Incremental binocular amplitude of the pattern visual evoked potential during the first five months of life: electrophysiological evidence of the development of binocularity.

The amplitude of the pattern visual evoked potential (VEP) of a binocular stimulus has been shown to be generally larger than the VEP obtained monocularly. There is evidence that this effect can be considered an electrophysiological index of fusion. To study how binocular vision develops in infancy we evaluated the incremental binocular amplitude (IBA) in three infants in a longitudinal investigation during the first five months of life. The stimuli were phase-alternating square-wave gratings with spatial and temporal parameters chosen to be appropriate for neonates. IBA was defined as the percentage increment of the largest binocular response compared with the monocular response. In the first two months of life IBA values were near zero, that is, no summation occurred. Between the second and third month IBA values rose markedly and after the third month its value was greater than 100%, demonstrating binocular facilitation. Thus in the first two months of life the eyes do not seem to cooperate as in adults. By the second and third month the binocular pattern VEP reflects an increasing binocular interaction. Other studies of the development of stereopsis have also found evidence of binocularity at similar ages.