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Biomedical subjects

D Pickwell

Publications and source records attributed to D Pickwell.

4 recordsLinked to original sources

The accommodative contribution to binocular vergence eye movements.

Forced vergence fixation disparity curves were generated for both with and without an accommodative stimulus (accommodative closed and open loop conditions respectively) for fifteen asymptomatic subjects. All subjects exhibited an exophoric shift in fixation disparity for the accommodative open loop condition at the forced convergence side of the curve. No corresponding bias was found at the forced divergence side of the curve. The findings are discussed in terms of the results of previous studies and the existing models of vergence eye movements.

Accommodation, Ocular

World optometry.

The International Optometric and Optical League (IOOL) sent out a questionnaire to contacts in countries across the world in order to formulate an "Optometry Profile" on as many countries as possible. The information from the 58 replies is summarized. The very varied distribution of optometric services that is revealed is discussed in the light of experience gained by the author in his own visits and correspondence relating to the worldwide situation of optometry.

Africa

The effect on fixation disparity and associated heterophoria of reading at an abnormally close distance.

It is well established that prism stress on binocular vision produces fixation disparity. It is therefore suggested that fixation disparity is a sign of stress on binocular vision. The authors have previously looked at the stress caused by reading in reduced levels of illumination, and found that the average fixation disparity and associated heterophoria become more exophoric. In this paper the effect on fixation disparity and associated heterophoria of reading at an abnormally close distance is reported. It was found that in 50 young adults fixation disparity and associated heterophoria increased to a greater degree of exo-disparity. An analysis of the visual symptoms indicated that there was also an increase in the visual discomfort and other symptoms.

Adult

The clinical assessment of binocular vision before and after a working day.

This paper looks at the clinical investigative and measurement procedures used in assessing binocular vision at the beginning of a normal working day and compared with the same procedures carried out in the afternoon which included several hours of close work. In 84 young adults, it was found that dissociated heterophoria, associated heterophoria and fixation disparity increased. This was accompanied by visual symptoms. It is likely that any decompensation of heterophoria is worse at the end of a working day. The results of this investigation raise the question of the value of some clinical tests for binocular assessment carried out at the beginning of the day.

Adolescent