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PubMedDate not supplied

A new binocular scotometer.

A new method of binocular scotometry is described based on an intriguing binocular phenomenon and using a new binocular scotometer and a retinoscope with its head reversed. Shortcomings in previous attempts have been corrected by objectively aligning a "blind" eye with the center of a translucent opalescent screen. This was made possible by having the patient rotate the retinoscope to induce conjugate eye movements in cases of manifest eye deviation. The examiner could then observe the "blind" eye directly through a central opening in the screen, by reinforced assistance through dependence on the corneal light reflex and, if necessary, by circumferential plotting.

Fixation, Ocular↗
PubMed1978

Possible role of fundus circulation as an intraocular colour filter in certain fishes.

The possible role of the fundus circulation as an intraocular colour filter was studied by measuring chromatic aberration in two species of fish. One species (the goldfish) has an extensive fundus circulation while the other (the rock bass) has a minimal one. Chromatic aberration was measured retinoscopically in the living eye and by determining the spectral variation in focal length of the excised lens. In the rock bass, chromatic aberration of the excised lens is always a little less than that measured by retinoscopy. In the goldfish, the retinoscopic measurements are substantially less than measurements of the excised lens. This difference is apparently due to the limitation imposed by the goldfish fundus circulation on the possibility of performing retinoscopy with blue light. It is suggested that a fundus circulation can modify the intraocular transmission of light.

Animals↗
PubMed1996

Problems of refraction after photorefractive keratectomy.

BACKGROUND: Excimer laser photorefractive keratectomy (PRK) is a refractive procedure to correct myopia that is gaining worldwide acceptance. PRK has been performed as an open-ended clinical trial since January 1992, and specific problems have been encountered in refracting PRK patients. METHODS: A review of all cases of PRK performed with at least 1-year follow-up was conducted. Nine hundred and seventy-one eyes with myopia ranging from -2.00 to -15.00 diopters had preoperative manifest and cycloplegic refraction, and postoperative refraction at 3 months after treatment. RESULTS: Refractive difficulty due to degradation of the retinoscopic reflex was encountered in patients who developed moderate to severe haze (seven eyes). Small ablation zones (5 mm) and decentered ablations also contributed to confusion in interpretation of the retinoscopic reflex. In addition, excessive accommodation, profound early myopic and hypermetropic shifts, postoperative irregular astigmatism and inaccurate autorefractometer readings contributed to difficulty in refraction. CONCLUSIONS: Laser ablation of the central cornea produces alterations in optical homogeneity of the cornea that may cause significant refractive difficulties. Refracting PRK patients requires careful and consistent refraction by an experienced refractionist, both before and after laser treatment.

Accommodation, Ocular↗
PubMed1984

Neutralization at infinity in streak retinoscopy.

A new principle of retinoscopy proposes that the endpoint of neutralization be placed at infinity rather than into the aperture of the retinoscope. The advantages of the method are (1) the pupillary reflex is sharply defined and enhanced at neutralization, (2) the pupillary reflex width is equal to the diameter of the smallest aperture of the observation system, (3) the relative speed of the pupillary reflex is equal to 1, that is, the speed of the reflex is that of the scanning speed, and (4) neutralization at infinity is independent of the observation distance. The lens used gives the "net" retinoscopy.

Humans↗
PubMed1992

The refractive development of the eye of the American kestrel (Falco sparverius): a new avian model.

