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The effect of incisions for cataract on corneal curvature.

PURPOSE: To determine the magnitude and duration of change on the horizontal and vertical meridians of the cornea after five different incisions for cataract. DESIGN: Retrospective comparative interventional study of five commonly used incisions for cataract surgery: extracapsular cataract extraction (ECCE), 6-mm superior scleral tunnel (6Sup), 3-mm superior scleral tunnel (3Sup), 3-mm temporal scleral tunnel (3Temp), and 3-mm temporal corneal incision (3Cor). PARTICIPANTS: A total of 662 cases with preoperative regular astigmatism, measured with keratometry. METHODS: The mean net change on each meridian was computed at 1 day, 1 week, 2 weeks, 1 month, 1.5 months, 2 months, 4 months, 6 months, and 12 months and at succeeding 6-month intervals after surgery. Best-fit parameters were calculated for the observed changes in the horizontal and vertical keratometry values after each incision. To determine when the cornea stabilized, average change on the horizontal and vertical meridians was compared with an estimate of the accuracy of keratometry measurement. MAIN OUTCOME MEASURES: The pattern of change on the horizontal and vertical meridians and time for the cornea to stabilize after each incision. RESULTS: The initial and final net changes after a superior incision decrease with length. A sigmoid equation describes the course of the changes on the horizontal and vertical meridians after the superior incisions. The changes after the temporal incisions depend linearly on time after surgery. Considering the uncertainty of keratometry, the corneal meridians stabilized 4.5 months after ECCE, 1.2 months after 6Sup, and 0.3 months after 3Sup. No significant change was detected on the horizontal and vertical meridians after 3Temp and 3Cor. CONCLUSIONS: The magnitude and the duration of keratometric change on the horizontal and vertical meridians of the cornea depend on the length and location of the incision. Within the limits of measurement error, no significant change in corneal curvature was detected after either small temporal incision.

Adult↗

Clinical evaluation of keratometry and computerised videokeratography: intraobserver and interobserver variability on normal and astigmatic corneas.

AIMS: To evaluate intra- and interobserver variability in measurements on normal and astigmatic corneas with keratometry and computerized videokeratography. METHODS: Keratometric readings with the 10 SL/O Zeiss keratometer and topographic maps with the TMS-1 were obtained by two independent examiners on 32 normal and 33 postkeratoplasty corneas. Inter- and intraobserver coefficients of variability (COR) for measurements of steep and flat meridian power and location, in addition to the magnitude of astigmatism, were assessed. RESULTS: Compared with TMS-1, the 10 SL/O keratometer showed a superior repeatability in measuring normal corneas (intraobserver COR for keratometry and TMS-1 respectively: 0.22 and 0.30 D for steep meridian power; 0.18 and 0.44 D for flat meridian power; 0.26 and 0.40 D for astigmatism; 5 degrees and 26 degrees for steep meridian location; 5 degrees and 13 degrees for flat meridian location). Astigmatism intraobserver COR (0.20 D and 0.26 D for the two observers) and interobserver COR (0.28 D) of the keratometer for normal corneas was very good and not affected by observers' experience. Repeatability of the TMS-1 on normal corneas was found to be: (a) observer related, and (b) astigmatism related. A novice observer showed a much greater COR (1.62 D for astigmatism, 30 degrees for flat meridian location) compared with the experienced examiner (0.40 D for astigmatism, 13 degrees for flat meridian location). Higher deviation scores were observed for corneas with higher astigmatism. For the postkeratoplasty corneas, again the keratometer achieved superior reproducibility (astigmatism interobserver COR 1.12 D for keratometry, 4.06 D for TMS-1; steep meridian location interobserver COR 10 degrees for keratometry, 34 degrees for TMS-1). CONCLUSION: Keratometric readings are more reproducible than topographic data both for normal and postkeratoplasty corneas. The two instruments should not be used interchangeably especially on highly astigmatic corneas. For the TMS-1, users with the same level of experience should be employed in clinical or experimental studies.

Adult↗

[Four main schools of thought and analysis in studies of channels and collaterals].

