Imbalanced Sensory Eye Dominance of Surgically Aligned Late-onset Acute Acquired Concomitant Esotropes with normal stereopsis

Abstract Background: Adults with late-onset acute acquired concomitant esotropia (AACE) have chance to develop normal binocular functions including a balanced ocular dominance before the onset of esotropia. For most patients, strabismus surgery re-establishing the ocular alignment indeed effectively restore stereopsis and visual acuity to the normal level. However, it is unclear whether they have already acquired balanced two eyes.Methods: 11 surgically aligned patients with AACE (24.3 ± 1.5 years; mean ± SE) and 14 adults with normal vision (26.1±1.2 years) participated in our experiments. All patients had normal binocularity and stereopsis. Using binocular phase combination paradigm, sensory eye dominance was quantified as the interocular contrast ratio, termed balance point, at which the contribution of each eye to the perception of cyclopean grating were equal.Results: Normal controls had a mean balance point value close to unity (0.95±0.01), while AACE group exhibited evident binocular imbalance (0.76±0.05), which was significantly different from control group (t (10.45) = -3.485, p = 0.006) . The balance point value didn’t depend on the interval from AACE onset to strabismus surgery (r = -0.357, p = 0.281) or the interval from the surgery to examination of sensory eye dominance (r = -0.105, p = 0.759).Conclusions: Although strabismus surgery effectively straightened AACE patients’ ocular alignment and even conferred them normal stereopsis, late-onset AACE patients’ two eyes were still not balanced. These results indicated that binocular imbalance might be a risk factor for adult AACE.

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The Modulation of Laser Refractive Surgery on Sensory Eye Dominance of Anisometropia

Journal of Ophthalmology ◽

10.1155/2020/3873740 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Hongting Liu ◽

Qi Chen ◽

Fangfang Lan ◽

Yan Luo ◽

Enwei Lin ◽

...

Keyword(s):

Refractive Surgery ◽

Ocular Dominance ◽

Eye Dominance ◽

The Mean ◽

Laser Refractive Surgery ◽

Sensory Eye Dominance ◽

Stereo Acuity ◽

Sensory Dominance

Purpose. To evaluate the effect of laser refractive surgery on sensory eye dominance of anisometropia. Methods. A total of 156 subjects with nonanisometropic myopia and 70 subjects with anisometropic myopia were enrolled in the first part of the study. The dichoptic motion coherence threshold technique was applied to collect the normal dataset and distribution of sensory eye dominance. The second part of the study included 40 subjects with nonanisometropic myopia and 40 subjects with anisometropic myopia who received the femtosecond laser-assisted in situ keratomileusis (Fs-LASIK). A comprehensive ophthalmologic evaluation was performed with particular attention to sensory eye dominance preoperatively and one-week and one-month postoperatively. The ocular dominance index (ODI) was applied to evaluate the subject’s overall degree of sensory ocular dominance. Visual acuity, sighting eye dominance, and stereo acuity were also accessed. Results. In experiment one, the mean ODI in the nonanisometropic group and the anisometropic group was 1.48 ± 0.63 and 1.95 ± 1.07, respectively. The ODI values of the anisometropic group were significantly higher than those of the nonanisometropic group (Mann–Whitney U test, P<0.001). The demographics information and the distribution of ODI values in both groups are summarized in tables and figures. In experiment two, all LASIK procedures were uneventful and no postoperative complications were observed during the postoperative follow-up. Preoperatively, the ODI values of the anisometropic LASIK group were significantly higher than those of the nonanisometropic LASIK group, which was consistent with the results of part 1. However, one week after operation, the mean ODI values of the anisometropic LASIK group had significantly decreased from 1.89 ± 1.09 to 1.39 ± 0.44. And, the mean ODI values slightly increased to 1.65 ± 0.61 one-month postoperatively. In the nonanisometropic LASIK group, there were no statistically significant differences of ODI changes among preoperative, post-one-week and post-one-month visits. The demographics information and the changes of ODI of both LASIK groups are summarized in tables and figures. Conclusion. Stronger sensory eye dominance is seen in the subjects with anisometropic myopia compared to subjects with nonanisometropic myopia. The strong sensory dominance of anisometropia becomes more balanced at one week of postoperation but returns to the preoperative level after one month. Laser refractive surgery had a short-term modulation of sensory eye dominance.

