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Head and eye movements in visual search using night vision goggles.

BACKGROUND: Night-vision goggles (NVGs) provide only a restricted field of view and have other characteristics that may affect the head and eye movements used in visual search. METHODS: We measured head scan patterns, the magnitude and duration of gaze saccades, and fixation duration as subjects searched computer generated imagery either with or without NVGs. Subjects searched for either a large (6 degrees) target on a low-detail background (high conspicuity condition) or a small (2 degrees) target on a high-detail background (low conspicuity condition). RESULTS: All subjects displayed head-scan patterns that were qualitatively similar to those reported in the literature. Although both head-scan speed and amplitude were higher for the NVG condition as compared with the no-NVG condition, the difference was not statistically significant. Head-scan speed did vary significantly with target conspicuity, however. Gaze saccade amplitude varied with target conspicuity but only when NVGs were used. Fixation duration did not vary with either NVG use or target conspicuity. A two-parameter (exponent and scaling parameter) power function was fitted to the amplitude-duration data. The power-function exponents varied from about 0.30 to 0.44, but there was a concommitant variation in the scaling parameter, and the result was no significant difference in the form of the power functions fitted to the data. CONCLUSIONS: NVG use did not significantly affect any of the individual head or eye movement variables involved in searching the computer-generated imagery studied here. However, the decrease in gaze-saccade amplitude with increased target conspicuity when NVGs were used is evidence of the sensitivity of the head and eye movement measurement techniques used here, and suggests that all available measures of response efficiency be considered when evaluating NVGs using complex stimuli.

Adult↗

Evaluation of mid-term stability of night vision tests.

BACKGROUND: Dark adaptation rate, scotopic retinal sensitivity and contrast sensitivity under mesopic conditions, but not visual acuity, have been shown to be directly related to the ability to identify military targets at night. These parameters can be used to select personnel for specific military tasks demanding excellent night vision, as well as to assess pharmacological effects on night vision. PURPOSE: To evaluate the mid-term (2 to 6-week period) stability of night vision tests based on assessment of the above parameters. METHODS: Dark adaptation rate, scotopic retinal sensitivity and contrast sensitivity under mesopic conditions were studied in 16 young volunteers during a 6-week period. RESULTS: Tests of scotopic retinal sensitivity (after 30 min of dark adaptation) exhibited high reproducibility and a low fluctuation rate, with a high correlation between values at week 0 and at 2-week intervals during the following 6 weeks of the study (rs (week 0 to week 6) = 0.81, p = 0.0001). The reproducibility of mesopic contrast sensitivity tests (average of 1.5, 3, 6 and 12 cycles per degree, (cpd)) was fair (rs (week 0 to week 2) = 0.67, p = 0.0045), whereas that of dark adaptation rate tests was poor. CONCLUSIONS: In view of the reproducibility characteristics of these night vision tests, assessment of night vision ability in pilots and military personnel, as well as assessment of pharmacological effects on night vision, may be based on scotopic retinal sensitivity (after 30 min of dark adaptation) and contrast sensitivity under mesopic conditions (average of 1.5, 3, 6 and 12 cpd).

Adult↗

Pharmacological management of night vision disturbances after refractive surgery Results of a randomized clinical trial.