OBJECTIVE: To summarize 4 schools of thought in studies of meridians. METHODS: Consult literature and review the history of studies of meridians. RESULTS: The studies of meridians in the past dozens years at home and abroad have gradually formed four main theories, namely the nerve-conduction meridian theory of neurophysiology, body fluid circulation meridian theory of the physio-biochemistry, bio-field meridian theory of biophysics, and the connective tissue structure meridian theory of the overall-gap viewpoint, which are summarized and analyzed.

Acupuncture Points↗

Relationship of ocular pigmentation to the boundaries of dorsal and ventral retina in a nonmammalian vertebrate.

The goldfish eye and retina are partitioned traditionally into dorsal and ventral sectors by a horizontal meridian that passes through the optic disc and is perpendicular to a vertical meridian that extends from the remnant of the choroid fissure through the optic disc. Axons of retinal ganglion cells (RGCs) situated above the horizontal meridian are thought to reach the optic tectum via the ventrolateral optic tract and axons of RGCs situated below the horizontal meridian are thought to reach the optic tectum via the dorsomedial optic tract. When cobaltous-lysine was applied to small temporal retinal slits that were centered on the traditional horizontal meridian, filled fibers were found in the dorsomedial, but not in the ventrolateral, optic tract (Springer and Mednick, '83). Since cobalt-filled axons should have been found in both optic tracts, the traditional horizontal meridian does not indicate the actual boundary between dorsal and ventral retina. We report here that the goldfish iris contains nasal and temporal pigmentation lines (darts) that are each located approximately 21 degrees above the traditional horizontal retinal meridian. Cobalt applied to retinal slits located just above the darts filled RGC axons in the ventrolateral optic tract and cobalt applied to retinal slits just below the darts filled RGC axons in the dorsomedial optic tract. Converging evidence for the reliability of the darts as indicators of the boundary between dorsal and ventral retina was obtained by applying cobalt to severed RGC axons along the dorsomedial edge of the tectum. Cobalt-filled RGCs were found below the nasal dart.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Designation of the anterior/posterior axis in pregastrula Xenopus laevis.

A new fate map for mesodermal tissues in Xenopus laevis predicted that the prime meridian, which runs from the animal pole to the vegetal pole through the center of Spemann's organizer, is the embryo's anterior midline, not its dorsal midline (M. C. Lane and W. C. Smith, 1999, Development 126, 423-434). In this report, we demonstrate by lineage labeling that the column 1 blastomeres at st. 6, which populate the prime meridian, give rise to the anterior end of the embryo. In addition, we surgically isolate and culture tissue centered on this meridian from early gastrulae. This tissue forms a patterned head with morphologically distinct ventral and dorsal structures. In situ hybridization and immunostaining reveal that the cultured heads contain the anterior tissues of all three germ layers, correctly patterned. Regardless of how we dissect early gastrulae along meridians running from the animal to the vegetal pole, both the formation of head structures and the expression of anterior marker genes always segregate with the prime meridian passing through Spemann's organizer. The prime meridian also gives rise to dorsal, axial mesoderm, but not uniquely, as specification tests show that dorsal mesoderm arises in fragments of the embryo which exclude the prime meridian. These results support the hypothesis that the midline that bisects Spemann's organizer is the embryo's anterior midline.

Animals↗

Blue-yellow perimetry in the detection of early glaucomatous damage.

A perimetric method using blue stimuli on a yellow background was compared with perimetry using white stimuli on a white background as a method of detecting glaucomatous damage. Meridian perimetry was used with an adapted Tübinger perimeter. The difference between the blue-on-yellow meridian and the white-on-white meridian was subdivided into two parts: the general blue sensitivity loss (GBSL), probably due to optical factors, and the corrected blue sensitivity loss (CBSL), probably due to glaucoma. Nine normals, fourteen primary open angle glaucoma (POAG) patients and nine ocular hypertensives (OHT) were tested. All POAG patients and some of the OHT group showed higher CBSL values than the controls. The blue-yellow meridian showed broader and deeper defects than the white-white meridian in all of the POAG group; some of the OHT group had defects in the blue-yellow meridian that were not present in the white-white meridian. In conclusion, blue on yellow perimetry shows promise as a method for more sensitive detection of early glaucomatous damage.

Adult↗

Quantitative assessment of corneal astigmatic surgery: expanding the polar values concept.

