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The association of headache and monocular blur effect in a clinical population.

PURPOSE: Because some headaches are known to be associated with errors in binocular vision and because monocular visual acuity has been observed to change in different directions of gaze during binocular viewing, a study was designed to see if headaches were associated with this phenomenon. METHOD: This cross-sectional study cross-classifies each subject in a sample selected in consecutive order from an optometric practice by whether or not the patient has at least three headaches per month and by whether or not the patient has the monocular blur effect. Each of the two examiners conducted this cross-classification separately on the same sample. The laterality of the headache and the side which exhibited the monocular blur effect were also noted. RESULTS: The resulting two-way tables are presented along with the results of the chi 2 tests. The results are statistically significant. CONCLUSION: It appears that a relation exists between the occurrence of headache and binocular vision anomalies associated with the action of the eye muscles. The extraocular muscles and relevant neurological and vascular physiology are discussed as they relate to headache.

Cross-Sectional Studies↗

Tonic vergence and vergence adaptation.

In the absence of an adequate visual stimulus, the eyes are typically converged by approximately 0.25 to 0.75 meter angles (MA). This vergence response (VR) was believed to reflect the level of tonic innervation to the extraocular muscles, and accordingly has been termed tonic vergence (TV). However, this estimation fails to consider the magnitude of the anatomical position of rest. The true typical value of TV is approximately 23 degrees. This paper will consider various aspects of this parameter, including both clinical and laboratory methods of measurement, and the relationship between TV and the distance heterophoria. In addition, the role of vergence (or prism) adaptation, i.e., the apparent change in TV after periods of sustained fixation, is discussed. This shift appears to result from the relatively prolonged decay of the slow fusional vergence response (VR), with no evidence for a change in the level of tonic innervation. On occasion, the decay of slow fusional vergence may take hours or even days to reach completion. This extended rate of decay will have a significant impact upon the clinical measurement of a number of binocular parameters, most notably the assessment of heterophoria under truly dissociated conditions (i.e., in the absence of any fusional VR). Furthermore, both the magnitude and rate of decay of vergence adaptation appear to vary with age, as well as the presence of oculomotor imbalance. It is concluded that the output of the slow fusional vergence mechanism, as reflected by the degree of vergence adaptation, makes a major contribution to the aggregate, sustained VR in most visually normal patients.

Adaptation, Ocular↗

Naso-temporal asymmetry of spatial interactions in strabismic amblyopia.

PURPOSE: Naso-temporal asymmetries of visual acuity and contrast sensitivity have been reported in strabismic amblyopia and attributed to asymmetries of interocular suppression. In this study, we investigated the naso-temporal asymmetry of cortical spatial interactions in two strabismic amblyopes (one esotrope and one exotrope). METHODS: Length and width Westheimer functions were measured on both amblyopes at the 10 deg retinal eccentricity of both nasal and temporal visual fields. RESULTS: Spatial interactions in the two amblyopic eyes were more degraded in the temporal visual fields than in the nasal visual fields. A comparison with results from the preferred eyes suggested that this asymmetry was caused mainly by a loss of spatial interactions in the temporal visual fields of amblyopic eyes, with those in the nasal visual fields being normal. CONCLUSION: Our results suggest that intracortical connections underlying cortical spatial interactions might have been degraded by amblyopia. This degradation exists not only in the areas of the strabismic visual cortex responding to foveal stimuli but also in those responding to stimuli presented in the temporal visual fields.

Adult↗

Vertical vergence adaptation does improve with practice.

PURPOSE: To investigate the effect of repeated testing on adaptation to a 2 Delta vertical prism in subjects with normal binocular single vision. METHODS: Subjects were required to have good visual acuity and normal binocular single vision. The residual deviation was measured after a 1-min period of adaptation to a 2 Delta vertical prism using a modified Maddox Rod technique. This measurement was repeated 10 times, with a 5-min rest period between each trial. RESULTS: For eight young adult subjects, the mean residual deviation at 1 min reduced with consecutive trials, and this effect was statistically significant (p < 0.0001). No significant correlation was present between the amplitude of vertical vergence and the increase in adaptation with repeated demand. CONCLUSIONS: A practice effect for vertical vergence adaptation appears to be present in young adult subjects with normal binocular single vision.

