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At least 487 records · Page 27Linked to original sources
PubMedDate not supplied

The change in ocular refractive components after cycloplegia in children.

PURPOSE: To study the change in ocular refractive components after cycloplegia in children. METHODS: Anterior chamber depth, lens thickness, vitreous chamber length, and ocular axial length were measured in 135 Chinese children (270 eyes) before and after cycloplegia. The corneal curvatures of 136 selected eyes were studied before and after cycloplegia with a computerized video keratoscope. RESULTS: Anterior chamber depth increased (P <.001) while both lens thickness and vitreous chamber length decreased (P <.001) significantly after cycloplegia regardless of the refractive state. However, axial length increased in hyperopic eyes (P =.027) but decreased in myopic eyes (P =.008) after cycloplegia. Mean corneal power of zones 3 mm (MD3, P =.009) and keratometer K1 readings increased (P =.025) in hyperopic eyes, while MD3 (P =.033), K1 (P =.039) and K2 (P =.003) readings decreased in myopic eyes significantly after cycloplegia. Similarly, mean corneal power of zones 5 mm and 7 mm in myopic eyes decreased dramatically (P <or=.001). In both hyperopic and myopic eyes, there was significant difference (P <.001) in the mean value of the upper and lower half of the vertical meridian, as well as the medial and lateral half of the horizontal meridian, respectively. CONCLUSIONS: Cycloplegia has a great influence on various refractive components in children. There is asymmetry of the corneal surface within the same horizontal or vertical meridian.

Accommodation, Ocular↗
PubMed1997

The hip joint as a conchoid shape.

The hip joint is not an exact ball and socket joint. In a meridian section, the mean deviation from a conchoid shape is quite small, so that this shape might better describe the joint's shape. This conclusion was reached by measuring the cartilaginous and osseous shapes of eight normal hip joints (multiorgan donors with average of age 33 yr, range 19-46 yr) using a CNC coordinate measuring machine (CMM). On two additional hip joints, only the osseous shape was determined. A rotational axis was first determined by finding parallels of latitude at the femoral head and acetabulum. At the meridian sections, the best-fitting circle or conchoid was determined from the scanned measuring points, using least-squares regression. Two perpendicular meridians were then measured for each sample and used to evaluate the three-dimensional shape. The medium squared deviation showed a better fit for a conchoid shape compared to a sphere for all samples tested. Furthermore, the equation of the conchoid for the femoral head (r = a + b cos phi) and that for the acetabulum (r' = a' + b' cos phi) were related in that a = b' and b = a' within mean deviation factors of 4%. Their special shape makes the joint less likely to sublux compared to a ball and socket joint. In addition, the rolling and gliding mechanisms between the two shapes may result in less wear.

Acetabulum↗
PubMed1996

Extrageniculostriate vision in humans: investigations with hemispherectomy patients.

Residual vision was assessed in the blind hemifield of one hemispherectomized and one partially hemispherectomized patient, using an interval two alternative forced choice detection task. Fixation instabilities were controlled by retinal stabilization. In both patients, residual vision was found in the hemianopic field close to the vertical meridian. This residual vision is largely confined to a band not wider the 3 degrees, but there is a local region in each patient where it extends more than 3 degrees from the meridian. However, more than 6 degrees from the vertical meridian we found no indication of residual function in either patient. Within the band of spared vision, subjects are aware of stimuli and can perform simple shape discriminations. Visual acuity profiles argue against an explanation based on eccentric fixation. Explanations based on the retino-tectal pathway or on retinal naso-temporal overlap are possible.

Adolescent↗
PubMed2001

EEG coherence studies in the normal brain and after early-onset cortical pathologies.