The purpose of astigmatic corneal surgery is to flatten the steeper meridian of the preoperative cylinder, to steepen the flatter meridian, or both. Therefore, it may be useful to quantitate the surgical effect by calculating the equivalent dioptric value of the postoperative cylinder in these principal meridians. In this study, the dioptric value projected on the preoperatively steeper meridian is termed the with-the-power (WTP) component, the portion projected on the flatter meridian, the against-the-power (ATP) component. Consider a preoperative net astigmatism of the power N in the meridian a. After astigmatic corneal surgery, the postoperative corneal cylinder is M in the meridian b. For the postoperative cylinder, the WTP component = M x sin2([b + 90]-a). The ATP component = M x cos2([b + 90]-a). The astigmatic polar value is defined as the difference between these magnitudes: AKP = M x (sin2[(b + 90)-a] - cos2[(b + 90)-a]). By calculating the astigmatic polar value, the surgeon immediately knows the outcome of the surgical procedure (i.e., whether the preoperative astigmatism has been undercorrected, overcorrected, or perfectly corrected). We describe the theory behind this new formula and discuss its applications and limitations.

Astigmatism↗

An evaluation of keratometry in 6-year-old children.

PURPOSE: To evaluate the repeatability and comparability of keratometry measured by both the IOLMaster and RK-F1 AutoRef-Keratometer in children. METHODS: Keratometry results from a sample (n = 447) of 6-year-old children who were examined in the Sydney Myopia Study were analyzed. Corneal power was analyzed along the flattest and steepest meridians to determine if there were any systematic differences between repeat measurements or between the two instruments. The 95% limits of repeatability (LR) and 95% limits of agreement (LA) (mean difference +/- 1.96 x standard deviation of differences) were calculated. RESULTS: There were no systematic differences in repeat measurements for each instrument. For the IOLMaster, mean difference of the flattest corneal meridian was -0.01 (D) (P = 0.3, 95% LR, -0.22, 0.21 D) and of the steepest corneal meridian, 0.01 D (P = 0.3, 95% LR, -0.35, 0.38 D). For the RK-F1, mean difference of the flattest corneal meridian was -0.02 D (P = 0.3, 95% LR, -0.25, 0.21 D); and of the steepest corneal meridian, 0.00 D (P = 0.9, 95% LR, -0.39, 0.39 D). Systematic differences, however, were found between the two instruments. The IOLMaster gave significantly (P < 0.0001) steeper readings than the RK-F1 for both the flattest corneal meridian, 0.29 D (95% LA, -0.08, 0.66 D), and the steepest corneal meridian, 0.18 D (95% LA, -0.29, 0.65 D). CONCLUSIONS: Keratometry was highly repeatable for both the IOLMaster and RK-F1 instruments when used in young children. These instruments would be suitable for use in monitoring changes of corneal curvature over time. Small significant systematic differences in keratometry between the two instruments were also found.

Anthropometry↗

[Single channel multifocal VEP studies in normal Chinese].