PURPOSE: To evaluate the efficacy and safety of diluted aceclidine eyedrops in reducing night vision disturbances after refractive surgery. SETTING: Department of Ophthalmology, Istituto Clinico Humanitas, Rozzano-Milano, Italy. METHODS: This double-masked randomized clinical trial included 30 patients (60 eyes) with chronic night vision disturbance after refractive surgery. Patients were randomly allocated to receive (1) placebo, (2) aceclidine 0.016%, or (3) aceclidine 0.032%. Drugs were administered once or twice daily. Anterior segment, haze, uncorrected visual acuity, best corrected visual acuity, intraocular pressure, corneal maps, and scotopic pupil size were determined at baseline and at follow-up examinations (15 and 30 days after inclusion). Halos and double vision 4-step scales were built to determine subjective grading of night vision disturbance, and the root mean square (RMS) was calculated to determine objective changes in night vision disturbance. RESULTS: The effect of diluted aceclidine started about 15 minutes after instillation and lasted for about 5 hours. No difference between the 2 dilutions could be found. Thirty-nine of 40 treated eyes showed a reduction in night vision disturbance. The mean reduction in halos and double vision grading was 1.42 +/- 0.5 (SD) and 1.14 +/- 0.4, respectively. A mean decrease in pupil size of 2.5 mm was measured. Thirty minutes after the instillation of diluted aceclidine, the topography-derived wavefront error showed a statistically significant reduction in RMS values (total, spherical, astigmatic, coma, and higher order), which was maintained for 5 hours. A transitory conjunctival hyperemia was the only side effect reported. CONCLUSION: Diluted aceclidine seemed to be an effective and safe treatment for night vision disturbance following refractive surgery.

Adult↗

Topographic impairment of night vision related to exercise.

We observed impaired night vision in the lower visual fields of long distance runners. We reduplicated our field observations by studying four vigorously exercising men, aged 26 to 52 years, under controlled laboratory conditions. Results of our observations showed impaired night vision did occur in the inferior visual fields of all four subjects.

Adult↗

The effect of anthocyanosides in a multiple oral dose on night vision.

PURPOSE: In view of research demonstrating the ability of anthocyanosides in a multiple oral dose to improve night vision in normal individuals, we assessed their effect on three night vision tests: full-field absolute scotopic retinal threshold (SRT), dark adaptation rate (DAR) and mesopic contrast sensitivity (MCS). METHODS: In a double-masked, placebo-controlled, cross-over study, 18 young normal volunteers were randomly assigned to one of three different regimens of multiple oral administrations of 12 and 24 mg anthocyanosides, and a placebo, given twice daily for 4 days. A 2 week washout period was allowed between each 4 day treatment period. SRT, DAR and MCS was tested 1 day before and at days 1, 2, 3 and 4 during the treatment period. RESULTS: No significant effect was found on any of the three above-mentioned night vision tests. The study had a power of 0.95 to detect a 0.1 log unit improvement in SRT and 0.5 log unit improvement in MCS. CONCLUSIONS: Multiple oral administrations of 12 and 24 mg anthocyanosides twice a day appear to lack significant effect on night vision tests.

Adult↗

The effect of anthocyanosides on night vision.

PURPOSE: In view of research demonstrating the ability of anthocyanosides in a single oral dose to improve night vision in normal individuals, it was decided to evaluate their effect on three night vision tests: full-field scotopic retinal threshold (SRT), dark adaptation rate (DAR) and mesopic contrast sensitivity (MCS). METHODS: In a double-masked, placebo-controlled, cross-over study, 16 young normal volunteers were randomly assigned to one of four different regimens of single oral administrations of 12, 24 and 36 mg of anthocyanosides, and a placebo, with a 2 week washout period between doses. SRT, DAR and MCS were measured immediately before, and 4, 8 and 24 h after treatment. RESULTS: No significant effect was found on any of the three night vision tests during the 24 h following a single oral administration of 12, 24 or 36 mg anthocyanosides. The study had a power of 0.95 to detect a 0.1 log unit improvement in SRT and 0.5 log unit improvement in MCS. CONCLUSIONS: Single oral administration of 12-36 mg of anthocyanosides appears to lack significant effect on militarily relevant night vision tests.

Adult↗

Night-vision brain area in migratory songbirds.

