) implantation are the first choice to cure children cataract both domestic and overseas so far. However, IOL implantation in the eyes of children, especially in infant, has always been cared by ophthalmologists. Timely implanting IOL after the cataract extraction has played a significant role in terms of the refractive correction, the establishment of visual function, the prevention of amblyopia and the reconstruction of binocular vision. However, on the issue of IOL implantation after cataract extraction, there is always controversy on cataract treatment programs for children, and the focus of the controversy is when the IOL should be implanted. Theoretically, the principle of pediatric cataract surgery is the sooner the better, aiming to remove deprivation factor, open the visual pathway, implant IOL timely, and promote the visual development. How to find both“early” and safe IOL implantation time point is undoubtedly helpful for the rehabilitation of visual function of these children. The issues on the IOL implantation after children cataract extraction both at home and abroad are summarized below.%目前,国内外已将白内障摘除和人工晶状体( intraocularlens, IOL)植入作为治疗儿童白内障的首要选择。但是,儿童眼特别是婴幼儿眼的IOL植入一直是眼科界关注的问题。适时的白内障摘除术后IOL植入对于屈光矫正、视功能建立、预防弱视和双眼视功能重建都有极大的作用。然而,有关婴幼儿白内障摘除术后IOL植入问题,在儿童白内障治疗方案上始终存在争议,争议的焦点主要集中在IOL植入的时机问题上。理论上讲,儿童白内障的手术治疗原则是越早越好,目的是去形觉剥夺因素,打开视觉通路,及时植入IOL,促进视觉发育。但如何找到既“早”又安全的IOL植入时间点无疑对患儿视功能的康复是大有益处的,本文就国内外儿童

  11. 先天性白内障术后无晶状体眼RGPCL矫正的临床效果观察%Clinical effects of infants aphakia corrected by rigid gas permeable contact lens after congenital cataract surgery

    Institute of Scientific and Technical Information of China (English)

    周建兰; 谢培英; 王丹; 常勇; 刘营

    2015-01-01

    目的:探讨硬性透气性接触镜(CRGPCL)在先天性白内障患儿术后无晶体眼的视力矫正及视功能改善的临床效果。方法回顾性分析2010年5月至2012年10月7例先天性白内障术后无晶体眼的患儿验配Meni-con ZRGPCL,并观察戴镜后1个月、3个月、6个月、1年的戴镜视力及视功能提高的情况。结果1年观察期内均未出现严重的并发症而导致停戴。所有患儿配戴RGPCL1年时矫正视力均较框架镜矫正有提高,双眼视功能检查有部分改善。结论 RGPCL为先天性白内障术后无晶体眼的患儿在视力提高及视功能改善方面提供了一个良好的矫正方式,规范配戴与定期复查也同时降低了戴镜风险。%Objective To investigate clinic effects of corrected visual acuity and visual function using by Rigid Gas Permeable Contact lens(RGPCL) in infant aphakia after Cataract surgery. Methods A retrospective analysis of 7 cases infants aphakia who fitted Menicon Z RGPCL in our center. We inspected the corrected visual acuity and visual function during periods of wearing RGPCL 1m,3m,6m and 1y. Results All children’s RGPCL corrected visual acuity and partial visual function were improved at 1st year. With the schedule of parents lens care, standard lens wearing,regular lens check and amblyopia training,there were no serious applications in 7 cases. Conclusions Infants aphakia corrected by RGPCL after Cataract surgery which obtains good corrected visual acuity and visual function and standard lens wearing and regular lens check reduce risks of lens use.

