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PubMedDate not supplied

Correlation of gene structure and psychophysical measurement in red-green color vision deficiency in Chinese.

PURPOSE: To study the correlation of genotype for X-linked red-green gene array with color vision phenotype in 58 subjects with red-green color vision deficiency. METHODS: The molecular structure of red and green pigment genes on 58 X chromosomes was studied exon-by-exon by using heteroduplex-SSCP analysis and sequencing. The color vision of these subjects was determined by a Neitz anomaloscope. RESULTS: Variations in the red and green pigment genes were detected in 43 subjects and a hybrid gene was found in 27 subjects. About 50% of the fusion sites occurred at intron 2-3. All 3 anomalous trichromats with intron 4 fusion were mild type but another 3 with intron 2-3 fusion were severe type. No subjects with mild type of color vision defects had a fusion site at intron 2-3 or its upstream. Three subjects with complete deletion of the green pigment gene manifested deuteranomaly. CONCLUSIONS: Protans can be differentiated from deutans on the basis of genotype. It is still difficult to establish a clear correlation of different anomalous trichromats with genotype. The fusion site of a hybrid gene affects the phenotype to some degree. Intron 2-3 is the common place for gene crossover.

Blotting, Southern↗

PubMed2002

Spatial-frequency characteristics of letter identification in central and peripheral vision.

Spatial-frequency characteristics of letter identification are much better understood in the fovea than in the periphery. The purpose of this study was to compare the spatial-frequency characteristics of letter identification in central and peripheral vision. We measured contrast thresholds for identifying single, Times-Roman lower-case letters that were spatially band-pass filtered. Each of the 26 letters was digitally filtered with a set of nine cosine log filters, with peak object spatial frequencies ranging from 0.63 to 10 c/letter, in half-octave steps. Bandwidth of the filters was 1 octave. Three observers with normal vision were each tested monocularly at the fovea, and at 5 degrees and 10 degrees in the inferior visual field. Letter sizes were 0.2, 0.4 and 0.6 log units larger than high contrast, unfiltered acuity letters. Plots of contrast sensitivity for letter identification vs. frequency of the band-pass filters exhibit spatial tuning. In general, the spatial-frequency characteristics of letter identification are fundamentally identical between central and peripheral vision. These characteristics include the scaling of the peak frequency of the spatial-tuning functions with letter size and the bandwidth of the tuning functions. The only difference between the fovea and the periphery is that for the same physical letter size, peak sensitivity of the spatial-tuning functions occurs at a higher retinal frequency at the fovea than in the periphery. To test whether or not the contrast sensitivity function (CSF) can account for the differences in the spatial-frequency characteristics of letter identification between central and peripheral vision, we incorporated a human CSF into an ideal-observer model, and tested the performance of this ideal-observer on the same letter identification task used with the human observers. Data from this CSF-ideal-observer resemble closely those of human observers, suggesting that the spatial-frequency characteristics of human letter identification can be accounted for by the CSF and the letter-identity information, without invoking selection among narrow-band spatial-frequency channels.

Contrast Sensitivity↗

PubMed2003

Contour integration in peripheral vision reduces gradually with eccentricity.

Hess and Dakin reported that normally-sighted subjects using peripheral vision (beyond 10 degrees ) were unable to detect paths of alternating-phase Gabors embedded within randomly positioned Gabors, but could detect same-phase paths. This result led them to propose a "fundamental difference" between central and peripheral visual processing. While we were able to replicate many of their results, our normally-sighted observers could detect alternating-phase paths beyond 10 degrees. We found that path detection decreased monotonically as a function of eccentricity (0 degrees -30 degrees ) for both alternating-phase and same-phase stimuli. As with most visual functions the more difficult path detection condition (alternating-phase) declined slightly faster. The results for the normally-sighted observers could not be explained by poor fixation. Three people with substantial central vision loss (i.e. they can only use peripheral vision) could see both same- and alternating-phase stimuli with eccentric viewing of 13 degrees -17 degrees. Therefore central and peripheral vision appear to use similar visual mechanisms to perform the task, there being no fundamental difference.

Adult↗

PubMed1998

Colour vision in AIDS patients without HIV retinopathy.