Twice each year, millions of night-migratory songbirds migrate thousands of kilometers. To find their way, they must process and integrate spatiotemporal information from a variety of cues including the Earth's magnetic field and the night-time starry sky. By using sensory-driven gene expression, we discovered that night-migratory songbirds possess a tight cluster of brain regions highly active only during night vision. This cluster, here named "cluster N," is located at the dorsal surface of the brain and is adjacent to a known visual pathway. In contrast, neuronal activation of cluster N was not increased in nonmigratory birds during the night, and it disappeared in migrants when both eyes were covered. We suggest that in night-migratory songbirds cluster N is involved in enhanced night vision, and that it could be integrating vision-mediated magnetic and/or star compass information for night-time navigation. Our findings thus represent an anatomical and functional demonstration of a specific night-vision brain area.

Animal Migration↗

Civilian use of night vision goggles.

Civil aviation operators have expressed an increased interest in conducting night operations with night vision imaging systems. The development of special operational concepts, hardware requirements, training requirements, and regulatory change and oversight is necessary to control for the known performance constraints associated with these devices. In 2001, the Aerospace Medical Association initiated an internal request to review the human factors issues concerning the use of night vision goggles (NVGs) in civilian flight operations. This paper provides some basic information on night vision imaging systems to highlight the Association's position for supporting the appropriate use of NVGs in civilian aviation while concurrently expressing the need for a judicious and studied approach to their deployment.

Aerospace Medicine↗

Anthocyanosides of Vaccinium myrtillus (bilberry) for night vision--a systematic review of placebo-controlled trials.

We have systematically reviewed placebo-controlled trials of V. myrtillus-extracted anthocyanosides for evidence of positive effects on night vision. Searches of computerized databases and citations in retrieved articles identified 30 trials with outcome measures relevant to vision in reduced light. Of these, 12 were placebo-controlled. The 4 most recent trials were all randomized controlled trials (RCTs) and were negative in outcome. A fifth RCT and 7 non-randomized controlled trials reported positive effects on outcome measures relevant to night vision. Negative outcome was associated with more rigorous methodology but also with lower dose level and extracts from geographically distinct sources that may differ in anthocyanoside composition. Healthy subjects with normal or above average eyesight were tested in 11 of the 12 trials. The hypothesis that V. myrtillus anthocyanosides improves normal night vision is not supported by evidence from rigorous clinical studies. There is a complete absence of rigorous research into the effects of the extract on subjects suffering impaired night vision due to pathological eye conditions. Evidence from methodologically weaker trials and auxiliary evidence from animal studies, trials of synthetic anthocyanosides, and a recent randomized controlled trial of Ribes nigrum (black currant) anthocyanosides may warrant further trials of V. myrtillus anthocyanosides in subjects with impaired night vision.

Anthocyanins↗

A new night vision disturbances parameter and contrast sensitivity as indicators of success in wavefront-guided enhancement.

PURPOSE: To determine the level of success of wavefront-guided repair of night vision disturbances after conventional (Munnerlyn) myopic LASIK using a new parameter to describe higher order aberrations, and to compare the improvements to matched myopic LASIK controls who were symptom-free. METHODS: We developed a single parameter metric to represent raw spherical aberration (RAWS) to functionally describe the cumulative spherical aberration for an eye over a range of physiological pupil sizes. To derive the RAWS parameter, spherical aberration is plotted over pupil analysis zones from 3000 to 6000 microm. The RAWS parameter (unit = microm2) is then equal to the area under the plot. Sixteen eyes treated for night vision disturbances by wavefront-guided repair were each compared to the mean of four matched control eyes (total 64 eyes) treated by aspheric myopic ablation and without night vision disturbances. Contrast sensitivity and RAWs parameter for spherical aberration were determined for each of the repair eyes and control eyes before and after surgery. RESULTS: Following wavefront-guided repair, 76% of eyes were subjectively reported to have night vision disturbances improved by at least 80%. The percentage of eyes within normal contrast range increased from 25% to 80% following wavefront-guided repair (P < .05). For the control eyes, LASIK increased RAWS by 126% (RAWS was 122 microm2 preoperatively and 276 microm2 postoperatively). For the night vision disturbances repair eye group, RAWS at presentation was 104% (563 microm2) above the respective postoperative RAWS control eyes. Following wavefront-guided repair, RAWS was decreased (P < .05) to only 49% (410 microm2) above the postoperative control group. CONCLUSIONS: The RAWS parameter enabled a single digit descriptor of overall higher order aberrations for an eye over the principal physiological pupil range. By comparing RAWS parameter changes in wavefront-guided repair eyes to matched postoperative asymptomatic eyes, we were able to determine the magnitude of the deficit in the symptomatic eyes and the relative efficacy of wavefront-guided repair.