Most measures of avian visual performance are carried out on commonly available domestic species such as the chicken, and most of the data on avian induced refractive error deals with chickens. Raptors are predatory birds in which good visual resolving ability is particularly important. Behavioral studies indicate that the eyes of raptors have two to three times the resolving ability of the human eye. The domestic chicken is precocial at hatching whereas most raptors are semi-altricial. This study was an effort to determine if the effect of early visual deprivation on the refractive development of the chicken eye can be reproduced in the American kestrel, a species which is not domesticated and in which the need for acute vision is particularly important. Visual deprivation was achieved by unilaterally applying translucent plastic goggles over the eyes of kestrels two days after hatching. Refractive error was measured using a retinoscope and trial lenses. Ocular growth was monitored by A-scan ultrasonography, and frozen ocular sections of sacrificed birds. The effect of the experimental manipulation on the contralateral control eye and body weight was evaluated each day over a 42-day period. The goggles did not significantly affect the normal changes in body weight or the normal pattern of ocular growth and refractive development in the untreated eyes. An analysis of the refractive state changes as a result of form deprivation was made each week for 6 weeks after hatching on both the treated and untreated eyes in a separate group of experimental birds. Visual form deprivation caused a significant myopic shift in refractive error and a significant increase in the vitreous chamber depth in the treated eyes at 3 and 6 weeks of age. However, the amount of myopia produced is much less than that induced in chicks, and in certain cases hyperopia is produced. The kestrels recover from myopia and hyperopia within 10 days of goggle removal, after 3 to 4 weeks of deprivation. This study is the first indication that chickens may not be a representative bird model for studying form-deprivation myopia. First, myopia is not always produced in kestrels in response to form deprivation. Second, kestrels are severely myopic at hatching and therefore, the direction of emmetropization is opposite to that found in hatchling chicks.

Animals↗
PubMed1981

[Retinoscopy under cycloplegic and non-cycloplegic conditions in children comparison of measurements of three examiners (author's transl)].

The refractive status of 100 eyes were measured by three ophthalmologists utilizing retinoscopy under non-cycloplegic and cycloplegic conditions. The statistical analysis of the results was done by multiple regression. The retinoscopic measurements of sphere and cylinder of the three examiners show smaller differences under cycloplegic than under non-cycloplegic conditions. The largest differences in the measurements of axis were found in cases of small cylinder power. Especially in children and in patients with strabismus, the authors feel that measurements of the refractive state have to be carried out under cycloplegia.

Accommodation, Ocular↗
PubMed1988

Visual optics in toads (Bufo americanus).

Aspects of visual optics were investigated in the American toad (Bufo americanus). The development of the refractive state of the eye during metamorphosis was followed with IR photoretinoscopy. Frozen sections documented the changes in optical parameters before and after metamorphosis. There is a difference in light sensitivity between juvenile and adult toads. Binocular accommodation in adult toads was observed. 1. IR photoretinoscopic measurements showed that the refractive state of the eye changed very rapidly during metamorphosis, about 10 D/h while the animal entered the terrestrial habitat. 2. Frozen sections showed that the almost spherical lens in a tadpole eye had flattened in a just metamorphosed toad's eye while at the same time the distance of the lens to the retina had decreased. However, the morphological measurements were not sufficiently sensitive to record the relatively small changes in ocular dimensions that were responsible for the rapid changes in refractive state during metamorphosis. 3. Schematic eyes, with homogeneous and non homogeneous lenses, were constructed for tadpoles, juvenile toads, and adult toads. 4. Nonparaxial raytracing studies in schematic eyes suggested that the lenses of animals of the three developmental stages tadpole, juvenile toad, and adult are not homogeneous but have a refractive index gradient. The raytracing studies indicated that the refractive index gradient is different for the different developmental stages, being highest in the tadpole lens. 5. The observations of toads during feeding behavior at different light levels showed an increased light sensitivity in the adult nocturnal toads in contrast to the juvenile animals, which are diurnal. The increased light sensitivity could partly be explained with an increase in aperture and an increase in red rod outer segments. To fully explain the higher light sensitivity in adult toads, changes in neuronal parameters had to be assumed. 6. Retinoscopic measurements of the resting refractive state in the adult toad showed a hyperopic defocus of about +8 D. By subtracting the measurement artefact for retinoscopy, the true resting focus was found to be nearly emmetropic. 7. The amount of natural accommodation in adult toads during normal feeding behavior was investigated with IR photoretinoscopy. Binocular accommodation of about 8 D was observed.

