Biomedical subjects

C Schor

Publications and source records attributed to C Schor.

At least 19 recordsLinked to original sources

PubMed2001

Dynamics of the accommodation response to abrupt changes in target vergence as a function of age.

The dynamic accommodation responses to small, abrupt changes in an accommodation stimulus were studied in two experiments. In the first, responses of 19 subjects with ages distributed between 18 and 49 years were measured for step stimuli of +/- 1.05 D. In the second, responses to small step stimuli (+/- 0.75, +/- 1.75 D) were recorded for a group of six 'young' (mean age 22, range 16-26 years) and six 'old' (mean age 42, range 36-48 years) subjects. In both experiments, the low target vergences always lay within the accommodation range of all subjects. Whether the data were analysed in terms of simple reaction and response times, or in terms of the frequency response, no marked systematic changes with age were found in the dynamics of the response in either of the experiments. It is concluded that, for small stimuli within the amplitude of accommodation, the response dynamics over the adult age range studied remain remarkably constant, even though the amplitude progressively reduces with age as complete presbyopia is approached.

Accommodation, Ocular↗

PubMed1999

The influence of interactions between accommodation and convergence on the lag of accommodation.

Several models of myopia predict that growth of axial length is stimulated by blur. Accommodative lag has been suggested as an important source of blur in the development of myopia and this study has modeled how cross-link interactions between accommodation and convergence might interact with uncorrected distance heterophoria and refractive error to influence accommodative lag. Accommodative lag was simulated with two models of interactions between accommodation and convergence (one with and one without adaptable tonic elements). Simulations of both models indicate that both uncorrected hyperopia and esophoria increase the lag of accommodative and uncorrected myopia and exophoria decrease the lag or introduce a lead of accommodation in response to the near (40 cm) stimulus. These effects were increased when gain of either cross-link, accommodative convergence (AC/A) or convergence accommodation (CA/C), was increased within a moderate range of values while the other was fixed at a normal value (clamped condition). These effects were exaggerated when both the AC/A and CA/C ratios were increased (covaried condition) and affects of cross-link gain were negated when an increase of one cross-link (e.g. AC/A) was accompanied by a reduction of the other cross-link (e.g. CA/C) (reciprocal condition). The inclusion of tonic adaptation in the model reduced steady state errors of accommodation for all conditions except when the AC/A ratio was very high (2 MA/D). Combinations of cross-link interactions between accommodation and convergence that resemble either clamped or reciprocal patterns occur naturally in clinical populations. Simulations suggest that these two patterns of abnormal cross-link interactions could affect the progression of myopia differently. Adaptable tonic accommodation and tonic vergence could potentially reduce the progression of myopia by reducing the lag of accommodation.

Accommodation, Ocular↗

PubMed1997

Multiaccommodative stimuli in VR systems: problems & solutions.

Virtual reality environments can introduce multiple and sometimes conflicting accommodative stimuli. For instance, with the high-powered lenses commonly used in head-mounted displays, small discrepancies in screen lens placement, caused by manufacturer error or user adjustment focus error, can change the focal depths of the image by a couple of diopters. This can introduce a binocular accommodative stimulus or, if the displacement between the two screens is unequal, an unequal (anisometropic) accommodative stimulus for the two eyes. Systems that allow simultaneous viewing of virtual and real images can also introduce a conflict in accommodative stimuli: When real and virtual images are at different focal planes, both cannot be in focus at the same time, though they may appear to be in similar locations in space. In this paper four unique designs are described that minimize the range of accommodative stimuli and maximize the visual system's ability to cope efficiently with the focus conflicts that remain: pinhole optics, monocular lens addition combined with aniso-accommodation, chromatic bifocal, and bifocal lens system. The advantages and disadvantages of each design are described and recommendation for design choice is given after consideration of the end use of the virtual reality system (e.g., low or high end, entertainment, technical, or medical use). The appropriate design modifications should allow greater user comfort and better performance.