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Association of CD40 and thyroglobulin genes with later-onset Graves' disease in Taiwanese patients

Acta Endocrinologica ◽

10.1530/eje-08-0410 ◽

2008 ◽

Vol 159 (5) ◽

pp. 617-621 ◽

Cited By ~ 10

Author(s):

Jeng-Yueh Hsiao ◽

Ming-Chia Hsieh ◽

Cheng-Ting Hsiao ◽

Hsu-Huei Weng ◽

Der-Shin Ke

Keyword(s):

Late Onset ◽

Age At Onset ◽

Genotype Frequency ◽

Control Group ◽

Graves Disease ◽

Single Nucleotide ◽

Relationship Of ◽

The Relationship ◽

Over 40 Years ◽

Normal Controls

ObjectiveGraves' disease (GD) is known to be associated with thyroglobulin (TG) and CD40 genes. Therefore, we decided to investigate the relationship of age at onset of GD with CD40 and TG gene susceptibilities in a Taiwanese population.Design and methodWe analyzed the association of TG and CD40 polymorphisms with age at onset of GD in Taiwanese patients. We stratified patients into those with early onset (<40 years; 30.3±4.8 years; n=135) and later onset (≥40 years; 52.3±6.3 years; n=80) and compared the results with those of 141 normal controls.ResultsWe found a significant statistical difference in the T/T genotype frequency of E33 single nucleotide polymorphism (SNP) and G/G genotype frequency of E12 SNP when compared with the control group (P<0.001). In addition, the frequencies of the T allele and TT genotype of the CD40 SNP were found to be significantly increased in GD patients who developed GD aged over 40 years than those below 40 years (allele: χ2=5.299, P=0.021, OR=1.597; genotype: χ2=6.168, P=0.046). By contrast, the frequencies of genotypes in the TG gene E10, E12, and E33 SNPs were not found to be significantly different in GD patients who developed GD when aged over 40 years when compared with those aged below 40 years.ConclusionsThese data suggest that the T/T genotype and T allele in the CD40 gene are more likely to be associated with late-onset GD in Taiwanese patients.

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Sensory Eye Dominance in Treated Anisometropic Amblyopia

Neural Plasticity ◽

10.1155/2017/9438072 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Yao Chen ◽

Jiafeng Wang ◽

Hongmei Shi ◽

Xiaoxiao Wang ◽

Lixia Feng

Keyword(s):

Visual Acuity ◽

Critical Period ◽

Visual Experience ◽

Critical Role ◽

Visual Development ◽

Normal Range ◽

Normal Visual Acuity ◽

Eye Dominance ◽

Phase Combination ◽

Sensory Eye Dominance

Amblyopia results from inadequate visual experience during the critical period of visual development. Abnormal binocular interactions are believed to play a critical role in amblyopia. These binocular deficits can often be resolved, owing to the residual visual plasticity in amblyopes. In this study, we quantitatively measured the sensory eye dominance in treated anisometropic amblyopes to determine whether they had fully recovered. Fourteen treated anisometropic amblyopes with normal or corrected to normal visual acuity participated, and their sensory eye dominance was assessed by using a binocular phase combination paradigm. We found that the two eyes were unequal in binocular combination in most (11 out of 14) of our treated anisometropic amblyopes, but none of the controls. We concluded that the treated anisometropic amblyopes, even those with a normal range of visual acuity, exhibited abnormal binocular processing. Our results thus suggest that there is potential for improvement in treated anisometropic amblyopes that may further enhance their binocular visual functioning.

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Ocular Dominance Plasticity: Measurement Reliability and Variability

10.1101/2020.07.27.211144 ◽

2020 ◽

Author(s):

Seung Hyun Min ◽

Ling Gong ◽

Alex S. Baldwin ◽

Alexandre Reynaud ◽

Zhifen He ◽

...

Keyword(s):

Ocular Dominance ◽

Measurement Methods ◽

Monocular Deprivation ◽

Short Term ◽

Ocular Dominance Plasticity ◽

Physiological Basis ◽

Eye Dominance ◽

Phase Combination ◽

One And Many ◽

Test Retest Reliability

AbstractIn the last decade, studies have shown that short-term monocular deprivation strengthens the deprived eye’s contribution to binocular vision. However, the magnitude of the change in eye dominance after monocular deprivation (i.e., the patching effect) has been found to be different between for different methods and within the same method. There are three possible explanations for the discrepancy. First, the mechanisms underlying the patching effect that are probed by different measurement tasks might exist at different neural sites. Second, test-retest variability in the measurement might have led to inconsistencies, even within the same method. Third, the patching effect itself in the same subject might fluctuate across separate days or experimental sessions. To explore these possibilities, we assessed the test-retest reliability of the three most commonly used tasks (binocular rivalry, binocular combination, and dichoptic masking) and the repeatability of the shift in eye dominance after short-term monocular deprivation for each of the task. Two variations for binocular phase combination were used, at one and many contrasts of the stimuli. Also, two variations of the dichoptic masking task was tested, in which the orientation of the mask grating was either horizontal or vertical. This makes five different measurement methods in all. We hope to resolve some of the inconsistencies reported in the literature concerning this form of visual plasticity. In this study, we also aim to recommend a measurement method that will allow us to better understand its physiological basis and the underpinning of visual disorders.

