Evidence map›Paper›PMID 42117794›Full record

ArticleInvestigative ophthalmology & visual science2026

Investigation of Subcortical Deficits in Unilateral Adult Amblyopia by fMRI.

Shuai Liu, Guoke Yang, Jiang Jiang, Jingwen Yu, Chen Shao, Siyi Jia, Wen Wen, Zhengxuan Jiang

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Article in Investigative ophthalmology & visual science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Shuai LiuOphthalmology Department of The Second Affiliated Hospital of Anhui Medical University, Hefei City, Anhui Province, People's Republic of China.
Guoke YangOphthalmology Department of Hefei First People's Hospital, Hefei City, Anhui Province, People's Republic of China.
Jiang JiangOphthalmology Department of Hefei First People's Hospital, Hefei City, Anhui Province, People's Republic of China.
Jingwen YuOphthalmology Department of Hefei First People's Hospital, Hefei City, Anhui Province, People's Republic of China.
Chen ShaoOphthalmology Department of Hefei First People's Hospital, Hefei City, Anhui Province, People's Republic of China.
Siyi JiaOphthalmology Department of Hefei First People's Hospital, Hefei City, Anhui Province, People's Republic of China.
Wen WenDepartment of Ophthalmology and Visual Science, Eye and ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China.
Zhengxuan JiangOphthalmology Department of The Second Affiliated Hospital of Anhui Medical University, Hefei City, Anhui Province, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study used functional magnetic resonance imaging (fMRI) to investigate layer-specific deficits in the retino-geniculo-striate pathway and functional alterations in the retino-tectal pathway in adult unilateral amblyopia. Methods: Sixteen adult patients (mean age ± SD = 28.4 ± 5.2 years; 9 men and 7 women) with unilateral amblyopia and 12 matched healthy controls (mean age ± SD = 27.1 ± 4.8 years; 7 men and 5 women) underwent 3T fMRI scanning. The lateral geniculate nucleus (LGN) and superior colliculus (SC) were chosen as regions of interest (ROIs) to assess functional status. Responses of the M and P layers were analyzed with general linear models, and stimulus-specific beta values were extracted for quantitative comparison. Results: A significant interaction between stimulus type and subject group was observed in the LGN P layer but not in the M layer. The P-layer responses to P stimuli were significantly reduced in amblyopic eyes, whereas M responses remained relatively preserved, this reduction may partly reflect reduced effective contrast in the amblyopic eye, and input-level factors cannot be fully excluded. In the SC, fellow eyes showed decreased M responses and a shift toward P-preference, whereas no clear deficits were observed in amblyopic eyes. Moreover, MT responses in both amblyopic and fellow eyes were significantly reduced compared with healthy controls, suggesting broader cortical involvement. However, V1 and V2 responses showed no significant reduction, indicating relatively intact early visual cortex activation. Conclusions: An fMRI allowed noninvasive segregation of M and P divisions in the LGN of amblyopic adults. Under the current stimulus conditions, amblyopic eyes showed a predominant reduction in LGN responses, whereas fellow eyes exhibited M-function loss and P-preference shift in the SC. Reduced MT responses in both eyes may arise from abnormal binocular integration mechanisms rather than primary dysfunction in V1 or the M pathway. These findings suggest pathway-selective alterations in subcortical visual structures, although contributions from interocular differences in contrast sensitivity warrant further investigation.

Indexed as

AmblyopiaGeniculate BodiesMagnetic Resonance ImagingSuperior ColliculiVisual PathwaysAdultFemaleHumansMaleVisual CortexYoung Adult

Identifiers

PMID42117794
PMCPMC13179689

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.