The sweep visual evoked potential method (sVEP) is a powerful tool for measurement of visual acuity in infants. Despite the applicability and reliability of the technique in measuring visual functions the understanding of sVEP acuity maturation and how interocular difference of acuity develops in early infancy, as well as the availability of normality ranges, are rare in the literature. We measured binocular and monocular sVEPS acuities in 481 healthy infants aged from birth to 24 months without ophthalmological diseases. Binocular sVEP acuity was significantly higher than monocular visual acuities for almost all ages. Maturation of monocular sVEP acuity showed 2 longer critical periods while binocular acuity showed three maturation periods in the same age range. We found a systematic variation of the mean interocular acuity difference (IAD) range according to age from 1.45 cpd at birth to 0.31 cpd at 24 months. An additional contribution was the determination of sVEP acuity norms for the entire age range. We conclude that binocular and monocular sVEP acuities have distinct growth curves reflecting different maturation profiles for each function. Differences in IAD range shorten according to age and they should be considered in using the sVEP acuity measurements for clinical diagnosis as amblyopia.
Resumo O objetivo deste trabalho foi medir a sensibilidade ao contraste para freqüências radiais (FSCr) de 0,25 a 2 cpg em crianças (4 a 7 anos) e adultos. Foram estimados limiares de contraste para 25 participantes (vinte crianças e cinco adultos jovens), utilizando o método psicofísico da escolha forçada. Os participantes apresentavam acuidade visual normal. Os resultados mostraram que as curvas (FSCr) de crianças de 4 a 7 anos melhoraram de forma significativa com a idade. Os resultados mostraram ainda que a FSCr de crianças de 7 anos é mais baixa do que a de adultos jovens. Estes resultados sugerem que o desenvolvimento da percepção visual de contraste para estímulos radiais ocorre gradualmente se prolongando além dos 7 anos. Palavras-chave: Sensibilidade ao contraste; desenvolvimento visual; crianças; freqüência radial; método da escolha forçada. AbstractThe aim of this work was to measure contrast sensitivity for radial frequencies (rCSF) in the range between 0.25-2 cpd in children (4 to 7 years of age) and young adults. Contrast thresholds were estimated for 25 participants (twenty children and five adults) using the psychophysical forced-choice method at low luminance levels. All the cts participants had normal acuity. The results showed that the curves (rCSF) of the 4, 5, 6 and 7 years old improved significantly with age. The results also showed that the rCSF for 7 year old children was lower than in young adults. These results suggest that the development of contrast sensitivity for radial stimuli increases gradually even after turning 7 years old.
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