Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Meridians”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 847 records · Page 47Linked to original sources
PubMed1984

Cat medial interlaminar nucleus: retinotopy, relation to tapetum and implications for scotopic vision.

The medial interlaminar nucleus (MIN) of the cat was electrophysiologically mapped in sufficient detail to resolve individual laminae and to allow reconstruction of isoazimuth and isoelevation lines in coronal, sagittal, and horizontal planes. The electrophysiologically defined laminar pattern was in agreement with that revealed anatomically in the same animal, as well as with the general pattern revealed by anatomical methods in several unmapped nuclei. The MIN is made up of three distinct layers, each receiving inputs from one hemi-retina but none representing an entire hemifield. We confirm the findings of Guillery et al. (19) that the contralateral hemifield is represented in layers 1 and 2 through the contralateral and ipsilateral eyes, respectively, and that layer 3 represents the ipsilateral hemifield through the contralateral eye. Elevation and absolute value of azimuth are represented continuously through the MIN. When an isoazimuth line crosses the border between layer 3 and either layer 1 or 2, the absolute value of azimuth is maintained but the sign of the azimuth changes. Adjacent points on either side of this border represent mirror symmetrical visual directions on opposite sides of the vertical meridian. This indicates that the distance from the vertical meridian is an independently coded parameter within the geniculate complex. There is virtually no nasotemporal overlap in any layer of the MIN. The function relating magnification (mm3 per steradian) to eccentricity is strikingly similar to the function relating retinal ganglion cell density to eccentricity, suggesting that a constant fraction of retinal ganglion cells project to the MIN at all eccentricities. Most of the volume of each MIN layer is devoted to lower visual fields. Analysis of the geniculate retinotopic maps of Sanderson (46) reveals no equivalent bias toward lower visual fields in the dorsal lateral geniculate nucleus. The MIN represents a region of retina roughly coincident with the tapetum, suggesting a role of the MIN in dim-light vision.

Animals↗
PubMed1989

Topographic and directional organization of visual motion inputs for the initiation of horizontal and vertical smooth-pursuit eye movements in monkeys.

1. The goal of our study was to determine the properties of the visual inputs for pursuit eye movements. In a previous study we presented horizontal target motion along the horizontal meridian and showed that targets were more effective if they moved across the center of the visual field. We have now analyzed the topographic weighting of the inputs for pursuit in greater detail, using targets that moved in all directions and across a wide area of the visual field. 2. Monkeys were rewarded for tracking targets that started at 48 positions in the visual field. The initial positions were spaced equally around 4 circles that were centered at the position of fixation and had radii of 3, 6, 9, and 12 degrees. Targets moved horizontally or vertically at 30 degrees/s. We measured the smooth eye acceleration in the first 80 ms after the initiation of pursuit, before there had been time for visual feedback to affect the position or velocity of the retinal images from the target. 3. For both horizontal and vertical target motion, there were major differences between the early and late intervals in the first 80 ms of pursuit. In the first 20 ms eye acceleration was largely independent of initial target position. In later intervals eye acceleration decreased sharply as a function of initial target eccentricity. The later intervals also showed a pronounced toward/away asymmetry such that the initiation of pursuit was more vigorous for target motion toward than for motion away from the horizontal or vertical meridian. 4. Comparison of the topographic organization of the middle temporal visual area (MT) with our data on pursuit suggests that the topography of cortical maps is smoothed when the visual signals are transmitted to the pursuit system. For example, the superior visual hemifield is underrepresented in cortical motion processing areas, but target motion in the superior and inferior visual hemifields is equally effective for the initiation of pursuit. 5. We investigated the directional organization of the visual inputs for pursuit by presenting targets that started at 6 degrees eccentric and moved in 16 different directions. Horizontal target motion always evoked larger eye accelerations than did vertical target motion. Target motion in oblique directions evoked intermediate values of eye acceleration. 6. Our data show two classes of variation in pursuit performance. First, some subjects showed ideosyncratic variations that were restricted to one hemifield or one direction of target motion. We attribute these variations to differences among subjects in the physiology of visual pathways.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1991

Neuronal activity related to saccadic eye movements in the monkey's dorsolateral prefrontal cortex.