Visual corpus callosum (CC) preferentially interconnects neurons selective for similar stimulus orientation near the representations of the vertical meridian. These properties allow studying the CC functionality with EEG coherence analysis. Iso-oriented and orthogonally-oriented gratings were presented to the two hemifields, either close to the vertical meridian or far from it. In animals with intact CC, and in man, interhemispheric coherence (ICoh) increased only with iso-oriented gratings presented near or crossing the vertical meridian. The increase was localized to occipital electrodes and was specific for the beta-gamma frequency band. Visual-stimulus induced changes in ICoh were studied in patients with early pathologies of the visual areas. From a girl with abnormal vision and severe bilateral lesion of the primary visual areas at 3 weeks, after premature birth at 30 weeks, we obtained no ICoh response until 9 years. In control children visual stimulation increased occipital ICoh at 6-7 years. From a young man having suffered similar lesions when he was 9 months older than the girl, no consistent increase in ICoh could be obtained. In a 14-year-old girl with congenital visual agnosia, no visible lesions, but with a temporal-occipital epileptic focus, ICoh responses were evoked both by iso-oriented, and by orthogonally-oriented gratings. In a young man with bilateral parieto-occipital microgyria extending into the calcarine sulcus, visual stimuli increased ICoh as in normal individuals, but the response was weaker. These cases are discussed in terms of development of CC connections and point to a variety of plastic changes in the cortical connectivity of children.

Adolescent↗
PubMed2002

Analyzing small-incision cataract surgery by Orbscan II fourth-dimensional pachymetry mapping.

PURPOSE: To assess the changes in pachymetry after routine corneal and scleral tunnel phacoemulsification. SETTING: Discipline of Ophthalmology, University of Auckland, Auckland, New Zealand. METHOD: This prospective study comprised 174 eyes of 174 consecutive patients having uneventful, small-incision, sutureless, phacoemulsification cataract surgery; 124 patients had a clear corneal incision and 50, a superior scleral tunnel incision. Difference pachymetry maps were derived from Orbscan II elevation topography data obtained before and 4 weeks after surgery. Corneal thickness changes at 12 midperipheral areas located in 12 meridians were derived from difference (subtraction) maps. The mean corneal thickness within a single area corresponding to the center of the surgical incision was compared to the mean pachymetry readings of all 12 midperipheral measurements. RESULTS: The overall mean midperipheral corneal thickness (12 samples per cornea) increased by a mean of 5.89 microm +/- 16.09 (SD) in the clear corneal incision group and 6.89 +/- 14.50 microm in the scleral tunnel group. The mean central corneal thickness increased by 7.28 +/- 20.98 microm and 7.74 +/- 21.34 microm, respectively. The corneal thickness in the meridian closest to the incision was significantly higher than the mean value of the 12 meridians measured in both groups, with means of 14.95 +/- 26.86 microm in the clear corneal group (P =.001) and 16.22 +/- 21.23 microm in the scleral tunnel group (P =.002). There were no statistically significant postoperative differences in the central, midperipheral, or incision-site corneal thickness measurements between the 2 surgical techniques (P =.77). CONCLUSIONS: Time-dependent (fourth-dimensional) pachymetry subtraction maps are useful for following corneal dynamics over time. This study found that small-incision phacoemulsification techniques--scleral and corneal tunnel--had a minor but similar effect on corneal thickness 4 weeks after surgery.

Adult↗
PubMed1990

Conversion of keratometer readings to polar values.

Corneal astigmatism is a complex entity that has direction and magnitude. This study reports a new method to describe corneal astigmatism within the with- and against-the-rule concept. Each net astigmatism of the maximal power M in the meridian alpha may be divided into two dioptric components: a with-the-rule astigmatism projected on the 90-degree meridian and an against-the-rule component projected on the 180-degree meridian. The former figure has the dioptric value M X sin2 alpha, the latter M X cos2 alpha. The polar value is defined as the difference between these magnitudes: M X (sin2 alpha - cos2 alpha). The polar value calculates the balance between the with- and against-the-rule components for any given net astigmatism. The entire model allows an exact description of surgically induced with- or against-the-rule astigmatism following cataract extraction. The advantage of the model is that a corneal astigmatism may be expressed by a single figure. The system enables each surgeon to evaluate the contribution of the preoperative astigmatism, incision type, suture technique, and postoperative treatment on the final astigmatism. This in turn allows the surgeon to estimate a number of different surgical techniques empirically. By disposing of and choosing between several known techniques the surgeon may be able to minimize final astigmatism even in cases of significant preoperative astigmatism.

