Visual evoked potentials due to structured stimuli in children with cataracts
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Conclusions
- 1.
A study of 7-year-old children having normal vision has revealed an increase in the peculiarity of the EP resulting from checkerboard figures: a fusion of the P120 and P200 components, as well as a reduction of the N150 component. Under conditions of dark adaptation, during stimulation of central and paracentral regions of the retina (area of stimulation 18°) a relationship has been found between the amplitude of the P160 component and the size of the checkerboard cells. Maximal amplitudes were recorded for this component with stimuli having a cell size of 48′.
- 2.
In 5–8-year-old children with congenital cataracts, changes have been observed in the configuration and amplitude-temporal parameters of the EP, as compared to a control group of visually normal children of the same age: Some decrease has been noted in the amplitude of the majority of the EP components (an acute drop in the amplitude of the P160 component) and a significant increase in the amplitude of the N150 component. The P160 component has not proven to be sensitive to the size of the checkerboard cells.
- 3.
With traumatic cataracts originating in the fifth or sixth years of life, and with the deprivation period lasting from one to seven years, all components are present in the complex of waves in the EP resulting from light flash: There is no reduction in the P160 component characteristic of congenital cataracts.
- 4.
It is hypothesized that the P160 component in the EP of 7-year-old children reflects activity of cortical neuronal elements involved in the analysis of complex, structured properties of a stimulus. The reduction of this component and the loss of its sensitivity to the cell size of a checkerboard field in children having congenital cataracts is related to a weakening of excitatory-inhibitory interactions among the cortical neuronal elements which participate in these processes.
- 5.
A comparison of EP with visual deprivations originating at different ages (inborn and traumatic cataracts) indicates that disturbance of pattern perception in the sensitive period encompassing the first years of life of the child leads to morphofunctional changes in the highly-specialized cortical neural elements which participate in the analysis of the complex structured properties of a stimulus.
Keywords
Cataract Dark Adaptation P160 Component N150 Component Light FlashPreview
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Literature cited
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