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Amblyopia is the most common cause of visual impairment in one eye, with a prevalence of 1-5% in the world population. While amblyopia can be efficiently treated in children, it becomes irreversible in adults, due to the decline in neural plasticity past the end of the visual cortex critical period. Accordingly, no pharmacological approaches are available to rescue visual functions in adult amblyopic subjects. We report that non-invasive intranasal infusion of BDNF increased levels of this neurotrophic factor in V1 and induced a recovery of visual acuity, ocular dominance and visual depth perception in adult amblyopic rats, both in reverse-occluded animals and in those with unrestricted binocular sight. Visual recovery was long-lasting, and was prevented by pharmacological blockade of TrkB signaling in the visual cortex. These results underscore the possibility to replace invasive BDNF central administration with a safe procedure of potential interest in a number of currently still cureless central nervous system pathologies. This article is part of the Special Issue entitled "Neurobiology of Environmental Enrichment"., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

Purpose: To characterise the effects on accommodation and binocular vision in young adults of 2 distance centre multifocal soft contact lenses (MFSCLs), differing in add power., Methods: Twenty-four young adult myopes (18-28 years; 20 females, 4 males) had baseline visual acuity, accommodation, near phoria, fixation disparity and stereopsis data collected with single vision (SV) SCLs. The same set of measurements was repeated immediately after subjects were fitted with each of two MFSCLs (with either +1.50 or +3.00 D add), and after 2 weeks of daily wear in each case. The order of testing was randomised and a one-week washout period was allowed between the first and second MFSCL trials., Results: Differences in distance and near acuities with MFSCLs compared to SVSCLs were small and clinically insignificant. Compared to responses with SVSCLs, MFSCLs increased accommodative lags with this change reaching statistical significance for the +1.50 D add lens. Furthermore, both MFSCLs induced significant shifts in near phorias in the exo direction. Finally, there were no significant differences in stereopsis and fixation disparity with MFSCLs compared to SVSCLs., Conclusion: Differences in acuities, accommodation accuracy and binocular posture with MFSCLs compared to SVSCLs were clinically small and mostly not significant. These results predict good tolerance of MFSCLs in young patients fitted with them for myopia control., (Copyright © 2015 Elsevier Ltd. All rights reserved.)

Objective: To evaluate the efficacy of using a parasympathomimetic drug (carbachol) with an alpha agonist (brimonidine) to create optically beneficial miosis to reduce the effect of presbyopia., Methods: In this prospective, double-masked, randomized, placebo-controlled clinical trial, 48 naturally emmetropic and presbyopic subjects aged between 43 and 56 years with an uncorrected distance visual acuity of at least 20/20 in both eyes without additional ocular pathology were eligible for inclusion. Subjects were divided into 2 groups. The treatment group (n=30 eyes) received single dose of 2.25% carbachol plus 0.2% brimonidine eye drops. The control group (n=18 eyes) received placebo drops. Drops were given to all subjects in a masked fashion, in their nondominant eye. The minimum posttreatment follow-up was 3 months. The subjects' pupil size and both near and distance visual acuities were evaluated before and after treatment at 1, 2, 4, 8, and 10 hr, by a masked examiner at the same room illumination., Results: Statistically significant improvement in near visual acuity was achieved in all subjects who received carbachol plus brimonidine drops (P<0.0001). In this masked study, all subjects liked and would use this therapy if it was available. None would use the placebo. There was no evidence of tolerance or tachyphylaxis during the study period., Conclusions: Improving the depth of focus by making the pupil smaller caused statistically significant improvement in near visual acuity in emmetropic presbyopic subjects. Carbachol plus brimonidine seem to be an acceptable and safe alternative to corrective lenses and surgical procedures.

Purpose: To assess the suitability of galantamine for the symptomatic treatment of post-traumatic oculomotor (III) and trochlear (IV) nerve palsy., Material and Methods: The routine ophthalmic and strabological examination was performed in five patients (4 females and 1 male) at the age of 31 to 57 years (mean 40.7) with the post-traumatic ophthalmic complications. Due to the unilateral oculomotor and trochlear nerve palsy, which had not resolved within 2-6 (mean duration of 4 months) months following traffic accident, galantamine was used. Nivalin and Reminyl were administered in iontophoresis and orally, respectively, for 10-18 months (mean duration of 14 months). The ocular muscle motion exercises and prism correction were also used., Results: The increased range of ocular motion (100%), reducing of the angle of strabismus horizontally (40%) and vertically (60%), statistically significant extension of palpebral fissure (60%), and regression of diplopia (80% total without correction) were observed. The binocular vision after treatment in the free- and instrument-space environment were also improved (100% simultaneous perception, fusion 80%, stereopsis 60%)., Conclusions: The early galantamine administration in patient with n. III and n. IV post-traumatic palsy accelerates the resolution of post-traumatic ophthalmic symptoms. It is an effective treatment which offers the elimination of strabismus, diplopia and ptosis, at the same time improvings ocular movements and binocular vision. galantamine, post-traumatic nerve palsy, oculomotor and trochlear nerves.

