Reduced levels of retinal dopamine, a key regulator of eye development, are associated with experimental myopia in various species, but are not seen in the myopic eyes of C57BL/6 mice, which are deficient in melatonin, a neurohormone having extensive interactions with dopamine. Here, we examined the relationship between form-deprivation myopia (FDM) and retinal dopamine levels in melatonin-proficient CBA/CaJ mice. We found that these mice exhibited a myopic refractive shift in form-deprived eyes, which was accompanied by altered retinal dopamine levels. When melatonin receptors were pharmacologically blocked, FDM could still be induced, but its magnitude was reduced, and retinal dopamine levels were no longer altered in FDM animals, indicating that melatonin-related changes in retinal dopamine levels contribute to FDM. Thus, FDM is mediated by both dopamine level-independent and melatonin-related dopamine level-dependent mechanisms in CBA/CaJ mice. The previously reported unaltered retinal dopamine levels in myopic C57BL/6 mice may be attributed to melatonin deficiency.
Animals ; Disease Models, Animal ; Dopamine ; Melatonin ; Mice ; Mice, Inbred C57BL ; Mice, Inbred CBA ; Myopia ; Retina ; Sensory Deprivation

Charles Bonnet syndrome (CBS) can develop after trans-sphenoidal adenomectomy (TSA); however, the neural mechanisms remain unknown. Sensory deprivation and releasing phenomenon are both hypothetical explanations for this condition; however, there is no definite evidence that strongly supports either supposition. We report the first case of CBS after TSA without optic nerve atrophy. Postoperatively, the patient's vision seemed to be relatively well preserved, apart from the left-side hemianopsia in the right eye. Distinctive visual hallucinations only appeared when his eyes were closed, and these responded to quetiapine in a dose-dependent manner. Dose dependent change in colors and formation of hallucination was reported. Two weeks after quetiapine initiation, the patient's CBS was completely resolved. This unique case suggests that blocking sensory input from the periphery is more critical than neural damage of the bottom-up connection to the visual association cortex. In addition, quetiapine should be considered as a specific treatment for CBS.
Atrophy* ; Hallucinations ; Hemianopsia ; Optic Nerve* ; Quetiapine Fumarate ; Sensory Deprivation

Due to the advantages in genetic manipulation, mice have become one of the most commonly used mammalian models for the study of mechanisms underlying myopia development. However, the vast majority of laboratory mouse strains are incapable of synthesizing melatonin, a neurohormone that may play an important role in myopia generation in humans. The present study investigated refractive development profiles in the CBA/CaJ mouse, a strain proficient in melatonin, and determined whether and how its refractive development could be affected by form-deprivation. Eccentric infrared photoretinoscopy revealed that this animal could be stably refracted, and the refractive error underwent developmental changes, which increased with age in the hyperopic direction and eventually got stable approximately 9 weeks after birth. The absolute values of refractive error in CBA/CaJ mice were larger than those of age-matched C57BL/6 mice, whereas the time points when refractive error reached steady state were similar between the two strains. Five weeks of form-deprivation applied to 3-week-old CBA/CaJ mice by translucent occluder wear caused a significant myopic shift in refractive error, indicating that this strain could be adequately used as a myopia model.
Animals ; Disease Models, Animal ; Eye ; Mice ; Mice, Inbred C57BL ; Mice, Inbred CBA ; Myopia ; Refraction, Ocular ; Sensory Deprivation

BACKGROUNDAmblyopia is a common disease for children. The main treatment approach for amblyopia is to patch the normally sighted eye and force the use of the amblyopic eye. However, patching treatment in children may negatively impact psychological well-being of both the child and family. At present, no specific questionnaire is available to assess the health-related quality of life (HRQoL) of amblyopic treatment for children and their families in China. The purpose of our study was to develop a Chinese version of patching treatment questionnaire, and evaluate its reliability and validity.

METHODSThe original patching treatment questionnaire of amblyopia treatment index (ATI) was translated into Chinese. Amblyopic patients aged 4-9 years receiving patching 4-8 hours per day or full-time were recruited. The reliability and validity of the Chinese version of the patching treatment questionnaire were determined by internal consistency, test-retest reliability, item-scale correlations, and construct validity. The associated baseline factors and the questionnaire responses were assessed.

