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Biomedical subjects

B C Jiang

Publications and source records attributed to B C Jiang.

At least 19 recordsLinked to original sources

Vergence dynamics predict fixation disparity.

The neural origin of the steady-state vergence eye movement error, called binocular fixation disparity, is not well understood. Further, there has been no study that quantitatively relates the dynamics of the vergence system to its steady-state behavior, a critical test for the understanding of any oculomotor system. We investigate whether fixation disparity can be related to the dynamics of opponent convergence and divergence neural pathways. Using binocular eye movement recordings, we first show that opponent vergence pathways exhibit asymmetric angle-dependent gains. We then present a neural model that combines physiological properties of disparity-tuned cells and vergence premotor cells with the asymmetric gain properties of the opponent pathways. Quantitative comparison of the model predictions with our experimental data suggests that fixation disparity can arise when asymmetric opponent vergence pathways are driven by a distributed disparity code.

Accommodation, Ocular↗

Oculomotor functions and late-onset myopia.

In order to elucidate the role of optical defocus in the development of late-onset myopia (LOM), we employed both theoretical and experimental approaches. In the theoretical study, which has been reported previously, we suggested a model in which an accommodative sensory operator was added to simulate the sensory part of the accommodation system. Results derived from the model showed that the sensory part might increase the system's threshold to the accommodative error (or defocus) signal. In this study, we measured the perceptual depth-of-focus and the system's threshold to the defocus signal for three refractive error groups: emmetropic (Emm), stable myopic (S.M.), and progressing myopic (P.M.). Results show that there are no significant differences in the perceptual depth-of-focus among the three groups. However, the defocus threshold values of the P.M. group are significantly higher than the values of the other two groups. This result in combination with our previous findings, leads us to suggest that individuals susceptible of developing myopia from sustained near-work have a specific oculomotor risk profile. Although we are still trying to determine the specific sequence of changes among dark-focus, AC/A ratio, the accommodative system's defocus threshold, and refractive error, we are convinced that the changes of oculomotor parameters underlie the type of myopia associated with near-work.

Accommodation, Ocular↗

Effect of accommodative adaptation on static and dynamic accommodation in emmetropia and late-onset myopia.

PURPOSE: Prolonged near work is considered to be an environmental factor leading to the development of late-onset myopia. Accommodation may be the specific mechanism underlying the association between near work and late-onset myopia. To determine whether late-onset myopes have abnormal accommodation, we compared accommodative static responses and dynamic facilities before and after a near task in two groups of subjects, emmetropes and late-onset myopes. METHODS: In experiment 1, the accommodative stimulus/response function with monocular viewing and the dark focus (the accommodative response in the dark) were objectively measured with a Canon R-1 infrared optometer before (preadaptation) and after (postadaptation) a 20-min near task. In experiment 2, monocular accommodative facility (AF) and dark focus were measured before and after the near task. Facility was measured as the subjective time needed to clear an accommodative target (20/40 letters) at 40 cm through +/-2.00 D lenses. The time between when the subject flipped the lenses from viewing through the +2.00 D to the -2.00 D lenses was recorded by a computer. RESULTS: In both experiments, inward shifts of the dark focus were observed after the near task. In experiment 1, after the near task, static accommodative responses also showed a small but statistically significant inward shift. Neither postadaptation effect differed between refractive groups. The only difference between groups was that late-onset myopes had a lower slope of the accommodative stimulus/response function, both pre- and postadaptation. In experiment 2, both refractive groups showed the same results. After the near task, the duration for accommodation from near to far (relaxation) increased but the duration for accommodation from far to near (stimulation) did not change. CONCLUSIONS: Late-onset myopes have shallower accommodative stimulus/response functions. As suggested in a previous study, this may be due to their reduced sensitivity to defocus. In both emmetropes and late-onset myopes, the near task causes an increase in static accommodative responses. Although our results show it to be a small increase, it is consistent with predictions of Hung and Semmlow's model of accommodation. In both emmetropes and late-onset myopes, the near task also increases the duration for relaxing accommodation, but not for stimulating accommodation. This suggests there are two subsystems which may adapt to prolonged accommodation differently.