Adaptation, Ocular↗

The loss of fusion in adults with intractable diplopia (central fusion disruption).

People over the age of 10 years can lose their fusion ability. This acquired disruption of fusion gives rise to intractable diplopia without suppression. An involuntary vertical bobbing movement of the non-fixing eye, present only with both eyes open, occurs at or near the angle of superimposition. This appears to be a unique and characteristic sign of acquired disruption of fusion and was present in all cases. Other causes of diplopia are mentioned and differentiated. Acquired central fusion disruption usually results from serious head injury. Partial recovery may occur but is unlikely. Sensory deprivation of at least 3 1/2 years' duration due to poor vision in one eye resulting from a traumatic cataract and sometimes subsequent uncorrected unilateral aphakia caused loss of fusion in 15 patients. The practical implications with regard to intraocular lenses and unilateral aphakia is discussed. Less commonly, vascular, neoplastic and presumed inflammatory lesions in the mid-brain area cause central fusion disruption.

Adult↗

Contradictory influence of context on predominance during binocular rivalry.

BACKGROUND: Binocular rivalry is a complex process characterised by alternations in perceptual suppression and dominance that result when two different images are presented simultaneously to the left and right eyes. It has been reported recently that the addition of contextual cues will promote the predominance of the context consistent rivalry target. In contrast to Levelt's second proposition (1965), this effect has been found to result exclusively from an increase in the dominance phase duration, while the suppression phase duration remains unaffected. METHODS: Human subjects were simultaneously presented with a small (2 degrees ) disc consisting of gratings (four cycles per degree) of different orientations to the two eyes. Four experiments were conducted to ascertain the effects of background gratings and contextual colour information on target predominance and phase duration. For each of the four experimental conditions, the orientation and colour of the target gratings and surrounding contextual background were systematically manipulated. RESULTS: In this study, we report an effect opposite to that of Levelt. Contradictory contextual information increases target predominance and phase duration during binocular rivalry. Our results demonstrate that it is possible to promote the dominance of the context contradictory percept with co-linearity, co-chromaticity and orientation cues. In line with previous studies involving context, we find that this effect on predominance is due to an increase in the duration of the dominance rather than the suppression phase. DISCUSSION: We discuss our findings in respect to those from previous studies and consider high- and low-level processes that may be responsible for these apparently 'contradictory' roles of context on binocular rivalry. In addition, we discuss how the apparent 'anti-Levelt' effect of context can be reinterpreted in a manner that brings it back in line with Levelt's second proposition and raises the question of whether 'suppressability' plays a disproportionately large role in determining the duration of perceptual phases in binocular rivalry.

Dominance, Ocular↗

Depth perception in monocularly deprived cats following part-time reverse occlusion.

The behavioural effects of an early period of monocular deprivation can be extremely profound. However, it is possible to achieve a high degree of recovery, even to normal levels of visual acuity, by prompt imposition of certain regimes of part-time reverse occlusion where the initially non-deprived eye is occluded for only part of each day in order to allow a daily period of binocular visual exposure. In this paper we report on the depth perception of five monocularly deprived cats that had recovered normal visual acuity in both eyes following imposition of certain of the above occlusion regimes. Although three of the animals exhibited five- to sevenfold superiority of binocular over monocular depth thresholds, subsequent tests made on two of the animals revealed that they were unable to make stereoscopic discriminations with random-dot stereograms. Despite the recovery of normal visual acuity in both eyes, we conclude that these animals recover at best only local stereopsis.

Animals↗

Binocular chromatic rivalry and single vision.

Depth perception is known to be impaired for chromatic equiluminant patterns. To investigate this phenomenon I have compared the effects of binocularly presented stimuli in the form of stripes, which contain only luminance information with similarly presented stimuli which contain only chromatic information. Observations of the reported percepts for the two conditions demonstrate that mechanisms of colour vision can impede stereopsis based on binocular fusion when the chromatic stripes are at, or even near, equiluminance, provided that their saturation is high. This observation is consistent with inhibitory interactions within the chromatic-sensitive neuronal groupings in the visual cortex.