OBJECTIVE: To investigate the waveform characters of single channel mVEP and its variability in normal Chinese people. METHODS: VERIS Science 4.3 system was used to record and analyze single channel mVEP. The stimulation was performed with a 60 pattern segment dartboard configuration. The Michelson contrast was 99% and the repetition rate 75 Hz. Recording electrodes were placed 3 cm above and 3 cm below the inion. The m-14 sequence required 4 minutes of recording time per eye, which was divided into 8 short segments. The signal was amplified 100 000 times and band-pass filtered between 3 and 100 Hz. The first slices of second kernel at 60 locations were analyzed. The main wave peak-to-trough amplitude and latency from 30 to 130 ms signal window were measured and calculated with the costumed Matlab program. The study included 64 normal subjects (39 women and 25 men). The age range was 13 - 66 years. 7 subjects were tested 2 - 7 times on different occasions for reproducibility. The statistic analysis was performed with Excel and SPSS. RESULTS: In mVEP trace array, the polarity of upper hemifield traces was usually opposite to lower hemifield traces. However, at near vertical meridian areas and near below horizontal meridian areas, the trace polarity had some variability. The main wave mean amplitudes of 60 location responses in left eye were from 0.177 microV to 0.401 microV. The amplitude CVs for 60 locations were from 36.6% to 60.7%. The mean latencies of 60 location responses were from 100 to 116 ms, and latency CVs were from 8.8% to 18.1%. The smaller signals located in zones of upper periphery, along vertical meridian, below horizontal meridian and the larger signals located in near horizontal meridian areas and near non-axial meridian areas which distribution is like a bow tie. There was smaller amplitude variability in the some upper hemifiled locations with smaller amplitude, and there was larger amplitude variability in the some lower hemifiled locations with larger amplitude. The mean amplitudes of all 60 locations in male subjects were lower than that in female subjects, in which 30 locations were low significantly (P < 0.05). The gender influence on latency was less, in which only at 10 locations the difference was significant (P < 0.05). At 20 locations of all, which were mainly distributed at near vertical meridian of lower hemifiled, there was a significant positive correlation of age with amplitude. The age influence on latency was also less. CONCLUSIONS: The larger variability of main wave peak-to-trough amplitude in single channel mVEP existed in different subjects and different locations of same subject. In analysis of mVEP amplitude, the influence of VEP curve location, gender and age should be considered. The main wave latencies of intersubject and intrasubject have smaller variability, and less effect by gender and age, so latency may be a useful diagnostic parameter.

Adolescent↗

Aniseikonia testing in an adult population using a new computerized test, "the Aniseikonia Inspector".

PURPOSE: To determine the measurement characteristics of a new computerized test, the Aniseikonia Inspector Version 1, on a sample of clinic patients. METHODS: Aniseikonia was measured in the vertical, horizontal, and oblique meridians on 320 patients (mean 55 years old, range 17-89 years) prior to their optometric exam using the psychometric methods programmed into the Aniseikonia Inspector Version 1. Statistical analyses were performed to determine the distribution of aniseikonia in the sample of patients and the relationships between the amount of aniseikonia and patients' habitual refractive correction, visual acuity, stereopsis and binocular alignment status. The characteristics of the individual measurements were also examined. RESULTS: The means and standard deviations of the measured aniseikonia in the vertical, horizontal, and oblique meridians were -0.5% (2.5%), -0.1% (3.3%) and 0.3% (2.8%) respectively. The means in the vertical and oblique meridians were significantly different from 0.0 (p=0.0001, p=0.0314) while that in the horizontal was not (p=0.61). The distributions of aniseikonia showed that 65.6%, 57.5% and 64.3% had within +/-1.0% aniseikonia in the vertical, horizontal and oblique meridians, respectively. Correspondingly, 16.9%, 25.6% and 25.8% had aniseikonia of +/-3.0% or greater. The discrepancy between these percentages and those expected in a normal distribution indicate that the distributions were significantly more peaked than a normal distribution. This departure from normal is due to a few extreme values in the tails. The magnitude of aniseikonia had no statistically significant relationship with the patients' habitual refractive correction, visual acuity or stereopsis. The effect of phoria on the amount of aniseikonia was significant, more so for measurements in the horizontal meridian. The individual measurements, which are the average of two trials using the method of adjustment, showed no significant bias, no relationship between the means and differences in the two readings, but large differences between the two readings. Measurements in the vertical direction seem to be more stable than those in the other two meridians. CONCLUSION: As measured with the Aniseikonia Inspector 1.0, the majority of the patients sampled in this study exhibited 1.0% or less aniseikonia and were therefore not likely to have symptoms related to aniseikonia. At least 17% of patients had 3.0% or greater aniseikonia measured in the vertical meridian. The Aniseikonia Inspector warrants further evaluation in a clinical setting because of the large limits of agreement between the two settings that are average to determine the magnitude of the aniseikonia. These limits differ considerably from those established by the designers and, therefore, raise questions regarding the actual resolution of the instrument as compared to the nominal resolution.

Adolescent↗

Quantitative evaluation of papilledema in pseudotumor cerebri.