Astigmatism↗
PubMedDate not supplied

Correlation between polar values and vector analysis.

PURPOSE: To evaluate the possible correlation between polar value and vector analysis assessment of surgically induced astigmatism. SETTING: Department of Ophthalmology, Aalborg Sygehus Syd, Denmark. METHODS: The correlation between polar values and vector analysis was evaluated by simple mathematical and optical methods using accepted principles of trigonometry and first-order optics. RESULTS: Vector analysis and polar values report different aspects of surgically induced astigmatism. Vector analysis describes the total astigmatic change, characterized by both astigmatic magnitude and direction, while the polar value method produces a single, reduced figure that reports flattening or steepening in preselected directions, usually the plane of the surgical meridian. There is a simple Pythagorean correlation between vector analysis and two polar values separated by an arch of 45 degrees. CONCLUSION: The polar value calculated in the surgical meridian indicates the power or the efficacy of the surgical procedure. The polar value calculated in a plane inclined 45 degrees to the surgical meridian indicates the degree of cylinder rotation induced by surgery. These two polar values can be used to obtain other relevant data such as magnitude, direction, and sphere of an induced cylinder. Consistent use of these methods will enable surgeons to control and in many cases reduce preoperative astigmatism.

Astigmatism↗
PubMed1997

Two-incision radial keratotomy for low myopia with astigmatism.

PURPOSE: To evaluate the effectiveness of two-incision radial keratotomy (RK) in correcting low-magnitude refractive myopic astigmatism. SETTING: Two clinical study sites, one in St. Louis, Missouri, USA, the other in Caracas, Venezuela. METHODS: Fifty-seven eyes of 43 patients with low-magnitude myopic astigmatism had two-incision RK at one of two clinical study sites. In the initial phase of this series, 10 eyes with amblyopia at the 20/30 level had surgery at one center. Refractive keratotomy was performed with the radial incision placed in the plus cylinder axis of refraction. This axis was verified as the meridian of greatest corneal curvature by standard keratometry and computer-assisted corneal topographic analysis. Two eyes received a second operation (enhancement). RESULTS: Mean follow-up was 11.1 months (range 6 to 12 months). Mean preoperative and postoperative myopic spherical equivalent measured -1.42 diopters (D) +/- 0.51 (SD) and -0.14 +/- 0.39 D, respectively; the mean reduction was 1.28 +/- 0.59 D (P = .0001). Mean preoperative and postoperative refractive astigmatism was 1.41 +/- 0.45 D and 0.48 +/- 0.33 D, respectively (P = .0001). Mean preoperative and postoperative keratometric astigmatism was 1.26 +/- 0.54 D and 0.31 +/- 0.35 D, respectively, a mean reduction of 0.95 D (P = .0001). The surgical meridian was flattened by an average of 2.06 D by keratometry and the orthogonal meridian, by an average of 1.10 D. Preoperative uncorrected visual acuity (UCVA) was 20/40 or better in five (9%) eyes (range counting fingers to 20/40). Postoperative UCVA acuity was 20/40 or better in all eyes (mean acuity 20/25). In the nonamblyopic subgroup mean postoperative UCVA was 20/24. CONCLUSIONS: A limited number of radial incisions placed in the topographically confirmed axis of greatest curvature are effective in the treatment of low-magnitude myopic astigmatism.

Adolescent↗
PubMedDate not supplied

A reassessment of the lower visual field map in striate-recipient lateral suprasylvian cortex.