Accommodation, Ocular↗
PubMed2001

[Retinoscopy. A multi-media teaching program on CD].

INTRODUCTION: Retinoscopy is a classical method to determine the refraction of the eye by observing the dynamics of reflexes and varying the experimental parameters until a specific reflex (neutralisation point) is observed. Until now photographs and geometrical drawings of the different ray tracings have been commonly used to visualise the pathways. We intend to use new media such as video and CD to offer the students a better understanding of retinoscopy. METHODS: With the aid of appropriate experimental devices, retinoscopal reflexes of artificial and human eyes are recorded on video. The video sequences are converted in computer files and together with computer animations of the geometrical ray tracings, text files and audio sequences, they are stored in a suitable CBT-programme. RESULTS: The systematically prepared computer compatible contents offer a modern individually controllable method to perform the instruction programme by multimedia. The CBT-program and the specific files are stored on CDs or can be distributed on the internet. A collection of retinoscopy records of patients, some with extraordinary reflex phenomena is also available. DISCUSSION: Video and animation procedures are more suitable for matching the dynamic phenomena on retinoscopy than photographs or drawings as they offer a more direct basis for understanding of the sometimes difficult processes of retinoscopy. The collection of recorded reflexes also offers the direct visualised experience of particular patient findings such as the appearance in context of implanted spherical and aspherical intraocular lenses or the irregularities of the optic system of eyes with keratokonus.

Computer-Assisted Instruction↗
PubMed2003

Variations in the off-axis refractive state in the eye of the Vietnamese leaf turtle (Geoemyda spengleri).

Lower-field myopia has been described for various vertebrates as an adaptation that permits the animal to keep the ground in focus during foraging, and, at the same time, to look out for distant objects, such as predators, in the upper visual field. Off-axis measurements with infrared photoretinoscopy in the eye of Geoemyda spengleri revealed a constant refractive state in the horizontal plane of the visual field but variable refraction in the vertical plane. In the three turtles investigated, the refractions increased continuously from the ventral to the dorsal visual field over a range of 35, 40 and 56 D, respectively. While this finding confirms the presence of an adaptive change of the refractive state equivalent to lower field myopia, subsequent measurements with a rotated retinoscope showed that at least part of the variation in the ventral field was attributed to astigmatism. The reason for this astigmatism is unknown. Anatomical investigation of the retina revealed that the constant refractive values in the horizontal plane corresponded to a stripe of increased ganglion cell density. A maximum density of 4,200 ganglion cells mm(-2) was counted in the centre of this visual streak.

Animals↗
PubMed2004

The development of the refractive state in the newborn Thomson gazelle.

Changes in refractive error during the first 3 months of life were studied retinoscopically in six Thomson gazelles ( Gazella thomsoni). Animals were hand-raised to allow repeat testing over time without chemical restraint. Refraction results were correlated with ultrasound measurements of intraocular dimensions, and with values in adult gazelles. Gazelles are born hyperopic with a mean refractive error of 3.44+/-0.31 D. By day 50, the animals are virtually emmetropic (0.13+/-0.21 D) and remain so in adulthood (0.03+/-0.09 D). The refractive error is highly correlated with the axial length ( r(2)=0.96) and with the vitreous chamber depth ( r(2)=0.83), but not with anterior chamber depth. Significant with-the-rule astigmatism was recorded ( P<0.001).

Aging↗
PubMed1981

A new technique for portable gonioscopy.

We have developed a new technique for low-power gonioscopic examination of the anterior chamber angle. We use X4 binocular loupes for magnification and a portable halogen-streak retinoscope as the light source focused on a gonioscopic lens.

Bed Rest↗
PubMed1983

Visual accommodation in the flying fox (Pteropus giganteus).

