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Abstract The problem of the pathophysiology of strabismic amblyopia may be approached from a number of points of view. Since this type of amblyopia is characterized by the absence of ophthalmoscopically demonstrable organic pathologic defects in the retina, many investigators have considered that the decrease in visual acuity results from an active inhibition in the visual cortex. Others have placed the seat of the inhibitory process in the retina itself. Still others have felt that in strabismic amblyopia there is a disturbance of the higher visual functions which results in an inability to integrate a sensed form into a meaningful percept. vom Hofe1 in 1930 first hinted at this possibility. Testing the visual acuity of amblyopic eyes with various simple geometric forms (rectangle, cross, circle, etc.), he reported that the responses of some of his patients were reminiscent of the behavior of the patients with traumatic lesions of the occipital References 1. vom Hofe, K.: Untersuchungen über das Sehen in Fällen von Schielamblyopie , Ber. Deutsch. Ophthal. Ges. 48:41, 1930. 2. Goldmann, H., in discussion of Müller, P.: Über das Sehen der Amblyopen , Ophthalmologica 121:143, 1951.Crossref 3. Stuart, J. A., and Burian, H. M.: A Study of Separation Difficulty: Its Relation to Visual Acuity in Normal and Amblyopic Eyes , Amer. J. Ophthal. 53:471, 1962. 4. Heilbronner, K.: Zur klinisch-psychologischen Untersuchungstechnik , Mschr. Psychiat. Neurol. 17:115, 1905.Crossref 5. Street, R. F.: A Gestalt Completion Test , New York, Teachers College, Columbia University, 1931. 6. Poppelreuter, W.: Die psychischen Schädigungen durch Kopfschuss im Kriege 1914-17 , Leipzig, L. Voss, 1917. 7. Ghent, L.: Perception of Overlapping and Embedded Figures by Children of Different Ages , Amer. J. Psychol. 69:575, 1956.Crossref 8. Teuber, H.-L., and Weinstein, S.: Ability to Discover Hidden Figures After Cerebral Lesions , Arch. Neurol. Psychiat. 76:369, 1956.Crossref 9. Benton, A. L.: L'application clinique du test de rétention visuelle , Paris, Centre de Psychologie Appliquée, 1953. 10. Benton, A. L.: Der Benton-Test: Handbuch , Bern and Stuttgart, Verlag Hans Huber, 1961, Edition 2. 11. Alajouanine, T.: Les grandes activités du lobe occipital , Paris, Masson & Cie, 1960. 12. Thomas-Decortis, G.: Étude comparative de la mémoire visuelle des images perçues par un oeil normel et par un oeil atteint d'amblyopie "exanopsia," Bull. Soc. Belge Ophtal. No. 128, 205, 1961. 13. von Noorden, G. K., and Burian, H. M.: Perceptual Blanking in Normal and Amblyopic Eyes , Arch. Ophthal. 64:817, 1960.Crossref 14. von Noorden, G. K.: Reaction Time in Normal and Amblyopic Eyes , Arch. Ophthal. 66:695, 1961.Crossref
Archives of Ophthalmology – American Medical Association
Published: Dec 1, 1962
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