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Comparison of fixation disparities obtained by objective and subjective methods.

Fixation disparities (FD) were measured as a function of forced vergence using binocular scleral search coils and simultaneously with nonius lines. The slope of the objective FD curve was significantly greater than the subjective FD curve for three of five subjects. This indicates an alteration in retinal correspondence of up to one degree, that shifts Panum's area to avoid the diplopia normally present with large disparities. This process allows for fusion in the presence of large objective fixation disparities which would normally cause diplopia. The shift in correspondence enhances the range of forced vergence, since the larger objective FDs serve as more effective stimuli to fusional vergence. The remaining subjects who lacked this effect had "flat" FD curves indicative of high vergence adaptation.

Adult↗

[Fixation disparity under various test-conditions (author's transl)].

Measurements of fixation disparity and Panum areas were performed with a special device of the phase-difference haploscope in normal persons. There was a reproduceable influence on fixation disparity and size of Panum areas, when the conditions of examination were changed (position of the binocular fusion-pattern, brightness and contrast of the targets for sensory fusion and time of prism wearing). There found we found only under comparable conditions a quantitative relationship between the two phenomenons.

Adaptation, Ocular↗

Intermittent exotropia increasing with near fixation: a "soft" sign of neurological disease.

AIM: To examine the association of distance-near disparity with neurological disease in children with intermittent exotropia. METHODS: A retrospective analysis was performed of the medical records of all children with intermittent exotropia examined at the Arkansas Children's Hospital between 1989 and 2002. The study group consisted of children with intermittent exotropia who had a near deviation that exceeded the deviation at distance by at least 10 prism dioptres. The control group consisted of children with intermittent exotropia who had a distance deviation greater than or equal to the deviation at near. The main outcome measure was the prevalence of neurological abnormalities in the study and control groups. RESULTS: Among the 29 patients in the study group, 19 (66%) had a history of concurrent neurological abnormalities. Associated neurological conditions included developmental delay (10 patients), attention deficit disorder (four patients), cerebral palsy (four patients), history of intracranial haemorrhage (four patients), periventricular leucomalacia (three patients), seizures (two patients), cortical visual impairment (two patients), hydrocephalus (one patient), history of anoxic brain damage (one patient), history of encephalitis (one patient), and autism (one patient). Among the 37 patients in the control group, seven (19%) had a history of concurrent neurological abnormalities. The difference in the prevalence of neurological disease between the study group and the control group was significant (p=0.0002). CONCLUSION: Intermittent exotropia increasing with near fixation is associated with neurological disease in children.

Adolescent↗

An esophoric shift associated with sustained fixation.

Some subjects show a progressive increase in their near phoria, in the direction of more esophoria, when the test is repeated. Eighteen of 100 subjects showed 5 delta or more esophoric shift. This result suggests that similar phoria changes may occur during prolonged intensive nearwork. The results reported are not the same as prism adaptation because the esophoric shift was found with dissociated targets. Autonomic arousal with sympathetic activation associated with heightened attention and concentration is proposed as the mechanism.

Accommodation, Ocular↗

Computerized fixation disparity measurement.

Fixation disparity (FD) curves have many clinical implications. A new method for evaluating binocular function using FD curves is described. This method is shown to compare very well with traditional methods of measurement. During clinical applications, it has proven to be very useful in diagnosis of problems and monitoring of training. The operation of the program as well as clinical data are presented.

Convergence, Ocular↗

A retinoscopic method of assessing accommodative performance of young human infants.

A retinoscopic method of assessing changes of the accommodative status of the young human infant with changes of the stimulus viewing distance id described. This method utilized dynamic retinoscopy and a series of patterned visual stimuli. Vertical, above-threshold, squarewave gratings presented at viewing distances of from 10 through 50 centimeters were utilized as fixation and accommodation stimuli. During fixation of the stimuli by the infants, the refractive state of the eyes was determined by location of the conjugate retinal focus. Comparison of the refractive state of the eye to the magnitude of the accommodative stimulus at a particular viewing distance can be utilized as an index of the accuracy of the accommodative response. The applicability of this retinoscopic method to private clinical practice is discussed.

Accommodation, Ocular↗

Physiologic basis for motor learning in the vestibulo-ocular reflex.

The vestibulo-ocular reflex has been used extensively for study of the neural mechanisms of learning that is dependent on an intact cerebellum. Anatomic, physiologic, behavioral, and computational approaches have revealed the neural circuits that are used to generate the vestibulo-ocular reflex and have identified two likely sites of plasticity within those circuits. One site of plasticity is in the vestibular inputs to floccular target neurons, which are located in the vestibular nuclei and receive monosynaptic inhibition from Purkinje cells in the floccular complex of the cerebellar cortex. The other site of plasticity is in the vestibular inputs to Purkinje cells in the floccular complex, possibly in the cerebellar cortex. After reviewing the evidence that supports these conclusions, I consider a number of observations showing that the dynamics of neural circuits or cellular mechanisms play important roles in learning in the vestibulo-ocular reflex.