Introduction: Neuropsychological abnormalities in transsexual patients have been reported in comparison with subjects without gender identity disorder (GID), suggesting differences in underlying neurobiological processes. However, these results have not consistently been confirmed. Furthermore, studies on cognitive effects of cross-sex hormone therapy also yield heterogeneous results., Aim: We hypothesized that untreated transsexual patients differ from men without GID in activation pattern associated with a mental rotation task and that these differences may further increase after commencing of hormonal treatment., Method: The present study investigated 11 male-to-female transsexual (MFTS) patients prior to cross-sex hormone therapy and 11 MFTS patients during hormone therapy in comparison with healthy men without GID. Using functional magnetic resonance imaging at 3-Tesla, a mental rotation paradigm with proven sexual dimorphism was applied to all subjects. Data were analyzed with SPM5., Main Outcome Measures: Patterns of brain activation associated with a mental rotation task., Results: The classical mental rotation network was activated in all three groups, but significant differences within this network were observed. Men without GID exhibited significantly greater activation of the left parietal cortex (BA 40), a key region for mental rotation processes. Both transsexual groups revealed stronger activation of temporo-occipital regions in comparison with men without GID., Conclusions: Our results confirmed previously reported deviances of brain activation patterns in transsexual men from men without GID and also corroborated these findings in a group of transsexual patients receiving cross-sex hormone therapy. The present study indicates that there are a priori differences between men and transsexual patients caused by different neurobiological processes or task-solving strategies and that these differences remain stable over the course of hormonal treatment.

When a new perceptual task is learned, plasticity occurs in the brain to mediate improvements in performance with training. How do these changes affect the neural substrates of previously learned tasks? We addressed this question by examining the effect of fine discrimination training on the causal contribution of area MT to coarse depth discrimination. When monkeys are trained to discriminate between two coarse absolute disparities (near versus far) embedded in noise, reversible inactivation of area MT devastates performance. In contrast, after animals are trained to discriminate fine differences in relative disparity, MT inactivation no longer impairs coarse depth discrimination. This effect does not result from changes in the disparity tuning of MT neurons, suggesting plasticity in the flow of disparity signals to decision circuitry. These findings show that the contribution of particular brain area to task performance can change dramatically as a result of learning new tasks.

Recent data on alterations of the endogenous cannabinoid system in schizophrenia have raised the question of its functional role in this disease. The psychoactive compound of Cannabis sativa, delta-9-tetrahydrocannabinol (Delta9-THC), has been shown to induce psychotic symptoms, but it is unknown to what extend prodromal states of psychoses are reflected by these experimental approaches. This study compares four groups of subjects: antipsychotic-naïve patients suffering from acute paranoid schizophrenic or schizophreniform psychosis (SZ), patients in the prodromal state (IPS), healthy controls without any pharmacological intervention (HC) and a second group of healthy volunteers who were orally administered synthetic Delta9-THC (Dronabinol) (HC-THC). Neither SZ and IPS nor HC received the experimental drug. All subjects were assessed using the Brief Psychiatric Rating Scale (BPRS) and the Binocular Depth Inversion Illusion Test (BDII). The latter represents a sensitive measure of impaired visual information processing that manifests in various experimental and naturally occurring psychotic states. BDII values were well comparable in SZ, IPS and HC-THC, and all groups differed significantly to HC. The BPRS revealed no significant difference between HC-THC and IPS while both were significantly different from SZ and HC, respectively. Our results suggest that Delta9-THC-induced altered states of consciousness may serve as a useful tool for modeling psychotic disorders, particularly their prodromal states. Furthermore, they provide insight into the perceptual and psychopathological alterations induced by Delta9-THC, which is essential for the understanding of the pro-psychotic effects of herbal cannabis preparations with highly enriched Delta9-THC content.

Motion parallax, the ability to recover depth from retinal motion generated by observer translation, is important for visual depth perception. Recent work indicates that the perception of depth from motion parallax relies on the slow eye movement system. It is well known that ethanol intoxication reduces the gain of this system, and this produces the horizontal gaze nystagmus that law enforcement's field sobriety test is intended to reveal. The current study demonstrates that because of its influence on the slow eye movement system, ethanol intoxication impairs the perception of depth from motion parallax. Thresholds in a motion parallax task were significantly increased by acute ethanol intoxication, whereas thresholds for an identical test relying on binocular disparity were unaffected. Perhaps a failure of motion parallax plays a role in alcohol-related driving accidents; because of the effects of alcohol on eye movements, intoxicated drivers may have inaccurate or inadequate information for judging the relative depth of obstacles from motion parallax.

