Elevated visual motion detection thresholds in adults with acquired ophthalmoplegia

AIMS To test the hypothesis that in patients with acquired chronic bilateral ophthalmoplegia, abnormal retinal image slippage during head movements would result in abnormal thresholds for visual perception of motion. METHODS Five patients (two males and three females) with ophthalmoplegia were inclu...

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Veröffentlicht in:British journal of ophthalmology 2001-12, Vol.85 (12), p.1447-1449
Hauptverfasser: Acheson, J F, Cassidy, L, Grunfeld, E A, Shallo-Hoffman, J A, Bronstein, A M
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container_end_page 1449
container_issue 12
container_start_page 1447
container_title British journal of ophthalmology
container_volume 85
creator Acheson, J F
Cassidy, L
Grunfeld, E A
Shallo-Hoffman, J A
Bronstein, A M
description AIMS To test the hypothesis that in patients with acquired chronic bilateral ophthalmoplegia, abnormal retinal image slippage during head movements would result in abnormal thresholds for visual perception of motion. METHODS Five patients (two males and three females) with ophthalmoplegia were included in the study. The average age was 44 years (range 30–69 years). The aetiology of ophthalmoplegia was myasthenia gravis (MG; n=2), chronic progressive external ophthalmoplegia (CPEO; n=2), and chronic idiopathic orbital inflammation. Visual motion detection thresholds were assessed using horizontal and vertical gratings (spatial frequency) set at thresholds for visibility. The grating was then accelerated at 0.09 deg/s2. The subject's task was to detect the drift direction of the stimulus. RESULTS Visual motion detection thresholds were raised to a mean of 0.434 deg/s (SD 0.09) (mean normal value 0.287 deg/s (SD 0.08)) for horizontal motion; and to a mean of 0.425 deg/s (SD 0.1) (mean normal value 0.252 deg/s (SD 0.08)) for vertical motion. The difference in values for both horizontal and vertical motion detection were statistically significant when compared with age matched controls; p
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METHODS Five patients (two males and three females) with ophthalmoplegia were included in the study. The average age was 44 years (range 30–69 years). The aetiology of ophthalmoplegia was myasthenia gravis (MG; n=2), chronic progressive external ophthalmoplegia (CPEO; n=2), and chronic idiopathic orbital inflammation. Visual motion detection thresholds were assessed using horizontal and vertical gratings (spatial frequency) set at thresholds for visibility. The grating was then accelerated at 0.09 deg/s2. The subject's task was to detect the drift direction of the stimulus. RESULTS Visual motion detection thresholds were raised to a mean of 0.434 deg/s (SD 0.09) (mean normal value 0.287 deg/s (SD 0.08)) for horizontal motion; and to a mean of 0.425 deg/s (SD 0.1) (mean normal value 0.252 deg/s (SD 0.08)) for vertical motion. The difference in values for both horizontal and vertical motion detection were statistically significant when compared with age matched controls; p &lt;0.023 for horizontal motion and p&lt;0.07 for vertical motion (two tailedt test). CONCLUSION Abnormally raised visual motion thresholds were found in patients with ophthalmoplegia. This may represent a centrally mediated adaptive mechanism to ignore excessive retinal slip and thus avoid oscillopsia during head movements.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.85.12.1447</identifier><identifier>PMID: 11734519</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Chronic Disease ; diplopia ; Eye ; Female ; Head Movements ; Humans ; Male ; Measurement ; Medical sciences ; Middle Aged ; motion detection ; Motion Perception ; Oculomotor disorders ; Oculomotor paralysis ; Ophthalmology ; ophthalmoplegia ; Ophthalmoplegia - psychology ; oscillopsia ; Paralysis ; Scientific Correspondence ; Sensation Disorders - etiology ; Sensory Thresholds ; Visual acuity</subject><ispartof>British journal of ophthalmology, 2001-12, Vol.85 (12), p.1447-1449</ispartof><rights>British Journal of Ophthalmology</rights><rights>2002 INIST-CNRS</rights><rights>COPYRIGHT 2001 