Additional Table 2.
Summary of 13 studies in amblyopia used a single modality of task-based functional MRI
| Studies | Analysis method | Amblyopiceye and type | Patients number and age* | Ways and proportion oftreatment received | Controls number and age* | Main findings |
|---|---|---|---|---|---|---|
| Temporospatial resolution stimuli (black and whitecheckerboards or grating) | ||||||
| Lee et al., 2001 | Brain activation (ROI) | PediatricAA: 1OS, 5OD; SA: 3OS, 2OD; 4ES, 1EX | AA: 5M/1F, (8-17) y; SA: 3M/2F, (5-23) y | NA | 2M/1F, (18-22) y | Cortical activations in V1 at the higher spatial frequency decreased in AA than HC, not in SA vs HC. The ratio of the activated voxel numbers of fellow and amblyopic eye monocular stimulations in V1 of SA was smaller than both AA and HC. |
| Wanget al., 2012 | Brain activation (ROI) | PediatricAA and SA: NA | AA: 20, 8.0±1.6 (7-12) y; SA: 17, 7.0±2.3 (7-12) y | NA | 16, 8.5±1.3 (7-12) y | Amblyopia showed lower activation in the striate and extrastriate cortex than HC. SA showed lower brain activation in V2 and temporal and parietal lobes than AA at all spatial frequencies. Lower cortical activations were found especially in V1 of AA but mainly inV2 of SA athigh spatialfrequency compared to HC. |
| Li et al., 2012 | Brain activation(ROI) | PediatricAA: 6OS, 4OD | 5M/5F, (5-11) y | NA | 10, (5-12) y | Weaker fMRI activation in the striate cortex and extrastriate cortices of AA evoked from the AME than the fellow eye, which did not exist in HC during the checkerboard stimulation. |
| Li et al., 2013a | Brain activation(ROI) | AA: 2OS, 3OD | 3M/2F, (16-27) y | Untreated | 4, (25-28) y | Weaker fMRI activation was reported in the V1 and V2 at all spatial and temporal frequencystimuli withAME of AA than thatof the non-dominant eye of HC. |
| Muckli et al., 2006 | Brain activation(ROI) | Adult AA: 2OS, 2OD; Adult SA: 2OS, 2OD | AA: 2F/2M, (24-67) y; SA: 2F/2M, (25-46) y | Patch SA 2/4, AA 1/4 | 3F/1M, (19-67) y | Lower cortical activations in V3a/VP, V4/V8, and lateral occipital complex were found in AA and SA than HC, respectively, especially in the lateral occipital complex evoked by high spatial frequencygrating stimuli. |
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| Tasks tomeasure the functional defect of attention modulation and motion perception | ||||||
| Hou et al., 2016 | Brain activation (ROI), ROI-wise FC | Adult SA: 3ES, 10EX | 6M/7F, 42.5±12.9(24-62) y | Patch9/13Surgery 7/13 | 7M/5F, 40.1±9.8 (25-60) y | During an attentional modulation task, activations in V1, V4, and MT+ were weaker in the AME of SA, which existed in V4 and MT+, not V1 of the fellow eye than HC. The activation in V1 was correlated with interocular visual acuity difference and interocular suppression inpatients with SA. |
| Wanget al., 2017 | Brain activation (ROI), ROI-wise FC | SA: 4OS, 4OD; 4ES, 4EX | 4M/4F, 22.6±5.1 (17-30) y | Surgery 8/8 | 8, 26.3±1.8 (24-30) y | Weaker brain activations corresponded to AME of SA were found in the intraparietal sulcus, FEF, and V5 than HC for both motion salience task and voluntary saccade task. Lower activation in V1 during the voluntary saccade task was shown in AME of SA than both the fellow eye of SA and HC. There was lower FC between FEF with V1 and V5 during the motion salience task in AME than the fellow eye of SA when compared with HC. |
| Thompsonet al., 2019 | Brain activation (ROI), ROI-wise FC | Adult SA: 3OS, 2OD; 4ES,1EX | 4M/1F, (21-49) y | Glasses 1/5 Patch2/5 Surgery 2/5 | 5, mean age 35 (25-28) y | During the dichoptic stimuli long-range suppression task, there was no interocular differences in brain activation magnitude in V1, V2, and V3 and no altered effective connectivitybetween V1 and V2, V2 and V3 between adult SA and controls. |
| Hoand Giaschi, 2009 | Brain activation (whole brain voxel-wise), ROI | PediatricSA: 1ES, 2EX; PediatricAA: 2ES, 1EX, 1orthophoria | SA: 3, 14.4±1 (13.5-15.5) y; AA: 4, 14.2±1.1 (12.9-15.7) y | Patch SA 1/3, AA 4/4 Surgery SA 1/3 | 4, 15.4±0.9 (14-16) y | For healthy controls, low-level RDKs elicited stronger functional activity in posterior occipital areas and high-level RDKs elicited greater activations in extrastriate and occipitoparietal areas. AA showed the same pattern of cortical activation but with a less extent of activation than controls. For SA, there was almost no difference in the activation between low and high level RDKs. |
| Bonhommeet al., 2006 | Brain activation (ROI) | AA: 2OS | 1M/1F, 12/13 y | Glasses 1/2 | 4, NA for age | Less activation in motion sensitive areas V5 and V3a evoked from the AME than the fellow eye of amblyopes compared tocontrols during motion stimulation. |
| Tasks toexplore the functional activation pattern and magnitude of retinotopic representations | ||||||
| Farivar et al., 2019 | Brain activation (ROI) | Adult AA: NA | AA: NA 15M/4F, 24.2±2.2(20-28) y | NA | 4F/6M, 25.2±1.2 y | Lower fMRI activation magnitude evoked from AME and greater interocular deviations of fMRI response location in V1, V2, and V3 were found in patients with AA than HC. Both interocular magnitude ratio and location deviations of fMRI response correlated withinterocular visual acuitydifference in AA. |
| Huang et al., 2017 | Brain activation (ROI) | Adult AA: NA | 16M/4F, 24.2±2.2 (20-28) y | NA | 10, 25.2±1.2y | Smaller activated cluster sizes were found in V1, V2, and V3 evoked from the AME of AA than that of the fellow eye of AA and the dominant eye of HC, and the cluster sizes in V1, V2, and V3 evoked from the AME correlated negatively with the visual acuity of AME at fovea andparafovea eccentricities. |
| Clavagnier et al., 2015 | Brain activation (ROI) | Adult SA: 2OS, 6OD; 4EX, 4ES | 3M/5F, mean age 33.5 (20-60) y | Patch7/8 Surgery 2/8 | 4M, mean age 27.5 (21-31) y | Larger population receptive field sizes and more disarrayed population receptive field were found in V1, V2, and V3 of patients with SA. There was no difference in the cortical magnification factor inV1, V2, and V3 of SA vs HC. |
*Age represented as mean ± standard deviation or range. AA: anisometropic amblyopia; AME: amblyopic eye; ES: esotropia; EX: exotropia; F: female; FC: functional connectivity; FEF: frontal eye fields; fMRI: functional MRI; HC: healthy controls; M: male; MRI: magnetic resonance imaging; MT+: middle temporal complex; NA: not applicable; OD: right eye; OS: left eye; RDKs: random-dot kinematogram stimuli; ROI: region of interest; SA: strabismic amblyopia; V3a: V3 accessory; VP: ventral posterior area; y: years.