The effects of afferent stimulation on congenital nystagmus foveation periods
Visual acuity in congenital nystagmus (CN) patients is related primarily to the duration of “foveation periods”, during which the image of the target is relatively stationary in the foveal area. Thirteen individuals with CN were studied to test the hypothesis that somatosensory stimulation (vibratio...
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Published in | Vision research (Oxford) Vol. 35; no. 16; pp. 2371 - 2382 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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Oxford
Elsevier Ltd
01.08.1995
Elsevier Science |
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Abstract | Visual acuity in congenital nystagmus (CN) patients is related primarily to the duration of “foveation periods”, during which the image of the target is relatively stationary in the foveal area. Thirteen individuals with CN were studied to test the hypothesis that somatosensory stimulation (vibration or electrical) of either the forehead or the neck damps CN and improves visual acuity. We identified characteristics of the nystagmus waveform that were likely to be important in determining visual acuity and combined these measures into an “acuity function” (NAFP) that correlated well with visual acuity (
r
2 = 0.91). Statistically significant changes in NAFP were used to assess the effects of afferent stimulation; positive effects were found in nine subjects. Vibratory stimulation (especially on the neck) was found to be more effective than electrical stimulation. CN amplitude reduction alone was neither necessary nor sufficient to improve acuity. Foveation duration was the single most important factor determining acuity. Based on our findings, afferent stimulation should be considered as an alternative or additional treatment to improve visual acuity in CN patients. |
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AbstractList | Visual acuity in congenital nystagmus (CN) patients is related primarily to the duration of “foveation periods”, during which the image of the target is relatively stationary in the foveal area. Thirteen individuals with CN were studied to test the hypothesis that somatosensory stimulation (vibration or electrical) of either the forehead or the neck damps CN and improves visual acuity. We identified characteristics of the nystagmus waveform that were likely to be important in determining visual acuity and combined these measures into an “acuity function” (NAFP) that correlated well with visual acuity (
r
2 = 0.91). Statistically significant changes in NAFP were used to assess the effects of afferent stimulation; positive effects were found in nine subjects. Vibratory stimulation (especially on the neck) was found to be more effective than electrical stimulation. CN amplitude reduction alone was neither necessary nor sufficient to improve acuity. Foveation duration was the single most important factor determining acuity. Based on our findings, afferent stimulation should be considered as an alternative or additional treatment to improve visual acuity in CN patients. Visual acuity in congenital nystagmus (CN) patients is related primarily to the duration of "foveation periods", during which the image of the target is relatively stationary in the foveal area. Thirteen individuals with CN were studied to test the hypothesis that somatosensory stimulation (vibration or electrical) of either the forehead or the neck damps CN and improves visual acuity. We identified characteristics of the nystagmus waveform that were likely to be important in determining visual acuity and combined these measures into an "acuity function" (NAFP) that correlated well with visual acuity (r2 = 0.91). Statistically significant changes in NAFP were used to assess the effects of afferent stimulation; positive effects were found in nine subjects. Vibratory stimulation (especially on the neck) was found to be more effective than electrical stimulation. CN amplitude reduction alone was neither necessary nor sufficient to improve acuity. Foveation duration was the single most important factor determining acuity. Based on our findings, afferent stimulation should be considered as an alternative or additional treatment to improve visual acuity in CN patients. Visual acuity in congenital nystagmus (CN) patients is related primarily to the duration of "foveation periods", during which the image of the target is relatively stationary in the foveal area. Thirteen individuals with CN were studied to test the hypothesis that somatosensory stimulation (vibration or electrical) of either the forehead or the neck damps CN and improves visual acuity. We identified characteristics of the nystagmus waveform that were likely to be important in determining visual acuity and combined these measures into an "acuity function" (NAFP) that correlated well with visual acuity. Statistically significant changes in NAFP were used to assess the effects of afferent stimulation; positive effects were found in nine subjects. Vibratory stimulation (especially on the neck) was found to be more effective than electrical stimulation. CN amplitude reduction alone was neither necessary nor sufficient to improve acuity. Foveation duration was the single most important factor determining acuity. Based on our findings, afferent stimulation should be considered as an alternative or additional treatment to improve visual acuity in CN patients. |
Author | Dell'osso, L.F. Sheth, N.V. Van Doren, C.L. Leigh, R.J. Peckman, H.P. |
Author_xml | – sequence: 1 givenname: N.V. surname: Sheth fullname: Sheth, N.V. organization: Ocular Motor Neurophysiology Laboratory Veterans Affairs Medical Center Cleveland, Ohio, U.S.A – sequence: 2 givenname: L.F. surname: Dell'osso fullname: Dell'osso, L.F. organization: Ocular Motor Neurophysiology Laboratory Veterans Affairs Medical Center Cleveland, Ohio, U.S.A – sequence: 3 givenname: R.J. surname: Leigh fullname: Leigh, R.J. organization: Ocular Motor Neurophysiology Laboratory Veterans Affairs Medical Center Cleveland, Ohio, U.S.A – sequence: 4 givenname: C.L. surname: Van Doren fullname: Van Doren, C.L. email: lfd@po.cwru.edu organization: Department of Biomedical Engineering, Case Western Reserve University and University Hospitals of Cleveland, Cleveland, Ohio, U.S.A – sequence: 5 givenname: H.P. surname: Peckman fullname: Peckman, H.P. organization: Department of Biomedical Engineering, Case Western Reserve University and University Hospitals of Cleveland, Cleveland, Ohio, U.S.A |
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Keywords | Somatosensory simulation Foveation Congenital nystagmus Acuity Human Congenital Electrical stimulus Visual acuity Macula Eye disease Improvement Trigeminal nerve Vision Nystagmus Cranial nerve Perception Sensorimotor nerve Neck Mechanical stimulus Oculomotor syndrome |
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Snippet | Visual acuity in congenital nystagmus (CN) patients is related primarily to the duration of “foveation periods”, during which the image of the target is... Visual acuity in congenital nystagmus (CN) patients is related primarily to the duration of "foveation periods", during which the image of the target is... |
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SubjectTerms | Acuity Adolescent Adult Biological and medical sciences Child Congenital nystagmus Electric Stimulation Female formula omitted Fovea Centralis - physiology Humans Male Mathematics Medical sciences Middle Aged Neurons, Afferent - physiology Nystagmus, Pathologic - congenital Nystagmus, Pathologic - physiopathology Oculomotor disorders Ophthalmology Physical Stimulation Time Factors Vibration Visual Acuity - physiology |
Title | The effects of afferent stimulation on congenital nystagmus foveation periods |
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