  12. Surgery versus Active Monitoring in Intermittent Exotropia (SamExo: study protocol for a pilot randomised controlled trial

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    Buck Deborah

    2012-10-01

    Full Text Available Abstract Background Childhood intermittent exotropia [X(T] is a type of strabismus (squint in which one eye deviates outward at times, usually when the child is tired. It may progress to a permanent squint, loss of stereovision and/or amblyopia (reduced vision. Treatment options for X(T include eye patches, glasses, surgery and active monitoring. There is no consensus regarding how this condition should be managed, and even when surgery is the preferred option clinicians disagree as to the optimal timing. Reports on the natural history of X(T are limited, and there is no randomised controlled trial (RCT evidence on the effectiveness or efficiency of surgery compared with active monitoring. The SamExo (Surgery versus Active Monitoring in Intermittent Exotropia pilot study has been designed to test the feasibility of such a trial in the UK. Methods Design: an external pilot patient randomised controlled trial. Setting: four UK secondary ophthalmology care facilities at Newcastle NHS Hospitals Foundation Trust, Sunderland Eye Infirmary, Moorfields Eye Hospital and York NHS Trust. Participants: children aged between 6 months and 16 years referred with suspected and subsequently diagnosed X(T. Recruitment target is a total of 144 children over a 9-month period, with 120 retained by 9-month outcome visit. Randomisation: permuted blocks stratified by collaborating centre, age and severity of X(T. Interventions: initial clinical assessment; randomisation (eye muscle surgery or active monitoring; 3-, 6- and 9-month (primary outcome clinical assessments; participant/proxy completed questionnaire covering time and travel costs, health services use and quality of life (Intermittent Exotropia Questionnaire; qualitative interviews with parents to establish reasons for agreeing or declining participation in the pilot trial. Outcomes: recruitment and retention rates; nature and extent of participation bias; nature and extent of biases arising from crossover or

  13. Effects of synaptophysin on plasticity of visual cortex neurons after rich environment and reverse suture treatment in critical period%丰富环境及反转缝合治疗后突触素对关键期内视皮质神经元可塑性的影响

    Institute of Scientific and Technical Information of China (English)

    蔺静静; 刘向玲; 王圆月; 宋子宣; 李靳; 张锐

    2015-01-01

    neurons and participate in the plasticity of visual development,which were one of the key moleculars in the mechanism of amblyopia pathogenesis.The cover treatment and enriched environment may partially reverse the neural activity of deprived amblyopia in the visual cortex during the critical period.%目的 探讨关键期内单眼形觉剥夺性弱视大鼠模型经反转缝合及丰富环境治疗前后视皮质突触素(synaptophysin,SYP)的表达规律,及SYP对视皮质神经元可塑性的影响.方法 36只14d龄SD大鼠随机分为6组,每组6只,其中NCI组、NCII组为正常对照组;MDI组、MDII组、反转缝合(reverse suture,RS)组和RS+丰富环境(enriched environment,EE)组分别行右眼眼睑缝合,RS组、RS+ EE组于28 d龄打开剥夺眼,同时缝合对侧眼睑行遮盖治疗,RS组放于标准环境中饲养、RS+ EE组放于EE中饲养;NCI组、MDI组于28 d龄,NCII组、MDII组、RS组、RS+ EE组于42 d龄行图形视觉诱发电位检测,同时采用HE染色和免疫组织化学法检测分析各组大鼠视皮质SYP蛋白表达水平的变化.结果 图形视觉诱发电位示形觉剥夺眼P100波的波形稳定性差、潜伏期延长、振幅降低.HE染色示各组大鼠视皮质神经元均未见明显异常.免疫组织化学法检测可见RS组视皮质SYP阳性神经元密度较MDII组高,RS+ EE组视皮质SYP阳性神经元密度较MDII组、RS组高,MDI组大鼠视皮质SYP阳性神经元密度较NCI组低,MDII组、RS组大鼠视皮质SYP阳性神经元密度均较NCII组及RS+EE组低,定量分析显示以上各组SYP免疫标记的平均光密度值间差异均有统计学意义(均为P<0.05),但NCII组和RS+EE组两组间平均光密度值差异无统计学意义(P>0.05).结论 SYP影响视皮质神经元可塑性,且参与了视觉发育视皮质可塑性的变化过程,是弱视发病的重要分子机制之一;关键期内RS+ EE治疗对弱视视皮质神经元功能状态的恢复有促进作用.