Lateral suprasylvian visual cortex in the cat has been studied extensively, but its retinotopic organization remains controversial. Although some investigators have divided this region into many distinct areas, others have argued for a simpler organization. A clear understanding of the region's retinotopic organization is important in order to define distinct areas that are likely to subserve unique visual functions. We therefore reexamined the map of the lower visual field in the striate-recipient region of lateral suprasylvian cortex, a region we refer to as the lateral suprasylvian area, LS. A dual mapping approach was used. First, receptive fields were plotted at numerous locations along closely spaced electrode penetrations; second, different anterograde tracers were injected at retinotopically identified sites in area 17, yielding patches of label in LS. To visualize the resulting data, suprasylvian cortex was flattened with the aid of a computer. Global features of the map reported in many earlier studies were confirmed. Central visual field was represented posteriorly, and elevations generally shifted downward as one moved anteriorly. Often (though not always) there was a progression from peripheral locations towards the vertical meridian as the electrode moved down the medial suprasylvian bank. The map had some remarkable characteristics not previously reported in any map in the cat. The vertical meridian's representation was split into two pieces, separated by a gap, and both pieces were partially internalized within the map. Horizontal meridian occupied the gap. The area centralis usually had a dual representation along the posterior boundary of the lower field representation, and other fragments of visual field were duplicated as well. Finally, magnification appeared to change abruptly and unexpectedly, so that compressed regions of representation adjoined expanded regions. Despite its complexity, we found the map to be more orderly than previously thought. There was no clearcut retinotopic basis on which to subdivide LS's lower field representation into distinct areas.

Animals↗
PubMed1990

Representation of the ipsilateral visual field in the transition zone between areas 17 and 18 of the cat's cerebral cortex.

The representation of the visual field in the architectonically defined transition zone between areas 17 and 18 of cat cerebral cortex was assessed by recording the activities and plotting the receptive fields of neurons at 2327 sites along 148 electrode penetrations made in 19 cats. The results show that the transition zone contains a significant representation of the ipsilateral visual hemifield although not all elevations in the visual field are represented to the same extent. The shape of the field region represented resembles an hour glass, for the region represented is narrowest on the 0-deg horizontal meridian and increasingly wider at progressively more positive and negative elevations. When receptive-field centers are considered, the extent of the representation reaches to -2.5 deg on the 0-deg horizontal meridian and to 10 or more degrees towards the field periphery. When receptive-field areas are considered, the representation at the 0-deg horizontal meridian extends to -3.6 deg and to beyond 20 deg at other elevations. In contrast, the visual-field representations in flanking areas 17 and 18 are essentially limited to the contralateral hemifield. The presence of a distinct representation of part of the ipsilateral hemifield in the transition zone suggests that the zone may have connections distinctly different from those of the adjacent areas. The observations bear on the problems of understanding the visual pathways in hypopigmented cats and binocular disparity mechanisms about the midline.

Animals↗
PubMed1991

Reallocation of visual attention.

Attentional movement time was investigated within and across hemifields in a discrimination task in which retinal acuity was controlled. Ss discriminated targets in a two-alternative, forced-choice latency paradigm. In Experiments 1-3, costs were mediated by distance, even though it was varied independently of acuity. In Experiments 4 and 7, with distance held constant, costs were equivalent for crossing the vertical and horizontal meridians and for crossing 1 and 2 meridians. However, crossing 1 meridian produced costs that were less than the costs for shifts to unexpected locations in the same quadrant, partially replicating the inhibitory aftereffect of Tassinari, Aglioti,Chelazzi,Marzi,and Berlucchi (1987). An explanation based on a combination of analog movement (Tsal, 1983) and attentional distribution (Downing & Pinker, 1985; Hughes & Zimba, 1987; Tassinari et al., 1987) models was discussed.

Adult↗
PubMed2001

Corneal shape change during accommodation.

PURPOSE: To investigate whether accommodation induces any changes in central corneal curvature. METHODS: Shape changes were measured on 14 subjects using a keratometer modified to enable a change in focus to occur without a change in vergence. All subjects were emmetropic and their ages ranged from approximately 20 to 28 years. RESULTS: In 11 of the 14 subjects a difference in central corneal curvature, of around 0.4 D in at least one principal meridian, was found when focus was changed between distant and near targets. In 9 subjects the curvature was greater for near focus in at least one meridian. In 5 subjects the change in one meridian was opposite in effect to what would be expected, i.e. the curvature was greater at distance than at near. CONCLUSION: The study suggests that accommodation may have some effect on corneal shape.

Accommodation, Ocular↗
PubMed2006

Corneal astigmatism in Graves' ophthalmopathy.

