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Biomedical subjects

F W Campbell

Publications and source records attributed to F W Campbell.

At least 19 recordsLinked to original sources

Motion reveals spatial visual defects.

The question of how we can be unaware of the deficit in our (monocular) visual field, equivalent in size to 76 full moons, is examined. A new method of investigating the response to moving images on and near the blind spot has been found. The image of a computer-generated line, which is made to lengthen with time and pass over the blind spot, is seen as shorter than that of a similar, parallel line which passes outside the blind spot. This perceived difference in length corresponds to the actual width of the blind spot. Our unawareness of blind spots and scotomata is often described as involving some form of 'filling in' process. The rapid variation in cortical receptive field size, recently found to occur in response to stabilized images, may provide a general filling-in mechanism for the removal from perception of otherwise-distracting, stabilizing image regions (such as the shadows of blood vessels and clinical scotomata).

Humans

Study of precorneal tear film thickness and structure by interferometry and confocal microscopy.

Past measurements of precorneal tear film thickness in rabbits and humans gave values of 4-7 microns. These have been the accepted values. However, measurements presented in this report are much higher. Earlier techniques may have changed film thickness or not have fully included the layer containing mucus. Little is known about the mucus component. Thickness was measured in freshly killed animals of 10 species using two independent optical techniques. Coherent light was reflected from eyes and thickness was determined from spacing of interference fringes. Clear images of tissue structure were obtained with confocal microscopy, the tear film was visually identified, and thickness measured. Measurements by the two methods were closely correlated in each animal. No film was detected in trout or carp. In other species, thickness ranged from 9 microns in frogs to 15 microns in gerbils. Values are significantly larger than earlier estimates. Film thickness in three living rabbits was not significantly different from that measured shortly after death. There was no variation in thickness at five positions across the cornea in three species. Mucus content of rat tear film was examined by measuring thinning after application of 4, 8, and 20% (weight/volume) acetylcysteine, a mucolytic agent. Thickness was considerably reduced compared to controls, and the film almost completely removed by the highest concentration. The authors propose that the film is largely composed of mucus, not free aqueous solution. Our methods include such layers, and measurements are correspondingly larger than earlier ones.

Animals

Study of human precorneal tear film thickness and structure using laser interferometry.

The authors previously found that measurements of precorneal tear film thickness in animals, using laser interferometry and confocal microscopy, were larger than earlier estimates. They proposed that this occurred because optical methods did not disturb film structure and measured full thickness, including mucus. In the present study, tear film thickness was measured in humans. Coherent light was reflected from eyes and formed interference patterns. Thickness was determined from spacing of fringes. Mean thickness in six subjects was 34-45 microns, more than four times larger than earlier values. Validity and accuracy of measurements by interferometry were examined in our earlier study using confocal microscopy. Here it provided supportive evidence. Tear film thickness was estimated from optical sections through the corneas of three subjects to be 41-46 microns. Mucus content of the film also was examined. Interferometry was used to measure thinning after application of a mucolytic agent. There was no change in thickness after 5 min exposure to 0.1% (weight/volume) acetylcysteine. Solutions of 20% caused thinning to 11 microns, and thickness slowly increased to reach its original value over 40 min. Thus, the film seemed to be composed substantially of mucus, not aqueous fluid. The results also provided evidence that measurements by interferometry did not include underlying epithelium. Earlier nonoptical methods probably did not include the portion of the film that contained mucus. They seem to have greatly underestimated human tear film thickness.

Adult

Subtle disturbances of vision after optic neuritis elicited by studying contrast sensitivity.

Eight patients with a subjective disorder of vision yet normal Snellen acuities after optic neuritis were shown to have an abnormal contrast sensitivity function in their affected eye. It appears that certain disorders of vision are associated with an abnormality of the contrast sensitivity function in spite of near normal visual acuity. Such an abnormality may affect pattern recognition without having an influence on Snellen acuity because of the high contrast of the latter and its predominant association with the higher spatial frequencies. Contrast sensitivity function is thus the only tool available to study those aspects of vision which have remained impervious to other subjective tests of visual function.

Adult

On the nature of the neural abnormality in human amblyopia; neural aberrations and neural sensitivity loss.

In this investigation contrast threshold measurements are compared with supra-threshold perception for a group of human amblyopes. The results indicate that human amblyopia involves, in some cases, not only loss of sensitivity but spatial distortion. Thus a new group of amblyopes can now be identified in which only distortion occurs. These results have important physiological implications for both the normal and abnormal visual systems. Neurophysiologists investigating visual loss from deprivation should assess whether similar distortions occur in animals. This question may hold the answer to whether the present animal models are relevant to the human condition.

Amblyopia

A comparison of threshold and suprathreshold appearance of gratings with components in the low and high spatial frequency range.

1. The appearance of square gratings with some of their Fourier components missing has been investigated for both threshold and suprathreshold contrasts.2. If high frequency components are removed from a square grating there is only a very small effect on the detection threshold, or suprathreshold appearance, unless the components are visible by themselves.3. If the fundamental frequency is removed from a square-wave grating which has a spatial frequency lower than 1 cycle per degree (c/d) the contrast sensitivity is not altered. This is a generalisation of the Craik-Cornsweet illusion. If the contrast is raised above the detection threshold the grating is indistinguishable from a square grating, unless the contrast is high enough to see the fundamental when it is presented alone.4. If the fundamental is removed from a square grating which has a spatial frequency higher than 1 c/d the contrast threshold and the appearance at all contrasts are changed. At threshold it appears as a sinusoidal grating of three times the fundamental frequency. The threshold is dictated solely by the amplitude of the third harmonic. If the contrast is further raised, so that the fifth harmonic also reaches threshold, the periodictiy of the fundamental is seen.5. Therefore, gratings of many different luminance profiles (including the Craik-Cornsweet profile) all produce the perception of a square grating simply because those missing components which would be required in each case to produce a perfect square are by themselves undetectable. The visual system responds as though hardwired to detect square gratings and edges by means of quasi-Fourier analysis.6. These results are analagous to the missing fundamental, or residue, effect in hearing.

Humans

Preliminary results of a physiologically based treatment of amblyopia.

An apparatus has been developed in which high-contrast square-wave gratings are rotated in front of the amblyopic eye while the child is performing some task requiring visual concentration. In the course of three 7-minute treatments 73% of patients treated achieved 6/12 or better; 75% of these patients had previously undertaken conventional or minimal occlusion.

Amblyopia