  14. LASIK矫治远视屈光参差性弱视儿童及青少年的临床疗效研究%Long-term clinical curative effect of the LASIK surgery on hyperopic anisometropia amblyopic children and adolescent

    Institute of Scientific and Technical Information of China (English)

    马月磊; 郭秀瑾; 刘超敏; 李向品

    2016-01-01

    Objective To investigate the long-term clinical curative effect and the improvement of the binocular visual function after hyperopic anisometropia amblyopic children and adolescent LASIK surgery.Methods Retrospective study of 75 cases with the anisometropia amblyopia received excimer laser treatment of hyperopic LASIK surgery in the center of second hospital,Hebei medical university from May 2008 to June 2013.They were divided to the group of children and adolescents according to the age,the condition of the aye after surgery,observation index,follow-up observation analysis,and compared with preoperative.Results The postoperative visual acuity of naked eye,the postoperative best corrected visual acuity,postoperative equivalent ball lens,postoperative binocular anisometropia of 75 cases were observed and compared with the preoperative,and the difference had statistical significance (P <0.05).All postoperative complications were not seen at all stages such as corneal opacity,and no open hole at the time of the last follow-up eyesight drops,best corrected vision,stereo vision preoperative obviously improved.There was no significant difference between the posterior surface height and the preoperative.Conclusions The farsightedness anisometropia amblyopic children and adolescents LASIK refractive surgery has good safety,efficacy,predictability and stability,and can effectively improve the patient's stereo vision.%目的 探讨准分子激光原位角膜磨镶术(LASIK)矫治远视屈光参差性弱视儿童及青少年的临床疗效及双眼视功能的改善情况.方法 回顾性系列病例临床研究.对2008年5月至2013年6月在河北医科大学第二医院准分子激光治疗中心,接受LASIK手术的远视屈光参差性弱视儿童及青少年75例,按年龄分为儿童组和青少年组,分别对其术后眼部情况、观察指标、随访情况进行观察,并与术前进行对比.结果 两组中所有患者术后视力、等效球镜、双眼屈

  15. Prevalência das ametropias e oftalmopatias em crianças pré-escolares e escolares em favelas do Alto da Boa Vista, Rio de Janeiro, Brasil Prevalence of the ametropias and eye diseases in preschool and school children of Alto da Boa Vista favelas, Rio de Janeiro, Brazil

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    Abelardo de Souza Couto Júnior

    2007-10-01

    prevalence was 3.50% (hyperopia and astigmatism hyperopic were 1.78%, myopia and astigmatism myopic 1.06%, mixed astigmatism 0.67%.The eyes diseases prevalence was 3.50% (amblyopia was 2.00%, manifest strabismus was 1.72% and others causes was 1.11%. CONCLUSION: It was shown the prevalence of the main ophthalmologic children disorders. It also points out the need of ocular health campaigns thus achieve remarkably the development of the children visual acuity.

  16. Complicaciones en la evolución de los hemangiomas y malformaciones vasculares Complications in the evolution of haemangiomas and vascular malformations

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    A. Belzunce

    2004-01-01

    complications with ulceration, pain and haemorrhaging. Besides, the localisation of haemangiomas in the head and neck, next to vital structures, can compromise their functions. Hence, compression of the airway might be a vital emergency. Periorbital haemangiomas can give rise to amblyopia due to sensory deprivation or due to a restrictive strabismus. Lumbosacral haemangiomas must be studied with Nuclear Magnetic Resonance because of their frequent association with alterations in the midline at the level of the spine, anus, genitals or kidneys. Amongst visceral haemangiomas, hepatic haemangiomas are the most serious due to their association with congestive cardiac insufficiency. The association of extensive facial haemangiomas with anomalies of the central nervous system, vascular, cardiac, ocular and sternal anomalies, is denominated PHACE syndrome and is frequently complicated by mental deficiency, convulsions or ictus. Vascular malformations of trigeminal localisation are associated in up to 15% of cases with glaucoma or choroidal or leptomeningeal haemangiomas (Sturge-Weber syndrome. Combined vascular malformations localised in the extremities can become complicated with thrombophlebitis, regional osteolysis and even distant thromboembolisms (Klippel-Treneaunay Syndrome. On the other hand, there is a coagulopathy due to consumption (Kassabach-Merrit Syndrome that can complicate some vascular tumours such as the Kaposiform haemangioendothelioma and the tufted angioma. Finally, the complications of the treatments employed are reviewed.

