Biomedical subjects
Publications and source records attributed to R D Freeman.
The recently published method of treatment of amblyopia by the use of rotating gratings is very similar to an older technique. Used apparently extensively during the 1930s in the United States, the method, called 'visual gyration' was based on use of a rotating disk pattern like a grating. Differences between the old and new procedures are described in this paper.
It is known that kittens reared in ways that restrict movement while visual stimulation is received exhibit deficits in visually guided behavior. Presumably, the behavioral dysfunction is due to a lack of sensorimotor coordination during visual exposure. The current investigation was undertaken to study this effect both physiologically and behaviorally. Two groups of kittens were normally reared until they were nearly 4 weeks old. They were then placed in a darkroom and exposed daily for 1--2 hours while one eye was occluded. On alternate days, alternate eyes were covered. One group was restrained in a body cast while a given eye was exposed, but the kittens were free to move about while the other eye received visual experience. A second control group was alternately occluded, but freely mobile during all exposures. An additional cat was also unrestrained during daily rearing periods and neither eye was ever occluded. Behavioral tests showed clear deficits when the "passive" eye of the restrained-unrestrained group was used. Deficiencies were found in visually guided paw placing, pursuit eye movements, and jumping behavior to a platform. Responses of single cells were studied in area 17 of the visual cortex. Ocular dominance distributions showed marked reductions in binocularity for alternated occluder cats. The eye that had received exposure while animals were active in the restrained-unrestrained group also tended to predominate but the difference was not statistically significant.
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1. The alignment of the pupillary axes and of the visual axes has been measured in 23 normally reared cats ranging in age from 14 days to adulthood. 2. In agreement with a previous report, we find that pupillary divergence, as measured from photographs, tends to decrease during the first 2 mo of life. 3. The angle between the visual axes of cats of various ages was determined during paralysis by plotting the receptive fields of neurons in cortical area 17, and extrapolation to the angle of alignment of the freely moving animal was accomplished by comparing pupillary photographs taken before and after immobilization. Results obtained by this method reveal that in cats of all ages the visual axes are convergent, and that the average angle of convergence is approximately the same at all ages. 4. We conclude that young kittens may be capable of coordinated binocular vision. Further study will be required to determine whether animals as young as 2 wk are able to align their eyes accurately so as to bring the two retinal images of object space into register. 5. Pupillary divergence decreases during development as a result of changes in the geometry of the eye characterized by a reduction of the angle between the pupillary axis and the visual axis in each eye. This angle changes from around 25 degrees at 14 days to around 16 degrees in adulthood. 6. The role of visual experience in the maintenance of normal eye alignment was investigated by rearing five cats in darkness until the age of 4-7 mo. In three animals, visual axis alignment was within the normal range. The two remaining cats were slightly exotropic. 7. A change occurs during development in the apparent cyclotorsional alignment of the eyes, as determined by measuring the intorsional angle formed by the two slit pupils. This angle increases during the 1st and 2nd mo, assuming a mean value of 14 degrees. In dark-reared cats the increase continues through the 3rd mo, culminating in an abnormally large angle of pupillary intorsion (mean of 24 degrees). The possibility that these changes reflect true shifts in cyclotorsional alignment of the eyes is discussed.
The value of the contraction stress test (CST), although well documented in late pregnancy, has been questioned earlier in gestation. We have evaluated the reliability of the CST in 102 patients tested before 33 weeks' gestation. Eighteen patients with a positive CST had a significantly higher incidence of abnormal urinary estriol excretion (60% of patients), low Apgar scores (44%), growth retardation (39%), and perinatal mortality (277/1000) than did 84 women without a positive CST. Two stillbirths and 3 neonatal deaths occurred in the positive CST group. None of the neonatal losses was due to unnecessary premature intervention. Four patients with a positive CST showed no signs of fetal compromise, a false positive rate of 22%. Delivery was safely delayed an average of 6.1 weeks in patients without a positive CST. These findings demonstrate the predictive value of the CST and support its clinical application early in the third trimester.
Kittens appear visually immature at eye opening and studies were conducted to trace changes with maturity. Longitudinal determinations of optical quality indicate that optical factors may not limit visual performance in young kittens. Estimates of visual axis alignment in alert kittens at various ages show that functional visual divergence does not occur even when the pupillary axes are divergently misaligned. It is thus possible that fused binocular vision may occur in very young kittens, suggesting that procedures that disrupt binocularity may have effects at the cortical level. Single-unit analysis of striate cortex in kittens monocularly deprived for varying periods during the first three postnatal weeks confirms this possibility. Effects are also found for kittens reared with monocular defocus to simulate anisometropia. Binocular recovery from the effects of monocular deprivation is found to be quite limited in kittens given binocular exposure following unilateral lid-suture. The recovery that occurs requires active visual input rather than a cessation of imbalance in the two eyes. A long period of binocular exposure appears to be ineffective in restoring binocular connections in a cat reared with optically induced strabismus.