Color Perception↗

Binocular vision in a virtual world: visual deficits following the wearing of a head-mounted display.

The short-term effects on binocular stability of wearing a conventional head-mounted display (HMD) to explore a virtual reality environment were examined. Twenty adult subjects (aged 19-29 years) wore a commercially available HMD for 10 min while cycling around a computer generated 3-D world. The twin screen presentations were set to suit the average interpupillary distance of our subject population, to mimic the conditions of public access virtual reality systems. Subjects were examined before and after exposure to the HMD and there were clear signs of induced binocular stress for a number of the subjects. The implications of introducing such HMDs into the workplace and entertainment environments are discussed.

Computer Simulation↗

Isovergence surfaces: the conjugacy of vertical eye movements in tertiary positions of gaze.

Conjugate gaze is often defined as the equal angle rotation of the two eyes. For fixation at far distances, the optical axes are parallel and conjugacy is defined irrespective of the coordinate system. For nearby or finite fixation distances, the evaluation of conjugacy for many gaze postures depends on the coordinate system used to measure it. For example, if the eye is elevated or depressed and the eye is rotated about a vertical axis, the intersections of lines of sight with a tangent screen will describe either straight lines or arcs depending on whether the vertical axis is fixed with respect to the head or to the eye. Because of the horizontal separation of the two eyes, the binocular fixation of near targets at tertiary positions of gaze will require a vertical vergence component for head-referenced but not eye-referenced measurements. The vertical gaze alignment of three human subjects was measured as they viewed targets placed at secondary and tertiary eye positions at two different distances. Vertical vergence was either held open or closed-loop. The lines of sight were found to intersect (i.e. vertical gaze was aligned) regardless of target position or viewing condition.

Convergence, Ocular↗

Ocular prevalence and stereoacuity.

BACKGROUND: Most people attribute a higher weight to the input from one eye than to that from the other eye when they have to align stereodisparate objects in the same visual direction. This preference for visual directions has been termed 'ocular prevalence', according to the Latin praevalentia = superior power. QUESTIONS: (1) Is ocular prevalence of one eye (or its correlate, partial suppression of the other eye in the prevalence task) restricted to large stereodisparities, close to Panum's limit, or does it occur also at small stereodisparities, near the stereoscopic threshold? (2) Is ocular prevalence a handicap for stereoacuity? METHODS: Six non-strabismic observers with equal visual acuity of their two eyes were examined. To determine their ocular prevalence, they were presented with vertical vernier lines at stereodisparities ranging between 30 and 430 arcsec. They had to judge whether the lower, anterior line was located on the right- or left-hand side of the upper, posterior line. Their stereoscopic threshold was measured with an adaptive staircase procedure, using the Freiburg Stereoacuity Test. RESULTS: All six observers exhibited some ocular prevalence. It changed considerably on repeated measurements. In three observers, it even switched from one eye to the other. Ocular prevalence occurred not only at large stereodisparities, close to Panum's limit, but also at small stereodisparities. The stereoscopic threshold of the six observers ranged between 1.7 and 12.3 arcsec. CONCLUSION: Ocular prevalence is common, intra-individually variable and occurs even at small stereodisparities close to the stereoscopic threshold. It is compatible with 'optimal' stereoacuity. Hence, ocular prevalence appears to be a harmless feature of normal binocular vision.

Adult↗

Interocular blur suppression and monovision.

The ability of the binocular system to suppress blur from the defocused eye is an important mechanism underlying the success of monovision correction. With a group of 60 new monovision wearers, we found that blur suppression ability varied substantially between subjects and that crossed dominance influenced blur suppression ability. Symptoms of ghosting amongst the monovision wearers appeared to be influenced by the strength of rivalry dominance. An understanding of the suppression processes underlying monovision may assist in patient selection and management.

Anisometropia↗