PURPOSE: To determine the feasibility of adapting confocal scanning laser (CSL) tomography of the optic disc for quantitative evaluation of papilledema in pseudotumor cerebri (PTC). METHODS: Confocal scanning laser tomography of the optic disc was performed in 11 patients with diagnosed PTC and 12 visually normal control subjects of similar age. In five patients with active papilledema, CSL tomography was performed serially over several months. To quantify optic disc characteristics, surface topography was measured in 0.1-mm steps along the horizontal and vertical meridians and four oblique meridians. Best fit polynomial functions, describing surface topography along each meridian, were derived using linear regression analysis. RESULTS: Third-order polynomials provided excellent fits (significantly better than the second-order functions) to the surface topography for all meridians in the control subjects and patients with PTC. In control subjects and PTC patients an asymmetry in the slope of the optic disc contours was evident along the horizontal but not the vertical meridian. In patients with active papilledema a significant elevation of the center of the disc was accompanied by a change in overall surface topography. Each of the PTC patients followed up serially had a pronounced posterior deformation of the disc (i.e., a reduction in papilledema) that was initially apparent in the temporal meridian and did not proceed uniformly across all meridians. CONCLUSIONS: Confocal scanning laser tomography can quantify the magnitude and monitor the resolution of papilledema in PTC. Studies of optic nerve head topography may provide further insight into optic nerve compliance with elevated intracranial pressure.

Adult↗

[Recognition of links of the brain with the channels and collaterals in the Huangdi's Internal Classic].

OBJECTIVE: To approach to recognition of links between the brain and meridians at the early stage of formation of TCM theory. METHODS: The relative papers in the Huangdi's Internal Classic were analyzed, compared, induced and synthesized, attaining the recognition of links between the brain and meridians. RESULTS: In the Huangdi's Internal Classic, it is indicated that the main meridians directly connected with the brain have The Foot-Yangming, The Foot-Taiyang Channels, and The Governor and The Qiao Vessels; the eye system, the vertex, Fengfu (GV 16) and the jaw are the parts of the meridians passing in and out the brain; in the brain there are some pathways of meridians. CONCLUSION: The Huangdi's Internal Classic has richer recognition of the links between the brain and meridians, to which should be pay attention in clinical diagnosis of brain diseases.

Acupuncture Points↗

[Channels and collaterals are "doctrine" or "theory"].

OBJECTIVE: To define the concept of meridian theory. METHODS: Characteristics of meridian theory were systematically analyzed by the comparison of differences of doctrine and theory concepts and according to practicality, abstraction and logicality of scientific theory. RESULTS: Meridians have various characteristics of scientific theory, so it should be a scientific theory. CONCLUSION: Meridians are not a doctrine, but is a scientific theory. That the meridians are defined as scientific theory is of important practical significance for studies of meridian essence and standardization of acupuncture and moxibustion, and innovation of theoretical system of acupuncture and moxibustion.

Humans↗

CHROMASSI: a therapy advice system based on chrono-massage and acupression using the method of ZiWuLiuZhu.