  17. Status analysis on visual disability population in Yuzhong district of Chongqing%重庆市渝中区视力残疾人群现状分析

    Institute of Scientific and Technical Information of China (English)

    罗霁菡; 匡毅

    2015-01-01

    , cataract, amblyopia, agnogenic, methysis, trachoma, and the others ( hyperpyrexia) .CONCLUSlON: The diagnosis and treatment of juvenile in Yuzhong district must be strengthened, also include retina and pigment membrane disease, to reduce the visual disability caused by these diseases.

  18. 视力检查在眼病筛查中的作用%Practising appropriate vision check scheme in eye diseases mass screening works

    Institute of Scientific and Technical Information of China (English)

    邹海东; 朱剑锋

    2011-01-01

    Vision check is the first step of mass screening works of most blinding diseases. In recent China, the primary childhood vision check is mainly conducted by hygiene teachers in educational institutions, following the Chinese traditional poor vision classification system, which is based on uncorrected distance visual acuity. However, this classification system does not meet childhood vision developmental mechanism, and may lead to massive unnecessary repetitive screening, diagnosis and treatment of corrected ametropia. In some Chinese communities and villages, the vision check is still based on uncorrected distance visual acuity during eye diseases mass screening procedures in adults. The critical point of preschool children vision impairment screening is then suggested to follow novel Chinese amblyopia diagnostic criteria.Combination of uncorrected, presenting and corrected visual acuity indexes may be used for children' vision check. Collaboration of children health care workers, pediatric ophthalmologists and optometrists in children eye diseases screening projects should be realized as soon as possible. In the adult population, presenting vision is suggested to be used in vision impairment screening works, and appropriate vision check scheme should be adopted in specific eye diseases screening works.%视力检查是许多致盲性眼病基层筛查工作的第一步。目前我国儿童人群视力损伤的初步筛查主要由教育机构中的保健老师完成,一直沿用的是以裸眼远视力检查结果为基础的视力不良标准。但该标准并不符合儿童视力发育规律,且可能导致大量已接受正确屈光矫正的患儿重复筛查、诊断和治疗,不符合筛查试验的基本原理。在成年人群基层眼病筛查工作中仍存在只检查裸眼视力的状况。建议对学龄前儿童的视力筛查界值参考我国新的弱视诊断标准而制订;综合裸眼、日常和矫正视力指标来全面了解儿童视

  19. Reasons not to select patients for corneal refractive surgery Razões para recusar candidatos à cirurgia refrativa corneana

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    André Luiz Parolin Ribeiro

    2002-08-01

    Full Text Available Purpose: To present how the section of Refractive Surgery of the Federal University of São Paulo assesses the candidates and the reasons to indicate for corneal refractive surgery. Methods: We examined 1626 patients. Anamnesis, complete ophthalmologic examination and corneal topography were performed in all patients. The patients spontaneously seeked evaluation at the Refractive Surgery Section by telephone without a previous screening. Reasons to refuse patients for refractive surgery were previously established by the Refractive Surgery Section. Results: Based on current technology and clinical experience, 265 patients (16.29% were refused for excimer laser corneal refractive surgery. Myopia of patients who had insufficient preoperative corneal pachymetry for the laser treatment was the main cause for refusal (51 patients. Cataract (45 patients, keratoconus (31 patients, amblyopia (21 patients, hyperopia > 5 diopters and mixed astigmatism (19 patients, presbyopia (unaware ness of the need for optical correction after the procedure; 16 patients, pupillary diameter > 5mm (9 patients, single eye (9 patients, progressive myopia (8 patients, postradial keratotomy (7 patients and low ametropia (7 patients were among the reasons for the refusal. Conclusion: Candidates for excimer laser corneal refractive surgery may present risk factors that should be known in order to avoid complications.Objetivo: O objetivo deste estudo é mostrar como o setor de Cirurgia Refrativa da Escola Paulista de Medicina da Universidade Federal de São Paulo avalia seus candidatos e quais as razões para não selecioná-los para cirurgia refrativa. Métodos: Foram examinados 1626 pacientes. Anamnese, avaliação oftalmológica completa e topografia corneana foram realizadas em todos os pacientes. Os pacientes procuraram avaliação no setor de Cirurgia Refrativa espontaneamente sem triagem prévia. Resultados: Não foram selecionados 265 pacientes (16,29% para cirurgia