Accommodation, Ocular↗

PubMed1995

The fluctuations of accommodation and ageing.

OBJECTIVE: The aim of this study was to investigate the influence of age on the fluctuations of accommodation. METHOD: Fluctuations of accommodation were measured on six 'young' (16-25 years, mean age 22 years) observers and six 'older' (35-48 years, mean age 42 years) observers. Accommodation was continuously recorded using a SRI optometer whilst the observers steadily viewed a high contrast target at stimulus levels 0.25 D, 1.00 D and 2.00 D. Fluctuations were quantified using power spectrum analysis, and frequencies were grouped into bands: low (LFC 0.3-0.6 Hz and 0.3-0.9 Hz) and high (HFC 1.1-2.2 Hz). RESULTS: Accommodation response levels for these stimuli for both groups of observers were quite similar. Fourier analysis was used to generate power spectra so that the fluctuations of accommodation for each observer group could be compared. In general power increased for increasing response levels for both groups of observers, although less power was evident for the older observers in both LFC and HFC bands. Differences in power were not significant at these frequency bands for the two observer groups. When the whole power spectrum is compared these differences became significant with more power evident in the younger cohort. CONCLUSION: Reductions in both amplitude and speed of accommodation with age are well known, and the decline in magnitude of the fluctuations found here is consistent with a general diminution in accommodation dynamics as the accommodation mechanism ages. For the older group, some of who were near absolute presbyopia, there may be little contribution to power from changes in lens shape and it is possible that small changes in lens position in the eye contribute to the power spectrum.

Accommodation, Ocular↗

PubMed1993

Directionally selective short-term nonconjugate adaptation of vertical pursuits.

We investigated the contribution of fixation phoria and dynamic processes to short term (1 hr) nonconjugate adaptation of vertical pursuits. Unequal aftereffects were observed in vertical phoria measured during stationary gaze and during pursuits (static fixation and pursuit phorias) demonstrating direction-specific aftereffects of pursuit phoria that were not evident in measures of fixation phoria. A linear model describes the combination of fixation phoria and three dynamic direction-specific components which include a gain component that determines nonconjugate velocity, a phase component that determines the relative position of binocular pursuits, and a small position specific pursuit phoria adjustment process. Larger position-specific variations of fixation phoria appear to compensate for inappropriate or incomplete adaptive changes produced by two of the dynamic mechanisms which are not position specific.

Adaptation, Ocular↗

PubMed1993

Spatial aspects of vertical phoria adaptation.

Vergence adaptation to vertical disparity spreads to unadapted directions of gaze. The spatial spread function for prism adaptation was estimated from aftereffects of a vertical disparity presented at a single position. Constraints limiting the spatial spread of adaptation were investigated with two stimuli of opposite disparity (hyper and hypo), presented at two different eye positions with a separation that varied from 6 to 18 deg in either the horizontal or vertical meridian. On average, phoria adaptation to the single point paradigm spread uniformly across the entire 18 deg test field. A resolution limit for adaptation to the two point paradigm was demonstrated by a reduction of phoria aftereffects with decreasing target separation (crowding). Vertical phoria aftereffects were reduced more by horizontal than by vertical crowding. A disparity gradient limit was demonstrated for a fixed target separation by a reduction of gain (phoria change/stimulus disparity) with increasing stimulus disparity.

Adaptation, Ocular↗

PubMed1990

Readily visible changes in color contrast are insufficient to stimulate accommodation.

In an earlier study (Wolfe & Owens, 1981) it was reported that humans could not accommodate to an insoluminant red-green border. However, recent masking studies (Switkes, Bradley & DeValois, 1988) have shown that, using an appropriately normalized contrast metric, contrast decrements similar to those produced by defocus are equally visible for color or luminance modulated grating patterns. We have compared accommodative responses to 1.75 c/deg gratings that consisted of either isochromatic luminance modulations or isoluminant red-green color modulations. All four observers could accommodate accurately to luminance modulated gratings over a wide range of contrasts. However, no appropriate accommodative responses were obtained even for the highest contrast color modulated gratings. These results show the changes in color contrast are ineffective as stimuli for the human accommodative response even when the changes in chromatic contrast accompanying defocus are readily perceived.