Patients suffering from AIDS develop ocular complications, the most frequent being HIV retinopathy. It is however not clear, if functional visual impairments can be observed as early indicators of ocular complications, before clinical diagnosis of HIV retinopathy is made at fundus examination. To address this issue, we measured colour vision in a group of 49 AIDS subjects with normal clinical fundi using the 'two equation method'. This method, combining red-green Rayleigh and the blue-green Moreland metameric matches, enables more complete and quantitative assessments of colour vision than those based on pigmentary tests. Data were collected on our computer controlled colorimeter and compared to those of normal subjects. While most AIDS subjects without HIV retinopathy demonstrated normal colour vision, a significant portion of them had wider matches than normal subjects (11% for the Rayleigh equation and 16% for the Moreland equation). Furthermore, matching ranges of the Moreland equation were significantly correlated with CD4 lymphocyte counts. Patients with low CD4 values tended to produce larger matching ranges than the patients with high CD4 values. A within subject study on 17 patients confirmed this trend and showed that the patients who increased/decreased their CD4 blood counts generally improved/impaired their colour discrimination in the Moreland match. No such correlation was found between the matching ranges of the Rayleigh equation and the CD4 counts. These results show that colour discrimination is slightly reduced in some AIDS subjects, although there are no detectable ocular complications. They also suggest two different types of colour vision impairments in AIDS patients without retinopathy: one reversible process affecting colour discrimination in the blue-green range; and another irreversible process affecting colour discrimination in the red-green range.

Acquired Immunodeficiency Syndrome↗

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↗

PubMed2000

Color vision in epilepsy patients treated with vigabatrin or carbamazepine monotherapy.

PURPOSE: To investigate color vision in epilepsy patients treated with vigabatrin or carbamazepine monotherapy and to evaluate the association between vigabatrin-induced visual field defects and dyschromatopsia. DESIGN: Nonrandomized comparative trial. PARTICIPANTS: Thirty-two epilepsy patients treated with vigabatrin monotherapy, 18 patients treated with carbamazepine monotherapy, and 47 age-matched healthy controls were examined. MAIN OUTCOME MEASURES: Color vision was examined with Standard Pseudoisochromatic Plates 2 (SPP2) screening test, Farnsworth-Munsell 100 (FM 100) hue test, and Color Vision Meter 712 anomaloscope. RESULTS: Abnormal color perception was found in 32% of the epilepsy patients treated with vigabatrin monotherapy and 28% of the epilepsy patients treated with carbamazepine monotherapy. The total error score in the Farnsworth-Munsell 100 hue test was abnormally high in the vigabatrin monotherapy patients who had concentrically constricted visual fields and a statistically significant correlation was found between the temporal visual field extents and the age-adjusted Farnsworth-Munsell 100 total error score in vigabatrin monotherapy patients (R = .533, P = 0.003 in the right eye, R = .563, P = 0.001 in the left eye). Four of 31 (12%) vigabatrin monotherapy patients, and 1 of 18 (6%) carbamazepine monotherapy patients had a blue axis in Farnsworth-Munsell 100 hue test. In the anomaloscope, there were a few pathologic findings in both groups. In the SPP2 screening test, a few plates were not seen in both groups. CONCLUSIONS: Both examined antiepileptic drugs, vigabatrin and carbamazepine, cause acquired color vision defects. The abnormal color perception seems to be associated with constricted visual fields in the vigabatrin monotherapy patients. The duration of carbamazepine therapy correlates with high FM100 total error score. The best method for detecting dyschromatopsia in patients treated with vigabatrin or carbamazepine was the Farnsworth-Munsell 100 hue test. The SPP2 screening test does not seem to be useful in clinical practice.

Adult↗

PubMed2001

A population-based eye survey of older adults in a rural district of Rajasthan: I. Central vision impairment, blindness, and cataract surgery.

PURPOSE: To assess the prevalence of central vision blindness and cataract surgery in older adults in rural northwest India. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: A total of 4284 examined persons 50 years of age or older. METHODS: A random selection of village-based clusters was used to identify a population sample in the predominantly rural Bharatpur district of Rajasthan. Eligible subjects in the 25 selected clusters were enumerated through a door-to-door household survey and invited to village sites for visual acuity testing and eye examination early in 1999. The principal cause of reduced central vision was identified for eyes that had visual acuity worse than 6/18. Independent replicate testing for quality assurance monitoring took place in participants with reduced vision and in a sample of those with normal vision in five of the study clusters. MAIN OUTCOME MEASURES: Presenting and best-corrected visual acuity and lens status. RESULTS: A total of 4728 eligible persons in 2821 households were enumerated, and 4284 (90.6%) were examined. The prevalence of presenting and best-corrected visual acuity worse than 6/60 in both eyes was 11.9% (95% confidence interval: 10.0%-13.9%) and 6.1% (95% CI: 4.7%-7.4%), respectively. Presenting blindness was associated with increasing age, female gender, lack of schooling, and rural residence. Cataract was the principal cause of blindness in one or both eyes in 67.5% of blind persons, with uncorrected aphakia and other refractive error affecting 18.4% in at least one eye. The prevalence of cataract surgery was 12.8% (95% CI: 11.6%-14.0%), with an estimated 65.7% of the cataract blind operated on; low surgical coverage was associated with lack of schooling. CONCLUSIONS: Blindness, particularly blindness because of cataract, continues to be a significant problem among the elderly living in remote areas of rural northwest India. Increased attention should be given to reaching women and the illiterate.