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A binocular test of sensory eye dominance based on the Pulfrich effect

10.31234/osf.io/r49be ◽

2021 ◽

Author(s):

Nicola Megna ◽

Giampaolo Lucarini ◽

Alessandro Fossetti

Keyword(s):

Processing Time ◽

Ocular Dominance ◽

Eye Dominance ◽

Motion Stimulus ◽

Continuous Scale ◽

Dominant Eye ◽

Illusory Perception ◽

Pulfrich Effect ◽

Test Outcomes ◽

Sensory Eye Dominance

Many studies have shown inconsistent results among traditional measures of sensory ocular dominance (SED), seriously questioning the very concept of SED as a unitary aspect of the visual system (e.g., Laby & Kirschen, 2011; Mapp et al., 2003; Walls, 1951).The test outcomes may also change even if the same measure is repeated under different conditions, for example by varying the distance and eccentricity of the target (e.g., Rice et al., 2008; Kahn & Crawford, 2001).On the other hand, some authors suggest that such inconsistencies may result from uncontrolled variables. A candidate to produce confusing variables is the frequent format of these tests, often dichotomous and introspective.In this paper, we propose a possibility of measuring SED on a continuous scale and in a comparative way using a stimulus that induces a Pulfrich effect. Here a dichoptic motion stimulus, borrowed from a previous study (Reynaud & Hess, 2017), was used, which produced different degrees of 3D illusory perception strength through the variation of retinal disparity. We observed that the responses of the subjects varied according to their classical SED test outcomes and we estimated the differences in terms of the time delay of the information coming from the two eyes. In our sample, it appears that information from the dominant eye was processed 8.2±5.8 ms faster than that of the fellow eye. People with a left dominant eye showed more marked differences in processing time (6.8±2.0 ms) than people with a right dominant eye (1.8±0.9 ms). Eyes without a clear dominance did not show significant differences in processing time (1.2±1.7 ms). These results are consistent with the previous literature and could lead to the development of a new continuous-scaled SED test.

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The self and schizophrenia: a cognitive approach

Swiss Journal of Psychology ◽

10.1024//1421-0185.62.1.45 ◽

2003 ◽

Vol 62 (1) ◽

pp. 45-51 ◽

Cited By ~ 5

Author(s):

Marek Nieznanski

Keyword(s):

Normal Subjects ◽

Control Group ◽

Cognitive Approach ◽

Schizophrenic Patients ◽

Self Schema ◽

Persons With Schizophrenia ◽

Basic Features ◽

Trait Words ◽

Patients Experience ◽

Normal Controls

The aim of the study was to explore the basic features of self-schema in persons with schizophrenia. Thirty two schizophrenic patients and 32 normal controls were asked to select personality trait words from a check-list that described themselves, themselves as they were five years ago, and what most people are like. Compared with the control group, participants from the experimental group chose significantly more adjectives that were common to descriptions of self and others, and significantly less that were common to self and past-self descriptions. These results suggest that schizophrenic patients experience their personality as changing over time much more than do healthy subjects. Moreover, their self-representation seems to be less differentiated from others-representation and less clearly defined than in normal subjects.

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Association of the CD14 C159T and the Toll-like receptor 4 Asp299Gly polymorphisms with various phenotypes of asthma in adults from Crimea

Allergy and Asthma Proceedings ◽

10.2500/aap.2019.40.190007 ◽

2020 ◽

Vol 41 (2) ◽

pp. 134-140

Author(s):

Yuriy Bisyuk ◽

Andrew Dubovyi ◽

Ilona DuBuske ◽

Viktor Litus ◽

Lawrence M. DuBuske

Keyword(s):