  20. Condição ocular entre trabalhadores de uma indústria metalúrgica brasileira Ocular condition in a brazilian ironmaster industry

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    Thais Zamudio Igami

    2008-10-01

    ocular complains. Glasses were prescribed when necessary. RESULTS: Most of the evaluated employees in this industry was male (62.5%, ageing from 20 to 29 year old (41%. Visual acuity was normal in 95.5% of the eyes.The majority of the individuals (84% did not need glasses prescription. Fifty-five percent of the employees were considered as normal eye carriers, 13.6% presented presbyopia, 10% presented myopic astigmatism and 7.7% hyperopic astigmatism. Visual impairment was present in 2,4% and blindness in one eye of 0,4% of the studied individuals. The main cause of visual impairment was refractive errors and amblyopia. CONCLUSION: The majority of the employees, in this particular industry, presented with a normal ophthalmic examination. None of them had bilateral blindness.

  1. Três anos pós-LASIK em crianças anisométropes de 8 a 15 anos de idade Three years after LASIK in anisometropic children from 8 to 15 years old

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    Belquiz R. Amaral Nassaralla

    2003-01-01

    years after LASIK, uncorrected visual acuity improved by at least five Snellen lines in all eyes; five eyes (55.5% were 20/50 or better without correction. Six eyes (66.6%, were 20/50 or better with correction and five eyes (55.5% improved at least 1 line in the best spectacle corrected visual acuity (BSCVA. Due to amblyopia, no eye had uncorrected visual acuity of 20/20 or better. The mean spherical refraction equivalent decreased from -7.66 (± 3.75 D to -1.02 (± 1.26 D, and mean preoperative astigmatism decreased from -3.11 (± 2.09 D to -0.75 (± 0.25 D. Highest anisometropia was 1.5 D. CONCLUSION: Three years after surgery, LASIK seems to be a safe and effective option for the correction of high anisometropia in children from 8 to 15 years old, in whom conventional therapy had failed. The natural change in refraction related to maturation did not affect the use of appropriate spectacle correction.

  2. Alterações oculares em crianças pré-escolares e escolares no município de Duque de Caxias, Rio de Janeiro, Brasil Eye diseases in preschool and school children in the city of Duque de Caxias, Rio de Janeiro, Brazil

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    Abelardo de Souza Couto Júnior

    2010-02-01

    Full Text Available OBJETIVO: Estabelecer a prevalência das alterações oculares, no ano de 2001, em crianças pré-escolares e escolares no município de Duque de Caxias, Rio de Janeiro, Brasil. MÉTODOS: Estudo observacional do tipo transversal, durante campanha de saúde ocular na rede pública de ensino. Crianças com acuidade visual inferior a 0,8 ou com anormalidades foram triadas por voluntários treinados para serem avaliadas por oftalmologistas no Instituto Benjamin Constant. RESULTADOS: Avaliadas 1.800 crianças do total. Destas, 609 (33,83% foram encaminhadas ao IBC. Houve 491 (27,28% do total e 80,62% das crianças triadas que receberam alta por apresentarem visão melhor que 0,8. A prevalência das alterações oculares foi de 3,35%. (ambliopia teve prevalência de 2,00%, estrabismo teve 0,33% e outras causas 1,02%.. Houve 93 crianças (5,17% do total e 15,27% das crianças triadas com ametropias que necessitaram de correção através de óculos. CONCLUSÃO: Demonstrou-se a prevalência das principais alterações oftalmológicas infantis no município de Duque de Caxias e ressaltou-se a necessidade de campanhas para bom êxito no desenvolvimento da acuidade visual das crianças.PURPOSE: To establish the prevalence of the ametropias and eye diseases, in the year 2001, within a preschool and school children in the city of Duque de Caxias, Rio de Janeiro, Brazil. METHODS: Transversal observational study during an ocular health campaign in public education schools. The children that have shown visual acuity lower than 0.8 or other abnormally were referred by trained volunteers to evaluation by ophthalmologists from the Benjamin Constant Institute. RESULTS: From the 1.800 children who were examined, 609 (33.83% were referred to the ophthalmologic examination. There were 491 children (27.28% from total and 80.62% from referred that were dismissed for presenting visual acuity better than 0.8. The Eye diseases prevalence was 3.35% (amblyopia was 2

