The human visual system comprises two neural pathways, the magnocellular/M and parvocellular/P pathways that process aspects of motion and form perception, respectively. Amblyopia is a developmental condition which may affect an otherwise healthy eye if it experiences abnormal visual stimulation due to ocular misalignment (strabismus), unequal refractive errors (anisometropia), or both. Amblyopia has been associated with deficits in both form and motion perception. Random-dot kinematograms (RDKs) which are created by shifting a computer-generated dot display in one direction by a given displacement can be used to assess motion processing. Maximum motion displacement (Dmax) is the largest dot displacement at which the direction of motion for a RDK can be correctly discriminated. Strabismic and anisometropic amblyopia represent two distinct subtypes of amblyopia and have been proposed to have different neural substrates. They have also been reported to have different Dmax deficits (Ho et al., 2005). The intentions of this thesis were: 1) to characterize deficits in Dmax for direction discrimination in the fellow and amblyopic eyes of participants with anisometropic and strabismic amblyopia using psychophysical methods; and 2) to investigate the relationship between psychophysical Dmax deficits and dysfunction in motion-sensitive extrastriate cortex of the M pathway using functional MRI techniques. The psychophysical results showed that Dmax thresholds are smaller in both amblyopic and fellow eyes for both subtypes of amblyopia relative to controls, although the deficits were greatest for strabismic amblyopia. Functional MRI results revealed decreased extrastriate cortical activation in both the strabismic and anisometropic groups relative to the control group when either eye viewed the RDK stimulus, although the lack of cortical activation was greatest for strabismic amblyopia. Taken together, this evidence suggests that dysfunctional binocular motion processing mechanisms in extrastriate cortex are part of the neural deficit underlying anisometropic and strabismic amblyopia and implies that strabismic amblyopia may be affected to a greater degree. For both amblyopic groups, there was a robust correlation between depth perception (stereoacuity) and Dmax thresholds. Specifically, direction discrimination was better when stereoacuity was worse. Abnormal binocular integration may have a significant role in predicting motion deficits in both anisometropic and strabismic amblyopia. / Medicine, Faculty of / Graduate

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Thesis (M.S.)--West Virginia University, 2004. / Title from document title page. Document formatted into pages; contains vii, 49 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 45-47).

Thesis (Ph. D.)--West Virginia University, 2005. / Title from document title page. Document formatted into pages; contains xi, 199 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references.

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Thesis (Ph. D.)--University of Wyoming, 2005. / Title from PDF title page (viewed on Oct. 10, 2007). Includes bibliographical references (p. 93-98).

Purpose: To test the hypothesis that the fixational stability (FS) of the amblyopic eye (AME) in strabismics will improve when binocular integration is enhanced through ocular alignment and inter-ocular suppression is attenuated by reducing the contrast to the fellow eye (FFE). Methods: 7 strabismic amblyopes (age: 30.8±9.7 yrs) (5 esotropes and 2 exotrope) (VA: AME=0.50±0.30; FFE=-0.12±0.04) showing clinical characteristics of central suppression were recruited. Suppression was then attenuated by a balance point procedure where the contrast to the FFE was reduced in order to maximize binocular integration during a global motion task (GMT) (Baker, 2007). In one case the balance point could not be determined, and the participant was excluded. Ocular alignment was established with a haploscope. Participants dichoptically viewed similar targets [a cross (2.3°) surrounded by a square (11.3°) visual angle] set at 40cm. Target contrasts presented to each eye were either equal (EQ) or attenuated in the FFE (UNEQ) by an amount defined by the GMT. FS was measured over a 5 min period (Viewpoint® Eye Tracker, Arrington Research) and quantified using bivariate contour ellipse areas (BCEA) in four different binocular conditions; unaligned/EQ, unaligned/UNEQ, aligned/EQ and aligned/UNEQ. FS was also measured in 6 control subjects (Age: 25.3±4 yrs; VA: -0.1±0.08). Results: Alignment of the AME was transient and lasting between 30 to 80 seconds. Accordingly, FS was analyzed over the first 30 seconds using repeated measures ANOVA. Post hoc analysis revealed that for the amblyopic subjects, the FS of the AME was significantly improved in aligned/EQ (p=0.015) and aligned/UNEQ (p=0.001). FS of FFE was not different statistically across conditions. BCEA(FFE) & BCEA(AME) were then averaged for each amblyope in the 4 conditions and compared with normals. This averaged BCEA (reduced FS) was significantly greater (p=0.0205) in amblyopes compared to controls except in the case of alignment coupled with reduced suppression (aligned/UNEQ) (p=0.1232). Conclusion: Fixation stability in the amblyopic eye of strabismics appears to improve directly with the degree of binocular integration. The hypothesis is therefore retained.

Thesis (M.S.)--University of Missouri-Columbia, 2003. / Typescript. Includes bibliographical references (leaf 81). Also available on the Internet.

Thesis (M.S.)--University of Missouri-Columbia, 2003. / Typescript. Includes bibliographical references (leaf 81). Also available on the Internet.