1. Single-neuron activity was recorded from the prefrontal cortex of monkeys performing saccadic eye movements in oculomotor delayed-response (ODR) and visually guided saccade (VGS) tasks. In the ODR task the monkey was required to maintain fixation of a central spot throughout the 0.5-s cue and 3.0-s delay before making a saccadic eye movement in the dark to one of four or eight locations where the visual cue had been presented. The same locations were used for targets in the VGS tasks; however, unlike the ODR task, saccades in the VGS tasks were visually guided. 2. Among 434 neurons recorded from prefrontal cortex within and surrounding the principal sulcus (PS), 147 changed their discharge rates in relation to saccadic eye movements in the ODR task. Their response latencies relative to saccade initiation were distributed between -192 and 460-ms, with 22% exhibiting presaccadic activity and 78% exhibiting only postsaccadic activity. Among PS neurons with presaccadic activity, 53% also had postsaccadic activity when the monkey made saccadic eye movements opposite to the directions for which the presaccadic activity was observed. 3. Almost all (97%) PS neurons with presaccadic activity were directionally selective. The best direction and tuning specificity of each neuron were estimated from parameters used to fit a Gaussian tuning curve function. The best direction for 62% of the neurons with presaccadic activity was toward the contralateral visual field, with the remaining neurons having best directions toward the ipsilateral field (23%) or along the vertical meridian (15%). 4. Most postsaccadic activity of PS neurons (92%) was also directionally selective. The best direction for 48% of these neurons was toward the contralateral visual field, with the remaining neurons having best directions toward the ipsilateral field (36%) or along the vertical meridian (16%). Eighteen percent of the neurons with postsaccadic activity showed a reciprocal response pattern: excitatory responses occurred for one set of saccade directions, whereas inhibitory responses occurred for roughly the opposite set of directions. 5. Sixty PS neurons with saccade-related activity in the ODR task were also examined in a VGS task. Forty of these neurons showed highly similar profiles of directional specificity and response magnitude in both tasks, 13 showed saccade-related activity only in the ODR task, and 7 changed their response characteristics between the ODR and VGS tasks.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1999

Visual stimulus-dependent changes in interhemispheric EEG coherence in humans.

We analyzed the coherence of electroencephalographic (EEG) signals recorded symmetrically from the two hemispheres, while subjects (n = 9) were viewing visual stimuli. Considering the many common features of the callosal connectivity in mammals, we expected that, as in our animal studies, interhemispheric coherence (ICoh) would increase only with bilateral iso-oriented gratings located close to the vertical meridian of the visual field, or extending across it. Indeed, a single grating that extended across the vertical meridian significantly increased the EEG ICoh in normal adult subjects. These ICoh responses were obtained from occipital and parietal derivations and were restricted to the gamma frequency band. They were detectable with different EEG references and were robust across and within subjects. Other unilateral and bilateral stimuli, including identical gratings that were effective in anesthetized animals, did not affect ICoh in humans. This fact suggests the existence of regulatory influences, possibly of a top-down kind, on the pattern of callosal activation in conscious human subjects. In addition to establishing the validity of EEG coherence analysis for assaying cortico-cortical connectivity, this study extends to the human brain the finding that visual stimuli cause interhemispheric synchronization, particularly in frequencies of the gamma band. It also indicates that the synchronization is carried out by cortico-cortical connection and suggests similarities in the organization of visual callosal connections in animals and in man.

Adult↗
PubMed2001

Acupuncture treatment for irritable bowel syndrome. A double-blind controlled study.