RESULTSOne hundred and nine children with amblyopia treated with patching were enrolled. Distribution of response options for individual items and correlation with the respective subscale were calculated. Factor analysis revealed that 16 of the 21 items were loaded in the three subscales as follows: "adverse effects" of treatment, "difficulties with compliance" and "social stigma" of treatment. Internal consistency values measured by Cronbach's α coefficient (0.768) and split-half coefficient (0.790) were satisfactory for the total scales. The intra-class correlation coefficient for test-retest reliability was 0.998. No significant difference was found between the overall questionnaire scores and children's age, sex, baseline visual acuity of amblyopic eyes, improvement of the amblyopic eye, or patching time.

CONCLUSIONSWe developed a Chinese version of the patching treatment questionnaire with satisfactory reliability and validity. Validation in a patch-treated pediatric amblyopic population indicated that the questionnaire may be useful for Chinese children.

Amblyopia ; drug therapy ; therapy ; Atropine ; therapeutic use ; Child ; Child, Preschool ; China ; Female ; Humans ; Male ; Quality of Life ; Sensory Deprivation ; physiology ; Surveys and Questionnaires

OBJECTIVETo explore the impact of 36-hour sleep deprivation (SD) on the brain electrophysiological indicators of visuo-motor coupling in young soldiers.

METHODSDuring the 36-hour SD, 10 healthy young soldiers were tested on visuospatial rotation tasks by event-related potentials system before and after SD. The incubation period and amplitude of P500 as well as their error number and reaction time were measured.

RESULTSCompared with subjects in SD 0-hour,subjects in SD 36-hour had significantly increased error rate [(9.7 ± 3.9)% vs. (18.3 ± 4.5)%, P<0.05] and significantly increased reaction time [(632.5 ± 53.6) ms vs. (693.6 ± 65.7) ms, P < 0.05]. Subjects in SD 36-hour showed significantly reduced amplitudes than those in SD 0-hour [(8.7 ± 2.3) ΜV vs. (5.2 ± 1.6) ΜV, P < 0.05]. Additionally, subjects in SD 36-hour showed significantly increased P500 latencies than did those in SD 0-hour [(489.6 ± 42.6) ms vs .(530.2 ± 51.9) ms, P < 0.05]. Compared with subjects in SD 0-hour, the deficit was an absence of a mental rotation function SD 36-hour in subjects.

CONCLUSIONSThe 36-hour SD in young soldiers can harm the processing mechanism of visuo-motor coupling in a certain extent. SD can affect the fixed position ability of visual space cognition in young soldiers.

Adolescent ; Adult ; Evoked Potentials ; Feedback, Sensory ; Female ; Humans ; Male ; Military Personnel ; Reaction Time ; Sleep Deprivation ; physiopathology ; Young Adult

OBJECTIVE: To investigate the mechanism of myopia following intravitreous injection of MK801 (dizocipine maleate) intravitreous injected. METHODS: Three-week-old guinea pigs were divided into six groups: group A (control), group B (3 weeks form-deprivation in right eye), group C ( 3 weeks form-deprivation in right eye + saline), group D (3 weeks form-deprivation in right eye + MK801 1ng), group E (3 weeks form-deprivation in right eye + MK801 10 ng), group F (3 weeks form-deprivation in right eye + MK801 100 ng). The refraction and axial length of the eyes were measured. ncNOS was measured by hybridization in situ, and cyclic GMP (cGMP) concentrations by radioimmunochemistry. The correlation between MK801 concentration and diopter degree, axial length of the eyes, and levels of ncNOS or cyclic GMP were analyzed with linear correlation in the groups C-F. RESULTS: Diopter degree was decreased, axial eye length was shorted and levels of ncNOS and c-GMP were decreased in groups C, D, E and F dependent on the concentration of MK801. The diopter degree had positive correlation with MK801 concentration (r=0.702, P<0.05), while the axial eye length and the levels of ncNOS and cGMP were negatively correlated (r=-0.736, -0.637, -0.725, P<0.05) CONCLUSION MK801 injected into the vitreous humor can restrain myopia by down-regulated the expression of the nitric oxide-cyclic GMP signaling pathway. The effect is concentration dependent.
Animals ; Cyclic GMP ; metabolism ; Dizocilpine Maleate ; administration & dosage ; pharmacology ; Down-Regulation ; Female ; Form Perception ; physiology ; Guinea Pigs ; Injections, Intraocular ; Male ; Myopia ; physiopathology ; Nitric Oxide Synthase Type I ; metabolism ; Sensory Deprivation ; physiology ; Signal Transduction ; drug effects ; Vitreous Body ; drug effects

