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Journal Article

Citation

Niechwiej-Szwedo E, Goltz HC, Chandrakumar M, Hirji ZA, Wong AM. Invest. Ophthalmol. Vis. Sci. 2010; 51(12): 6348-6354.

Affiliation

Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, Canada.

Copyright

(Copyright © 2010, Association for Research in Vision and Ophthalmology)

DOI

10.1167/iovs.10-5882

PMID

20671288

Abstract

Purpose. Impairment of spatiotemporal visual processing is the hallmark of amblyopia, but its effects on eye movements during visuomotor tasks have rarely been studied. Here, we investigate how the visual deficits in anisometropic amblyopia affect saccadic eye movements. Methods. Thirteen patients with anisometropic amblyopia and 13 control subjects participated. Participants executed saccades and manual reaching movements to a target presented randomly 5 degrees or 10 degrees to the left or right of fixation in 3 viewing conditions: binocular, amblyopic and fellow eye viewing. Latency, amplitude, and peak velocity of primary and corrective saccades were measured. Results. Initiation of primary saccades was delayed and more variable when patients viewed monocularly with their amblyopic eye. During binocular viewing, saccadic latency exhibited increased variability and no binocular advantage in patients (i.e., mean latency was similar to that during fellow eye viewing). The mean amplitude and peak velocity of primary saccades were comparable between patients and control subjects; however, patients exhibited greater variability in saccade amplitude. The frequency of corrective saccades was greater when patients viewed with their fellow eye in comparison to binocular or amblyopic eye viewing. Latency, amplitude and peak velocity of corrective saccades in patients were normal in all viewing conditions. Conclusion. Saccades had longer latency and decreased precision in amblyopia. Once saccades were initiated, however, the dynamics of saccades were not altered. These findings suggest that amblyopia is associated with slower visual processing in the afferent (sensory) pathway, rather than a deficit in the efferent (motor) pathway of the saccadic system.


Language: en

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