The flying fox, Pteropus giganteus, possesses a papillated retina and was previously thought to lack a mechanism for active accommodation. An investigation of the anatomy and physiology of accommodation in this megachiropteran bat revealed that it has a well developed ciliary muscle and that it can actively accommodate through a range of at least 3.12 D. In addition, it was found that the origin of the retinoscopic reflex does not reside in the receptor layer of the retina, because the focus of the eye is invariant for small changes of angle of refraction.

Accommodation, Ocular↗
PubMed1983

Longitudinal chromatic aberration of the vertebrate eye.

A recent study involving Abbe and Pulfrich refractometry analyses the dispersion of the human lens and the ocular media of a number of vertebrates. In general, the lens and, to a lesser extent, the cornea, are more dispersive than expected at wavelengths below 500 nm. The dispersion findings of this study were used in conjunction with reduced eye parameters of a number of vertebrates to calculate the longitudinal chromatic aberration of rock bass, frog, chicken, rat, cat, pig, cow, and human eyes. The calculated chromatic aberration of the human eye is greater than values reported earlier, because of the exaggerated dispersion of the lens at short wavelengths. While the values calculated for the additional species studies may be larger in some instances than expected, presumably due to lens dispersion as well, chromatic aberration is not large enough to account for the hyperopia found by retinoscopic study of small eyes.

Animals↗
PubMed1985

Photokeratometric and photorefractive measurements of astigmatism in infants and young children.

We have measured corneal and total astigmatism on 161 eyes of 90 normal infants and young children aged 2 months to 5 years using the techniques of photorefraction and photokeratometry. Both the mean corneal and mean total astigmatism were found to decrease with increasing age. We found large and significant correlations between corneal and total astigmatism in the 0-1, 1-2 and 2-3 year-old infants and children. Previous studies have shown that photorefractive measurements of astigmatism compare well with retinoscopic measurements of the same infants. As part of this study we measured the corneal astigmatism of 19 adults (38 eyes) by photokeratometry and with a clinical keratometer and found that the two measures were well correlated (r = 0.820). We conclude that the major component of total astigmatism seen in uncyclopleged infants of ages 0-3 years is corneal in nature.

Adult↗
PubMed1989

Effects of chronic optical defocus on the kitten's refractive status.

Lid closure initiated early in life produces axial myopia in a variety of species. However, it is currently not known what aspects of the anomalous visual experience associated with lid closure disrupt the emmetropization process and cause abnormal ocular axial elongation. This study was designed to determine if a degradation in the quality of the spatial characteristics of the retinal image was sufficient to produce an experimental myopia. Optical rearing procedures were employed to defocus one eye of developing kittens, and retinoscopic and ultrasonic procedures were used to evaluate the effects of chronic optical defocus on the kitten's refractive status. Different defocusing lens designs and rearing protocols were included to evaluate variables that may have confounded previous investigations. The major finding is that early chronic optical defocus results in axial myopia. The prevalence and magnitude of the induced refractive errors were dependent on the magnitude of optical defocus, but they were not affected by the sign or form of the defocusing lens. The results demonstrated that the potential for a clear retinal image is important for regulating normal ocular growth and maintaining a near emmetropic refractive status.

Animals↗
PubMed1992

Detection of eyeshine by flashlight fishes of the family Anomalopidae.

Flashlight fishes of the family Anomalopidae live in clear tropical waters and are nocturnally active. They have luminescent organs located just below the pupils of their eyes. The relation of the luminescent organ to the pupil of the anomalopid eye is similar to that of the illumination and pupil system of the ophthalmoscope and identical to that of some photoretinoscopes. Indeed, one species of flashlight fish, Anomalops katoptron, actually moves its luminous organ away from its pupils in the process of occluding its light organ, making a retinoscopic-like movement. By photographing the eyeshine of a number of fishes with a photoretinoscope and by analyzing the optics of light organs of fish of the family Anomalopidae as well as the optics of reflecting eyes, we show under what light conditions and ranges flashlight fishes may reasonably be able to detect eyeshine from other fishes in the environment. Further, we suggest that flashlight fishes may be able to communicate with each other by altering the accommodation of their eyes. In such a communication system, the sender radiates no energy and communicates only with the interrogating receiver of the information. To our knowledge, this utilization of eyeshine, both for detection and for communication, is unique in the animal kingdom.