Massage and Acupression have a history of many years of use by the Vietnamese people in the treatment of diseases, and they can give wonderful therapeutic effects in painful syndromes and chronic diseases, etc. On the other hand, some methods of Chrono-Acupuncture based on chronobiological theory and the holistic concept of traditional medicine are studied and applied in clinical applications. This paper presents the therapy advice system based on Chrono-Massage and Acupression using the method of ZiWuLiuZhu called CHROMASSI. The system includes four major parts. Massage and Acupression Teaching: This part can provide the user with some background in Massage and Acupression theory such as the pathology of the meridians, the classification of points and their function, the therapeutic properties of points, the methods of Massage and Acupression (including Pression, Friction, Rubbing, Light Massage, Petrissage, Rolling and Rubbing, Percussion and Vibration), and the direction of the meridians circulation, displaying AcuPoints represented by color pictures of the 12 main meridians and 2 vessels. More than 330 popular AcuPoints are used in the system. Open AcuPoint Calculating: This module can help us to calculate open AcuPoints based on data about days, months, years and hours using the special method of ZiWuLiuZhu. The Points adopted by ZiWuLiuZhu are the Five Shu Points and Source Points including 66 points (all of them are located below the elbows and knees). The effectiveness of these points becomes particularly evident when they are needled or punctured at optimum time intervals. For example, at 9:00 a.m., September 22, 1994, the open Points by the ZiWuLiuZhu method will be the points K2 (Nhien Coc) and K10 (Am Coc). According to the chronotherapeutic method, first we have to pressure (or puncture) the above points in order to attain the sensation RDac KhiS (arrival of energy), then pressure the other treating points as in ordinary Massage and Acupression. Therapy Consultation: Knowledge of the system was provided by Prof. Nguyen Van Thang and Doctor Nguyen Nhu Oanh at the Vietnam National Institute of Oriental Medicine. CHROMASSI is able to advise on ways to treat about 153 diseases and symptoms in the following fields: Aches and Pains, Insomnia, Common Cold and Influenza, Sexual Disturbances, Medical Aesthetics in Face, Breast and Buttock, Hygiene, Cardio-Vascular Tract, Digestive Tract, Urinary Tract, Respiratory Tract, Genital Tract, Ear-Nose-Throat Tract, Nervous Tract. The system can provide information about Remarks, Acupoints formulas for treating by Massage and Acupression with colour pictures of meridians. Explanation: The CHROMASSI system can explain why the AcuPoints are used for treating diseases based on the theoretical bases of traditional Vietnamese medicine and on the meridians and collaterals system theory. The colour pictures representing the circulation of vital energy in the meridians are used for explanation. The CHROMASSI system was developed in TURBO-PROLOG and TURBO-PASCAL and can run on IBM PC/AT computers and compatibles. The system can be used for teaching and for clinics of Massage and Acupression combined with Chronotherapeutics. At present the system is used by some physicians for clinical applications. The first results indicate that, in 20 cases of generalized headache compared with the control group, the combining of chronoacupression using the ZiWuLiuZhu method and ordinary Massage and Acupression gave better effects than that obtained by either method alone.

Acupressure↗

Hypoangular: a gene potentially involved in specifying positional information in a ciliate, Tetrahymena thermophila.

In Tetrahymena, two unique cell-surface structures, the oral apparatus and the cytoproct, are formed at opposite ends of one ciliary row, the reference meridian, which is propagated longitudinally during clonal growth. A third set of unique structures, the contractile vacuole pore(s) (CVP), is located at a nearly constant proportion of the cell circumference to the cell's right of the reference meridian. Three allelic recessive temperature-sensitive mutations, collectively named hypoangular (hpo), alter both the geometry of propagation of the reference meridian and the location of the CVPs. In mutant cells, the reference meridian typically undergoes a steady rightward shift in successive cell generations ("cortical slippage"); concomitantly, CVP sets come to lie closer to the reference meridian. Although CVP location is still proportional to the cell circumference, the constant of proportionality (the "CVP angle") is reduced. Another effect is an alteration in the widths of morphogenetic domains within the cortex. As the temperature is raised (made more restrictive), these effects are accentuated and the CVP angle becomes reduced further. At the extreme, the CVP angle collapses to zero and less, i.e., there is a topological switch such that CVPs come to lie to the left of the reference meridian, and the direction of cortical slippage reverses from rightward to leftward. These observations are hard to reconcile with existing formal models of pattern specification in this system and suggest that the hpo locus might specify a key component of the intracellular positional system.

Alleles↗

Effect of experimental scotoma size and shape on the binocular and monocular pattern visual evoked potential.

A small experimental, central scotoma significantly attenuates the human pattern visual evoked potential. The steady-state pattern visual evoked potential was recorded from seven visually normal adults who viewed a reversing checkerboard with 24' checks and a central scotoma that varied in size and shape. We found that square scotomas had to be at least 3 x 3 degrees to significantly (p < 0.05) attenuate the pattern visual evoked potential. Receptor density has been shown to be greater along the horizontal meridian than the vertical meridian. We hypothesized that this results in greater cortical representation of the horizontal meridian than the vertical meridian and, therefore, the pattern visual evoked potential might be significantly attenuated by a smaller rectangular scotoma oriented along the horizontal meridian than along the vertical meridian. One dimension of the rectangular scotoma was fixed at either 1 degree or 3 degrees, while the other dimension was varied from 1 degree to 8 degrees. The threshold scotoma size that significantly (p < 0.05) attenuated the pattern visual evoked potential was a horizontal scotoma subtending 1 x 4 degrees and a vertical scotoma subtending 5 x 1 degree (vertical x horizontal). Meridional differences in cortical representation were not apparent to the larger scotoma series in which the fixed dimension subtended 3 degrees (3 x 2 degrees and 2 x 3 degrees). Further analysis of the data revealed that the apparent meridional difference for the 1 degree scotoma series was a function of data variability. The determinant of the PVEP amplitude was scotoma area, not orientation. Monocular and binocular threshold scotoma sizes were the same, which could be due to the level of binocular summation demonstrated by our subjects.