Purpose: The incidence of stereoscopic vision following surgery for infantile esotropia has been reported, but not from patients treated with simultaneous bimedial injection of botulinum toxin A. We previously reported other findings from 41 patients treated with botulinum toxin A before the age of 12 months. The purpose of this study was to report the incidence of stereopsis in these patients after long-term follow-up., Patients and Methods: Data were acquired by recording the response to subjective stereoscopic testing during the postinjection follow-up period when reliable subjective responses could be obtained. At least 5 years had passed following injection, and the mean age of the patients was 8 years., Results: Of the 41 patients, 11 were lost to follow-up, 10 had no stereopsis, 9 had gross stereopsis (according to Titmus fly tests), 1 had 800 seconds of stereoscopic vision, 2 had 400 seconds, 2 had 200 seconds, 1 had 60 seconds, and 5 had 40 seconds., Conclusions: In this study, two-thirds of the patients acquired stereopsis following simultaneous bimedial injection of botulinum toxin A for infantile esotropia. Stereopsis acquisition following injection of botulinum toxin A had a success rate comparable with that reported for surgically corrected infantile esotropia. Bimedial injection of botulinum toxin A accompanied by alternate patching prior to injection and diligent attention at ages ranging from 4 to 12 months is a simple and efficacious method for the management of infantile esotropia.

Background: So far in Germany, no legally binding standards for blood alcohol concentration exist that prove an impairment of navigability. The aim of our interdisciplinary project was to obtain data in order to identify critical blood alcohol limits. In this context the visual system seems to be of decisive importance., Materials and Methods: 21 professional skippers underwent realistic navigational demands soberly and alcoholized in a sea traffic simulator. The following parameters were considered: visual acuity, stereopsis, color vision, and accommodation., Results: Under the influence of alcohol (average blood alcohol concentration: 1.08 per thousand ) each skipper considered himself to be completely capable of navigating. While simulations were running, all of the skippers made nautical mistakes or underestimated dangerous situations. Severe impairment in visual acuity or binocular function were not observed. Accommodation decreased by an average of 18% ( p=0.0001). In the test of color vision skippers made more mistakes ( p=0.017) and the time needed for this test was prolonged ( p=0.004)., Conclusions: Changes in visual function as well as vegetative and psychological reactions could be the cause of mistakes and alcohol should therefore be regarded as a severe risk factor for security in sea navigation.

The role of the N-methyl-D-aspartate (NMDA) neurotransmitter system in relation to psychoses is not completely understood, but represent a challenge in neurobiological research. The psychotic states induced by NMDA antagonists such as phencyclidine and ketamine have been described as being most similar to schizophrenia and the NMDA system has been implicated in the pathogenesis of schizophrenia. Binocular depth inversion, an illusion of visual perception, has been shown to be impaired in psychotic and psychotomimetic states in healthy and schizophrenic subjects. In this study, pictures of natural and artificial objects were presented stereoscopically to 12 healthy male volunteers and depth perception assessed using an operationalized method. The effects of the psychotomimetic S-enantiomer of the anaesthetic ketamine in two different subanaesthetic doses were compared with those of a placebo. In spite of dose dependence and grave subjective and significant objective psychopathology, no significant impairment of binocular depth perception was found with (S)-ketamine. Implications related to memory function, perceptogenesis and 'bottom-up' processing in ketamine model psychosis and schizophrenia are discussed.

Purpose: To evaluate the effects of a single dose of levodopa on visual cortex, based on functional MRI (fMRI), and on visual function, based on psychophysical tests, in amblyopic and normal subjects., Method: A prospective, randomized trial of a single dose of levodopa (2 mg/kg body weight) was undertaken in an institutional setting in nine normal and six amblyopic subjects, who were assessed at baseline and 90 minutes after levodopa ingestion. fMRI of occipital visual cortex was undertaken with a 1.5T GE MRI scanner utilizing the BOLD contrast technique. fMRI stimuli were two gratings (0.5, 2.0 cycles/degree of visual angle) that counterphased at 4 Hz. fMRI parameters for analysis included AREA and LEVEL of activation and a SUMMED score (AREA x LEVEL). Psychophysical tests included visual acuity, contrast sensitivity, stereoacuity, and binocular fusion., Results: At baseline, AREA of activation (P = .05) and SUMMED score (P = .05) were significantly less in the amblyopic compared to the dominant eyes. Psychophysically, visual acuity and contrast sensitivity were significantly worse in the amblyopic eye. Following levodopa ingestion, there was significant decrease in LEVEL of activation in the amblyopic eye, even though visual acuity showed significant improvement (P = .03). Also, amblyopes showed a significant increase and normals showed some decrease in interocular difference in LEVEL of activation (P = .04)., Conclusion: Unique information was obtained when fMRI was utilized to assess visual cortical function. While levodopa improved visual acuity in the amblyopic eye, it decreased the LEVEL of activation based on fMRI, a counterintuitive finding. The results highlight the value of utilizing fMRI to assess amblyopia and provide new directions for research.

The physiological and pathophysiological roles of the central nervous endogenous cannabinoid system are not completely understood, but still represent a challenge in basic neurobiological, cognitive, and psychiatric research. The system has been implicated in the pathogenesis of schizophrenia. Binocular depth inversion, an illusion of visual perception, provides a model of impaired perception during psychotic states. Using this model the effects of nabilone, a psychoactive synthetic 9-trans-ketocannabinoid, and of cannabidiol, the main natural component of herbal cannabis, and a combined application of both substances on binocular depth inversion and behavioural states were investigated in nine healthy male volunteers. The time course of the effects of both substances on binocular depth inversion was analysed after oral administration using three different groups of natural stimuli. A significant impairment of binocular depth perception was found when nabilone was administered, but combined application with cannabidiol revealed somewhat reduced effects on binocular depth inversion. The influence of psychoactive cannabinoids on this perceptual model and the role of the endogenous cannabinoid system in visual information processing are discussed.