Contrast Sensitivity↗

Pupil size and night vision disturbances after LASIK for myopia.

PURPOSE: To examine whether standardized, preoperative evaluation of pupil sizes can predict the risk of night vision visual disturbances after bilateral laser in situ keratomileusis (LASIK) for myopia. METHODS: A prospective study was carried out involving 46 patients who underwent bilateral LASIK for myopia. Pupil sizes were measured before surgery using an infrared pupillometer under standardized settings. Pre- and postoperative refraction and best spectacle-corrected visual acuity (BSCVA) were registered. At the 3-month follow-up visit, the patients completed a questionnaire regarding night vision pre- and postoperatively. RESULTS: The mean bilateral, spherical equivalent refraction (SE) was - 8.76 D (range 6.32 to - 12.0 D) preoperatively, and - 1.69 D (range 0 to - 4.38 D) postoperatively. The mean bilateral BSCVA was not changed by the operations. We found a significant correlation between large scotopic pupil sizes and the impression of worsened night vision (p < 0.01). A significant correlation between gender (males) and subjectively reduced night vision postoperatively was also found (p < 0.05). CONCLUSION: Large pupil size measured preoperatively is correlated with an increased frequency of subjectively experienced post-LASIK visual disturbances during scotopic conditions. We recommend preoperative evaluation of pupil size in all patients prior to LASIK surgery.

Adult↗

Night vision goggle (NVG) visual acuity under ideal conditions with various adjustment procedures.

Night operations involve diverse mission areas and require an increased reliance on the use of night vision devices, such as night vision goggles (NVG's). Any reduction in goggle or visual performance which goes undetected can have a serious effect on flight safety and operational capability. Under controlled lighting conditions, a crewmember should be able to obtain the best possible goggle performance, and to determine if the goggle is functioning properly. These data represent a sample of 218 current USAF aircrew members representing all crew positions in both rotary and fixed-wing aircraft. Three measurements of goggle performance, expressed as NVG visual acuity, were obtained. The first measure, obtained after crewmembers adjusted the goggles with their usual adjustment methods, showed that they routinely obtain less than optimal acuity levels; i.e., averaging between 20/50 and 20/55. The second measure, taken when the NVG Resolution Chart was provided to augment their "usual" method of adjustment, showed improved performance; i.e., averaging 20/45. The third measure, taken following participation in an NVG Adjustment Procedures class, showed the greatest improvement, averaging between 20/35 and 20/40. In summary, it is reasonable to conclude that aircrew members who are able to obtain the best possible performance for their NVG's under controlled preflight conditions will obtain the best possible goggle performance under the widely varying flight conditions.

Adult↗

NIGHT vision.

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Humans↗

Flicker detection through night vision goggles.

Visual performance through night vision goggles (NVG's) is commonly assessed with letter charts or other static displays. Few attempts have been made to evaluate dynamic aspects of vision through NVG's. Such information may be used to better predict human performance and guide the development of improved devices. In this study, contrast thresholds for detection of flickering targets were measured through NVG's across a range of ambient conditions. A comparison of measurements with and without NVG's indicated that flicker detection is limited by the contrast and luminance of the NVG display. The contrast limitation is largely independent of stimulus flicker frequency. Increasing the transfer of static contrast and/or luminance through NVG's will also improve dynamic visual performance.

