Missing Lateral Rectus Force and Absence of Medial Rectus Co-Contraction in Ocular Convergence

2002 ◽  
Vol 87 (5) ◽  
pp. 2421-2433 ◽  
Author(s):  
Joel M. Miller ◽  
Christopher J. Bockisch ◽  
Dmitri S. Pavlovski
Keyword(s):  
Muscle Force ◽  
Muscle Fibers ◽  
Lateral Rectus ◽  
Medial Rectus ◽  
Common Path ◽  
Force Transducers ◽  
Force Finding ◽  
Muscle Innervation ◽  
The Brain ◽  
Ocular Convergence

For a given position of the eye in the orbit, most abducens motoneurons (LRMNs) fire at higher rates in converged gaze than when convergence is relaxed, implying that lateral rectus (LR) muscle force will be higher for a given eye position in convergence. If medial rectus (MR) muscle force balances LR force, it too would be higher in convergence, that is, LRMN recording studies predict horizontal rectus co-contraction in convergence. Three trained rhesus monkeys with binocular eye coils and custom muscle force transducers (MFTs) on LR and MR of one eye alternately fixated near (approximately 7 cm) and far (200 cm) targets with vergence movements of 20–30°. Tonic muscle forces were also measured during conjugate fixation of far targets over a 30 × 30° field. MFT characteristics and effects on oculomotility were assessed. Contrary to predictions, we found small (<1 g) decreases in both LR and MR forces in convergence, for those gaze positions that were used in the brain stem recording studies. This missing LR forceparadox (higher LRMN firing rates in convergence but lower LR forces) suggests that motoneurons or muscle fibers contribute differently to oculorotary forces in converged and unconverged states, violating the final common path hypothesis. The absence of MR co-contraction is consistent with, and supports, the missing LR force finding. Resolution of the missing LR force paradox might involve nonlinear interactions among muscle fibers, mechanical specialization of muscle fibers and other articulations of the peripheral oculomotor apparatus, or extranuclear contributions to muscle innervation.

Abducens internuclear neurons carry an inappropriate signal for ocular convergence

1989 ◽  
Vol 62 (1) ◽  
pp. 70-81 ◽  
Author(s):  
P. D. Gamlin ◽  
J. W. Gnadt ◽  
L. E. Mays
Keyword(s):  
Eye Movements ◽  
Action Potentials ◽  
Vestibular Nuclei ◽  
Lateral Rectus ◽  
Medial Rectus ◽  
Medial Longitudinal Fasciculus ◽  
Unit Recording ◽  
Antidromic Activation ◽  
Prepositus Hypoglossi ◽  
Ocular Convergence

1. Single-unit recording studies in alert Rhesus monkeys characterized the vergence signal carried by abducens internuclear neurons. These cells were identified by antidromic activation and the collision of spontaneous with antidromic action potentials. The behavior of abducens internuclear neurons during vergence was compared with that of horizontal burst-tonic fibers in the medial longitudinal fasciculus (MLF) and to that of a large sample of unidentified abducens cells (presumably both motoneurons and internuclear neurons). 2. The results indicate that abducens internuclear neurons and lateral rectus motoneurons behave similarly during vergence eye movements: the majority of both groups of cells decrease their firing rate for convergence eye movements: a minority show no change for vergence. This finding is strongly supported by recordings of horizontal burst-tonic fibers in the MLF, the majority of which decrease their activity significantly for convergence eye movements. 3. These findings indicate that a net inappropriate vergence signal is sent to medial rectus motoneurons via the abducens internuclear pathway. Because medial rectus motoneurons increase their activity appropriately during symmetrical convergence, this inappropriate MLF signal must be overcome by a more potent direct vergence input. 4. Overall, both abducens internuclear neurons and lateral rectus motoneurons decrease their activity for convergence less than would be expected based on their conjugate gain. This implies that some degree of co-contraction of the lateral and medial rectus muscles occurs during convergence eye movements. 5. Some horizontal burst-tonic MLF fibers decrease their activity more for convergence than any recorded abducens neuron. These fibers may arise from cells in the nucleus prepositus hypoglossi or vestibular nuclei.