PURPOSE: To describe corneal astigmatism in patients under the age of 55 years with Graves' ophthalmopathy and to compare it to a control group. METHODS: Retrospective, nonrandomized comparative observational case series. A total of 109 patients with inactive Graves' ophthalmopathy and 109 age- and gender-matched control individuals without Graves' ophthalmopathy were examined with manual corneal keratometry. In the Graves' patients, 52% had a CT scan available for review, and 41% underwent orbital, strabismus, and/or eyelid surgery with a follow-up of keratometry over a mean period of 1.7 years after surgery. RESULTS: For the dioptres, there was a statistically significant difference between the Graves' and the control eyes at 3-3.25 dioptres in both eyes (t-test, right eyes, P=0.042; left eyes, P=0.041). For the meridians, the astigmatism was found to be greater at the meridians 95-100 degrees (t-test, P=0.044) and 105 degrees -110 degrees (t-test, P=0.017) in the right eyes only. In 10 (9%) Graves' patients, the astigmatism had caused newly acquired reduced visual acuity. Greater astigmatism in dioptres did not correlate with specific CT scan findings (chi(2)-test, df=2, P=0.187). Following orbital, strabismus, and eyelid surgery, the dioptres and meridians of the astigmatism did not change in 56 (68%) and 66 (81%) eyes, respectively. CONCLUSIONS: Graves' ophthalmopathy may be associated with greater with-the-rule corneal astigmatism, which, overall, is not influenced by orbital, strabismus, or eyelid surgery. The astigmatism may possibly be caused by soft-tissue fibrosis in the superolateral orbital region.

Adult↗
PubMed1999

The cortical visual area V6: brain location and visual topography.

The brain location and topographical organization of the cortical visual area V6 was studied in five hemispheres of four awake macaque monkeys. Area V6 is located in the caudal aspect of the superior parietal lobule (SPL). It occupies a 'C'-shaped belt of cortex whose upper branch is in the depth of the parieto-occipital sulcus (POS) and lower one is in the depth of the medial parieto-occipital sulcus (POM), with the medial surface of the brain as a zone of junction between the two branches. Area V6 contains a topographically organized representation of the contralateral visual field up to an eccentricity of at least 80 degrees. The lower visual field representation is located dorsally, in the ventral part of POS, and the upper field ventrally, in the dorsal wall of POM. The representation of the horizontal meridian forms the posterior border of V6. It is adjacent to area V3 in POS as well as in the caudal part of POM, on the ventral convexity of the brain. The lower vertical meridian forms the anterior border of V6, adjacent to area V6A. The upper vertical meridian is in the depth of POM. The representation of the central visual field is not magnified relative to that of the periphery. The central visual field (below 20-30 degrees of eccentricity) is represented in the medial-most aspect of the annectant gyrus, in the lateral part of the posterior bank of POS. The visuotopic organization of area V6 suggests a role in the analysis of the flow field resulting from self-motion, in selecting targets during visual searching as well as in the control of arm-reaching movements towards non-foveated targets.

Animals↗
PubMed1999

The EyeSys videokeratoscopic assessment of apical radius and p-value in the normal human cornea.

The EyeSys videokeratoscope was used to assess the corneal topography in 98 subjects. Scatterplots of distance squared versus radius squared were plotted for the near horizontal and near vertical principal meridians of the two eyes. The regression lines allowed calculation of the surface apical radius and the p-value. The group average apical radius was 7.93 mm (horizontal) and 7.78 mm (vertical). The group average p-value was 0.76 (horizontal) and 0.82 (vertical). Both apical radius and p-value were similar when comparing the two eyes for both the horizontal and the vertical meridians. The two meridians in a single eye, however, had different values for both apical radius and p-value. Male apical radii were longer than those of females but the p-values were the same. There is no apparent association between age and either apical radius or p-value for the subjects used in this study. The asphericity of the cornea does not show any apparent association with corneal curvature in this group of subjects.

Adult↗
PubMed2003

The asphericity, curvature and tilt of the human cornea measured using a videokeratoscope.