Binocular depth inversion represents an illusion of visual perception, serving to invert the perception of implausible hollow objects, e.g. a hollow face into a normal face. Such inversion occurs frequently, especially when objects with a higher degree of familiarity (e.g. photographs of faces) are displayed. Cognitive factors are assumed to override the binocular disparity cues of stereopsis. The hypothesis was tested that during mild and moderate alcohol withdrawal, and severe and mild alcohol intoxication, the central nervous system is unable to correct implausible perceptual hypotheses. Measurements of binocular depth inversion in perception of three-dimensional objects were performed in 10 patients with severe alcohol intoxication, in 10 subjects with mild alcohol intoxication, in nine patients with moderate alcohol withdrawal treated with carbamazepine, in 10 patients with moderate alcohol withdrawal without any pharmacological treatment, in 11 patients with mild alcohol withdrawal and in 10 healthy volunteers. The binocular depth inversion scores were highly elevated in the severely intoxicated patients group and in the group with moderate withdrawal symptoms without carbamazepine treatment, in comparison to the healthy volunteers. The data demonstrate a strong impairment of binocular depth inversion in moderate alcohol withdrawal and during severe alcohol intoxication. This supports the view that these states may be accompanied by a disorganization of the interaction between sensory input and top-down component. The effects of carbamazepine are discussed.

Pairs of mutually different, spatially overlapping letters were exposed for recognition to groups of patients with Parkinson's disease (PD) and the age-matched control group. Stimulus onset asynchrony (SOA), medical treatment status (de novo vs. treated), and predominant symptoms (tremor vs. hypokinetic rigidity) were an other main variables. The highly significant main effects of SOA and health status demonstrated slowing of elementary visual recognition operations in Parkinson's disease; the results are based on the experimental method that requires neither fast manual responses nor tracking of the display events by saccadic eye movements. Significant interaction between the temporal order of stimulus exposure and health status showed that impairment due to PD was more pronounced for the first stimulus, including the de novo group. Qualitatively similar recognition functions in the binocular and dichoptic conditions showed that the typical pattern of results--prevalence of S2 over S1 at intermediate SOAs--cannot be attributed to retinal processes and should be originating from central processes. An earlier finding (Bachmann, 1994) that PD patients whose nonspecific thalamic nuclei were stimulated intracranially produced qualitatively unusual recognition functions that should have been the result of stimulation, rather than PD as such.

Cognitive impairments during psychotic episodes are assumed to be caused not only by one single putative classical neurotransmitter dysfunction but also by an impaired equilibrium of the interaction between different neurobiological generators of cognitive processes. Herein, the perceptual abnormalities induced by psychotogenic agents play a major role as tools for the understanding of model psychoses. The recently discovered cannabinoid receptor system with its endogenous ligand anandamide can be regarded as an extremely relevant regulator system, a dysfunctionality of which may explain at least one subtype of endogenous psychoses. Neuropsychological results (three-dimensional inversion illusion) in delta 9-tetrahydrocannabinol-intoxicated normal volunteers exhibit strong similarities with data acquired from patients suffering from productive schizophrenic psychoses, regarding disturbances in internal regulation of perceptual processes. The relevance of this finding to a general cognitive dysfunction concept of schizophrenic psychosis is discussed.

Cisplatin is an effective chemotherapeutic agent used in the treatment of many pediatric solid tumors. Retinal toxicity is a side effect of the drug reported in adults, but is not well described in pediatric patients. We present the cases of two children treated with cisplatin and etoposide who experienced retinal toxicity documented by visual evoked response (VER) and electroretinogram (ERG). significantly, both patients had abnormal renal function. The mechanism of visual toxicity induced by cisplatin is unknown but may result from central nervous system (CNS) accumulation of drug after repeated doses, especially with high-dose platinum (HDP) containing regimens. Because clearance of platinum is related to adequate renal-function, patients with any decrease in glomerular filtration rate (GFR) may have delayed platinum excretion. We propose that the patients at greatest risk of cisplatin-induced toxicity are those pretreated with nephrotoxic therapy or those with impairment of renal function from other causes. These patients should have prospective ophthalmologic evaluation especially when treated with HDP containing regimens.

In a placebo-controlled experiment comprising 22 healthy men (mean age 27.4 years), we investigated the influence of three breath levels of blood alcohol (BrAC; 0.0%, 0.05% and 0.1%) upon distant visual acuity, stereoacuity, contrast sensitivity, accommodation, resting focus of accommodation and binocular vision. Positive (PRA) and negative accommodation (NRA) and resting focus of accommodation showed no significant changes with increasing BrAC. Compared to the placebo condition, visual acuity and refraction were only significantly affected at a breath alcohol level of 0.1%. Contrast sensitivity, stereoacuity and binocular vision were affected both at BrAC 0.05% and BrAC 0.1%. Only the higher spatial frequencies of contrast sensitivity were affected.

