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Results for “PRESBYOPIA”

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At least 523 records · Page 29Linked to original sources
PubMed1984

Clinical performance of a disability glare tester.

A glare tester was described previously and was found, in the presence of cataracts, to be almost twice as predictive as was Snellen measurement for determining visual acuity outdoors. The current study tests the reproducibility of glare test scores and the influence of refractive error and contrast sensitivity on such scores when used in a clinical environment. Although the effects of visual acuity and impaired contrast sensitivity were found to be statistically significant components of glare test scores, the magnitudes of their effects were found to be clinically insignificant. Sequential retesting of physiologically stable eyes or, in the case of progressive cataracts, within intervals short enough to preclude discernible lenticular changes indicated that, for the most part, reproducibility of glare testing was comparable to that of visual acuity testing.

Adult↗
PubMed2002

Refractive anomalies and visual activation in functional magnetic resonance imaging (fMRI): a versatile and low-cost MR-compatible device to correct a potential confound.

PURPOSE: To develop a magnetic resonance (MR)-compatible, versatile, easy-to-use, and low-cost device for refractive correction. MATERIALS AND METHODS: We retrospectively evaluated the application and practicability of the refractive correction in 110 subjects who had participated in various functional MR imaging (fMRI) studies with complex visual stimulation paradigms since the introduction of the MR-compatible lens frame at our site. The subjects consisted of 31 patients with Parkinson's disease (age range, 40-85; mean age, 63.2 years) and 79 healthy volunteers (age range, 18-79; mean age, 46.7 years). RESULTS: In volunteers, experimentally induced myopia caused a substantial (>20%) reduction of the blood oxygenation level dependent (BOLD) response to a flickering dartboard. CONCLUSION: Refractive errors (and the resulting optical blur) may play a nonnegligible role as a possible interfering factor in fMRI experiments with visual stimuli. The MR-compatible frame (fitted with appropriate lenses) used in this study affords full refractive correction at reasonable cost and preparation time.

Adult↗
PubMed1983

Accommodative dysfunction.

A retrospective review of the records of 114 subjects with accommodative dysfunction has been completed. Most subjects (N = 96) were found to have accommodative insufficiency. Lesser numbers of subjects were categorized in the class of infacility of accommodation (N = 14), spasm of accommodation (N = 3) and fatigue of accommodation (N = 1). A majority of the subjects presented with complaints of blur, headaches and/or asthenopia while attempting nearwork. Most subjects presented with reduced abilities in one or more of the following areas: accommodative amplitude and facility, fusional vergences, near point of convergence and stereo acuities. The clinical characteristics of the group as a whole and the major subgroups have been examined both before and after treatment of the condition with orthoptic exercises and/or plus lenses at the nearpoint. The result of the treatment indicates that although most subjects (96%) experienced some relief with treatment only about half (53%) had their problems totally solved. The importance of these findings is briefly discussed.

Accommodation, Ocular↗
PubMedDate not supplied

Good subjective presbyopic correction with newly designed aspheric multifocal contact lens.

Many people of the so-called 'baby-boom' of 1945, nowadays require presbyopic correction. A lot of them choose for multifocal contact lenses, but this is not the perfect solution. Decreased visual acuity and contrast sensitivity, and appearance of haloes, 'ghosting' and glare are a problem. In this pilot study, with ten randomly, selected, consecutive patients, a newly designed soft aspheric multifocal contact lens was tested for visual performance and comfort on day 1 and after six months' wear. Success rate was 80% after six months. Visual acuity was good with exception for near vision under low illumination conditions. Two patients mentioned haloes. A statistical significant loss of contrast sensitivity was recorded on day 1 for the spatial frequencies 6.0, 12.0 and 18.0 cpd (cycles per degree) under high and low illumination. As well as for the spatial frequencies 12.0 and 18.0 cpd under high illumination and 6.0 cpd under low illumination (p = 0.05) after six months' wear. Mean overrefraction was limited. All patients recorded good comfort.

Contact Lenses↗
PubMed1982

Proximal and accommodative convergence and age.

The authors have estimated the phoria for distant and near fixation in two groups of subject (mean age 27. 5+/- 4.4 and 59.2 +/- 8.2 years). Different accommodative stimuli were induced by adding minus lenses for distant fixation and plus lenses for near fixation. Statistical analysis of the experimental data indicates that, for distant fixation, the value of phoria per unit of accommodative stimulus is significantly lower presbyopic than in nonpresbyopic subject. Also, during near fixation, the accommodative convergence (AC/A ratio) is more reliable in the presbyopic subjects when the accommodative stimulus is progressively reduced. This varying behavior indicates in presbyopic subjects that proximal convergence is of greater relative importance in the determination of the fusion-free position. In nonpresbyopic subjects, accommodative convergence is the more important component.

