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Impact of new and emerging instrumentation in optometry.

Traditional tests of vision emphasize visual acuity, visual fields, and testing for hereditary color vision defects. New instrumentation for testing vision has proliferated due to advances in our knowledge of the visual system, the availability of new technologies, the introduction of computers into practice, and the expanded scope of optometric practice. Each is discussed in relation to the subsequent symposium papers by other authors.

Color Perception

Graduate education in optometry--what do we need?

Current needs in graduate education are addressed. In particular, the areas of biological sciences need to be addressed. Mechanisms to achieve a combined degree program are proposed.

Education, Graduate

Use of interferometric visual stimulators in optometry.

Professor Fergus Campbell and colleagues pioneered the use of the interferometric visual stimulator as a tool for separating optical from neural factors which limit spatial vision. The device is now commercially available as a clinical instrument which 'bypasses the optics of the eye' to measure the potential visual acuity of the neural portion of the visual system. However, the clinician needs to be aware of limitations of current instrument designs and recent advances in our understanding of peripheral vision, to correctly interpret patient data gathered with these devices.

Humans

Electrophysiological optometry using Scheiner's principle in the pigeon eye.

A new electrophysiological optometer has been developed, based on Scheiner's principle. Using two light-emitting diodes driven in counterphase, and grating stimuli in Maxwellian view, the system has been used to refract the photoreceptor plane of the pigeon eye. When a grating is conjugate with the photoreceptors, the electroretinographic response (e.r.g.) is minimal, and the image is stationary. As defocus is introduced, so image shift occurs, and the e.r.g. rises on each side of the refractive minimum. Two experiments were devised to test whether a derived minimum point is primary, by using gratings of bar width 3, 5 and 7 units, and by using random checkerboard stimuli. Ray tracing was used to compute the lobe width of dioptric profiles for gratings of spatial frequency 1.47, 0.88 and 0.63 cycles/deg. The computed lobe widths agree well with experimentally determined e.r.g. profiles. Examination of the lateral visual field, on the horizon, shows that the pigeon eye is emmetropic, and well corrected for astigmatism.

Animals

Health planning and resources development: an opportunity for optometry.

The American Optometric Association views the goal of the National Health Planning and Resources Development Act of 1974, as the promotion of physical, emotional and environmental health for all. The National Health Planning and Resources Development Act will work towards this goal by identifying problems, preparing reports and studies and developing recommendations for implementation directed toward solving the problems. These functions will be carried out in collaboration with private and governmental individuals and organizations concerned with health care services. Only through this coordinated effort will success be achieved.

Health Planning

The challenge: PSRO and optometry.

Professional Standards Review Organizations (PSRO) will be reviewing services rendered under Medicare/Medicaid and Maternal and Child Health. The United States has been divided into 203 PSRO areas. In states with three or more PSROs, a statewide Professional Standards Review Council will be set up. A national Professional Standards Review Council advises the Secretary of HEW and Congress on the progress of the PSRO program. Norms, criteria and standards will be used in the PSRO review process. It is hoped that the PSRO system will be able to improve the quality and cost effectiveness of health care being paid for by the Federal government.

Humans