Accommodation, Ocular↗
PubMed2005

The association between hypermetropia and essential hypertension.

PURPOSE: To explore the relationship between the refractive state of the eye and high blood pressure in a representative population. DESIGN: Case-control study. METHODS: Three hundred twenty-one patients with essential hypertension (mean age 53.9 +/- 15.5 years) and 188 age-matched and sex-matched healthy control subjects (mean age 50.9 +/- 7.3 years) from the same regional Health Maintenance Organization were consecutively included for the study (P > .05 for age and sex). The refractive state of the eyes was identified objectively by an autorefractometer and retinoscopic examination, recording the autorefractometer values. Spherical equivalents between -0.50 (included) and +0.50 (included) diopters were regarded as emmetropia. Values below or above this interval were regarded as either myopia or hypermetropia. Mean spherical equivalents of the groups were compared using independent samples t test; distributions of refraction were compared with chi(2) test. RESULTS: The mean spherical equivalent of the patients with essential hypertension was +0.88 +/- 1.34 diopters (range -3.75 to +6.38 diopters), whereas the mean spherical equivalent of the control subjects was -0.26 +/- 1.12 diopters (range -5.00 to +3.38 diopters) (P < .0001). Whereas 61.4% of hypertensive patients were hypermetropic, 18.1% of normotensive patients were hypermetropic (P < .0001). CONCLUSIONS: There is a strong association of essential arterial hypertension with hypermetropia, which has not been previously reported. Given the findings of this study, we recommend that patients who have hypermetropia and have had no recent systemic examination should at least have their blood pressure checked.

Adult↗
PubMed2005

Pediatric Amblyopia Risk Investigation Study (PARIS).

PURPOSE: To assess the learning curve, testability, and reliability of vision screening modalities administered by pediatric health extenders. DESIGN: Prospective masked clinical trial. METHODS: Two hundred subjects aged 3 to 6 underwent timed screening for amblyopia by physician extenders, including LEA visual acuity (LEA), stereopsis (RDE), and noncycloplegic autorefraction (NCAR). Patients returned for a comprehensive diagnostic eye examination performed by an ophthalmologist or optometrist. RESULTS: Average screening time was 5.4 +/- 1.6 minutes (LEA), 1.9 +/- 0.9 minutes (RDE), and 1.7 +/- 1.0 minutes (NCAR). Test time for NCAR and RDE fell by 40% during the study period. Overall testability was 92% (LEA), 96% (RDE), and 94% (NCAR). Testability among 3-year-olds was 73% (LEA), 96% (RDE), and 89% (NCAR). Reliability of LEA was moderate (r = .59). Reliability of NCAR was high for astigmatism (Cyl) (r = .89), moderate for spherical equivalent (SE) (r = .66), and low for anisometropia (ANISO) (r = .38). Correlation of cycloplegic autorefraction (CAR) with gold standard cycloplegic retinoscopic refraction (CRR) was very high for SE (.85), CYL (.77), and moderate for ANISO (.48). CONCLUSIONS: With NCAR, physician extenders can quickly and reliably detect astigmatism and spherical refractive error in one-third the time it takes to obtain visual acuity. LEA has a lower initial cost, but is time consuming, moderately reliable, and more difficult for 3-year-olds. Shorter examination time and higher reliability may make NCAR a more efficient screening tool for refractive amblyopia in younger children. Future study is needed to determine the sensitivity and specificity of NCAR and other screening methods in detecting amblyopia and amblyopia risk factors.

Amblyopia↗