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1. Visual acuity is lower for gratings oriented diagonally than for those of horizontal and vertical orientations. In addition to this oblique effect, some subjects show substantial deficits in acuity for horizontal or vertical targets (meridional amblyopia). These subjects are invariably astigmatic, but the condition has a neuronal basis and is thought to arise from faulty post-natal neural development. 2. Foveal increment sensitivites have been determined for normal subjects and meridional amblyopes using bar-shaped targets of various lengths, widths and orientations.3. Normal subjects do not exhibit differences in sensitivity as a function of orientation. No oblique effect is found for 1-5' wide bars ranging in length from 10 to 60'. On the other hand, meridional amblyopes have substantial differences in increment sensitivity which depend on test target orientation. Invariably, when there is a deficit in acuity for a particular grating orientation, there is also a reduction in increment sensitivity for a bar of the same orientation. This effect is diminshed or eliminated when the background illuminance is lowered from 70 to 7td. 4. The orientational differences in increment sensitivity found in meridional amblyopes do not increases for bars longer than about 10'. As the bar is shortened, the differences are reduced, and they are absent when the test bar is 6' or less. 5. In normal subjects, for a 1 degree long bar, increment sensitivity increases with width up to about 4' where the width-sensitivity curve levels off. No orientation differences are exhibited. Prominent orientation differences are found with meridional amblyopes when the bar target width is altered. The normal meridian is similar to those of the control subjects but the deficity meridian has very low sensitivity and summation is present for widths up to about 11'.
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1. Grating contrast sensitivities have been determined over a range of spatial frequencies for a normal subject and for subjects who are visually biased in that they have a lower resolution capacity for targets of specific orientations. The bias si only found in astigmatic subjects and the grating orientation yielding poorest acuity coincides with the most defocused astigmatic meridian. However this resolution anisotropy remains when optical factors are accounted for. 2. For the normal subject, high and low frequency attenuation is found and a typical reduction in contrast sensitivity is exhibited for oblique target orientations. 3. The biased subjects, called meridional amblyopes because they have reduced acuity for a given grating orientation, show markedly abnormal contrast sensitivity functions. Their cut-off spatial frequencies are different for various target orientations and this difference applies also to contrast sensitivity over nearly the entire spatial frequency range tested (0-5-16 cycles/deg). The differences are of about the same magnitude for most frequencies and they are found in all types of meridional amblyopes. 4. Optical explanations of these differences are ruled out by laser-interference fringe tests and by varying effective pupil size. 5. Theoretical effects of defocus have been calculated to compare predicted visual deprivation with performance. Results indicate that reduced contrast sensitivity functions can be equivalent to a small defocus effect. 6. To examine the results in the spatial domain, inverse Fourier transforms of representative contrast sensitivity functions have been computed. The optical portion of the resulting spatial weighting functions has been parcelled out to obtain neural spatial weighting functions.
1. The visual evoked response to a grating target of varying spatial frequency was examined for normal subjects and for subjects with meridional amblyopia. This condition, reduced visual resolution for specific target orientations, is associated with, and thought to result from, marked ocular astigmatism. 2. For normal subjects, the general relation between spatial frequency and the evoked response is similar to psychophysical contrast sensitivity data. Evoked response amplitudes to oblique gratings are typically reduced and this is analogous to the lower acuity for oblique compared to horizontal and vertical detail. 3. In addition to the oblique effect, the magnitude of the evoked response for meridional amblyopes depends upon grating orientation over most of the spatial frequency range tested (0-5-16 cycles/deg). The lowest evoked amplitude is found when stimulus grating orientation matches that for which acuity is reduced. 4. The evoked potentials spatial frequency response functions are qualitatively similar to contrast sensitivity functions determined with the same abnormal subjects. 5. From these results, it may be concluded that the physiological locus of meridional amblyopia is confined primarily to structures at or prior to the site of evoked potential generation.
Following initial rearing in either total darkness or normal illumination, kittens at different ages were subjected to right-eye closure and various periods of vision through the left eye. After the period of monocular vision, single units in striate cortex were tested for visual responsiveness through each eye. A severe reduction in the proportion of units responsive to the deprived eye occurred over the first few days of monocular vision. Functional abnormalities were variably present after 1 day, marked after 2.5 and 3.5 days, and complete after 10 days. Monocular vision produced very much the same effect on ocular dominance of striate units, provided age and duration of suture were identical, regardless of whether kittens had received prior dark- or light-rearing.
Contrast (modulation) sensitivities for gratings of various spatial frequencies and orientations have been determined for meridional amblyopes. The entire contrast sensitivity function is reduced for gratings oriented in the amblyopic meridian. Therefore, neural elements that process a broad range of spatial frequencies are affected by meridional amblyopia.