Binocular depth inversion represents an illusion of visual perception. Such inversion does not occur in all cases, especially when objects with a higher degree of familiarity (e.g. photographs of faces) are displayed. Cognitive factors are assumed to override the binocular disparity cues of stereopsis. We tested the hypothesis that during alcohol withdrawal the human CNS is unable to correct the implausible perceptual hypothesis. Measurements of binocular depth inversion in perception of 3D objects were performed in 10 patients with mild alcohol withdrawal and in 11 healthy volunteers. The binocular depth inversion scores were highly elevated in the patients group in comparison to the healthy volunteers. The data demonstrates a strong impairment of binocular depth inversion in alcohol withdrawal and support the view that alcohol withdrawal may be accompanied by a disorganization of the interaction between sensory input and generation of perceptual hypotheses.

For 45 years, Bob had no subjective sense of depth; the world appeared two-dimensional to him. Then, when he was viewing mountain vistas while using marijuana, he suddenly was able to see three dimensions. This case, apparently unique in the literature, suggests that subjective dimensionality may be functionally separate from use of distance cues.

Background: Cerebral achromatopsia is a disturbance of colour perception which may be complete or partial., Clinical Record: A 28-year-old male patient presented five months after carbon monoxide poisoning with achromatopsia. The achromatopsia was unaccompanied by an inability to recognise faces (prosopagnosia) nor was there any disorder of form or depth perception., Results: Magnetic resonance imaging showed bilateral sharply defied areas of haemorrhagic infarction in the globus pallidus with extensive infarction involving temporal and occipital lobes and with apparent partial sparing of the visual cortex, presumably due to arterial insufficiency. The disturbance of central colour vision resolved spontaneously after a further period of 6 months., Conclusion: The symptom of achromatopsia is analysed with particular reference to the recent work of Professor Zeki on disturbance of central colour vision following CO poisoning and the unusual MRI findings.

In humans and other animals, lead exposure in infants and young animals affects anatomic, physiologic, behavioral, and intellectual development. Yet it is largely unknown whether the effects occur gradually or are more pronounced if exposure occurs at particular stages. In this article we examine the effects of temporal differences in lead exposure on early behavioral development in herring gulls (Larus argentatus). We randomly assigned 64 1-2-day-old gull chicks to one of four treatment groups to receive a lead acetate dose at age 6 days (100 micrograms/g) or 12 days (50 or 100 micrograms/g), or to receive matched volume saline injections on the same days. Behavioral tests were performed at 2-5-day intervals to examine locomotion, balance, righting response, thermoregulation, and visual cliff. Flight behavior was examined at fledging. Results were compared with previously studied exposures at 2, 4, and 6 days of age. Righting response and balance were disrupted immediately after exposure, regardless of the timing of exposure. Thermoregulatory, visual cliff, and individual recognition behavior were more affected by exposure at 2-6 days, and there was little effect with exposure at 12 days. These results confirm the existence of critical periods for certain behaviors to lead exposure in developing herring gulls.

Organisms in marine environments are exposed to chromium and manganese, yet little is known of the effects of these metals on physiology and behavior. In this article we examine the effects of chromium and manganese on early neurobehavioral development in herring gulls, Larus argentatus. Each of 36 2-day-old herring gull chicks was randomly assigned to one of three treatment groups to receive either chromium nitrate (25 mg/kg), manganese acetate (50 mg/kg), or a control dose of sterile saline solution. The trios were not siblings, but were matched by age and weight. Behavioral tests examined food-begging, balance, locomotion, righting response, recognition, thermoregulation, and perception. There were significant differences in begging behavior by 5 days postinjection, and there were significant differences in weight gain throughout development until 50 days of age, when the experiment was terminated. Behavioral tests, administered from 18-48 days postinjection, indicated significant differences between control and the exposed groups for time to right themselves; thermoregulation behavior; and performance on a balance beam, inclined plane, actual cliff, and visual cliff (although not all components varied significantly). Of the 14 behavioral measures with significant differences, control birds performed best on 12.

Lead exposure early in life affects behavioral, physiologic, and intellectual development in humans and other animals. In this article, we examine the effects of temporal differences in lead exposure on early development in herring gulls (Larus argentatus). Each of 72 1-day-old herring gull chicks was randomly assigned to one of six treatment groups to receive a lead nitrate concentration of 100 micrograms/g at age 2 or at age 6, a similar cumulative dose evenly divided on days 2, 4, and 6, or matched-volume saline injections on the same days. Behavioral tests were performed (some at 2- and others at 5-day intervals) to examine locomotion, balance, righting response, thermoregulation, and visual cliff. Most variation in weight was explained by testing age, although treatment affected weight gain for the lead-6 gulls, particularly after 20 days. Although treatment influenced balance and locomotion, the effect was small. The lead-6 birds were unable to remain on an incline as long as the lead-2, lead-246, and control birds. The overall score for balance improved with age for controls, showed little change for the lead-2 and lead-2-4-6 gulls, but showed a decrease in performance for the lead-6 birds. On the thermoregulation test, the lead-6 birds performed less well under both low- and high-temperature test conditions. Although the lead-2-4-6 birds had a lower score on the visual cliff tests than the other groups, the lead-6 gulls showed a significant delay in response and gave significantly fewer calls then the other groups.(ABSTRACT TRUNCATED AT 250 WORDS)