Contractile differences between muscle units in the medial rectus and lateral rectus muscles in the cat

1986 ◽  
Vol 56 (1) ◽  
pp. 50-62 ◽  
Author(s):  
M. A. Meredith ◽  
S. J. Goldberg
Keyword(s):  
Horizontal Plane ◽  
Complex Interaction ◽  
Contractile Properties ◽  
The Other ◽  
Lateral Rectus ◽  
Medial Rectus ◽  
Types Of Muscle Fibers ◽  
Horizontal Gaze ◽  
Afferent Inputs ◽  
Central Factors

Conjugate eye movements in the horizontal plane are accomplished by the coactivation of the medial rectus (MR) muscle of one orbit and the lateral rectus (LR) muscle of the other. While control of these excursions has been thought to be effected by identical inputs to these muscles, recent studies have demonstrated that MR motoneurons receive different inputs than LR motoneurons. This raises the question of whether the character of the muscles they control are different. The present study evaluated the contractile properties of MR and LR muscle units in the cat. Based on the mechanical aspects of their contractile properties, only two physiological types of muscle units were identified within the MR and LR muscles: twitch and non-twitch muscle units. Twitch muscle units represented over 90% of the units sampled in each muscle. Significant differences in the rate-related and the tension-related contractile properties were demonstrated between MR and LR twitch muscle units. MR muscle units exhibited significantly faster twitch contractions than did LR units. The rate of stimulation at which MR units exhibited fused tetany was significantly higher than for LR units, although units from both muscles demonstrated similar rates of rise of tension at fusion. The rate of rise of tension was closely correlated to tension production (twitch and tetanus) in each muscle. However, MR muscle units demonstrated significantly weaker maximum tetanic tensions and lower tetanus-to-twitch ratios than LR units. These data indicate that while similar physiological types of muscle fibers are present within the MR and LR, MR muscle units are adapted for faster rate-related properties, whereas LR units are adapted for greater tetanic tensions. These distinctions between MR and LR muscle units, coupled with differences between the afferent inputs to their respective motoneurons, suggest that the preservation of conjugacy during horizontal gaze shifts may require a complex interaction of peripheral and central factors.

Long-term outcomes following resection-recession versus plication-recession in children with intermittent exotropia

2019 ◽  
Vol 104 (3) ◽  
pp. 350-356 ◽  
Author(s):  
Haeng-Jin Lee ◽  
Seong-Joon Kim
Keyword(s):  
Surgical Outcomes ◽  
Lateral Rectus ◽  
Medial Rectus ◽  
Clinical Factors ◽  
Long Term Outcomes ◽  
Intermittent Exotropia ◽  
Surgical Success ◽  
Angle Of Deviation

Background/AimsTo compare the long-term surgical outcomes between unilateral lateral rectus recession-medial rectus resection (RR) and lateral rectus recession-medial rectus plication (RP) in children with intermittent exotropia.MethodsChildren who underwent RR or RP for intermittent exotropia between January 2008 and July 2016, with a minimum follow-up period of 2 years were retrospectively reviewed. Postoperative angle of deviations and clinical factors including sex, age, refractive errors, preoperative angle of deviation, types of exotropia and stereopsis were investigated. Based on the angle of deviation at year 2, surgical outcomes were classified into two groups as follows: success (esodeviation ≤5 prism dioptres (PD) to exodeviation ≤10 PD) and failure (overcorrection (esodeviation >5 PD) and undercorrection or recurrence (exodeviation >10 PD)).ResultsOf the 186 patients, 114 underwent RR and 72 underwent RP. The angle of exodeviation steadily increased over time in both groups after surgery. The durations of exodrift were longer in the RP group than in the RR group. The surgical success at postoperative year 2 was 55.3% in the RR group and 27.8% in the RP group (p<0.001). The amount of overcorrection was associated with successful outcomes in both groups.ConclusionsIn children with intermittent exotropia, RR group presented better surgical outcomes than RP group. The amount of initial overcorrection was important to achieve favourable outcomes in children with intermittent exotropia.

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