Accommodation, Ocular↗

PubMed1990

Visual function with presbyopic contact lens correction.

All forms of ophthalmic correction for presbyopia require compromises in viewing flexibility and visual function. The unique effects on vision of contact lenses used in managing presbyopia are especially intriguing and potentially problematic. Bifocal contact lenses produce unique changes in the nature and quality of the retinal image. In monovision (MV) correction, anisometropia is intentionally created by fitting one eye to see clearly at optical infinity and the other eye to see clearly at the near working distance. Our review of the literature indicates that most visual functions are affected by these departures from the conventional optical correction strategies used on nonpresbyopes. Sensory functions such as contrast sensitivity and stereoacuity are affected most, whereas motor functions such as convergence and accommodation are not noticeably impaired. MV appears to produce a more widely acceptable visual compromise than currently available bifocal contact lenses for most patients.

Adaptation, Ocular↗

PubMed1989

Binocular fusion limits are independent of contrast, luminance gradient and component phases.

Panum's binocular fusion limit has been shown to increase with the size of graded contrast targets (Schor, Wood & Ogawa, 1984). This suggests the hypothesis that the fusion limit may be controlled by the maximum luminance gradients present in the stimuli. The luminance gradient is reciprocally related to image contrast, so the hypothesis predicts that the fusion limits should also decrease with increasing contrast. To investigate this luminance gradient hypothesis we designed stimuli in which the contrast and phase of the spatial frequency components could be varied independently of the luminance gradients. Disparity limits for fusion were unaffected by variations of as much as a log unit in contrast, luminance gradient or phase of the frequency components, disconfirming the luminance gradient hypothesis. Instead, fusion limits for various compound frequency targets were well predicted by the smallest fusion range for any spatial frequency component in the image that was above its contrast detection threshold.

Contrast Sensitivity↗

PubMed1989

Interocular differences in contrast and spatial frequency: effects on stereopsis and fusion.

Anisometropia produces interocular differences in contrast and spatial frequency. The influence of these two parameters on Panum's fusional limit (PFL) and stereoscopic depth thresholds was investigated with sinusoidal gratings and one-dimensional band-pass-limited targets. Vertical fusion limits were unaffected by large interocular differences in contrast (40-10%) at two spatial frequencies (0.8 and 1.6 cpd). However, when tested with a low spatial frequency (0.8 cpd), stereothresholds increased 150% with an interocular difference in contrast as small as 50-25%. Stereoacuity was reduced less by differential contrast when tested with higher spatial frequencies (3.2 cpd). When tested with low spatial frequencies the stereothreshold was elevated more by reducing the contrast of one image than by equal contrast reductions of both ocular images. Stereothresholds appear to be elevated by binocular suppression evoked by interocular differences in contrast. Vertical as well as horizontal fusion limits decreased with increasing interocular size difference. Horizontal fusion limits fell off more gradually with increasing size difference than did vertical fusion limits, particularly at higher spatial frequencies (2.4 cpd). Similarly, stereothresholds increased with increasing interocular size differences. Changes in the fusion limit and stereothreshold that occur with interocular size differences are predicted from positional disparities between edge features rather than from differences in spatial frequency.

Contrast Sensitivity↗

PubMed1989

Adaptive disorders of accommodation and vergence in binocular dysfunction.

Disturbances of binocular vision are described clinically by the Duane-White classification in terms of the magnitude of the accommodative-convergence ratio (AC/A). Convergence excess and convergence insufficiency are assumed to result from high and low AC/A ratios respectively. It is assumed that the abnormal AC/A ratio is an independent variable that underlies abnormal phorias. However, recent studies have demonstrated that the AC/A ratio is inversely related to the adaptability of tonic accommodation (lens adaptation) and directly related to adaptability of tonic vergence (prism adaptation). We have tested whether clinical categories of convergence excess and convergence insufficiency are associated with insufficient and excessive adaptation of tonic accommodation and tonic vergence. Results demonstrate greater amplitude and duration of accommodative after-effects (lens adaptation) in the convergence insufficiency than the convergence excess group. Vergence after-effects (prism adaptation) had the reverse trend for the two groups. These results indicate that adaptive disorders of accommodation and vergence may underlie binocular disorders in symptomatic patients categorized as convergence excess and convergence insufficiency.

