Trends in the treatment of pelvic malignant diseases.
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Biomedical subjects
Publications and source records attributed to T L Lewis.
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We evaluated the subcortical pathways' contribution to human adults' horizontal OKN by using a method similar to that used previously with cats (Harris & Smith, 1990; Smith & Harris, 1991). Five normal adults viewed plaids composed of two drifting sinusoidal gratings arranged such that their individual directions of drift were 60 deg or more from the direction of coherent motion of the overall pattern. Physiological evidence indicates that under monocular viewing, nasalward coherent motion gives advantage to any crossed subcortical contribution while temporalward coherent motion minimizes it. We recorded horizontal eye movement by infrared reflection and asked subjects to report the perceived direction of motion. During both binocular and monocular viewing, the direction of the slow phase of OKN fell closer to the direction of coherent movement than to that of the oriented components. Monocular viewing produced no nasal-temporal asymmetries in the influence of coherent motion on the direction of OKN. This suggests that in humans the influence of coherent motion is mediated primarily by cortical mechanisms and, unlike in cats, with little or no involvement of subcortical mechanisms in the generation of horizontal OKN.
PURPOSE: We measured the extent of the monocular visual fields of children deprived of normal visual experience and examined the influence of the timing and duration of deprivation, of whether deprivation was monocular or binocular, of having patched the fellow eye, and of optical factors. METHODS: The Goldmann perimeter and a 6.4' stimulus of either 31.8 cd/m2 (target 12e) or of 318 cd/m2 (target 14e) were used to test 44 children treated for a dense and central cataract in one (n = 25) or both (n = 31) eyes that developed before 6 years of age. Then, the influence of optical factors was assessed in two adults treated for a late-onset, unilateral cataract and in two children treated for unilateral congenital cataract. RESULTS: Compared with age norms or the normal fellow eye, all children treated for cataract showed a restricted field, especially temporally, even when deprivation began as late as 6 years of age and lasted less than 6 months. The restrictions were larger than those shown by the adults who developed cataracts. The restrictions were larger after longer deprivation and monocular deprivation than after binocular deprivation. However, children who regularly patched the fellow nondeprived eye and, therefore, experienced less interocular competition, exhibited smaller restrictions temporally. Neither visual acuity nor optical factors could account for all of the restrictions in the deprived children. CONCLUSIONS: The development of the visual field is vulnerable to the effects of deprivation, especially to unilateral deprivation and to long deprivation. The losses likely reflect alterations in the visual pathways subserving peripheral vision.