Abnormal Fractional Amplitude of Low-Frequency Fluctuation Changes in Patients with Monocular Blindness: A Functional

Jian-Wen Fang1, Ya-Jie Yu1, Li-Ying Tang2,3

  • 1Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China (mainland).

Insights

Monocular blindness (MB) patients exhibit altered brain activity in visual and related regions, with lower fractional amplitude of low-frequency fluctuation (fALFF) in the anterior cingulate correlating with anxiety and depression.

Area of Science:

  • Neuroscience
  • Medical Imaging
  • Clinical Psychology

Background:

  • Monocular blindness (MB) presents unique challenges affecting visual processing and potentially brain function.
  • Investigating spontaneous cerebral activity offers insights into neural mechanisms underlying sensory loss.

Purpose of the Study:

  • To examine differences in spontaneous brain activity between individuals with monocular blindness (MB) and healthy controls (HCs).
  • To explore the relationship between brain activity alterations and clinical measures like anxiety and depression in MB patients.

Main Methods:

  • Utilized resting-state functional magnetic resonance imaging (rs-fMRI) to measure fractional amplitude of low-frequency fluctuation (fALFF).
  • Analyzed data from 30 MB patients and 15 HCs using statistical tests (t-tests, chi-squared) and receiver operating characteristic (ROC) curves.
  • Employed Pearson's correlation to assess links between fALFF values and clinical behaviors.

Main Results:

  • MB patients showed reduced fALFF in the left anterior cingulate compared to HCs.
  • Increased fALFF was observed in the left precuneus and bilateral inferior parietal lobes in MB patients.
  • Lower fALFF in the left anterior cingulate correlated negatively with anxiety and depression scores in MB patients.

Conclusions:

  • Monocular blindness is associated with abnormal spontaneous neural activity in visual and related brain regions.
  • These findings contribute to understanding the neuropathological mechanisms of vision loss and its psychological impact.

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