Accommodation, Ocular↗

PubMed1989

Effects of interocular blur suppression ability on monovision task performance.

Suppression of anisometropic blur induced by monovision contact lenses was examined in 18 presbyopic subjects. Suppression ability was quantified by reducing the contrast of a bright test target, viewed by subjects wearing a monovision correction, until the blurred image was suppressed. Subjective success with monovision was evaluated using a patient survey and no correlation to blur suppression ability was found. Objective success was evaluated in terms of performance at three near work tasks, each requiring a different level of stereoscopic localization. A significant correlation was found between card filing performance (requiring a moderate level of stereopsis) and blur suppression ability. Correcting either the dominant or non-dominant eye for near in the monovision correction did not significantly affect blur suppression ability. There was no evidence for adaptation to monovision in terms of increasing blur suppression ability over time.

Adult↗

PubMed1988

The role of eye movements and masking in monocular rivalry.

Using an image stabilization technique, we have examined the role of eye movements on the phenomenon of monocular rivalry. Cross-correlation analysis confirms that perceptual onset of the vertical grating coincides with perceptual disappearance of the horizontal (and vice versa). Vertical and horizontal retinal image motion can modulate, selectively, the visibility of the horizontal and vertical gratings. However, a stable percept was observed when constant retinal image motion was matched for both vertical and horizontal components. These results support an eye-movement and afterimage explanation for the phenomenon of monocular rivalry (Georgeson, 1984). However, in addition to enhancing the visibility of a horizontal grating, a vertical "saccadic-like" retinal image motion decreased the visibility of the vertical component. This result is consistent with rivalry. That is, the visibility of both gratings are not independent, but are inversely related to each other. Our results are inconsistent with a hypothesis for monocular rivalry based upon inherently unstable neural interactions, but they also show that unstable fixational eye movements and afterimages are not the only factors determining the perceptual fluctuations.

Afterimage↗

PubMed1988

Imbalanced adaptation of accommodation and vergence produces opposite extremes of the AC/A and CA/C ratios.

It is customary to describe abnormal interactions between accommodation and convergence according to the Duane-White classification of convergence excess and insufficiency or divergence excess and insufficiency. However, recent studies indicate that these extremely high and low categories of accommodative vergence may result from adaptive disorders of accommodation and convergence. The AC/A ratio is shown in this paper to vary inversely with adaptability of accommodation and to vary directly with adaptability of vergence. Extremely high AC/A ratios can result from an imbalance in which vergence adapts readily to prism, whereas accommodation does not adapt to minus lenses. Similarly, extremely high values for convergence accommodation (the CA/C ratio) are observed when there is robust adaptation of accommodation to lenses and little adaptation of vergence to prism. Furthermore, in these extreme cases the AC/A and CA/C ratios tend to be inversely related. For example, abnormally high AC/A ratios are often accompanied by extremely low CA/C ratios and vice versa. These observations suggest that equalizing the adaptability of accommodation and vergence with orthoptics may prove to be an effective means of restoring the AC/A and CA/C ratios to normal values.

Accommodation, Ocular↗

PubMed1988

Influence of accommodative and vergence adaptation on binocular motor disorders.