Background: Botulinum toxin injection into the medial rectus has been recommended by several investigators as an alternative to incisional surgery for treatment of patients with congenital (essential infantile) esotropia. Currently, there are no published studies demonstrating both the motor and sensory results of congenital esotropic patients aligned by botulinum toxin., Methods: The author traveled to two medical centers to personally and objectively examine, with standardized testing methods, 12 patients with congenital esotropia who had been aligned for a minimum of 6 months by the age of 2 years by other investigators. The selected patients had been followed for a minimum of 3 years and were of sufficient maturity to reliably respond to sensory testing. A comparison was made between the author's conclusions about the binocularity results of these patients and the assessment of the treating ophthalmologists., Results: Only 6 of the 12 patients demonstrated optimum motor alignment to within 10 prism diopters (PD) of orthophoria at the time of the study. A minimum of 1-month (average, 5 months) post-botulinum injection was found to be necessary to establish this alignment. Only three of these six aligned patients could both fuse and demonstrate gross stereopsis without the assistance of compensatory prisms. These results can be contrasted to a previously reported group of surgically aligned cases in which 66 of 90 patients aligned by 2 years of age could both fuse and demonstrate stereopsis, without any use of compensatory prisms., Conclusion: These results must be considered preliminary. However, alignment by botulinum appears to be less effective in establishing evidence for binocularity than incisional surgery in the treatment of congenital esotropia (P < 0.001).

Measurements of binocular depth inversion using a stereoscopic slide projection with polarized light were performed in healthy volunteers before and after cannabis intake. Since binocular depth inversion represents an illusion occurring in the perception of semantically meaningful objects projected in a 3-D inverted fashion, the hypothesis can be tested that cannabis-induced "psychedelic states" represent a condition in which the human CNS is unable to correct implausible perceptual hypotheses. The data demonstrate a strong cannabis-induced impairment of binocular depth inversion.

Evoked potentials were recorded at four scalp sites O1, O2, T5, T6; before and after the consumption of one of two alcohol dose levels, to the occurrence of disparate stimuli in dynamic random dot stereograms. Twenty young adult subjects, all of whom had vision which was normal or corrected to normal, were randomly assigned to the two dosage groups. Subjects viewed stimuli which embodied crossed disparity and followed one of three trajectories in depth. The task was to distinguish between and identify, by specific button presses, these trajectories. One half of the stimuli were presented with monocular cues to motion in depth (dark condition); in the remainder only stereoscopic depth information was available (uniform condition). Responses to both conditions showed alcohol-related reduction of evoked responses across all sites. It was concluded that the visual systems associated with the processing of motion in depth were susceptible to alcohol effects, as revealed by reductions in the amplitude of evoked responses.

Visual acuity, phoria, stereopsis, and contrast sensitivity were assessed over 6 h of continued exposure to combinations of atropine (2 mg) and 2-PAM chloride (600 mg), severe heat/humidity (95 degrees F (35 degrees C); 60% RH), and wearing either the U.S. Army battle dress uniform (BDU) or the BDU and the impermeable chemical protective clothing (MOPP-IV). Subjects were able to complete all 6 h of testing under severe heat when wearing BDU's, but only lasted 2 h under the same severe heat when wearing MOPP-IV. Acuity and phoria were significantly impaired by the drug in the BDU conditions. Acuity, phoria and stereopsis were all significantly impaired by heat, drug and continued exposure under MOPP-IV. Acuity was significantly impaired by drug even during the first 2 h of heat exposure in MOPP-IV. Contrast sensitivity was impaired mainly by continued heat exposure in MOPP-IV.

The literature on the effect of alcohol on sensory and sensorimotor visual functions is extensive. The findings are often contradictory and early studies did not correlate the effects with blood alcohol levels. This study was designed to test the effects of alcohol on various visual functions using equipment that is freely available to the clinician. A significant loss of visual field, accommodation and convergence that correlated with increasing blood alcohol levels was found. Visual acuity, color vision and stereoacuity were not significantly altered by alcohol.

Two experiments were performed to measure separate aspects of cross-modal functions in normal and alcoholic research participants: matching, and utilization of concepts. In Experiment 1, cross-modal equivalence-matching was measured, i.e. the ability to select in a second modality (e.g. vision), the same stimulus that was first presented in a different modality (e.g. touch). Experiment 2 measured cross-modal transfer of information about stimulus dimensions, i.e. the ability to recognize and use the concepts of texture and form, based upon prior experience solving tactual problems, to solve visual problems. Fifty-five normal and alcoholic research participants comprised the following five groups: 13 young normals (YN) and 10 young alcoholics (YA), 28-48 years of age; 13 older normals (ON) and 14 older alcoholics (OA), 50-71 years of age; and 5 alcoholic Korsakoff patients (K), 55-68 years of age. Separate subgroups of 9 age-matched ONs and 9 OAs were devised for purposes of statistical analyses of data involving the 5 Ks. Results of the experiments indicated that aging is associated with decline in tactual discrimination ability. Further, cross-modal functions appear to be compromised by alcoholic Korsakoff's disease, and--to a lesser extent--by the combined effects of alcoholism and normal chronological aging. Brain mechanisms important for normal cross-modal functions are discussed.

