Abstract

Amblyopia, which usually occurs during early childhood and results in poor or blurred vision, is a disorder of the visual system that is characterized by a deficiency in an otherwise physically normal eye or by a deficiency that is out of proportion with the structural or functional abnormalities of the eye. Our previous study demonstrated alterations in the spontaneous activity patterns of some brain regions in individuals with anisometropic amblyopia compared to subjects with normal vision. To date, it remains unknown whether patients with amblyopia show characteristic alterations in the functional connectivity patterns in the visual areas of the brain, particularly the primary visual area. In the present study, we investigated the differences in the functional connectivity of the primary visual area between individuals with amblyopia and normal-sighted subjects using resting functional magnetic resonance imaging. Our findings demonstrated that the cerebellum and the inferior parietal lobule showed altered functional connectivity with the primary visual area in individuals with amblyopia, and this finding provides further evidence for the disruption of the dorsal visual pathway in amblyopic subjects.

Highlights

  • Amblyopia is a developmental ocular disorder characterized by a unilateral or bilateral visual deficiency that is out of proportion with any structural abnormalities that are present in the eye [1,2,3,4]

  • We found disrupted spontaneous activity patterns of some brain regions, such as the precuneus, the medial prefrontal cortex, and the cerebellum, in anisometropic amblyopic individuals, which suggested that the decreased visuomotor processing ability and compensatory plasticity coexist in amblyopia [12]

  • Decreased functional connectivity with the right primary visual area was found in the bilateral cerebellum and the conjunction area of the left inferior parietal lobe and the angular lobe (IPL/ANG, BA 40), while increased functional connectivity with the right primary visual area was found in the left postcentral gyrus (PostCG.L) and the conjunction area of the left paracentral lobule and the middle frontal gyrus (PCL/MFG, BA 6/31) (Figure 1, Table S3)

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Summary

Introduction

Amblyopia is a developmental ocular disorder characterized by a unilateral or bilateral visual deficiency that is out of proportion with any structural abnormalities that are present in the eye [1,2,3,4]. Previous studies have observed functional deficits and morphological alterations in the lateral geniculate nucleus in cases of amblyopia [13,14,15], which may suggest that the input pathway could be affected in subjects without normal sight. Yu and colleagues have demonstrated that blind subjects show decreased functional connectivity It is a measurement of the spatiotemporal synchrony or correlations of the blood oxygen level-dependent (BOLD) fMRI signal between anatomically distinct brain

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