Tait described four categories of binocular disorders including convergence excess, convergence insufficiency, divergence excess, and divergence insufficiency. These disorders are defined by the distance where the largest heterophoria occurs (distance or near), and the amplitude of the accommodative vergence ratio (AC/A). Insufficiency corresponds to a low AC/A ratio, whereas excess corresponds to a high AC/A. The magnitude of the AC/A ratio, which may be influenced by the adaptability of the accommodation and vergence systems, has been shown to be reciprocally related to adaptability of accommodation. Likewise, the degree of vergence accommodation has been shown to be related reciprocally to adaptability of vergence to prism. An imbalance of adaptability of accommodation and vergence systems produces abnormal cross-coupling between the two motor systems. When accommodation is more adaptable than vergence, the AC/A ratio is low and the CA/C ratio is high. Conversely, when vergence is more adaptable than accommodation, the AC/A ratio is high and the CA/C ratio is low. A method is reported for temporarily restoring moderate amplitudes of abnormal AC/A and CA/C ratios by reducing excessive adaptation with fatigue. Finally, new clinical procedures for measuring adaptation of accommodation and the CA/C ratio are presented. Taken together with current measures of vergence adaptation and AC/A ratio these procedures will permit a more complete evaluation of mutual interactions between accommodation and vergence in patients diagnosed as having excessive and insufficient vergence.

Accommodation, Ocular↗

PubMed1988

Patterns of binocular suppression and accommodation in monovision.

The binocular depth of focus of monovision wearers was compared to the sum of the two monocularly determined depths of focus. Observers fell into three groups based upon ocular sighting dominance. Complete binocular summation of the monocular depths of focus was observed in subjects without a preferred fixating eye. Subjects who preferred to fixate with one eye had difficulty suppressing blur of that eye while the binocular target was within the depth of focus of the nonpreferred eye. A third group showed partial summation of the two monocular depths of focus. Similar patterns of accommodative response, measured objectively with the SRI optometer, were observed in subjects wearing monovision corrections. Accommodative response to sinusoidal variations in blur was controlled primarily by the dominant sighting eye. These results demonstrate the effectiveness of interocular suppression of anisometropic blur in monovision correction and the influence of ocular dominance upon this suppression process.

Accommodation, Ocular↗

PubMed1987

Ocular dominance and the interocular suppression of blur in monovision.

Presbyopic contact lens patients with monocular corrections (monovision) see clearly at all distances by virtue of an interocular suppression of anisometropic blur that occurs regionally between corresponding retinal areas. This suppression fails to occur with small high-contrast targets viewed under low luminance conditions. The effect of target size and contrast upon interocular suppression of blur was quantified by reducing contrast of a bright test spot, viewed binocularly while wearing various plus lenses monocularly, until the out-of-focus image was suppressed. The strength of interocular suppression was equivalent when the plus lens was before either eye. However, after subjects wore a plus lens over their nonsighting eye for one day, interocular suppression of blur became enhanced when the nonsighting eye was blurred, and it became reduced when the sighting eye was blurred. Successful monovision subjects suppressed blur at higher contrast levels than did unsuccessful subjects. These results suggest a possible clinical test for quantifying adaptation to monovision.

Adaptation, Physiological↗

PubMed1986

Disparity vergence dynamics and fixation disparity.

The initial velocity of the vergence response to step changes in disparity was examined in two subjects as a function of the retinal locus and spatial frequency of fusion stimuli. Vergence velocity decreased for both subjects as retinal eccentricity increased and it was unaffected by spatial frequency. The same subjects had very different amounts of fixation disparity (FD). The flat forced duction FD curve for one subject who had rapid vergence adaptation remained unaffected by these two stimulus variables. In contrast, the steep forced duction FD curve for the other subject became steeper as retinal eccentricity and target coarseness increased. These results suggest that prism adaptation overshadows the effects of disparity vergence dynamics upon FD, but in the absence of adaptation, two dynamic properties of vergence (velocity and decay during occlusion) determine the slope of the peripheral limits of the forced duction FD curves. The results also suggest that the vergence system is more sensitive to small disparities subtended by high than low spatial frequency detail. We recommend that the slope of the extreme limits of the forced duction curve be used clinically to discriminate between normal and abnormal disparity vergence dynamics.

Adaptation, Ocular↗