Lead exposure early in life affects behavioral and intellectual development in humans. In this paper, I use the herring gull, Larus argentatus, as an animal model to examine effects of lead exposure on early development. Like humans, birds rely mainly on visual and vocal, rather than olfactory, modes of communication. Each of 24 one-day-old herring gull chicks was randomly assigned to one of three treatment groups to receive a lead nitrate solution at a concentration of 0.0, 0.1 and 0.2 mg/g. The control dose was an equal volume of sterile saline. The trios were not siblings, but were matched by weight. Behavioral tests were performed either daily, every two to five days, or at the end of the experiment (45 days posthatching), depending on the nature of the experiment. The behavioral tests examined locomotion, balance, righting response, begging, recognition, thermoregulation and visual cliff. Although on most days, begging behavior, balance and righting response did not differ significantly, over the 45 days of the experiment control birds performed better on more days than the lead-injected birds. Balance was disturbed by lead-injection for the first six days following injection. Individual recognition developed by day 5 in control birds, by day 10 for 0.1 Pb mg/g birds, and by day 14 for 0.2 Pb mg/g birds. Depth perception and thermoregulation behavior were also adversely affected by lead.

Exposure to lead early in life is known to affect behavioral and intellectual development. To develop an animal model we chose the common tern, Sterna hirundo, a species whose early developmental landmarks are well known. One potential for avian models lies in the reliance of birds on visual and acoustic rather than olfactory (and ultrasonic) modes of communication. One randomly chosen member of each of 8 pairs of young common tern chicks was injected with lead nitrate solution at a concentration of 0.2 mg/g. The pairs were not siblings but were matched for age (+/- 1 d) and weight (+/- 3 g). The second member of each pair was injected with an equal volume of sterile saline. Behavioral tests performed examined locomotion, balance and righting response, feeding tasks and begging, depth perception and response on a visual cliff, and behavioral thermoregulation. In each pair the control chick was heavier at 4 wk of age. For most behavioral measures, except begging and movement on a stationary incline, the lead-injected chicks performed less well than the control chicks. When presented with a novel feeding situation (reversal of fish position), the lead-injected chicks required significantly more time to eat the same number of fish. The single injection of lead thus affected a variety of behavioral patterns, with effects apparent within 5 d after injection.

The effects of perinatal chlordiazepoxide (CDZ) exposure were studied in 3 to 30 day old F344 rats. Pregnant primaparous rats were treated daily on days 1-21 of pregnancy with CDZ (1 mg/kg) or saline (IP). Lactating females were treated with CDZ or saline in order to expose pups on postnatal days 1-21. Behavioral measures on all litters included: cliff avoidance (postnatal days 4-10), swimming (postnatal days 6-10), open field activity (postnatal days 14 and 21) and active avoidance (beginning postnatal day 30). Neonates perinatally exposed to CDZ were significantly slower in cliff avoidance development as measured by latency to meet criterion. Swimming development was impaired by both prenatal and postnatal CDZ exposure. Open field activity was minimally affected on day 14 but only for males exposed postnatally to CDZ. Postnatal CDZ exposure significantly affected active avoidance performance as reflected in faster response latencies and an increased number of avoidance responses to reach criterion for extinction. Only the postnatally exposed male pups were significantly affected on the avoidance behavior. These results are consistent with the suggestion that CDZ is a potential behavioral teratogen.

Exposure to lead early in life is known to affect behavioral development. Young common terns (Sterna hirundo) were injected with lead nitrate solution (0.2-1.2 mg/g) or sterile saline to examine the dose-response curve for behavioral effects. Exposed chicks received a dose of lead on d 3 or on d 3 and 7. Behavioral tests 2 d after each injection included visual cliff performance, locomotion, and righting response. Survival depended not only on dose but also on whether chicks received one or two injections. Despite the narrow range of doses, behavioral differences were noted for all measures as a function of dose. The initial lead dose affected behavior more than the second dose, despite the fact that birds receiving a divided dose were more likely to die.

Lesions in 12 cats that destroyed almost all of area 17 (Group MS) abolished differential responding on the visual cliff. Performance was not impaired in 9 cats in which regions of the striate cortex were spared in the depths of the splenial sulcus or in 23 cats with damage to extramarginal areas. There were 37 controls. Additional experiments indicated that the deficit in performance by MS cats was not reduced either by the administration of amphetamine or by increases in cues for motion parallax. Monocularly occluded normal cats preferred the shallow surface of the visual cliff, demonstrating that the deficit was not due solely to removal of neurons sensitive to binocular disparity. The findings were discussed in light of electrophysiological evidence that lesions of the visual cortex disrupt functions of the superior colliculus.

The visual hallucinations experienced by a 26-year-old woman under the influence of hallucinogens and during schizophrenia are described. Three types of hallucinations are delineated: (1) superimposed hallucinations, (2) spatial and depth distortions, and (3) animations. These three types of hallucinations appear to represent consecutive gradations on a continuum of the ego function of reality testing, with superimposed hallucinations revealing the least and animations the greatest degree of disorientation. The findings of the present study indicate the need for a research design that compares the hallucinations of schizophrenics to the toxic hallucinations of nonschizophrenics.

