2011
DOI: 10.3389/fncel.2011.00025
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New Perspectives in Amblyopia Therapy on Adults: A Critical Role for the Excitatory/Inhibitory Balance

Abstract: Amblyopia is the most common form of impairment of visual function affecting one eye, with a prevalence of about 1–5% of the total world population. This pathology is caused by early abnormal visual experience with a functional imbalance between the two eyes owing to anisometropia, strabismus, or congenital cataract, resulting in a dramatic loss of visual acuity in an apparently healthy eye and various other perceptual abnormalities, including deficits in contrast sensitivity and in stereopsis. It is currently… Show more

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Cited by 66 publications
(65 citation statements)
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References 79 publications
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“…Interestingly, a broadening of neuronal tuning is consistent with the reduced GABAergic inhibition (42), which is thought to accompany plasticity. This is supported by evidence in animal models (55,56) and by MR Spectroscopy in humans where some of us demonstrated that short-term MD induces a change of resting GABA concentration (26). The GABA reduction correlated with the psychophysical estimates of ocular dominance shift, measured for central vision with binocular rivalry (26).…”
Section: Discussionsupporting
confidence: 53%
“…Interestingly, a broadening of neuronal tuning is consistent with the reduced GABAergic inhibition (42), which is thought to accompany plasticity. This is supported by evidence in animal models (55,56) and by MR Spectroscopy in humans where some of us demonstrated that short-term MD induces a change of resting GABA concentration (26). The GABA reduction correlated with the psychophysical estimates of ocular dominance shift, measured for central vision with binocular rivalry (26).…”
Section: Discussionsupporting
confidence: 53%
“…Three major approaches are currently being pursued to improve the prognosis for the recovery of vision in adult patients, all exploiting knowledge of synaptic plasticity: first, finding ways to re-establish the conditions required for juvenile plasticity in the adult cortex [73]; second, exploiting the principles of metaplasticity to encourage the potentiation of synaptic inputs that have withered as a consequence of longterm deprivation [69,74,75]; and third, providing appropriate sensory experience through deprived, and perhaps nondeprived eyes, to induce plasticity that will maximally drive recovery of function [76]. This third approach attempts to exploit a pervasive and fascinating category of sensory plasticity known as perceptual learning [77].…”
Section: Ocular Dominance Plasticitymentioning
confidence: 99%
“…Developmental strengthening of local inhibitory circuits contributes to the termination of the critical period for ODP (17,(44)(45)(46), and experimental reduction of the inhibitory tone partially restores ODP in older rodents (47)(48)(49)(50). Thus, it is possible that the preserved juvenile-like ODP in adult PSD-95 KO mice was the result of a reduction in inhibitory tone.…”
Section: Development Of Local Inhibitory Tone Onto L2/3 Pyramidal Neumentioning
confidence: 99%