  3. 广东省肇庆市端州区病残儿病因分析、预防现状及建议%Analysis of etiological factor,situation of prevention and proposal for disabled children in Duanzhou district,Zhaoqing City

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    袁照; 陆秀棠; 高新梅

    2011-01-01

    目的 减少肇庆市端州区出生缺陷,提高人口素质.方法 对1998年~2007年我区经市病残儿鉴定小组鉴定的234例病例进行病因分析,结合预防现状提出合理性的预防建议.结果 肇庆市端州区病残儿遗传性及先天性疾病病种位于前五位的从高到低依次为先天性心脏病,智力低下,先天性弱视、斜视、屈光不正,地中海贫血,先天性血管瘤;所占比例依次为13.68%,7.69%,5.56%,3.85%,3.42%.非遗传性疾病病种位于前五位的从高到低依次为脑瘫,癫痫,脑发育不全,孤独症、新生儿缺血缺氧性脑病后遗症和外伤致残(三种病种并列第四位),肾病综合征:所占比例依次为10.68%,9.83%,6.48%,3.42%,2.99%.结论 要降低我区病残儿的发病率,必须预防为主,做好孕前、孕期、围产期保健,加强产前、产时监护,预防早产儿、低出生体重儿和出生时窒息,提高复苏水平,减少缺血缺氧性脑病及颅内出血等并发症.%Objective; Reduce birth defects and improve population quality in Duanzhou district, Zhaoqing City. Methods; 234 disabled children in Duanzhou district identified by Zhaoqing disabled children identification of groups in 1998 ~2007 were analysed, combined with the situation of prevention, put forward reasonable prevention recommendations. Results: The top five congenital and hereditary disease among disabled children were congenital heart disease, mental retardation, congenital amblyopia, strabismus, refractive error, Mediterranean anemia, congenital hemangioma. Share were 13.68% , 7. 69% , 5. 56% , 3. 85% , 3.42%. The top five non-genetic diseases were cerebral palsy, epilepsy, cerebral hypoplasia, autism, sequelae of neonatal hypoxic ischemic encephalopa-thy, disabling injury, nephrotic syndrome. Share were 10.68% , 9.83% , 6.48% , 3.42% , 2.99%. Conclusion-. To reduce morbidity of disabled children in our district, prevention is the best way, perinatal health care can prevent preterm

  4. Problemas oftalmológicos mais freqüentes e desenvolvimento visual do pré-termo extremo Frequent ophthalmologic problems and visual development of preterm newborn infants

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    Rosa Maria Graziano

    2005-03-01

    / or cortical structures. The literature pinpoints retinopathy of prematurity, strabismus and refractive errors as the main ophthalmologic alterations resulting from prematurity. Retinopathy of prematurity is one of the main causes of preventable blindness in childhood. It is estimated that on average 562 children become blind each year in Brazil, which is a very high socioeconomic cost to result from a treatable disease. Children with visual deficiencies may be helped by programs of early visual stimulation in order to promote their environmental integration. CONCLUSIONS: The recommendation is that every preterm newborn weighing less than 1,500 g and/or with a gestational age of less than 32 weeks should be monitored until complete retinal vascularization and that the first examination should be performed between the fourth and sixth weeks of life. We recommend ophthalmologic outpatients follow-up of all preterm newborns until two years of life with examinations twice yearly, and then, annually, in order to prevent amblyopia.