Accommodation, Ocular↗

Oculomotor function after virtual reality use differentiates symptomatic from asymptomatic individuals.

UNLABELLED: Some individuals who use virtual reality (VR) head-mounted displays (HMD) have adverse visual symptoms. PURPOSE: We measured oculomotor functions of symptomatic (n = 10) and asymptomatic (n = 10) individuals to determine if there were fundamental oculomotor performance differences. METHOD: Before and after 20 min of biocular VR-HMD use, we measured: phorias, fixation disparity, gradient accommodative convergence to accommodation ratio (AC/A), stereopsis, and nearpoint of convergence. RESULTS: We observed an exophoric shift in the nearpoint phoria of almost all subjects, whereas the farpoint phoria showed no trend. Interestingly, we observed that the phoric shift at far and near was highly correlated for the asymptomatic subjects but not for the symptomatic subjects. In addition, the (stimulus) AC/A ratio of symptomatic subjects was reduced after a period of VR-HMD use, whereas asymptomatic subjects' AC/A ratio was not reduced. CONCLUSION: The oculomotor changes among the symptomatic subjects (increased exophoria at near and reduced AC/A) appears consistent with a reduced accommodative response. In contrast, the asymptomatic subjects show changes (correlated change in phorias) which seem most consistent with adaptation in the tonic component of vergence and/or accommodation.

Accommodation, Ocular↗

Nonlinear alteration of transient vergence dynamics after sustained convergence.

BACKGROUND: Adaptation models of the horizontal disparity vergence system assume a nonadaptable transient component. They also predict identical postadaptation dynamics during convergence and divergence movements. METHOD: To test the adaptation property of the transient component, a set of experiments were performed in which closed-loop vergence dynamics measured before and after sustained convergence were compared, primarily by comparing the peak vergence velocity, occurrence time of peak vergence velocity, and steady-state vergence posture. Vergence dynamics after durations of 30, 60, and 90 s of sustained convergence were compared with those after a control duration of 5 s. RESULTS: The peak divergence velocity was reduced by about 25% within 30 s of sustained vergence. However, the peak convergence velocity was unchanged for all the exposure durations. Additionally, for all durations, the peak divergence velocity was significantly higher than peak convergence velocity. In contrast to peak velocities, the occurrence time of peak convergence and divergence velocity did not differ significantly and remained unchanged for all durations. CONCLUSIONS: The transient component is adaptable. Furthermore, the adaptation is direction dependent and affects divergence and convergence dynamics differently, thereby suggesting involvement of separate pathways for convergence and divergence in the vergence sensorimotor control.

Accommodation, Ocular↗

Neural network model of short-term horizontal disparity vergence dynamics.

We present a neural network model of short-term dynamics of the human horizontal vergence system (HVS) and compare its predictions qualitatively and quantitatively with a large variety of horizontal disparity vergence data. The model consists of seven functional stages, namely: (1) computation of instantaneous disparity; (2) generation of a disparity map; (3) conversion of the disparity into a velocity signal; (4) push-pull integration of velocity to generate a position signal; (5) conversion of the position signal to motoneuron/plant activity for each eye; (6) gating of velocity overdrive signal to motoneuron/plant system; and finally (7) discharge path for position cells. Closed-loop (normal binocular viewing) symmetric step and staircase disparity vergence data were collected from three subjects and model parameters were determined to quantitatively match each subject's data. The simulated closed-loop as well as open-loop (disparity clamped viewing) symmetric step, sinusoidal, pulse, staircase, square and ramp wave responses closely resemble experimental results either recorded in our laboratory or reported in the literature. Where possible, the firing pattern of the neurons in the model have been compared to actual cellular recordings reported in the literature. The model provides insights into neural correlates underlying the dynamics of vergence eye movements. It also makes novel predictions about the human vergence system.