Accommodation, Ocular↗
PubMed1975

[Posttraumatic unilateral aphakia and contact lens -binocular functions of grown-ups].

The binocular results are only subnormal and comparable to former squinting patients. The results are better if one succeeds in reaching a visual acuity of at least 1.0. One can try to prevent a divergence by prescribing a contact lens as early as possible. Presbyopic patients have better binocular functions because the lost accommodation is the most interfering component (factor). It has disadvantageous effects especially on those patients who are yet presbyopic. The aniseikonia is in contrary to this not an as important interfering factor.

Accommodation, Ocular↗
PubMed1998

[Deteriorating vision in the elderly: double stress?].

BACKGROUND: Epidemiologic studies have provided clear evidence that the majority of people affected by severe visual impairment are adults above the age of 60 years. The goal of this psychological research was to analyze the emotional and behavioral consequences of age-related visual impairment in three steps: descriptive data concerned with subjective well-being, depression, everyday competence, and leisure as well as explanations of interindividual variability based on individual and environmental variables are presented (study I). Also, the impact of the time of onset (early versus late in life) is addressed (study II). Finally, the role of the living accomodation (institutional versus private household) was the main target of another study (study III). MATERIALS AND METHODS: Study I was based on 84 elderly adults who experienced an irreversible visual loss after age 55 years; a control group of unimpaired elderly adults is also included (mean age 75.8, range 59 to 92). In study II, 18 elderly adults who had been blind since their early childhood were compared to nine matched elderly adults who experienced blindness in their later life as well as nine matched unimpaired elderly adults (mean age 71.7, range 63 to 83). The data for study III came from 15 visually impaired institutional residents who were compared to 15 matched unimpaired residents and 15 matched visually impaired and 15 unimpaired older adults living in private households (mean age 87.0, range 78 to 93). All subjects underwent an intensive psychological measurement program. RESULTS: The findings of study I emphasize that age-related visual impairment is associated with lower subjective well-being, greater depression, reduced everyday competence, and lowered leisure activity level. A significant portion of interindividual variability in these outcomes can be explained by addressing individual variables (e.g., comorbidity) as well as environmental variables (e.g., quality of the dwelling unit). Study II data offer evidence that older adults suffering from blindness since their early childhood are better adapted than older adults who experienced blindness only in their later years. Study III shows that visually impaired institutional residents reveal deficits in everyday competence and social contacts as contrasted with their unimpaired counterparts, whereas no difference is observed in the domain of subjective well-being. CONCLUSIONS: All three studies point to the negative impact of age-related visual impairment on emotional and behavioral adaptation in later life. This highlights the need for a whole range of rehabilitative efforts, including psychosocial elements, which are described in the final part of this article.

Activities of Daily Living↗
PubMed2001

Quality of vision with presbyopic contact lens correction: subjective and light sensitivity rating.

PURPOSE: To quantify the quality of vision achieved with multifocal and bifocal contact lenses. METHODS: We analyzed differential light sensitivity by computerized automatic perimetry in 21 patients wearing monofocal soft contact lenses (group 1, controls) and multifocal and bifocal contact lenses (groups 2 and 3, respectively). Seven patients each were fitted with multifocal or bifocal contact lenses; seven patients were without contact lenses (without correction for testing the visual periphery and with near-vision correction using monofocal contact lens for testing the central 30 degrees of vision). The type of correction was randomly changed in a crossover fashion so that each eye was examined at different times with different corrections. Humphrey 640 VFA computerized automated perimetry was used to test visual fields at baseline, 45 days, and 3, 4.5, and 6 months. RESULTS: A statistically significant difference was found between the global sensitivities (GS) of the central visual field in patients with near-vision monofocal contact lenses and with bifocal contact lenses (P=0.0273) and between the GS of the central visual fields with multifocal contact lenses and with bifocal contact lenses (P=0.0261). In both cases, the GS were significantly reduced with bifocal contact lenses (total GS: group 1, 11256 dB (Decibels); group 2, 11154 dB; group 3, 10679 dB). CONCLUSIONS: The results indicate that there is reduced differential light sensitivity in the central 30 deg of the visual field with bifocal contact lenses compared with multifocal contact lenses and monofocal contact lenses (controls).

Contact Lenses, Hydrophilic↗