Adult↗

Inhomogeneity and anisotropies for motion detection in the monocular visual field of human observers.

Signal-to-noise-ratio (SNR) thresholds were measured for the detection of coherent motion in moving random pixel arrays of constant root-mean-square contrast (35%) and constant average luminance (48 cd/m2) for 8 or 16 directions of motion at 25 positions in the visual field of the right eye. Five observers took part in this perimetric study of motion detection. The 24 eccentric positions were chosen on 8 equally spaced radial lines at the eccentricities 6, 24, and 48 degrees, the 25th position was centred on the fovea. At these positions we analysed the threshold SNR-value as a function of motion direction alpha. A significant modulation of the threshold with alpha is called an anisotropy. Anisotropies were found for low to medium velocities at positions on and near the vertical meridian, where the thresholds proved to be highest for vertical motion directions (up or down). On the horizontal meridian no significant anisotropies were found. Also on the oblique radials anisotropies were found, especially at 225 degrees (lower nasal quadrant of the visual field, upper temporal quadrant of the retina), but these were milder than those on the vertical meridian. The diameter of the stimulus is an important parameter and its influence was explored, albeit incompletely. Also inhomogeneities were found. This is defined as a consistent modulation of the threshold SNR-value with position A, the position along an equi-eccentricity circle (A-inhomogeneity), or with eccentricity E (E-inhomogeneity) or both. A simple acuity-scaling optimized for the nasal retina takes care of most of the E-inhomogeneity, but an A-inhomogeneity stays rather prominent. It too is characterized by higher thresholds near the vertical meridian than near the horizontal meridian. The findings suggest that iso-threshold curves are elliptical or egg-shaped with their long axis on the horizontal meridian and shifted somewhat out of naso-temporal symmetry towards the nasal half of the retinal field. As with the anisotropies the inhomogeneity grows in amplitude for decreasing velocity below medium velocity values of 1-2 pixels/frame, but in contradistinction to the anisotropies it is present and even increases in amplitude for increasing velocities above these medium values of 1-2 pixels/frame as well. The results are discussed in the light of other perimetric studies of motion detection and acuity, in the light of a model postulating the cooperation of groups of velocity-tuned bilocal motion detectors, and in the light of recent ideas on structure and function of primate cortical areas and processing streams.

Adult↗

Correlation between different measurements within the eye relative to phakic intraocular lens implantation.

PURPOSE: To obtain measurements of the white-to-white distance and the anterior chamber and ciliary sulcus diameters in phakic human eyes obtained post-mortem to find a correlation between these measurements. SETTING: David J. Apple, MD Laboratories for Ophthalmic Devices Research, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. METHODS: Twenty-two phakic human eyes obtained from eye banks within 24 hours of death were evaluated. The following measurements were performed: white-to-white distance, anterior chamber diameter with a plastic sizer after a small limbal incision, and anterior chamber and ciliary sulcus diameters after fixation and sagittal section of the eyes. The first 10 eyes were studied at the 6 o'clock to 12 o'clock meridian and the last 12 eyes, at the 3 o'clock to 9 o'clock meridian. RESULTS: A positive correlation was found between the white-to-white measurements and the anterior chamber diameter in the 10 eyes studied at the 6 o'clock to 12 o'clock meridian but not in the 12 eyes studied at the 3 o'clock to 9 o'clock meridian. The latter is the meridian frequently used by surgeons to perform white-to-white measurements and thus choose the overall size of the phakic intraocular lens to be implanted. No correlation was found between the white-to-white measurements and the ciliary sulcus diameter in the 2 meridians. CONCLUSION: Experimental studies using cadaver eyes are helpful in evaluating sizing techniques for phakic IOL implantation as well as in better understanding the anatomical relationships between ocular structures.

Aged↗