Age Factors↗

PubMed1989

Improved reading performance using individualized compensation filters for observers with losses in central vision.

By boosting the amplitudes of the intermediate spatial frequencies more than the amplitude of the lower spatial frequencies, reading performance improved significantly when observers with losses in central vision read words that were filtered. Words that were filtered using an image enhancement function based on an observer's losses in visual function relative to a normal observer (1) reduced the magnification (30-70% less magnification was needed) and (2) increased the reading rate (2-3 times), measured in words per minute. The greater the loss in central visual function, the more individualized compensation filters reduced the magnification needed for word recognition. Individualized compensation filters improved the clarity and visibility of words for low vision observers. This study also found that the shape of the enhancement function was important to determine the optimum compensation filter for improving reading performance. In addition, the individualized compensation filters can be implemented by inexpensive hardware, for example in a closed circuit television (CCTV), to provide a significantly more effective low vision aid for observers with losses in central vision to read text, than is provided using only magnification.

Adult↗

PubMed1997

Preferred retinal loci relationship to macular scotomas in a low-vision population.

PURPOSE: The authors identified patterns in preferred retinal locus (PRL) ability and location relative to macular scotomas in a low-vision patient population. METHODS: Scanning laser ophthalmoscope macular perimetry and PRL testing were performed on 825 patients with low vision. The PRL location was determined, and a PRL scoring system was devised and used to measure the pursuit ability, fixation stability, and saccadic ability of the PRL. The characteristics of dense scotomas within 2.5 degrees of the PRL were noted. RESULTS: Eighty-four percent (1130 of 1339 eyes) of the eyes had an established PRL. Preferred retinal loci varied across the full range of ability scores and varied in size for fixation stability from 1.0 degrees to 9.0 degrees in diameter. There was a central dense scotoma in 82.5% of the eyes, whereas 8.4% had a paracentral dense scotoma. In 14.8% of the eyes, the PRL had no dense scotomas on any of its borders; one, two, three, or four (a ring) borders had a dense scotoma in 39.7%, 19.0%, 9.0%, and 17.4% of eyes, respectively. When the PRL had only one scotomatous border, the resulting field defect was located superior in 39.0%, right in 33.7%, left in 19.9%, and inferior in 7.5% of eyes. CONCLUSIONS: The majority of patients with low vision, as many as four of five patients, have dense scotomas encumbering the PRL for visual tasks. Approximately one of six patients with low vision have the PRL completely surrounded by dense scotomas. The visual system shows a strong tendency not to place a PRL anatomically above a scotoma (field defect below fixation) and a weaker tendency not to place the PRL anatomically to the right of a scotoma (field defect to the left of fixation). Macular perimetry and PRL evaluations can provide considerable information on the functional status of the macula, which may be useful to rehabilitation professionals.

Humans↗

PubMed1999

The associations between self-rated vision and hearing and functional status in middle age.

OBJECTIVES: To describe the associations between self-reported visual and hearing impairment and an index of global functional status among community-dwelling, middle-aged Americans. DESIGN: Cross-sectional. PARTICIPANTS: A total of 9744 U.S. community-dwelling persons 51 to 61 years of age participated. METHODS: Multivariate analyses of functional status based on cross-sectional data from Wave I (1992) of the Health and Retirement Study (HRS), controlling for demographic and socioeconomic status, common chronic medical conditions, and general health status, were performed. MAIN OUTCOME MEASURE: A global index of functional status based on self-reported limitations in 17 activities was measured. RESULTS: Approximately 3% of respondents in the HRS rated their vision or hearing as poor. Even after controlling for demographic factors, socioeconomic status, medical conditions, and general health status, limitations in both vision and hearing were independently correlated with worse functional status. In addition, controlling for income, wealth, and education reduced the strength of the associations between vision and hearing impairment and function, but did not eliminate them. The magnitude of effect of poor vision exceeded all medical conditions except stroke. CONCLUSIONS: Visual and hearing impairment appear to have a significant relationship with overall functional status, among even community-dwelling, middle-aged Americans and even after controlling for general health status, medical comorbidities, and socioeconomic status.

Cross-Sectional Studies↗

PubMed2002

Color vision and occupational chemical exposures: I. An overview of tests and effects.

