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A unifying hypothesis for the multiple waveforms of infantile nystagmus and their idiosyncratic variation with gaze angle and therapy.

机译:婴儿眼球震颤的多种波形及其注视角度和治疗的特质变异的统一假设。

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摘要

Infantile Nystagmus Syndrome (INS) is an ocular motor instability characterized by involuntary oscillations of the eyes. The purpose of this thesis is to better understand the underlying mechanisms of INS in terms of static characteristics, dynamic properties, and changes after extraocular muscle (EOM) surgeries, and to incorporate these findings into a behavioral Ocular Motor System (OMS) model. Accurate recordings of eye-movement responses to visual stimuli under certain experimental paradigms were analyzed and used as templates for model simulations. The effectiveness of the four-muscle tenotomy surgical procedure was evaluated and the post-surgical effects were categorized in order to set up the clinical criteria governing the use of this procedure. Also, combination of tenotomy with other commonly practiced strabismus/nystagmus surgeries was explored. The eXpanded Nystagmus Acuity Function (NAFX), which is a mathematical function that linearly relates foveation quality of nystagmus waveforms to the maximum possible visual acuity, was used as the direct measurement of post-surgical waveform changes. The differential effect of tenotomy on the fast and slow eye movements of INS was carefully examined to elucidate a working mechanism for tenotomy. The effects of target timing in INS on target acquisition (of both step and pursuit stimuli) were also investigated as an initial exploration of the INS dynamic characteristics. Incorporating the above INS properties to our OMS model, as well as simulating the mechanisms that determine the idiosyncratic gaze angle where the NAFX peak/nystagmus "null" (the field of gaze angles in which the NAFX is maximal) appears, had greatly expand the behavioral OMS by allowing simulations of more diverse variations of pathological conditions, and therefore greatly assist in our understanding of the OMS.
机译:小儿眼球震颤综合症(INS)是一种眼球运动不稳定性,其特征为眼睛不自主振动。本文的目的是从眼外肌(EOM)手术后的静态特征,动态特性和变化方面更好地了解INS的潜在机制,并将这些发现整合到行为眼动系统(OMS)模型中。在某些实验范式下,准确记录了眼动对视觉刺激的反应,并将其用作模型仿真的模板。评估了四肌腱切开术手术程序的有效性,并对术后效果进行了分类,以建立控制该程序使用的临床标准。此外,还探讨了腱切断术与其他常用斜视/眼球震颤手术的组合。扩展的眼球震颤敏锐度函数(NAFX)是一种数学函数,可将眼球震颤波形的中心凹入质量与最大可能的视敏度线性相关,用于直接测量术后波形变化。仔细检查了腱切断术对INS快慢眼运动的不同作用,以阐明腱切断术的工作机制。作为对INS动态特性的初步探索,还研究了INS中目标时机对目标获取(步距和追击刺激)的影响。将以上INS属性整合到我们的OMS模型中,并模拟确定NAFX峰值/眼球“空”(NAFX最大的凝视场)出现的特质凝视角的机制,极大地扩展了通过允许对病理状况的更多不同变化进行模拟来进行行为OMS,因此极大地帮助了我们对OMS的理解。

著录项

  • 作者

    Wang, Zhong.;

  • 作者单位

    Case Western Reserve University.;

  • 授予单位 Case Western Reserve University.;
  • 学科 Engineering Biomedical.
  • 学位 Ph.D.
  • 年度 2008
  • 页码 362 p.
  • 总页数 362
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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