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2001 British Journal of Ophthalmology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b618t-2eb7bee0c1356ebfefdf95db73e5ca0e8b3409c791a63b3c02d14f87db445b063</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1723795/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1723795/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14137697$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11734519$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Acheson, J F</creatorcontrib><creatorcontrib>Cassidy, L</creatorcontrib><creatorcontrib>Grunfeld, E A</creatorcontrib><creatorcontrib>Shallo-Hoffman, J A</creatorcontrib><creatorcontrib>Bronstein, A M</creatorcontrib><title>Elevated visual motion detection thresholds in adults with acquired ophthalmoplegia</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>AIMS To test the hypothesis that in patients with acquired chronic bilateral ophthalmoplegia, abnormal retinal image slippage during head movements would result in abnormal thresholds for visual perception of motion. METHODS Five patients (two males and three females) with ophthalmoplegia were included in the study. The average age was 44 years (range 30–69 years). The aetiology of ophthalmoplegia was myasthenia gravis (MG; n=2), chronic progressive external ophthalmoplegia (CPEO; n=2), and chronic idiopathic orbital inflammation. Visual motion detection thresholds were assessed using horizontal and vertical gratings (spatial frequency) set at thresholds for visibility. The grating was then accelerated at 0.09 deg/s2. The subject's task was to detect the drift direction of the stimulus. RESULTS Visual motion detection thresholds were raised to a mean of 0.434 deg/s (SD 0.09) (mean normal value 0.287 deg/s (SD 0.08)) for horizontal motion; and to a mean of 0.425 deg/s (SD 0.1) (mean normal value 0.252 deg/s (SD 0.08)) for vertical motion. The difference in values for both horizontal and vertical motion detection were statistically significant when compared with age matched controls; p &lt;0.023 for horizontal motion and p&lt;0.07 for vertical motion (two tailedt test). CONCLUSION Abnormally raised visual motion thresholds were found in patients with ophthalmoplegia. 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METHODS Five patients (two males and three females) with ophthalmoplegia were included in the study. The average age was 44 years (range 30–69 years). The aetiology of ophthalmoplegia was myasthenia gravis (MG; n=2), chronic progressive external ophthalmoplegia (CPEO; n=2), and chronic idiopathic orbital inflammation. Visual motion detection thresholds were assessed using horizontal and vertical gratings (spatial frequency) set at thresholds for visibility. The grating was then accelerated at 0.09 deg/s2. The subject's task was to detect the drift direction of the stimulus. RESULTS Visual motion detection thresholds were raised to a mean of 0.434 deg/s (SD 0.09) (mean normal value 0.287 deg/s (SD 0.08)) for horizontal motion; and to a mean of 0.425 deg/s (SD 0.1) (mean normal value 0.252 deg/s (SD 0.08)) for vertical motion. The difference in values for both horizontal and vertical motion detection were statistically significant when compared with age matched controls; p &lt;0.023 for horizontal motion and p&lt;0.07 for vertical motion (two tailedt test). CONCLUSION Abnormally raised visual motion thresholds were found in patients with ophthalmoplegia. This may represent a centrally mediated adaptive mechanism to ignore excessive retinal slip and thus avoid oscillopsia during head movements.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>11734519</pmid><doi>10.1136/bjo.85.12.1447</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Chronic Disease
diplopia
Eye
Female
Head Movements
Humans
Male
Measurement
Medical sciences
Middle Aged
motion detection
Motion Perception
Oculomotor disorders
Oculomotor paralysis
Ophthalmology
ophthalmoplegia
Ophthalmoplegia - psychology
oscillopsia
Paralysis
Scientific Correspondence
Sensation Disorders - etiology
Sensory Thresholds
Visual acuity
title Elevated visual motion detection thresholds in adults with acquired ophthalmoplegia
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