The effect of Lasik surgery on myopic anisometropes' sensory eye dominance

Neural Correlates of Sensory Eye Dominance in Human Visual White Matter Tracts

A significant proportion of the human neurotypical population exhibits some degree of sensory eye dominance (SED), referring to the brain's preferential processing of one eye's input versus another. The neural substrates underlying this functional imbalance are not well known. Here, we investigated the relationship between visual white matter tract properties and SED in the human neurotypical population. Observers' performance on two commonly used dichoptic tasks were used to index SED, along with performance on a third task to address a functional implication of binocular imbalance: stereovision. We show that diffusivity metrics of the optic radiations (ORs) well predict behavioral SED metrics. We found no relationship between SED and stereosensitivity. Our data suggest that SED is not simply reflected by gray matter structural and functional alterations, as often suggested, but relates, at least in part to the microstructural properties of thalamocortical white matter.

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

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.

Psychophysical Tests Do Not Identify Ocular Dominance Consistently

Classical sighting or sensory tests are used in clinical practice to identify the dominant eye. Several psychophysical tests were recently proposed to quantify the magnitude of dominance but whether their results agree was never investigated. We addressed this question for the two most common psychophysical tests: The perceived-phase test, which measures the cyclopean appearance of dichoptically presented sinusoids of different phase, and the coherence-threshold test, which measures interocular differences in motion perception when signal and noise stimuli are presented dichoptically. We also checked for agreement with three classical tests (Worth 4-dot, Randot suppression, and Bagolini lenses). Psychophysical tests were administered in their conventional form and also using more dependable psychophysical methods. The results showed weak correlations between psychophysical measures of strength of dominance with inconsistent identification of the dominant eye across tests: Agreement on left-eye dominance, right-eye dominance, or nondominance by both tests occurred only for 11 of 40 observers (27.5%); the remaining 29 observers were classified differently by each test, including 14 cases (35%) of opposite classification (left-eye dominance by one test and right-eye dominance by the other). Classical tests also yielded conflicting results that did not agree well with classification based on psychophysical tests. The results are discussed in the context of determination of ocular dominance for clinical decisions.

On the Relationship Between Sensory Eye Dominance and Stereopsis in the Normal-Sighted Adult Population: Normative Data

The extent of sensory eye dominance, a reflection of the interocular suppression in binocular visual processing, can be quantitatively measured using the binocular phase combination task. In this study, we aimed to provide a normative dataset for sensory eye dominance using this task. Based on that, we also assessed the relationship between perceptual eye dominance and stereopsis. One-hundred and forty-two adults (average age: 24.00 ± 1.74 years old) with normal or corrected to normal monocular visual acuity (logMAR < 0.00) participated. Observer's sensory eye dominance was quantified in two complementary ways: the interocular contrast ratio when the two eyes were balanced (i.e., the balance point) and the absolute value of the binocular perceived phase when each eye viewed maximum contrast stimuli in binocular phase combination task. Stereo acuities were measured with maximum contrast stimuli using an identical spatial frequency (0.30 cycles/degree) and stimulus arrangement to that used in the eye dominance assessment. The averaged balance point was 0.93 ± 0.06 (Mean ± SD), the averaged absolute value of the binocular perceived phase when both eyes viewed maximum contrast stimuli was 7.62 ± 5.91°, and the averaged stereo acuity was 2.19 ± 0.34 log arc seconds. Neither of these two sensory eye dominance measures were significantly correlated with stereo acuity (Balance point: ρ = 0.14, P = 0.10; Phase: ρ = -0.13, P = 0.13). The sensory eye dominance, as reflected using a phase combination task, and stereopsis are not significantly correlated in the normal-sighted population at low spatial frequencies.