  5. Crotoxin in humans: analysis of the effects on extraocular and facial muscles Crotoxina em humanos: estudo da ação em músculos extraoculares e faciais

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    Geraldo de Barros Ribeiro

    2012-12-01

    Full Text Available PURPOSE: Crotoxin is the main neurotoxin of South American rattlesnake Crotalus durissus terrificus. The neurotoxic action is characterized by a presynaptic blockade. The purpose of this research is to assess the ability of crotoxin to induce temporary paralysis of extraocular and facial muscles in humans. METHODS: Doses of crotoxin used ranged from 2 to 5 units (U, each unit corresponding to one LD50. We first applied 2U of crotoxin in one of the extraocular muscles of 3 amaurotic individuals to be submitted to ocular evisceration. In the second stage, we applied crotoxin in 12 extraocular muscles of 9 patients with strabismic amblyopia. In the last stage, crotoxin was used in the treatment of blepharospasm in another 3 patients. RESULTS: No patient showed any systemic side effect or change in vision or any eye structure problem after the procedure. The only local side effects observed were slight conjunctival hyperemia, which recovered spontaneously. In 2 patients there was no change in ocular deviation after 2U crotoxin application. Limitation of the muscle action was observed in 8 of the 12 applications. The change in ocular deviation after application of 2U of crotoxin (9 injections was in average 15.7 prism diopters (PD. When the dose was 4U (2 applications the change was in average 37.5 PD and a single application of 5U produced a change of 16 PD in ocular deviation. This effect lasted from 1 to 3 months. Two of the 3 patients with blepharospasm had the hemifacial spasm improved with crotoxin, which returned after 2 months. CONCLUSIONS: This study provides data suggesting that crotoxin may be a useful new therapeutic option for the treatment of strabismus and blepharospasm. We expect that with further studies crotoxin could be an option for many other medical areas.OBJETIVO: A crotoxina é a principal neurotoxina da cascavel sul-americana Crotalus durissus terrificus e sua ação neurotóxica caracteriza-se por um bloqueio pr

  6. 2010年上海市宝山区小学生屈光不正和视力损伤的患病率调查%Prevalence of ametropia and visual impairment in elementary school students in Baoshan District of Shanghai

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    诸晓枫; 朱剑锋; 邹海东; 陆丽娜; 赵惠娟; 李强强; 何鲜桂

    2014-01-01

    visual impairment and refractive error from large groups of children are lacking in Shanghai.Objective This study was to investigate the prevalence of ametropia and visual impairment in schoolchildren aged 6 to 12 years old.Methods In this cross-sectional study,4 686 students from 6 elementary schools in Baoshan District of Shanghai,a rural-urban fringe zone,China were selected by clustering sampling from May 2010 to April 2011.The eye examinations included visual acuity,ocular surface,ocular anterior segment,ocular media,fundus and intraocular pressure measurement,and the data autorefraction under cycloplegia and eye position were recorded.The cause of visual impairment was evaluated.Results A total of 4 594 students received examination with the response rate 98.0%,and autorefraction under cycloplegia was completed in 84.8% schoolchildren (3 975/4 594).The prevalence rate of uncorrected visual acuity 0.5 or worse in both eyes was 14.4% (662/4 594),with the wearing glasses rate 51.8% (343/662).The percentage of students with the uncorrected visual acuity 0.5 or worse in at least one eye was 22.4% (1 031/4 594).The prevalence rate of refractive error in the visual impaired students was 96.9% (999/1 031),followed by amblyopia (37/1 031,3.6%).The prevalence rate of myopia,hyperopia,and astigmatic in the pupils after cycloplegia was 31.1%,4.3 % and 33.0%,respectively.In addition,the prevalence rate of myopia in public elementary schools was higher than that in migrant elementary schools (33.9% versus 30.3%) (x2 =5.46,P =0.02).Logistic regression analysis showed that myopia was associated with age (OR =1.60,95 % CI:1.53-1.68,P < 0.01) and female (OR =1.33,95% CI:1.16-1.54,P<0.01).Conclusions The leading cause of vision impairment is myopia in the elementary school students in Shanghai,China.The screening-ratio of refractive error and the coverage of refractive correction in the elementary school students in Shanghai are matters of urgent