Convergence, Ocular↗

Integration of a sensory component into the accommodation model reveals differences between emmetropia and late-onset myopia.

PURPOSE: To evaluate the differences in accommodative function between subjects with emmetropia and those with late-onset myopia (LOM). METHODS: This study suggests a modified model of static accommodation, in which an accommodative sensory gain as a linear operator is added to simulate the sensory part of the system. Results derived from the model show that the sensory part not only affects the slope of the accommodative response function but also increases the system's effective threshold (ET) to the blur signal. This method expands the utility of using the control model to evaluate accommodation behavior. Thirteen emmetropic and 10 LOM subjects participated in this study. The subject's accommodative responses to one-, two-, three-, and four-diopter stimuli were measured by the Canon R-1 optometer, and the differences in dark focus, the slope of the accommodative response function, and the ET were compared between the emmetropic and the LOM subjects. RESULTS: The results show that although the dark-focus values and the slopes of the accommodative response function are not significantly different in emmetropia and LOM, the ETs are significantly different. CONCLUSIONS: The higher ET found among subjects with LOM suggests that either the blur (or the error) signal is degraded significantly in the sensory part of the system, the dead space as an internal threshold of the system is high, or both factors are important. On the basis of further analysis of the data, we speculate that the sensory system in LOM subjects was less sensitive to blur than that of the emmetropic subjects.

Accommodation, Ocular↗

Accommodative vergence is driven by the phasic component of the accommodative controller.

Conflicting opinions exist as to whether the phasic (reflex) component alone or both the phasic and tonic (adaptive) components of the accommodation and vergence systems drive accommodative vergence and vergence accommodation crosslinks. In this study the dissociated phoria to a 2 D target was measured before and after accommodative adaptation to discriminate the two possibilities. Results showed a significant difference in the dark-focus of accommodation pre- and post-near-vision task, indicating that accommodative adaptation had occurred. No significant change occurred in dark-vergence or in the accommodative response to the 2 D target. However, a significant decrease was found in the dissociated phoria presumably because of decreased phasic accommodation and its stimulation of accommodative vergence after the adaptation. This result is consistent with a model in which the accommodative vergence crosslink is driven by phasic accommodation only.

Accommodation, Ocular↗

Dark focus and dark vergence: an experimental verification of the configuration of the dual-interactive feedback model.

Based on the dual-interactive feedback model, dark focus and dark vergence designate a point on a line describing the response AC/A ratio. In order to verify the relationship between dark focus and dark vergence, we predicted the dark vergence from the measured dark focus when the measurements were based on the response-based calculated and gradient AC/A ratios. For 10 subjects, the correlations between predicted and measured dark vergence values were high. The prediction was better when using the gradient AC/A ratio.

Accommodation, Ocular↗

Vitreous chamber elongation is responsible for myopia development in a young adult.

In this case report, we present 3 years of longitudinal, refractive component data for a young adult who became myopic and progressed in myopia (late-onset myopia, LOM) during that period. We found a high correlation between refractive error and axial length (AL). The axial elongation was a consequence of the change in the vitreous chamber depth (VCD). Furthermore, the change in AL and VCD corresponded quantitatively to the change in refractive error. Corneal curvature change was not correlated with refractive error change. These findings support the suggestion that VCD is the refractive component that changes in LOM development.

Adult↗

Parameters of accommodative and vergence systems and the development of late-onset myopia.