BACKGROUND/AIM: Irritable bowel syndrome is one of the most common gastrointestinal disorders in Western society, affecting around 15% of the population, especially young adults. The cause(s) of irritable bowel syndrome and effective treatment(s) have remained elusive. This study aimed at exploring the therapeutic value of acupuncture by comparing the responses of irritable bowel syndrome sufferers to true acupuncture versus sham acupuncture in a controlled double-blind study. METHODS: Twenty-five patients who fulfilled the Rome criteria (irritable bowel syndrome symptoms persisting for more than 1 year) comprised the final study population. They were recruited through a 'call for' bulletin sent to gastroenterologists practicing in the region of our medical center. True acupuncture was performed at LI-4 (colonic meridian, needle only) and sham acupuncture at BL-60 (urinary vesicle meridian, needle only). Patient assignment to one of the two groups was random. RESULTS: The effect of the first true acupuncture on overall symptoms and abdominal pain was a clear and significant improvement (p = 0.05). No comparable effect was seen in the second session. CONCLUSIONS: Although the true acupuncture results were consistently better, no difference was found between the two groups in the overall statistical analysis. We could not show a therapeutic benefit of this treatment modality in irritable bowel syndrome.

Abdominal Pain↗
PubMed1990

Correlation between histological and behavioral measures of visual acuity in a zooplanktivorous fish, the white crappie (Pomoxis annularis).

Estimates of visual acuity in a pelagic freshwater zooplanktivorous fish, the white crappie (Pomoxis annularis, Centrarchidae), were made using a behavioral measure, the maximum observed prey pursuit distance (MxPD), and a histological measure, the density of cone cells in the retina. The greatest number of pursuits occurs in the 0-30 degrees wedge of the visual field; 87% of all pursuits occur in the first 40 degrees. The longest pursuits (200 mm) also occur in this area and generally get shorter from 0 to 180 degrees (from forward-directed) in the visual field. Consistent with the behavioral results, the largest number of cone photoreceptors (13,000/mm2) is found in the far temporal retina along the eye's horizontal meridian. Cone cell densities in the corresponding region of the nasal retina are approximately half this value. The number of cones decreases dorsally and ventrally from the horizontal meridian. Although the absolute values of visual acuity calculated from cone cell topography (i.e. MxPDs of 500 mm) are 2-3 times greater than those observed behaviorally (i.e. MxPDs of 200 mm), the trends in visual acuity across the visual field obtained from both measures are consistent. We suggest that overestimates of visual acuity obtained from cone cell counts alone result from this measure's not accounting for, among other properties of the nervous system, cone cell convergence onto ganglion cells and higher brain centers. Behavioral measures of visual acuity are, therefore, likely to yield a more accurate estimate of an animal's visual abilities.

Animals↗
PubMed1995

Anterior chamber angle biometry: a comparison of Scheimpflug photography and ultrasound biomicroscopy.

Scheimpflug photography and ultrasound biomicroscopy allow measurement of anterior chamber angle width. To analyze the value of both diagnostic tools, measurements of the same subjects were correlated. Anterior chamber angle width in both eyes of 20 volunteers without any ophthalmological case history was measured in eight meridians. Scheimpflug photographs were recorded on Kodak T-max 400 black-and-white film using a Topcon SL-45 camera. Measurement of chamber angle was done with the aid of a self-programmed PC software. Ultrasound biomicroscopic measurements were obtained using a Humphrey UBM 840 system with a 50-MHz transducer. The chamber angle was measured as described by Pavlin et al. The data of both methods were correlated and analysed for statistically significant differences using a paired t test (level of significance p < or = 0.05). Both methods showed similar changes in chamber angle width and were able to document a variation in angle width with regard to location. The correlation averaged at 0.64. In 4 meridians significant differences were found between the two methods. Scheimpflug photography, however, is unable to visualize directly the angle itself. Both methods are limited by the fact that the angle is defined by curvilinear structures, i.e. posterior corneal surface and anterior iris surface. Scheimpflug photography is able to document changes in angle configuration. Ultrasound biomicroscopy, however, is a more precise method, because it allows direct documentation of all structures involved in chamber angle configuration.