Amoxapine, a tricyclic dibenzoxazepine is an antidepressant which in the dosage range of 150-300 mg/day is notable for its rapid onset of action. Because of the rather long, approximately 30-hour, half-life of 8-hydroxyamoxapine, the active metabolite of amoxapine, the possibility was raised that amoxapine therapy may be carried out with single daily dosages. Such a dosage schedule may improve compliance and, if appropriately timed, decrease perception of some of the unwanted effects of the drug. To test the hypothesis that there may be no disadvantages and perhaps even advantages of a once-a-day regimen as compared to a divided dosage schedule, a 6-week double-blind clinical trial was carried out in 35 hospitalized patients with major (18 patients) and minor (17 patients) depressive disorders. While no statistically significant difference was found in overall therapeutic and adverse effects between the groups treated with single or divided daily doses, onset of therapeutic effect appeared a bit faster in the group treated with single daily doses. Of particular relevance for drugs which can be given in single daily doses is their effect on psychomotor performance tests. In view of the findings that a once-a-day dosage regimen with amoxapine may have advantages over divided daily doses, a second study was carried out in which the effects of amoxapine (50 and 100 mg) were compared to an inactive placebo and amitriptyline (50 mg) with and without ethanol in 8 normal male volunteers. The study was double-blind and followed a latin square design. Since the effects of amoxapine on motor reflex, visual-motor coordination and depth perception did not differ significantly from placebo, the results suggest that the effects of amoxapine on the performances measured are clinically insignificant. No significant interaction with ethanol was noted.

Natural lithium (Li) salts, including those used routinely in manic depressive illness, consist of two stable nonradioactive isotopes: lithium-7 (Li-7) (92.6%) and lithium-6 (Li-6) (7.4%). Female rats (3 months old) were treated with either Li-7 chloride or Li-6 chloride or were untreated prior to and during gestation and lactation. Birth weights were lower for Li-treated animals than for normal pups. Maternal behavior of all Li-treated mothers was altered. Li-7 mothers ignored their pups and nursed them infrequently. Li-6 mothers groomed and nursed their pups more often than normal mothers. All pups showed delays in development, especially in the maturation of depth perception. Although Li-6-treated dams were over-protective mothers, their offspring showed longer developmental delays than those of Li-7-treated offspring.

Combinations of atropine (up to 4 mg.70 kg-1) and 2-PAM Cl (up to 1200 mg.70 kg-1) were studied for their effects on a pursuit tracking task, six visual functions, heart rate and blood pressure, and cognitive functions as measured by six psychological tests. Tracking performance in both bright light and dim light was significantly degraded up to 3.5 h after injection. High- and low-contrast near acuity was significantly altered up to 6 h after injection, whereas accommodation and pupil size remained altered for 24 h. Elevated pulse rates were observed for 4 h. Elevated systolic blood pressures were observed for 2 h while diastolic pressures remained elevated for 6 h. No drug effects were found for the psychological tests. Overall, the observed effects of these two drugs in combination are qualitatively similar to those of atropine alone although they are of greater magnitude. On two measures (accommodation and diastolic blood pressure), 2-PAM Cl was found to significantly potentiate the atropine effect.

It has been known for many years that ethanol has an impairing effect on binocular vision and the co-ordination of the ocular motor balance. Various parameters were compared before and after imbibition of a moderate dosage of ethanol. The results show an increase in esophoria (or decrease in exophoria) at 6 m, with a reduction in the negative fusional ability. They also show an increase in exophoria (or decrease in esophoria) at near, with a decrease in both the AC/A ratio and near point of convergence. There was no significant effect on the amplitude of accommodation. This study raises the possibility of an ophthalmic practitioner attempting to correct a transient, ethanol-induced ocular motor imbalance.

In adult cats with bilateral visual cortex ablation the complete deficit in binocular depth perception, as measured on a visual cliff, was reversed by 4 doses of amphetamine. The amphetamine-induced recovery endured after the amphetamine treatment was discontinued. This enduring recovery of function was not obtained if the animals were housed in the dark during drug intoxication. Therefore, both amphetamine intoxication and visual experience are simultaneously required for recovery of binocular depth perception after visual cortex ablation.

After bilateral visual cortex ablation, cats exhibit a loss of depth perception as measured on a visual cliff, which recovers following administration of d-amphetamine. In this Study, 3 amphetamine-treated cats with visual cortex ablations showed a rapid and enduring recovery, with 2 of these animals obtaining levels of performance seen only with binocular vision, suggesting a restoration of binocular depth perception. Cats with asymmetrical lesions showed only a transient improvement during amphetamine treatment, and some animals not displaying autonomic signs of amphetamine intoxication did not improve. Saline-treated cats showed no signs of improvement, and the effect of amphetamine was blocked by the catecholaminergic antagonist haloperidol. These results indicate that amphetamine can induce an enduring recovery from a behavioral deficit after brain injury, which if left untreated would not spontaneously recover.