The EyeSys videokeratoscope (VK) measurements of the principal corneal meridians of 98 subjects already analysed by Douthwaite et al. [Ophthal. Physiol. Opt. (1999)19:467-474] were re-analysed in order to revise the assessment of asphericity, to derive information on corneal tilt and to assess the degree to which the corneal section approximates to that of a conic section. The range of normality for the revised p-value (asphericity) was from 0.57 to 0.97 for the near horizontal and from 0.56 to 1.08 in the near vertical principal meridians. The approximate corneal tilt angles ranged from -3.95 to +8.13 degrees in the horizontal and from -8.99 to +9.33 degrees in the vertical meridian. A tilted conicoidal surface will display a linear relationship (r = 1) when a scatterplot is drawn of the perpendicular distance squared vs radius squared, after first averaging the two semimeridian results for each VK ring. Analysing the results from the human cornea in the same way allows an assessment of the degree to which the corneal section approximates to that of the conic section.

Adult↗
PubMed2001

[Comparison of local differential luminance sensitivity (dls) between Oculus Twinfield Perimeter and Humphrey Field Analyzer 630 (HFA I) in normal volunteers of varying ages].

PURPOSE: Purpose of this study was to compare age-corrected normal values of differential luminance sensitivity (dls) of the Oculus Twinfield Perimeter with those of the Humphrey Field Analyzer 630 (HFA I). Furthermore, naso-temporal and superior-inferior asymmetries in the central visual field were analyzed. METHODS: 72 ophthalmologically normal volunteers, 12 per decade, were examined with both perimeters using a 4-2 dB bracketing strategy with two reversals for threshold estimation. A biometric model, which fits a hill of vision to the data, was developed. The age-related hills, created by the model, were compared between the instruments and analyzed for asymmetries. RESULTS: The normal dls values for the Twinfield perimeter were about 1.5 dB above those of the HFA I. The shape of the hill in regard to slope in corresponding locations did not differ substantially. The decline of local differential luminance sensitivity showed a nonlinear correlation to age: it remained almost constant up to the 4th decade, with a steeper decline beyond that age. A naso-temporal as well as a superior-inferior asymmetry was found. Along the vertical meridian, the slope of the hill was steeper in the superior part than in the inferior. At an excentricity of 20 degrees we found a superior-inferior difference of 2.1 dB for the HFA and of 1.8 dB for the Twinfield perimeter benefitting the inferior meridian. Along the horizontal meridian there was a distinct difference in regard to the shape of the hill. The sensitivity was greater in the temporal half of the visual field than in the nasal. At an excentricity of 30 degrees, the difference was about 2.75 dB for the HFA and 2.5 dB for the Twinfield perimeter. These asymmetries seem to appear in all age groups. Unfortunately, the exact influence of age on the appearing asymmetries cannot be quantified by the used model. CONCLUSION: The normal dls values benefit the Twinfield for about 1.5 dB compared to the HFA. There seems to be a critical age of about 40 - 50 years, beyond which a decline of dls becomes manifest.

Adolescent↗
PubMed2005

[Asphericity of the cornea and astigmatism].

BACKGROUND: Regarding astigmatism of the cornea, curvature as well as asphericity depend on the meridional axis. Their functional dependence and relation to the quality of the retinal image are still unclear. METHODS: The astigmatic eye was modelled using a biconoid anterior corneal surface by means of a commercially available optical designer programme (Zemax EE, Zemax). The influence of asphericity and astigmatism on the quality of the retinal image was determined by means of ray tracing. Thirty eyes with astigmatism of up to 5.3 D underwent corneal topography (Keratograph C, Oculus) which allowed a numerical evaluation of the cylindric power as well as the asphericity in the main meridians. RESULTS: The quality of the retinal image of an eye with corneal astigmatism can be improved by a factor of 2.28 if the asphericity is optimised. Correction of the central astigmatism only (without considering asphericity) yields only a rather marginal improvement. The average difference of the asphericity in the main meridians is close to zero, however, the individual difference ranges from - 0.372 to + 0.444 which is definitely clinically relevant. CONCLUSIONS: Anisotropic asphericity of the cornea may significantly enhance or compensate central corneal astigmatism. Clinically manifest astigmatism is an individually variable combination of asphericity and curvature difference in the two main meridians and is dependent on the pupil size. Laser correction of corneal astigmatism must take meridional asphericity into account.

Astigmatism↗