Anterior Chamber↗
PubMed1996

Imaging of the spatial density distribution on the capsule of the lens with Scheimpflug photography.

The density characteristics of the anterior and posterior surfaces of the lens, although of primary importance for its optical quality, are difficult to determine. Scheimpflug photography, however, allows distinct density measurements from the optical axis towards the periphery with the only limitation of a sufficient mydriasis, so that a 3-dimensional scatter profile of both capsular surfaces can be calculated via multilinear densitometric evaluation of a sufficient number of meridians. On this methodical basis, we analysed Scheimpflug images recorded with the Topcon SL-45 on Kodak T-Max 400 film from 25 patients in an age range between 19 and 63 years. Images from the 0 degree + 45 degree meridians were scanned with multilinear microdensitometry and the data computed to get a density profile. In general, most scattering profiles show a marked interindividual variability. Nevertheless, a general trend can be established between the periphery and the center of the anterior and posterior capsules: (a) the anterior capsule generally has a higher density than the posterior; (b) in most cases, the center of the posterior capsule has a higher density than the periphery; (c) the anterior capsule has a more uniform spatial density distribution in all cases. From the cases evaluated, it can be concluded that the density of the peripheral posterior capsule is more importantly influenced by shading effects of the iris, so that geometrical correction is needed.

Adult↗
PubMed1984

Relations between the human retinal cone and ganglion cell distribution.

The distribution of human cone cells is well known and is frequently cited. The distribution of human ganglion cells is less well known and was published in a booklet which is less frequently cited in the eye literature. Selected published curves provided by these authors and Snellen acuity data were digitally encoded, transformed to linear vertical axes where necessary, scaled and compared. Comparisons were possible along the temporal hemi-meridian and provided correlations (r = 0.99 for ganglion cells versus cone cells; r = 0.99 for ganglion cells versus acuity, and r = 0.98 for cone cells versus acuity). Integration of densities along the horizontal hemi-meridian out to 50 degrees showed that approximately 50% of the cone cells are within 18 degrees of the foveola and that approximately 50% of the ganglion cells are within 13 degrees of the foveola. Appreciation of the strong interrelations between the cone-ganglion cell distributions may provide for a better understanding of the visual of inner-retinal disease. Presently it accounts for aspects of the production of pattern-elicited retinal signals which are under intense investigation in many centers.

Humans↗
PubMed1990

Retinal sensitivity in acute hypoglycemia.

We measured retinal threshold sensitivity via automated computerized static perimetry in predetermined meridians in euglycemic diabetic subjects and in the same subjects during insulin-induced hypoglycemia. During periods of reduced blood glucose levels, decreased retinal sensitivity, most marked in temporal meridians, was observed.

Acute Disease↗
PubMed1999

Target selection for pursuit and saccadic eye movements in humans.

Eye movements were recorded from three subjects as they initiated tracking of a small circle ("target") moving leftward or rightward, above or below the horizontal meridian, either alone or in the presence of a small square ("distractor") moving leftward or rightward on the other side of the horizontal meridian. At the start of each trial, subjects were provided with either a "form" cue (always centrally positioned and having the circular shape and color of the upcoming moving target) or a "location" cue (a small white square positioned where the upcoming target would appear). The latency of pursuit increased in the presence of an oppositely moving distractor when subjects were provided the form cues but not when they were provided the location cues. The latency of saccades showed similar, but smaller, increases when subjects were given the form cues. On many trials with the form cues, pursuit started in the direction of the distractor and then reversed to follow the target. On these trials, the initial saccade often, but not always, also followed the distractor. These results indicate that the mechanisms of target selection for pursuit and saccades are tightly coordinated but not strictly yoked. The shared effects of the distractor on the latencies of pursuit and saccades probably reflect the common role of visual attention in filtering the inputs that guide these two types of eye movements. The differences in the details of the effects on pursuit and saccades suggest that the neural mechanisms that trigger these two movements can be independently regulated.