Fixation, Ocular↗

Gain changes in the accommodative convergence cross-link.

The output of the accommodative vergence cross-link, the AC/A ratio, was measured before and after subjects viewed through a telestereoscope which increased their interocular separation (pd) approximately fourfold. The initial paradigm was designed to force an increase in the AC/A ratio in that subjects alternately fixated targets set at differing distances. In this paradigm, the varying vergence demands could not be met by a constant increase in phasic or tonic vergence responses. In a second paradigm, only one target was viewed at a fixed position from the eye. Now the constant vergence demand could be met by a set increase in phasic and/or tonic vergence. A significant increase in the AC/A ratio was found in the two-target study but not in the single-target study. Increases in the accommodative vergence gain did show considerable individual differences. Tonic vergence changes were interpolated from the data. This parameter increased significantly in both cases but more so when two targets were alternately fixated. This finding is consistent with current near triad models which predict that accommodative convergence input acts along with disparity vergence input to increase tonic levels of convergence. When AC/A ratios were calculated using clinical measures of the phoria at 6 and 0.4 m, increases were found in the two-target study and to a lesser degree in the single-target study. This clinical method of AC/A measure appears to have been confounded by changes in tonic vergence.

Accommodation, Ocular↗

Studies in vertical fixation disparity.

We studied vertical fixation disparity (VFD) with the purpose of assisting the clinician in the evaluation of patients having vertical heterophoria and/or vertical anisometropia and in the prescription of an appropriate vertical prismatic correction. Our research shows that VFD represents a relatively stable and reliable measurement of the vertical deviation; provides the clinician with a mechanism to study a patient's ability to adapt to an induced vertical fusional demand; and provides a process to determine the amount of the vertical prismatic correction.

Adaptation, Ocular↗

The accuracy of fixation in lateral gaze and the problem of retinal slip.

The mean accuracy of foveal fixation in lateral gaze was measured by means of an after-image method used previously in the study of autokinesis. During physiological excursions of gaze a lag between target image and foveal image could not be demonstrated. It must be smaller than 1/1000 of the excursion. Thus there is a striking difference between the mechanism of voluntary gaze on the one hand and the mechanism of vergence on the other hand. During sustained divergence the eyes lag almost 1/10 in respect to the required vergence.

Afterimage↗

Combined effects of spatial frequency and retinal eccentricity upon fixation disparity.

The variations in fixation disparity (FD) with spatial frequency and retinal locus of fusion locks were examined in two groups of subjects having either steep or flat forced-duction FD curves. FD for subjects with flat curves was unaffected by either spatial frequency or diameter of fusion locks. FD of observers with steep forced-duction curves increased with both the coarseness and eccentricity of fusion locks. Panum's horizontal fusion range increased markedly with target spatial period but only modestly with retinal eccentricity. These results indicate that factors other than the dimensions of Panum's fusional area (PFA) result in the increase of FD found in some observers with peripheral fusion locks.

Convergence, Ocular↗

Adaptation to peripheral flicker.

UNLABELLED: With strict fixation, a flickering disk presented in the peripheral retina rapidly appeared to lose contrast and stop flickering, owing to adaptation. Subjects measured this adaptation by continually adjusting the flicker amplitude of a peripherally viewed disk to hold it just at threshold. RESULTS: (1) The contrast threshold for flicker increased logarithmically over time. (2) The slope of the temporal decay function increased with eccentricity (1-16 deg) and with decreasing disk size (8 deg-3.6 min arc). (3) M-scaling the stimulus size could abolish the dependence upon eccentricity for small disks, but not completely for large disks. (4) The temporal decay rate increased with flicker rate (3-15 Hz), as though each cycle of flicker elevated contrast threshold equally.

Adaptation, Ocular↗

The effects of dot density and motion coherence on perceptual fading of a target in noise.

A peripherally presented target embedded in dynamic texture perceptually disappears (or 'fills-in') after around 10 s of steady fixation. This phenomenon was investigated for a target containing moving dots. The effects of manipulating the coherence of the motion within the target and the density of dots across the whole screen were explored. Coherence thresholds for the detection of a target at different dot densities were recorded for comparison. Fading occurred faster as either motion coherence or dot density was reduced. Coherence thresholds for target detection were unaffected by manipulations of dot density. There appeared to be no relationship between the stimulus exposure time needed for fading and the coherence threshold for detection of a target. The results suggest that the time taken for a target to fade is not a simple function of its motion detection threshold.

Adaptation, Ocular↗

Failure of fixation suppression of caloric nystagmus and ocular motor abnormalities.

Caloric nystagmus is substantially suppressed by visual fixation. The degree of suppression of caloric nystagmus is influenced by the condition of visual fixation. We studied the percent reduction in slow-phase velocity of caloric nystagmus by visual fixation and certain abnormalities in optokinetic nystagmus, smooth pursuit, and maintenance of ocular position of gaze in 38 patients with disorders of the CNS. The inability to suppress caloric nystagmus by visual fixation correlated with reduction in optokinetic nystagmus, deficit in smooth pursuit eye movements, and presence of gaze nystagmus. It seems probable that modulation of the vestibulo-ocular reflex is influenced by the same mechanisms that are concerned with optokinetic nystagmus, maintenance of ocular position of gaze, and smooth pursuit eye movements.