Late Onset ◽

Adult Population ◽

Additive Models ◽

Atopic Asthma ◽

Control Group ◽

Nucleotide Polymorphisms ◽

Toll Like Receptor ◽

Toll Like Receptor 4 ◽

Single Nucleotide ◽

Gender And Age

Background: This study assessed gene polymorphisms of the CD14 receptor (C-159T) and Toll-like receptor 4 (Asp299Gly) in a patient population in Crimea, Ukraine, stratified by clinical (early versus late onset; frequent versus occasional relapses; fixed versus reversible obstruction) and immunologic (atopic versus nonatopic; eosinophilic; neutrophilic or paucigranulocytic inflammation) subtype. Methods: Two polymorphisms, CD14 C-159T and TLR4 Asp299Gly, were assessed in 331 patients with asthma. The control group included 285 volunteers who were nonatopic. The single nucleotide polymorphisms were studied by using polymerase chain reaction with electrophoretic detection. Results: There were increased odds of asthma development in patients with the Asp299Gly TLR4 mutation compared with the general population underdominant odds ratio (OR) 1.52 [95% confidence interval (CI), 1.00‐2.32] and overdominant (OR 1.55 [95% CI, 1.01‐2.38]) models after adjustment for gender and age. In addition, mutations in this gene decreased the odds of nonatopic asthma in underdominant (OR 0.26 [95% CI, 0.07‐0.93]; p = 0.027), overdominant (OR 0.27 [95% CI, 0.07‐0.96]; p = 0.033), and log-additive models (OR 0.26 [95% CI, 0.07‐0.93]; p = 0.026) compared with the atopic subgroup after adjustment for gender, age, number of exacerbations, and type of airway inflammation. Allele frequencies for CD14 and TLR4 polymorphisms did not show statistical differences between the patients with asthma and the control subjects. Conclusion: CD14 C-159T polymorphisms were not associated with asthma in the adult population in Crimea. TLR4 Asp299Gly polymorphisms were associated with asthma and with decreased odds of nonatopic asthma compared with atopic asthma in the adult population in Crimea.

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Diagnostic value of assessment of Serum Cortisol, Hepcidin and Thyroid Hormone Levels in Neonates with Late Onset Sepsis

Infectious Disorders - Drug Targets ◽

10.2174/1871526520666200327185244 ◽

2020 ◽

Vol 20 ◽

Author(s):

Adel Hagag ◽

Mohamed S Elfarargy ◽

Reham Lyonis ◽

Ghada M Al-Ashmawy

Keyword(s):

Thyroid Hormones ◽

Antibiotic Therapy ◽

Neonatal Sepsis ◽

Late Onset ◽

Serum Cortisol ◽

Control Group ◽

Serum Free ◽

Group I ◽

Late Onset Sepsis ◽

Serum Hepcidin

Background: Neonatal sepsis is a clinical syndrome characterized by symptoms and signs of infection in the first twenty eight days of life. Serum thyroid, cortisol and hepcidin are affected by neonatal sepsis. Aim of the work: The aim of this study was to assess the predictive value of serum thyroid hormones including free triiodothyronine (free TT3) and free tetraiodothyronine (free TT4), serum cortisol and hepcidin levels through comparison of their concentrations between normal neonates and neonates with high probable late onset sepsis. Patients and Methods: This case control study was carried out on 40 neonates with suspected high probable late onset neonatal sepsis based on clinical and laboratory finding who were admitted to NICU of Pediatric Department, Tanta University, Egypt in the period from April 2017 to May 2019 (group I) and 40 healthy neonates matched in age and sex as a control group (group II). For patients and controls; blood culture, highly sensitive C‑reactive protein (H-s CRP), serum hepcidin, serum cortisol and thyroid hormones levels including free TT3 and free TT4 were assessed. Results: There were no significant differences between studied groups as regard weight, gestational age, sex and mode of delivery. H-s CRP, serum cortisol and hepcidin were significantly higher in group I than group II while serum free TT3 and free TT4 were significantly lower in group I compared with controls. There was significantly lower H-s CRP, serum hepcidin and cortisol and significantly higher serum free TT3 and free TT4 in group I after antibiotic therapy compared to the same group before treatment while there were no significant differences between group I after antibiotic therapy and control group as regard the same parameters. There were significant positive correlation between H-s CRP and serum hepcidin and cortisol in group I while there was significant negative correlation between H-s CRP and free TT3 and free TT4. ROC curve of specificity and sensitivity of H-s CRP, serum hepcidin, cortisol, free TT3 and free TT4 in prediction of neonatal sepsis shows that serum hepcidin had the highest sensitivity and specificity with 95% and 90% respectively followed by serum cortisol, H-s CRP, free TT3 and lastly free TT4. Conclusion and recommendations: Neonates with high probable sepsis had significantly higher serum cortisol and hepcidin and significantly lower free TT3 and free TT4 compared with healthy neonates. These findings may arouse our attention about the use of these markers in diagnosis of in neonatal sepsis which can lead to early treatment and subsequently better prognosis.