Adult↗
PubMed1987

Distractor-target interactions during directed visual attention.

The spatial extent of directed visual attention (DVA) was examined in a series of experiments using precuing in a suprathreshold luminance detection (reaction time) paradigm. Previous findings (Hughes, H. C. and Zimba, L. D. J. Exp. Psychol.; Human Percept Perf., 1985, 11, 409-430) indicated that, in an empty visual field, the effects of DVA were primarily manifest as a uniform elevation of response times to all probe targets in the hemifield contralateral to the observer's expectancy. The present experiments were designed to determine whether increased spatial selectivity could be found when luminous markers indicated the exact location of the expected visual target. To maintain equivalent states of adaptation in both hemifields, luminous markers were also present at the same location in the contralateral hemifield. In general, hemifield effects were again obtained, but with two notable exceptions. First, marking locations in the unattended hemifield produced a local increase (enhanced interference) in RTs above the level characteristic of other locations within that hemifield. Second, when multiple locations were indicated with identical luminous markers, graded costs were obtained in both hemifields. However, scaling the markers according to estimates of cortical magnification factor (M) substantially reduced the slope of these inhibitory gradients, and the results once again approached those characteristic of an unstructured visual field. The findings suggest that when attention is directed to a marked location along the horizontal meridian, a transition in performance typically occurs at the vertical meridian. In addition, irrelevant stimuli some distance from the attentional focus interfere with detection times to unexpected targets that appear in the same vicinity. This interference may relate to an enhanced susceptibility to spatial interactions between the distractors and target away from the attentional focus. The interference appears to extend over a constant area of visual cortex, since it is reduced when the markers are M-scaled.

Adaptation, Ocular↗
PubMed2003

Severe astigmatic blur does not interfere with spectacle lens compensation.

PURPOSE: Whether either natural emmetropization or compensation for imposed spectacle lenses requires the visual system to distinguish myopic from hyperopic blur is controversial. Some have argued that the visual system need only respond to the magnitude of the blur. This study was undertaken to test whether adding large amounts of astigmatic image blur would cause myopia and interfere with compensation for positive or negative spectacle lenses. METHODS: Chicks were fitted with mixed astigmatic (toric) lenses with +5 D on one meridian and -5 D on the orthogonal meridian (Jackson crossed cylinders), thus producing massive blur while having no spherical equivalent power. Chicks wore these lenses either alone or in combination with +6 D, +3 D, -3 D, or -6 D spherical lenses. To produce a similar degree of image degradation in a different way, other chicks were fitted with weak diffusers, with or without spherical lenses. RESULTS: Eyes fitted with astigmatic lenses alone became mildly hyperopic, whereas those fitted with weak diffusers became mildly myopic. Eyes wearing both the astigmatic and spherical lenses compensated as completely for the spherical lenses as did the eyes wearing spherical lenses alone-the compensation being caused by changes in both choroidal thickness and ocular length. Eyes wearing weak diffusers and spherical lenses also compensated but did so without a change in choroidal thickness. CONCLUSIONS: Severe astigmatic blur does not interfere with spectacle lens compensation. From this it can be inferred that the average amount of blur is not an important error signal for spectacle lens compensation and therefore probably not for emmetropization either. These results strengthen the case that the sign of defocus is used to direct eye growth.

Animals↗
PubMed2003

Nasotemporal overlap of retinal ganglion cells in humans: a functional study.

