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Does spectacle use lead to vestibular suppression?

Published online by Cambridge University Press:  17 October 2016

A Thakar
A Thakar*
Affiliation:
Department of Otolaryngology and Head – Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
*
Address for correspondence: Dr A Thakar, Department of Otolaryngology and Head – Neck Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India Fax: 91 11 2658 8641 E-mail: drathakar@gmail.com
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Abstract

Background:

Laboratory experiments indicate that changes in retinal image size result in adaptive recalibration or suppression of the vestibulo-ocular reflex. Myopia correction with spectacles or contact lenses also leads to retinal image size changes, and may bring about similar vestibulo-ocular reflex alterations.

Methods:

A hypothesis-generating preliminary investigation was conducted. In this cross-sectional study, findings of electronystagmography including bithermal caloric testing were compared between 17 volunteer myopes using spectacles or contact lenses and 17 volunteer emmetropes (with no refractive error).

Results:

Bilateral hypoactive caloric responses were demonstrated in 6 of 11 spectacle users, in 1 of 6 contact lens users and in 1 of 17 emmetropes. Hypoactive caloric responses were significantly more likely in spectacle users than in emmetropes (p < 0.01; relative risk = 9.3).

Conclusion:

A significant proportion of myopes using spectacles have vestibulo-ocular reflex suppression, as demonstrated by the caloric test. This has implications for the interpretation of electronystagmography and videonystagmography results, and highlights spectacle use as a possible cause of vestibular impairment. Further corroboration of these findings is warranted, with more precise and direct vestibulo-ocular reflex tests such as rotational tests and the head impulse test.

Keywords

MyopiaCaloric TestsVestibulo-Ocular Reflex
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 11 , November 2016 , pp. 1033 - 1038
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Guerraz, M, Yardley, L, Bertholon, P, Pollak, L, Rudge, P, Gresty, MA et al. Visual vertigo: symptom assessment, spatial orientation and postural control. Brain 2001;124:1646–56Google Scholar
2 Devèze, A, Montava, M, Lopez, C, Lacour, M, Magnan, J, Borel, L. Vestibular compensation following vestibular neurotomy. Eur Ann Otorhinolaryngol Head Neck Dis 2015;132:197–203 CrossRefGoogle ScholarPubMed
3 Highstein, SM. Role of the flocculus of the cerebellum in motor learning of the vestibulo-ocular reflex. Otolaryngol Head Neck Surg 1998;119:212–20Google Scholar
4 Demer, JL. Evaluation of vestibular and visual oculomotor function. Otolaryngol Head Neck Surg 1995;112:16–35 Google Scholar
5 Freedman, W, Caroll, JR, McElligott, JG. Comparison of vestibulo-ocular reflex (VOR) modification methods in cats. Vision Res 1990;30:1525–8Google Scholar
6 Ito, M. Cerebellar control of the vestibulo-ocular reflex: around the flocculus hypothesis. Annu Rev Neurosci 1982;5:275–96Google Scholar
7 Lisberger, SG. Physiologic basis of motor learning in the vestibulo-ocular reflex. Otolaryngol Head Neck Surg 1998;119:43–8Google Scholar
8 Demer, JL. Mechanisms of human vertical visual-vestibular interaction. J Neurophysiology 1992;68:2128–46Google Scholar
9 Kramer, P, Shelhamer, M, Zee, DS. Short-term vestibulo-ocular adaptation: influence of context. Otolaryngol Head Neck Surg 1998;119:61–4Google Scholar
10 Collins, WE. Habituation of vestibular responses with and without visual stimulation. In: Kornhuber, HH, ed. Handbook of Sensory Physiology: The Vestibular System, Vol. VI. New York: Springer-Verlag, 1974;369–88Google Scholar
11 Gonshor, A, Jones, GM. Extreme vestibulo-ocular adaptation induced by prolonged optical reversal of vision. J Physiol 1976;256:381–414 Google Scholar
12 Demer, JL, Goldberg, J, Porter, FL, Jenkins, HA, Schmidt, K. Visual-vestibular interaction with telescopic spectacles. J Vestib Res 1991;1:263–77CrossRefGoogle Scholar
13 Miles, FA, Eighmy, BB. Long-term adaptive changes in primate vestibuloocular reflex. I. Behavioral observations. J Neurophysiol 1980;43:1406–25Google Scholar
14 Collewijn, H, Martins, AJ, Steinman, RM. Compensatory eye movement during active and passive head movements: fast adaptation to changes in visual magnification. J Physiol 1981;340:259–86Google Scholar
15 Cannon, SC, Leigh, RG, Zee, DS, Abel, LA. The effect of rotational magnification of corrective spectacles on the quantitative evaluation of the VOR. Acta Otolaryngol 1985;100:81–8Google Scholar
16 Abrams, D, Duke-Elder, S. Duke Elder's Practice of Refraction, 9th edn. New York: Churchill Livingstone, 1978;56–7,145–77Google Scholar
17 Kirtane, MV. Standardization in electronystagmography. Indian J Otolaryngol 1979;31:126–32Google Scholar
18 Claussen, CF, von Schlachta, I. Butterfly chart for caloric nystagmus evaluation. Arch Otolaryngol 1972;96:371–5Google Scholar
19 Gonçalves, DU, Felipe, L, Lima, TM. Interpretation and use of caloric testing. Braz J Otorhinolaryngol 2008;74:440–6Google Scholar
20 Bello, S, Paige, GD, Highstein, SM. The squirrel monkey vestibulo-ocular reflex and adaptive plasticity in yaw, pitch, and roll. Exp Brain Res 1991;57:57–66 Google Scholar
21 Eza-Nuñez, P, Fariñas-Alvarez, C, Fernandez, NP. Comparison of three diagnostic tests in detecting vestibular deficit in patients with peripheral vestibulopathy. J Laryngol Otol 2016;130:145–50Google Scholar