Objective: To determine the visual outcome of amblyopia treatment and describe the relationship between age of onset and consult, compliance as measured by a patch diary, amblyopia subtype, and severity with the final visual outcome. Methods: Thirty-two consecutive, newly-diagnosed cases of amblyopia, aged 3-8 years on initial consult, with no history of prior amblyopia treatment, were included. Patching was done based on current AAO recommendations and patients were followed up monthly for 6 months. Treatment success was defined as best corrected visual acuity (BCVA) better than 20/30 (0.17LogMAR), or a 3-line improvement from baseline, or stable isoacuity for at least 3 months. Treatment failure was defined as no improvement of BCVA after 3 months of occlusion therapy or a regression of 2 lines. Descriptive and correlation statistics were performed comparing age of onset and consult, amblyopia subtype, severity, and compliance with the main outcome measure of BCVA at 6 months. Results: Sixteen (50%) attained treatment success. Patients seen earlier (age 2-5 years) had higher rates of success (75%) than those seen later (age 6-8 years) (35%). A moderately strong negative correlation (r=-0.48, p=0.01) existed between severity of amblyopia and final BCVA at 6 months. overall compliance to patching was 88±18%, with good compliance in the success group (92%) compared to fair compliance in the failure group (84%) and a moderate correlation between compliance and BCVA (r=0.37, p=0.05). Conclusion Treatment success was related to severity, compliance, and younger age of treatment. In the presence of good compliance, severity was a strong prognostic variable.
Amblyopia ; Compliance ; Sensory Deprivation ; Anisometropia

OBJECTIVE: To explore the expression of cyclic guanine monophosphate (cGMP) and the ultrastructure change in retina of guinea pig with form-deprivation myopia and the underlying mechanisms. METHODS: Three-weeks-old guinea pigs were distributed in 3 groups: an untreated group (Group I), a myopia 2-weeks group (Group II) and a myopia 3-weeks group (Group III), animals underwent monocular form-deprivation by facemask for 2 and 3 weeks. The right eyes were deprived and the left eyes were self-controlled. The refraction and axial length of the eyes was measured. Retina was observed by electron microscope. The expression of cGMP was detected by radioimmunochemistry. RESULTS: Deprived eyes in guinea pig showed significant development of myopia, the refraction and axial length was increased. The pathological changes in ultrastructure of retina were aggravated with the development of myopia. The expression of cGMP was significantly up-regulated in the deprived eyes compared with self-control eyes(P<0.05). CONCLUSION Form-deprivation can up-regulate the expression of cyclic GMP, which might play an important role in the development of myopia.
Animals ; Cyclic GMP ; metabolism ; Disease Models, Animal ; Female ; Guinea Pigs ; Male ; Myopia ; etiology ; metabolism ; pathology ; Random Allocation ; Retina ; metabolism ; ultrastructure ; Sensory Deprivation ; Vision, Monocular ; physiology

No abstract available.
Amblyopia/physiopathology/*therapy ; Evoked Potentials, Visual/*physiology ; Humans ; Monitoring, Physiologic/*methods ; Prognosis ; *Sensory Deprivation ; Treatment Outcome ; Visual Acuity

No abstract available.
Amblyopia/physiopathology/*therapy ; Evoked Potentials, Visual/*physiology ; Humans ; Monitoring, Physiologic/*methods ; Prognosis ; *Sensory Deprivation ; Treatment Outcome ; Visual Acuity