PURPOSE: A zone of overlap along the vertical retinal meridian where ipsi- and contralaterally projecting ganglion cells intermingle has been demonstrated histologically in nonhuman primates. The widening of the zone of overlap in the foveal region was thought to produce a foveal sparing extending 1.5 degrees in the blind hemifield in human hemianopia. The functional relevance of the nasotemporal overlap is still unclear and cannot be shown definitely by conventional perimetry, because of insufficient spatial accuracy, light-scattering effects, and insufficient fixation control. Therefore, this study was undertaken to investigate the vertical field border by a perimetric method that does not have these shortcomings. METHODS: A scanning laser ophthalmoscope (SLO) was used to scan vertical triplets of dots along the vertical field border in 20 patients (36 eyes) with homonymous hemianopia without macular sparing. Stimuli and fundus were imaged simultaneously for fixation monitoring. RESULTS: None of the patients showed a field border that coincided exactly with the vertical midline. In 34 eyes, the seeing area extended from the vertical meridian into the blind hemifield and formed a vertical strip of perception. None of the patients showed additional foveal sparing. Twenty-two eyes showed a concave shape of the seeing area within the foveal region of the blind hemifield. CONCLUSIONS: Our results show that the nasotemporal overlap exists in humans. It consists of a strip of intact perception reaching into the blind hemifield. The concave shape can be explained by the size and distribution of the receptive fields of the retinal ganglion cells.

Adult↗
PubMed2006

Accommodative lag before and after the onset of myopia.

PURPOSE: To evaluate accommodative lag before, during the year of, and after the onset of myopia in children who became myopic, compared with emmetropes. METHODS: The subjects were 568 children who became myopic (at least -0.75 D in each meridian) and 539 children who were emmetropic (between -0.25 D and +1.00 D in each meridian at all visits) participating between 1995 and 2003 in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error (CLEERE) Study. Accommodative lag was measured annually with either a Canon R-1 (Canon USA., Lake Success, NY; no longer manufactured) or a Grand Seiko WR 5100-K (Grand Seiko Co., Hiroshima, Japan) autorefractor. Subjects wore their habitual refractive corrections while viewing a letter target accommodative stimulus of 4 D (either in a Badal system or at 25 cm from the subject, designated Badal and near, respectively) or of 2 D (Badal only). Refractive error was measured with the same autorefractor in subjects under cycloplegia. Accommodative lag in children who became myopic was compared to age-, gender-, and ethnicity-matched model estimates of emmetropic values for each annual visit from 5 years before, through 5 years after, the onset of myopia. RESULTS: In the sample as a whole, accommodative lag was not significantly different in children who became myopic compared with model estimates in emmetropes in any year before onset of myopia for either the 4-D or 2-D Badal stimulus. For the 4-D near target, there was only a greater amount of accommodative lag in children who became myopic compared with emmetropes 4 years before onset (difference, 0.22 D; P = 0.0002). Accommodative lag was not significantly elevated during the year of onset of myopia in any of the three measurement conditions (P < 0.82 for all three). A consistently higher lag was seen in children after the onset of their myopia (range, 0.13-0.56 D; P < 0.004 for all comparisons). These patterns were generally followed by each ethnic group, with Asian children typically showing the most, African-American and white children showing the least, and Hispanic children having intermediate accommodative lag. CONCLUSIONS: Substantive and consistent elevations in accommodative lag relative to model estimates of lag in emmetropes did not occur in children who became myopic before the onset of myopia or during the year of onset. Increased accommodative lag occurred in children after the onset of myopia. Elevated accommodative lag is unlikely to be a useful predictive factor for the onset of myopia. Increased hyperopic defocus from accommodative lag may be a consequence rather than a cause of myopia.

Accommodation, Ocular↗
PubMed2006

The topography of the central and peripheral cornea.

