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Major review: ocular sighting dominance: a review and a study of athletic proficiency and eye-hand dominance in a collegiate baseball team.

PURPOSE REVIEW: Laterality preference in sensory and motor functions of symmetrically disposed organisms have been studied for centuries. The relation between handedness and the eyes and vision (ocular sighting dominance) has been a focal point despite their physiologic dissimilarity. STUDY: To examine a college varsity baseball team for handedness and ocular sighting dominance to determine if their patterns of eye-hand dominance differed from the normal population and/or contributed to their individual relative success compared to their peers. Specifically: whether crossed eye- hand dominance favors the batter and uncrossed eye-hand dominance favors the pitcher. SUBJECTS AND METHODS: Twenty five UF varsity players were examined. All were male. Their visual acuity, stereoscopic vision, ocular motility and ocular sighting dominance were determined, the last by a pointing test which allowed the diagnosis of a central form of ocular dominance, but was not per se affected by handedness. Handedness was determined by preferred arm for throwing or hitting. No subject was ambidextrous. A control population was established consisting of the first 100 consecutive adults seen by the first author in the UF Eye Center with 20/20 vision O.U. and a normal eye exam. RESULTS: The control group displayed eye-hand dominance patterns similar to those previously reported in the literature for the general population. In the experimental group of baseball players, the incidence of conventionally predominant (in normals) ipsilateral or uncrossed eye-hand dominance was much lower (39%) than the normal control population (65%). The incidence of contralateral or crossed eye- hand dominance was 35%, twice that of the normal control population (18%) (p<0.01). The incidence of central ocular dominance with right or left handedness was 26% or 50% higher than a normal control population (17%) (p<0.25). With regard to individual performance, those players with central ocular dominance, whether right or left handed, were the most successful players in both pitching and batting. Pitchers who were uncrossed eye-hand dominant were distinctly more successful than crossed. Batters who were crossed eye-hand dominant were slightly more successful than uncrossed. CONCLUSIONS: The pattern of eye-hand dominance appears related to athletic proficiency for baseball. Warning: Note well: This information may be useful in career guidance but does not justify or medically indicate attempts to alter ocular sighting dominance or eye-hand dominance patterns as these are determined probably genetically or at such an early age that they cannot be successfully altered later. Attempts to so alter them are historically fraught with irremediable psychological or physical injury to the subject, including permanent incapacitating double vision.

Adult↗

Vision and ocular changes following accidental exposure to organophosphates.

The most conspicuous short-term effects of exposure to organophosphates are miotic pupils and a reduced visual field. Two men accidentally exposed to vapors of sarin, a cholinesterase inhibitor and extremely toxic nerve gas, showed these effects but no adverse effects on near- or far-visual acuities, oculomotor functions, intraocular pressure or color vision. However, reports of other accidental exposures to organophosphorus compounds suggest that there are visual and ocular changes, including myopia and decreased visual acuity.

Accidents↗

Changes of color vision in ocular hypertension.

Fifty-six ocular hypertension (OHT) patients were examined for 2-3 days in the Eye Clinic of Kuopio University Hospital. No glaucomatous changes were found. Twenty-seven of them were found to have several risk factors for developing glaucoma and medication was started. Twenty-nine of the patients did not show risk factors and had no medication. Color vision was examined with the Farnsworth-Munsell 100 (FM 100) hue test and Besançon anomalometer, later Color Vision Meter 712 at the beginning of the study and 3 years later. None of the 56 patients showed any glaucomatous changes after 3 years of the study. In the treatment group, the FM 100 test showed significantly (paired t-test, p = 0.004) improved error scores after 3 years. In the non-treatment group, 19 patients did not develop risk factors; they had no significant changes in the color vision results. In 10 patients of the non-treatment group, risk factors had developed with elevated intraocular pressure and medication was started for them after 3 years. Their color vision results in the blue anomalous quotient (AQ) of the anomalometer had significantly shifted to the blue part of the equation (paired t-test, p = 0.04). The other color vision results had not changed significantly. The significantly improved FM 100 scores in the treatment group could mean, that the treatment has a beneficial effect for the OHT eyes at risk for developing glaucoma.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Psychometric performance of the National Eye Institute visual function questionnaire in Latinos and non-Latinos.