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The clinical relevance of isolated lupus anticoagulant positivity in patients with thrombotic antiphospholipid syndrome

Thrombosis and Haemostasis ◽

10.1055/a-1344-4271 ◽

2020 ◽

Author(s):

Dong-mei Yin ◽

Philip de Groot ◽

Marisa Ninivaggi ◽

Katrien M.J. Devreese ◽

Bas de Laat

Keyword(s):

Antiphospholipid Syndrome ◽

Clinical Relevance ◽

Antiphospholipid Antibodies ◽

Odds Ratio ◽

Lupus Anticoagulant ◽

Solid Phase ◽

Control Group ◽

Domain I ◽

Normal Controls ◽

Better Than

Background: Patients positive for three types of antiphospholipid antibodies (aPLs) (triple positivity) have been identified at a high risk for thrombotic events. However, the clinical significance of isolated lupus anticoagulant (LAC) positivity is debated. Objectives: To investigate the clinical relevance of isolated LAC. Patients/Methods 456 patients were enrolled in this study; 66 antiphospholipid syndrome patients and 390 control patients. The control group existed of autoimmune patients (n=91), patients with thrombosis but without aPLs (n=127) and normal controls (n=172). The criteria LAC, anti-cardiolipin (anti-CL) and anti-beta2glycoprotein I (anti-β2GPI) IgG and IgM and the non-criteria IgA anti-CL and anti-β2GPI, anti-domain I (anti-DI) of β2GPI IgG and anti-phosphatidylserine/prothrombin (anti-PS/PT) IgG and IgM were detected according to the ISTH guidelines for solid phase assays. Results: 70 patients were positive for LAC, of which 44 were negative for both anti-β2GPI and anti-CL. We found that isolated LAC proved to be strongly associated with vascular thrombosis (Odds ratio (OR) (95% CI) 7.3 (3.3-16.1)), even better than triple positive samples (OR 4.3 (1.6-12.2)). The titers of the anti-PS/PT IgG and IgM were significantly higher in triple positivity samples compared to samples with isolated LAC positivity. The majority of single LAC positives were anti-PS/PT negative. We observed that LAC positivity was weaker in isolated LAC positive patients compared to LAC activity in triple positive patients. Conclusions: Isolated LAC was highly associated with thrombosis. The presence of anti-PS/PT could not explain LAC positivity in isolated LAC. Isolated LAC showed a weaker LAC activity compared to triple positive patients.

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Serum kallistatin level is decreased in women with preeclampsia

Journal of Perinatal Medicine ◽

10.1515/jpm-2020-0142 ◽

2021 ◽

Vol 49 (1) ◽

pp. 60-66

Author(s):

Onur Güralp ◽

Nevin Tüten ◽

Koray Gök ◽

Kübra Hamzaoglu ◽

Huri Bulut ◽

...

Keyword(s):

Blood Pressure ◽

Diastolic Blood Pressure ◽

Gestational Age ◽

Late Onset ◽

Serine Proteinase ◽

Serum Levels ◽

Control Group ◽

Positive Correlation ◽

Uncomplicated Pregnancy ◽

Appropriate For Gestational Age

AbstractObjectivesTo evaluate the serum levels of the serine proteinase inhibitor kallistatin in women with preeclampsia (PE).MethodsThe clinical and laboratory parameters of 55 consecutive women with early-onset PE (EOPE) and 55 consecutive women with late-onset PE (LOPE) were compared with 110 consecutive gestational age (GA)-matched (±1 week) pregnant women with an uncomplicated pregnancy and an appropriate for gestational age fetus.ResultsMean serum kallistatin was significantly lower in women with PE compared to the GA-matched-controls (27.74±8.29 ng/mL vs. 37.86±20.64 ng/mL, p<0.001); in women with EOPE compared to that of women in the control group GA-matched for EOPE (24.85±6.65 ng/mL vs. 33.37±17.46 ng/mL, p=0.002); and in women with LOPE compared to that of women in the control group GA-matched for LOPE (30.87±8.81 ng/mL vs. 42.25±22.67 ng/mL, p=0.002). Mean serum kallistatin was significantly lower in women with EOPE compared to LOPE (24.85±6.65 ng/mL vs. 30.87±8.81 ng/mL, p<0.001). Serum kallistatin had negative correlations with systolic and diastolic blood pressure, creatinine, and positive correlation with GA at sampling and GA at birth.ConclusionsSerum kallistatin levels are decreased in preeclamptic pregnancies compared to the GA-matched-controls. This decrease was also significant in women with EOPE compared to LOPE. Serum kallistatin had negative correlation with systolic and diastolic blood pressure, creatinine and positive correlation with GA at sampling and GA at birth.

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