PURPOSE: To investigate the topography of the central and peripheral cornea in a group of young adult subjects with a range of normal refractive errors. METHODS: Corneal topography data were acquired for 100 young adult subjects by a method that allows central and peripheral maps to be combined to produce one large, extended corneal topography map. This computer-based method involves matching the common topographical features in the overlapping maps. Corneal height, axial radius of curvature, and axial power data were analyzed. The corneal height data were also fit with Zernike polynomials. RESULTS: Conic fitting to the corneal height data revealed the average apical radius (Ro) was 7.77 +/- 0.2-mm and asphericity (Q) was -0.19 +/- 0.1 for a 6-mm corneal diameter. The conic fit parameters were both found to change significantly for increasing corneal diameters. For a 10-mm corneal diameter, Ro was 7.72 +/- 0.2 mm and Q was -0.36 +/- 0.1. A slight but significant meridional variation was found in Q, with the steepest principal corneal meridian found to flatten at a slightly greater rate than the flattest meridian. The RMS fit error for the conic section was found to increase markedly for larger corneal diameters. Higher-order polynomial fits were needed to fit the peripheral corneal data adequately. Analysis of the axial power data revealed highly significant changes occurring in the corneal best-fit spherocylinder with increasing distance from the corneal center. The peripheral cornea was found to become significantly flatter and to decrease slightly in its toricity. Individual subjects exhibited a range of different patterns of central and peripheral corneal topography. Several of the higher order corneal surface Zernike coefficients were found to change significantly with increasing corneal diameter. CONCLUSIONS: Highly significant changes occur in the shape of the cornea in the periphery. On average, the peripheral cornea becomes significantly flatter and slightly less astigmatic than the central cornea. A conic section is a poor estimator of the peripheral cornea.

Adolescent↗
PubMedDate not supplied

Entropion uveae: early sphincter atrophy, signposting primary angle closure glaucoma?

PURPOSE: An easily recognized clinical marker for early changes of primary angle closure glaucoma (PACG) or eyes predisposed to angle closure is important so that timely laser iridotomy can prevent morbidity. Pupillary ruff changes, specifically appearance of entropion uveae (EU), are frequent in eyes with PACG. METHODS: Pupillary ruff was examined under magnification and EU, if present, was graded and correlated with gonioscopic grading and presence of peripheral anterior synechiae (PAS) in consecutive patients with primary open angle glaucoma (POAG), non-glaucomatous controls, and PACG of the subacute, acute, chronic symptomatic, and creeping angle closure glaucoma subgroups. RESULTS: No POAG eye had an abnormal pupillary ruff. A total of 86.7% of subacute PACG eyes and all eyes with acute and chronic PACG showed some grade of EU. Iridocorneal synechiae were more significantly correlated with EU than goniosynechiae (p<0.001). Meridian of iridocorneal but not iridotrabecular synechiae could be correlated with the meridian of EU. In age-matched patients EU was only present in eyes with steep iris configuration, with significant correlation with narrow angles and goniosynechiae. In the detection of PACG the presence of EU Grade I was 94.9% sensitive and 98.2% specific for PACG eyes compared to the gonioscopic picture of angle closure in occludable angles. Its positive predictive value was 91.4%. CONCLUSIONS: EU shows significant correlation with narrow angles, steep iris configuration, and PAS. Kinking of radial iris arteries during angle closure probably causes temporary ischemia, especially of end arteries supplying area of the pupil and sphincter pupillae. EU emerges as an easily observed, objective marker for PACG.

Acute Disease↗
PubMedDate not supplied

Visual field indices for the nasal step: different calculation procedures and their correlation with the clinical classification of visual field defects.

We calculated normal values for the normal population of the Octopus G1 program (n = 836) and values for defective fields due to glaucoma and other diseases (n = 147) to determine indices for a nasal step in the interpretation of glaucomatous visual fields. We used different calculation procedures and correlated the results with the clinical evaluation of the visual field. All indices tested were able to detect and quantify nasal steps in defective fields and to separate them from normal findings (area under curve of Receiver Operating Characteristic curves 0.963 to 0.999). Indices calculated excluding sensitivity values of positions with the greatest distance from the horizontal meridian or weighting of sensitivity values according to their closeness to the horizontal meridian showed the best results (auc = 0.999). We can thus conclude that the calculation of an index for nasal step is a simple and effective adjunct to any interpretation system for visual fields.

Diagnosis, Computer-Assisted↗