PURPOSE: To evaluate whether the characteristics of the oculomotor system are related to the development of late-onset myopia. METHODS: Forty-four college students were followed for 2 to 3 years. When recruited, 33 of the 44 subjects had emmetropia whereas the remainder (N = 11) had late-onset myopia (LOM). For each subject, dark-focus, dark-vergence, response AC/A, and CA/C ratios, and manifest refraction were measured at 6-month intervals. RESULTS: The mean dark-focus and AC/A ratios for the subjects (N = 6) who started with emmetropia and became myopic were higher than for the subjects (N = 25) who remained emmetropic. These higher values presented before the refractions exceeded -0.50 D. Interestingly, 7 of 11 subjects with LOM whose myopia increased displayed higher mean AC/A and dark-vergence values and lower mean dark-focus values than the subjects who remained emmetropic. CONCLUSION: The lower dark-focus values found among subjects with LOM seems to be a consequence of the development of myopia. However, myopia might eventually develop in a person with emmetropia with a relatively high AC/A and/or dark-focus values. Therefore, AC/A and dark-focus values may be predictors of the development of myopia.

Accommodation, Ocular↗

A method for correction of CA/C ratio based on linear model of accommodation and vergence.

Measurement of the response CA/C ratio has required that the target used to stimulate the vergence system provides no blur information to the accommodative system. Although several methods have been proposed to open the accommodative feedback loop, it is difficult to ensure that a vergence target produces no stimulus for accommodation. To avoid this problem, we have derived a formula based on a linear model of the accommodative and vergence systems that allows the CA/C ratio to be estimated when the accommodative loop is not opened completely. An experiment was conducted to verify the derived formula. Two targets, Snellen letters and a small point source, were used to provide different blur-inputs to the accommodative system. CA/C ratios were estimated from the formula using measures of accommodation and vergence obtained with these two targets for eight subjects and showed a high correlation. The formula, therefore, was shown to provide a consistent estimate of the CA/C even when the accommodative loop was not opened completely.

Accommodation, Ocular↗

Spatial-interval discrimination in two-dimensions.

This study is concerned with the precision of spatial-interval discrimination when the stimulus is varied in two-dimensions rather than one-dimension. For the two-dimensional task, observers were required to judge the centrality of a dot within a circle. Similar measurements were made in a one-dimensional task, i.e. the test dot was displaced only along one meridian, and the results were compared. This study shows that thresholds for the two-dimensional task are approx. square root of 2 times the threshold of the one-dimensional task when the observer's task is to simply detect an offset in both one- and two-dimensional conditions. However, thresholds are about a factor of two higher for the two-dimensional task if the observer is required to label the direction of offset.

Discrimination, Psychological↗

Effect of luminance on the relation between accommodation and convergence.

When luminance is lowered, both vergence and accommodation tend to shift toward different and individually characteristic resting postures, commonly referred to as dark-vergence and dark-focus. In order to determine the luminance level at which these two mechanisms correspond to a target distance, subjects viewed a light spot 0.4 mm in diameter, corresponding to 1.4 to 2.7 min arc, located at the individually determined dark-focus position. As the luminance of a binocularly viewed spot increased, accommodation did not change significantly from the target distance. However, fusional vergence gradually shifted from the dark-vergence to the target position. The critical luminance level at which the 2 responses were coupled for the 12 observers ranged from 0.01 to 0.45 cd/m2, with distinct individual differences. In a second experiment, the target was positioned at distances different from the dark-focus and luminance was set at 0.5 and 1.0 log unit higher than the subject's critical luminance level. At lower luminance levels, mononuclear focus tended to remain at the individual dark-focus, whereas the binocular focus tended to correspond to the target distance. These differences can be attributed to vergence accommodation. Previous studies on night myopia reported that a negative correction based on one-half of the individual dark focus was superior to a full dark-focus correction. The present results suggest that this difference is due to vergence accommodation and that the optimum correction for night myopia depends, in part, on the critical luminance level for activation of fusional vergence.

Accommodation, Ocular↗

Illumination and errors in dispensing.

