Movement hyperacuity in childhood amblyopia
Clinical Visual Research Unit, Department of Optometry,
University of Bradford, Bradford, West Yorkshire, BD7 1DP
Correspondence to: Dr Buckingham.
Accepted for publication 3 February 1998
BACKGROUND
Amblyopia results in deficits in a
number of visual functions in both the amblyopic and dominant eye. The
present work describes oscillatory movement displacement thresholds
(OMDT) in childhood amblyopia.
METHODS
The OMDT from the dominant and amblyopic
eyes of 50 orthoptic patients (aged 74 (SD 16) months) were compared
with those from a group of 24 controls (79 (21) months). OMDT were
measured using a forced choice staircase procedure. Subjects were asked
to identify which of the computer controlled monitors displayed the
oscillating stimulus. Visual acuity and stereoscopic responses were
noted from clinical records.
RESULTS
Amblyopic children demonstrating
stereopsis showed no significant OMDT deficit in the amblyopic eye.
Those children having no stereopsis had elevated OMDT in the amblyopic
eye (p<0.05). Results suggest that the dominant eye of children with
amblyopia may also have a pattern of visual development which is
anomalous (difference in correlation coefficient with age; p <0.05).
CONCLUSION
OMDT deficits demonstrated in
some amblyopic eyes indicate that amblyopia is incompletely described
by its "clinical" definition. Results suggest that the dominant eye
in those with unilateral amblyopia may not be "normal".
© 1998 by British Journal of Ophthalmology
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