OBJECTIVE: To compare the psychometric performance of Spanish versions of the 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25) and the NEI VFQ-39 administered to Latino patients with the psychometric performance of the standard English NEI VFQ-25 and NEI VFQ-39 administered to non-Latino patients. DESIGN: Clinic-based cross-sectional survey. PARTICIPANTS: Four hundred three patients (160 Latinos and 243 non-Latinos) recruited from general ophthalmology clinics of an urban public hospital over a 6-month period. METHODS: Structured face-to-face interviews were conducted in Spanish and English to collect data for the NEI VFQ-25 and NEI VFQ-39. We calculated the mean, standard deviation, and percentage of participants having the minimum (floor) and maximum (ceiling) possible score for each item and scale. Internal consistency reliability of the NEI VFQ-25 and NEI VFQ-39 was estimated using the Cronbach alpha and average inter-item correlation. Construct validity for the instruments was assessed by comparing scores for participants classified as having normal versus impaired visual acuity. MAIN OUTCOME MEASURES: Instrument scales for general health; general vision; ocular pain; near activities; distance activities; vision-specific social functioning, mental health, role difficulties, and dependency; driving; color vision; and peripheral vision. RESULTS: Internal consistency reliability was significantly lower in the Spanish version than in the English version for 3 scales of the NEI VFQ-25. More importantly, 3 scales in the Spanish version manifested inadequate reliability (alpha< or =0.70), compared with only 1 inadequately reliable subscale in the English version. Reliability coefficients associated with the Spanish NEI VFQ-39 scales exceeded commonly accepted minimum standards. Comparison of reliability coefficients between Latino and non-Latino subgroups demonstrated statistically significant differences for 4 scales: Ocular Pain, Mental Health, Role Difficulties, and Dependency. In each case, the Latino group had the lower internal consistency reliability. However, only for the Ocular Pain subscale was reliability both significantly lower and inadequate (alpha<0.70). CONCLUSION: Overall performance of the NEI VFQ in Latino populations is adequate. However, in the absence of modifications to improve the reliability of specific Spanish version subscales, comparisons between Latino and non-Latino subgroups using the NEI VFQ must be interpreted with appropriate caution.

Adult↗

[Transcranial optic nerve decompression for optic nerve injury].

OBJECTIVE: To discuss the operative indications and advantages of transcranial optic nerve decompression in treatment of optic nerve injury resulted from skull base fracture. METHODS: The data, such as the site of impact, vision, ocular movement, characteristic of CT, and pathologic changes during operation, and the extent of operative decompression of 118 patients with optic nerve injury. According the site of impact on the head, 87 of lateral superciliary arch type, 18 of medial superciliary arch type, and 13 of zygomatic type, undergoing transcranial optic nerve decompression were analyzed retrospectively. The patients were followed up for 6 months after operation. For the purpose of evaluation, the postoperative outcome of visual acuity was classified into five grades: blindness, hand movement, finger count, light perception and visual acuity > 0.05. The visual acuity improvement reaching one grade or more was defined as effective. The improvement of visual field was also considered effective. RESULTS: After follow-up of 6 months, effect was shown in 35 out of the 72 patients with pre-operative blindness (48.6%), and all the 46 patients with residual vision (100%). The total effective rate was 68.6%. The post-operative effective rate was 64.4% in patients with lateral superciliary arch type, 83.3% in patients with medial superciliary arch type injury and 76.9% in patients with zygomatic type injury. CONCLUSIONS: Transcranial optic nerve decompression is worthy recommending to the patients with traumatic optic neuropathy. The operative indications include patients with residual vision; patients with bilateral optic nerve injury; and patients with blindness less than 3 days.

Adolescent↗