The relationship between the level of illumination and the prescription-dispensing error rate in a high-volume Army outpatient pharmacy was investigated. The prescription error rate was determined by direct, undisguised observation and retrospective prescription review under three levels of illumination (45, 102, and 146 foot-candles) during 21 consecutive weekdays. Illumination was controlled in the prescription-checking area of the pharmacy by using additional fluorescent lamps and filters. The three levels of illumination were randomly assigned to the 21 days to provide a total of 7 days of observations per level. The final sample consisted of 10,888 prescriptions dispensed by five pharmacists. The overall prescription error rate (including both content and labeling errors) was 3.39% (369 prescriptions). An illumination level of 146 foot-candles was associated with a significantly lower error rate (2.6%) than the baseline level of 45 foot-candles (3.8%). There was a linear relationship between each pharmacist's error rate and that pharmacist's corresponding daily prescription workload for all three illumination levels. The effect of the observer was minimal. The rate of prescription-dispensing errors was associated with the level of illumination. Ergonomics can affect the performance of professional tasks.

Ambulatory Care↗

Spatial interval discrimination with blurred lines: black and white are separate but not equal at multiple spatial scales.

We used Gaussian blurred lines of same- and opposite-polarity to measure the effects of blur on 3-line spatial interval discrimination (bisection). The results of our experiments can be summarized as follows. Spatial interval discrimination (3-line bisection) thresholds are proportional to the separation of the lines (i.e. Weber's law). At the optimal separation, spatial interval discrimination thresholds for same-polarity lines represent a "hyperacuity" as small as 2 sec arc. For same-polarity Gaussian blurred lines, over a wide range of the blur standard deviations (sigma), the optimal threshold occurs when the separation is approx. 2 sigma, and the optimal threshold is about 0.02 sigma, or a Weber fraction (delta s/s) of 0.01. For opposite-polarity lines, under conditions where same-polarity stimuli yield the best thresholds (at a separation approximately 2 sigma), spatial interval thresholds are an order of magnitude worse than that for same-polarity lines, suggesting that the localization of stimili of opposite-polarity is much worse than that of same-polarity stimuli over a wide range of spatial scales. At large separations, greater than about 5 sigma, spatial interval discrimination thresholds are more or less independent of both contrast and polarity. While hyperacuity is generally thought of in terms of the tiny spatial thresholds which are obtained at small separations with stimuli comprised of thin lines, the present results, and those of others, suggest that for same-polarity stimuli, hyperacuity thresholds are a general property of the visual system, occurring at many spatial scales. The present results also suggest that the poor localization of opposite-polarity lines occurs at multiple spatial scales, when the line separation is less than about five times the stimulus spread. We consider several models which can account for particular features of our data.

Contrast Sensitivity↗

Bandwidth of the contrast sensitivity function as an index of spatial vision with application to refraction.

The contrast sensitivity function (CSF), although containing more information than traditional measures of acuity, has found difficulty gaining clinical acceptance. The hesitancy of clinicians to adopt the CSF stems, in part, from the fact that it is not as readily interpreted as is acuity. In order to facilitate such interpretation, five indices of spatial vision which are derivable from the CSF were examined in a sample of 287 persons aged 5 to 85 years. All indices were found to be both age-sensitive and strongly related to each other, but bandwidth of the CSF was chosen as a practical index for clinical settings. In a second study, acuity and CSF bandwidth were measured under 0 to +/- 1 D optical blur. It was found that the correction providing best acuity also maximized CSF bandwidth, and that bandwidth was more sensitive to optical blur than was acuity. Results support the assertion that CSF bandwidth is a readily interpreted index of spatial vision that can be measured efficiently within the context of clinical refraction.

Adolescent↗

Neural network control of simple limb movements.

It is possible to embed the control and computation of a simple single-joint movement at different speeds by a small non-linear network of neuron-like elements. The network "learns" by appropriate adjustment of the strengths of interconnection, or synaptic weights, between the neuron-like elements. The learning of a few movement trajectories is generalized to the learning of a family of unlearned trajectories. These observations are in support of our hypothesis that relaxation of a network from an initial state to a final equilibrium state is both causal and computational to movement generation and control.

Electromyography↗