Experiments to study recovery of lateral geniculate nucleus cell size following monocular lid closure and reverse suture in infant monkeys

The other side of amblyopia

Amblyopia is defined as a loss of letter recognition visual acuity in the affected eye; however, studies in both nonhuman primates and man have shown that other important aspects of vision, including color, motion, and contour perception, are also abnormal. The anatomical changes that occur in the lateral geniculate nucleus and visual cortex following monocular visual deprivation affect both eyes and follow very different patterns with deprivation that begins at different ages and differ markedly in the magnocellular and parvocellular pathways. The interactions between the eyes and the requirements for recovery are very different following onset at different ages and differ for magnocellular and parvocellular pathways. Electrophysiological and psychophysical studies in man show different patterns of change in patients with strabismic amblyopia of early and late onset and abnormalities of color and motion processing that affect both amblyopic and fellow eyes and differ with age of onset. Abnormal visual experience also has more general effects on development, with amblyopic children showing abnormalities of eye-hand coordination when using either their amblyopic or fellow eyes, and abnormalities of reading. Differential effects of abnormal visual experience and treatment on magnocellular and parvocellular pathways may account for some of the visual deficits and treatment failures seen in amblyopia.

Neuroimaging of amblyopia and binocular vision: a review

Amblyopia is a cerebral visual impairment considered to derive from abnormal visual experience (e.g., strabismus, anisometropia). Amblyopia, first considered as a monocular disorder, is now often seen as a primarily binocular disorder resulting in more and more studies examining the binocular deficits in the patients. The neural mechanisms of amblyopia are not completely understood even though they have been investigated with electrophysiological recordings in animal models and more recently with neuroimaging techniques in humans. In this review, we summarize the current knowledge about the brain regions that underlie the visual deficits associated with amblyopia with a focus on binocular vision using functional magnetic resonance imaging. The first studies focused on abnormal responses in the primary and secondary visual areas whereas recent evidence shows that there are also deficits at higher levels of the visual pathways within the parieto-occipital and temporal cortices. These higher level areas are part of the cortical network involved in 3D vision from binocular cues. Therefore, reduced responses in these areas could be related to the impaired binocular vision in amblyopic patients. Promising new binocular treatments might at least partially correct the activation in these areas. Future neuroimaging experiments could help to characterize the brain response changes associated with these treatments and help devise them.

Comparison of normal and amblyopic retinas by optical coherence tomography in children

PURPOSE

To measure retinal thickness in eyes of children with regular visual development and in amblyopic eyes (distinguishing between mild and severe) by optical coherence tomography (OCT), establishing significant differences between them.

METHODS

Following our previous study, 192 eyes of children from 4 to 10 years old were examined: 68 with regular vision and 124 with ametropic amblyopia at the time of diagnosis (66 mild and 58 severe). The outside macular ring was analyzed by OCT, divided into 4 areas (superior, inferior, temporal and nasal). Effect of sex, age and refraction in retinal thickness obtained were studied.

RESULTS

All retinal areas in the various groups showed a high correlation between them, with rates ranging between 0.652 and 0.718 (all p <0.001). According to results, all retinal areas are thicker in amblyopic eyes than in normal ones (p <0.05 in the upper and nasal), especially in slight amblyopia, which is up to 4.5% thicker than in normal eyes (maximum 11 mum in the nasal area, p <0.001). Differences were greater in females (up to 5.9% thicker). The inferior area in hyperopic eyes proved to be thicker, with no differences according to age.

CONCLUSIONS

Retinas of eyes with ametropic amblyopia have a more considerable retinal thickness than in a normal eye, at least in some areas. The severity of amblyopia and gender are factors of interaction, not of confounding.

Making brain connections: neuroanatomy and the work of TPS Powell, 1923-1996

Dr. Thomas PS Powell was one of the founders of modern neuroanatomy. His career spanned an era that saw techniques for analyzing connections in the central nervous system dramatically increase in number and resolving power. In tracing the history of his research, one can see how the introduction of each new technique provided an incremental step in analytical capacity although eventually revealing its own limitations. Also evident is the extent to which prejudices born in the days of applying earlier techniques could continue to influence the interpretation of results obtained with new ones. Powell's contributions to neuroscience were extremely wide-ranging, encompassing investigations of the circuitry of the basal ganglia, corticofugal connections, topographic maps in sensory systems, central olfactory pathways, corticocortical and commissural connections, and pathways for sensory convergence in the cerebral cortex. From these investigations, made with tract tracing techniques, much existing knowledge of forebrain organization is derived. He was also one of the earliest investigators to use electron microscopy in the investigation of the central nervous system, and his electron microscopic studies on the olfactory bulb, thalamus, cerebral cortex, and basal ganglia laid, to a large extent, the foundations for all modern research on the synaptic circuitry of these structures. He was given to synthesizing data across systems in order to arrive at common principles of brain organization. A number of these syntheses have been sources of great interest and, occasionally, controversy.

Edridge-Green Lecture. Competition and cooperation in visual development

Studies of the effect of visual deprivation on cells in the lateral geniculate nucleus (LGN) show that there are two distinct sensitive periods in the monkey during which different reactions between the visual pathways related to the two eyes predominate and requirements for recovery from deprivation differ. The first extends from birth to about 8 weeks of age. The main interaction between the pathways from the two eyes is competitive, segregation of cortical ocular dominance columns occurs during this early period and monocular deprivation results initially in hypertrophy of undeprived LGN cells, with later parallel shrinkage of both deprived and undeprived parvocellular cells. Simply reopening the closed eye produces no recovery but reverse suture is effective in reversing some of the changes. The second sensitive period starts from about 8 weeks of age, although the peak of the later sensitivity appears to be at 7-9 months of age and some effect is still present at 12-18 months. During this later phase a cooperative interaction between the pathways related to the two eyes is necessary for normal development and in the absence of this selective shrinkage of both deprived and undeprived parvocellular LGN cells occurs. Simply reopening an eye during this late sensitive period allows recovery of these cells to normal size.