Brain Diseases↗

An alternative three-dimensional interpretation of Hering's equal-innervation law for version and vergence eye movements.

In the context of Hering's equal-innervation law, this paper discusses the problem of how the three-dimensional positions of the two eyes, each expressed by a rotation vector, can be separated into contributions of the version and vergence system. As proposed by Van Rijn and Van den Berg [(1993) Vision Research, 33, 691-708], this can be done by taking the sum and difference of the position rotation vectors of each eye. In our alternative procedure the vergence signal is defined as the rotation which transforms the left eye position into the right eye position and the version signal is the common factor in both eye positions that remains after removing the vergence signal. The version and vergence contributions, defined in this way, can be interpreted straightforwardly as rotations. When Van Rijn and Van den Berg applied their definitions to their own data, they obtained the interesting result that the reconstructed version and vergence contributions were effectively limited to two dimensions (2D). The version signal was confined to Listing's plane (no torsion) whereas the vergence signal remained within a horizontal-torsional plane (no vertical vergence). They showed theoretically that a model based on 2D version/2D vergence control will indeed produce the torsional eye positions in near fixations found in their experiments. This model cannot account for a second set of data in the literature [Mok, Ro, Cadera, Crawford & Vilis (1992) Vision Research, 32, 2055-2064]. With our definitions, we found that the simple 2D version/2D vergence control strategy cannot account for the Van Rijn and Van den Berg (1993) data but is nicely compatible with the considerably smaller amount of cyclotorsion in the data collected by Mok et al. (1992). We also show that, in such a system, having 2D vergence control is compatible with minimization of torsional disparity and provides the cyclovergence signals suitable for stabilizing the eyes in the non-Listing positions caused by a vertical saccade in near vision.

Convergence, Ocular↗

[An alternative measuring procedure to the simultaneous prism cover test].

The simultaneous prism cover test is frequently used for measuring a manifest squint angle. In this paper an alternative method for measuring a manifest squint angle is described. While a subject fixes on a fixation object in near or far position, one eye illuminated from below with a collimated visible light beam. The light source is mounted on a holder which can be rotated around a vertical axis. The examiner observes the light reflexes of the anterior surface of the cornea and the posterior surface of the lens in the patients pupil and turns the holder until the images lie on a vertical line. In this case the direction of the incident light beam, which is determined by the position of the holder, and the direction of the optical axis of the eye coincide. For example, by measuring before and after covering, the difference in the measured light directions is the manifest squint angle, as determined by the simultaneous prism cover test.

Convergence, Ocular↗

Tonic accommodation: a review. II. Accommodative adaptation and clinical aspects.

Part I of this review considered basic aspects of tonic accommodation (TA), i.e. the accommodative response observed under degraded stimulus conditions. Part II considers accommodative adaptation, i.e. the apparent change in TA following periods of sustained fixation, and clinical aspects of both baseline TA and accommodative adaptation. It is suggested that the apparent post-task shift in TA reflects the slow rate of decay of the stimulus-mediated adaptive accommodative response, while the actual level of tonic innervation to the ciliary muscle remains relatively constant. The clinical implications of both TA and accommodative adaptation are discussed with regard to night, space and instrument myopia and refractive error development, notably nearwork-induced myopia. It is concluded that the evidence for any association between this form of myopia and either TA or accommodative adaptation is equivocal, and furthermore it seems likely that TA plays only a minor role in influencing the closed-loop steady-state accommodative response.

Accommodation, Ocular↗

On the perception of illusory contours.

Illusory contours are invoked by the visual system to account for otherwise inexplicable gaps in the image. We report three sets of novel observations on illusory contours. First, when an illusory square is superimposed on a checkerboard pattern there is a considerable enhancement of the contours so long as they are exactly coincident with the borders of the checks. If the checks are misaligned, on the other hand, the illusory contours associated with the pacman edges disappear and a novel percept emerges: the contours of the checks nearest to the illusory square appear enhanced. This result implies that subjective contours are generated by intermediate-level contour interactions rather than the top-down processes of three-dimensional interpretation. Second, we find that steady fixation for as little as 4 sec leads to a complete disappearance of the enhanced illusory contours caused, presumably, by adaptation or "fatigue" of cells that signal these contours. Such adaptation occurred even when the illusory contours were rendered invisible by displaying them on a misaligned checkerboard, suggesting that the adaptation occurs prior to the vetoing of the signal by the checks. Third, we found that illusory contours persist for a surprisingly long time (0.3 sec) after the inducing elements have been switched off. These results suggest that the stimuli we have designed ("enhanced illusory contours") might provide a novel probe for dissecting different stages involved in the processing of illusory contours and for understanding how the visual system combines different types of contours to construct object boundaries.

Adaptation, Ocular↗