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At least 433 records · Page 24Linked to original sources

Eye-movement-dependent loss in vision and its time course during vergence.

The attenuation of vision that has long been known to accompany saccadic eye movement has a significant component that is not attributable to visual masking or image smear, and this suppression of vision is now associated with nonsaccadic movement. The purpose of the present experiment was to determine the time course of visual suppression during a vergence eye movement. Suppression was evaluated psychophysically in human observers by measuring their loss of sensitivity to a brief, full-field decrement of light during 6 degrees-9 degrees convergence. Vergence-related suppression was similar in total duration and amplitude to saccadic and blink-related suppression. Since these other forms of oculomotor activity are vastly different in speed and total duration, it is unlikely that suppression results directly from the activity itself. Instead, these results support the hypothesis that a common, more centrally originating, suppression of vision occurs during eye movements, including saccades, eyeblinks, and vergence. Thus, while vision during eye movements can often be reduced through masking and smearing effects, the movement-dependent visual suppression measured in these experiments is a more generally occurring event.

Convergence, Ocular↗

The effect of Timolol Maleate on tonic accommodation, tonic vergence, and pupil diameter.

The beta-adrenoceptor antagonist Timolol Maleate (0.5%) was employed topically to determine whether the resting (or "tonic") position of accommodation is a consequence of steady-state equilibrium between parasympathetic and sympathetic innervation of the ciliary muscle. Ten subjects were used, eight men and two women, with an age range of 19-37 (mean = 23.2). All subjects wore an optimum refractive correction giving visual acuities of 20/20 or better. Darkroom measurements of tonic accommodation (TA), tonic vergence (TV), and pupil diameter were determined with a Badal laser optometer , a nonius alignment device and infra-red photography, respectively. Far and near points of accommodation and oculo-motor balance tests were determined by standard optometric techniques and intraocular pressure (IOP) was measured by applanation tonometry. Both TA (mean = 1.66 D) and TV (mean = 2.10 deg) assumed intermediate resting positions in the absence of visual stimulation. A double-blind protocol between Timolol and Saline demonstrated a mean myopic shift in TA of +0.85 D over 40 min with Timolol. All other experimental parameters, apart from IOP, were unaffected by Timolol. It is concluded that sympathetic innervation to the ciliary muscle plays a significant role in determining the TA position and that this innervation is mediated by inhibitory beta adrenoceptors.

Accommodation, Ocular↗

[Surgical complications in accommodative esotropia].

The most important causes of surgical failure of accommodative strabismus are discussed and treatment is proposed. Limitations of duction are the most frequent causes and are to be carefully searched for. Postoperative diplopia is most often transitory and will be treated if it causes an obstacle to fusion. The prevention of surgical complications results in the long experience in motility examination and the system of combined horizontal and cyclovertical surgery.

Accommodation, Ocular↗

[Vertical deviation in strabismus in children].

Cyclovertical deviations represent a major diagnostic and therapeutic problem in strabology. In this paper 4 topics are discussed. Long term evolution of strabismus after surgery shows that the patient's residual threshold for a residual vertical factor is very weak; its correction is of the utmost importance. Indeed, if some degree of binocular vision is to be recovered, the residual vertical factor should not be greater than 4 D in esotropia. There are many different varieties of vertical deviation but 3 are particularly common: oblique muscles overactions, DVD and alphabetical syndromes. There are several arguments against sagittalization during oblique muscles development. The author then presents an epidemiological survey of vertical factors based on a randomized study of 1500 consecutive cases of strabismus. In the last section, the problem of vertical factors in accommodative strabismus is discussed; there are many arguments against Gobin and Berard's ideas on the role and management of optical correction in accommodative squint.

Accommodation, Ocular↗

Shifts in tonic accommodation after near work are related to refractive errors in children.

A link between changes in tonic accommodation (TA) produced by sustained near work and the development of adult-onset myopia has been suggested in studies of young adults. Measures of TA before and after near work have been lacking in children of school age, which is the most susceptible period for the development and progression of juvenile-onset myopia. In the present study accommodation was measured in 87 children, aged 7 to 16 years, before and after 15 minutes of video game playing. All children were refracted before testing and wore optical correction during measures of accommodation with a Canon R1 autorefractor. Most children showed initial values of TA (far focus minus dark focus) between 0.0 and 1.0 D, with a mean of 0.68 D. Grouped by refractive status, the myopic children initially showed 0.30 D of TA, while the emmetropic children showed 0.75 D and the hyperopic children showed 0.94 D. After playing the video game, TA of the myopes increased by 1.15 D, compared to smaller increases for the emmetropes (0.68 D) and hyperopes (0.24 D). Comparable values have been obtained from young adults. These results indicate that the smallest initial values of TA and the largest inward shifts in TA are found during the period of acquisition and progression of myopia, regardless of age.

Accommodation, Ocular↗

Intermittent exotropia of the divergence excess type.

Sensory and motor anomalies of the intermittent exotropia, the divergence excess type, have been described by various authors. However, previous theories of etiology fail to incorporate all the sensory motor anomalies typically found. The present paper attempts to develop a theory of etiology based upon sensory-motor findings and to offer a treatment plan consistent with those findings.

Accommodation, Ocular↗