Aerospace Medicine↗

Prevention of facial fractures from night vision goggle impact.

Facial bone fractures in the military can result from direct loading of night vision goggles on the orbital region. Facial fracture research has shown that increasing the area over which the load is applied increases the load tolerance. The purpose of this study is to apply this concept to reducing the risk of facial bone fracture from night vision goggle impacts. The effectiveness of countermeasures in prevention of orbital fracture was evaluated using a vertical drop tower with two impact velocities of 2.6 m/s and 3.6 m/s. The countermeasure used was a rigid plastic custom face shield made from a plaster impression of each head. In addition to two human cadaver subjects, one male and one female, tests were completed on a Hybrid III 50th percentile dummy head. Three impacts to the dummy headform included no countermeasure, safety glasses, and a custom face shield. These tests yielded peak loads of 8700 N, 7500 N, and 5640 N respectively. Using the female subject, impacts were preformed successively until injury occurred. These two impacts to the subject wearing a custom face shield resulted in peak loads of 4025 N and 5158 N. The highest load corresponds to an impact velocity of 3.6 m/s and a nasal bone fracture. Two impacts to the male subject with a custom face shield resulted in peak loads of 4554 N and 5101 N with no injury. The final impact to the male subject had a peak load of 2010 N with complete orbital fracture due to the absence of a countermeasure. From these tests it is shown that facial fracture risk from night vision goggle impact can be reduced using a contoured rigid face shield.

Aged↗

Focus adjustment effects on visual acuity and oculomotor balance with aviator night vision displays.

Sixteen U.S. Army aviators, who were given training on focus adjustment technique with aviator night vision goggles (NVG), showed an improvement in visual acuity with focus adjustment compared to a fixed infinity focus control. The long-term effect of focus adjustment on vision was not measured; however, adjustment accuracy was found to be generally within acceptable limits based on computer modeling and available physiologic data. Fixed focus eyepieces that are set to a low minus power may partially compensate for instrument myopia, but they may not optimize visual acuity to the extent that adjustable focus eyepieces do. Eyepiece adjustment proficiency with present night vision devices can be improved through training that emphasizes focusing to the least possible minus dioptric power. Future night vision displays can minimize focus misadjustment by providing a tactile zero marking, a limited dioptric adjustment range, and a focusing knob capable of finer adjustment than is available with current NVG's.

Aerospace Medicine↗

Measurement of night vision goggle (NVG) visual acuity with the NVG resolution chart.

Night vision goggles (NVG) operations are characterized as stressful with high task loading. Any reduction in goggle or visual performance which goes undetected can have a serious effect on flight safety and operational capability. The NVG Test Lane, with its resolution chart, provides an effective cost-efficient method for aircrew members to quickly evaluate the correct positioning and focusing of their NVG's prior to each mission. This evaluation validated the ability of the NVG resolution chart to produce the same performance results as a more detailed psychophysical procedure. NVG visual acuity was measured for five subjects (four pilots and one non-pilot) with two different night vision goggles. The results supported that there is no statistical difference between the results obtained with the individual target format and the 3 x 3 format. Additionally, the pilots with current NVG experience were able to obtain a significantly better acuity level than were those without current NVG experience.

Adult↗

Night vision goggles, human factors aspects--a questionnaire survey of helicopter aircrew.

Night vision goggles have become an essential component of military aviation. They provide superior visual capability over unaided night vision, but there are several inherent limitations associated with human factors and systems limitations. This study used a questionnaire survey of Army helicopter aircrew to investigate the incidence of human factors problems which continued after NVG use, with particular reference to visual problems and neck discomfort. It also looked at hardware interaction problems, such as cockpit lighting, and other aspects of NVG use, such as training and aircrew concerns. The issues are described and analysed, and areas of concern, which may have bearings on operational effectiveness and/or safety, have been highlighted.

Adult↗