The paper presents a summary of the literature published until December 2000 on effects from some industrial chemical exposures on color perception, as well as short descriptions of the tests applied. Several different tests have been used to study acquired alterations of color vision. These changes are frequently found in the blue-yellow axis. Many of the tests were originally designed to detect congenital alterations in the red-green axis, and thus have relatively low sensitivity when studying chemically induced deficits in color perception. At present, the Lanthony D15-desaturated panel seems most suitable for application in industrial settings, since it is clearly the most sensitive and easily administered test. Color vision seems to be a physiological function very sensitive to several chemicals. The potency of industrial chemicals to induce color vision deficiencies has often been investigated during the last two decades. The chemicals most frequently studied are different solvents and mercury. Pronounced effects on color perception have been reported following chronic exposure to organic solvents such as styrene, carbon disulphide, perchloroethylene, n-hexane and solvent mixtures, and to organic as well as inorganic mercury. The effect of occupational toluene exposure seems not as well established, since only slight effects and several negative studies have been reported. For some of these compounds the effect on color vision has been further established through the finding of clear dose-effect relationships. In a few cases, even acute exposure situations, e.g. exposure to toluene for a few hours or acute alcohol intake, seem to affect color perception. Follow-up studies are needed to investigate the possible reversibility of effects in relation to discontinued or reduced exposures.

Color Perception Tests↗

PubMed2005

[Low-vision rehabilitation of age-related macular degeneration patients with retrofoveal choroidal new-vessels treated with photodynamic therapy with verteporfin].

PURPOSE: To demonstrate the rehabilitation benefit and immediate optical magnification and electronic equipment advantage in an age-related macular degeneration population with retrofoveal choroidal new-vessels treated by photodynamic therapy using Visudyne. PATIENTS AND METHODS: Sixty seven consecutive patients with retrofoveal choroidal new-vessels treated by Photodynamic Therapy using Visudyne were referred to an orthoptist for low-vision rehabilitation. The criteria investigated for this study were: long distance visual acuity, reading ability, contrast sensitivity, (before treatment and during post-treatment examinations), and fixation localization and optical equipment model. RESULTS: This study showed and studied visual acuity variations, mostly for patients with good visual acuity at inclusion. Contrast sensitivity stayed more or less the same. Retinal fixation was foveolar most of the time (68.7%). Optical or electronic devices for low-vision patients are numerous and video systems were the most currently used among our population. 62.7% des patients had low-vision rehabilitation with optic aids. DISCUSSION AND CONCLUSION: This study threw light on patient optic aids which must be prescribed according to his needs and difficulties, without delay. This equipment will then be readapted at each stage of the patient evolution. PDT treatment gives an important role to low-vision rehabilitation associated with optic magnification aids.

Aged↗

PubMed2006

[Neurophysiological basis and clinical tests for assessment of X-linked color vision deficiencies in school children].

Vision screening of school children at 5-6 years of age must include color vision screening. X-linked dyschromatopsia is the most frequent disorder affecting 8% of boys and 0.4% of girls. This paper presents the physiology of these deficiencies caused by an alteration of the spectral absorption properties of one of the cone pigments (protanomalous or deuteranomalous trichromats) or the absence of one of the pigments (protanopia or deuteranopia), the most frequent. Absence of two of the pigments (blue cone monochromacy) is very rare and differs from achromatopsia. The physiological basis of the main tests for easy clinical screening are presented. Testing methods designed for children are reviewed. The Ishihara test is the most widely used screening test specific for congenital color defects. If the plates are correctly read, the child has normal color vision. If not, arrangement tests such as Panel D 15 and desaturated Panel D 15 tests can be used to diagnose the type of the defect (protan or deutan) and grade the degree of color deficiency according to a strategy adapted to children. Examples of results are presented for each axis along which caps are confused, providing a quick and easy preliminary diagnosis. Early detection of color vision malfunction in children allows parents and teachers to make necessary adjustments to the teaching methods for appropriate learning.

Adolescent↗

PubMed1999

Functional vision and corneal changes after laser in situ keratomileusis determined by contrast sensitivity, glare testing, and corneal topography.

PURPOSE: To demonstrate the functional vision and corneal changes following laser in situ keratomileusis (LASIK) determined by contrast sensitivity, glare testing, and corneal topography. SETTING: University of Texas Medical School, Houston, Texas, USA. METHODS: Seven patients ranging in age from 20 to 61 years who had bilateral LASIK were evaluated preoperatively and 1 day, 1 week, and 1 and 6 months postoperatively. Visual acuity, using letters on the Baylor Visual Acuity Testor (BVAT) at 98% (standard acuity) and 13% contrast, and the contrast threshold were determined at 3 light levels (darkness, medium brightness acuity testor [BAT], high BAT). Pupil sizes were measured at each level, and corneal topography was performed at each visit. RESULTS: The greatest changes were found 1 day postoperatively: The contrast threshold worsened by a mean of 0.6 lines +/- 1.0 (SD) (P = .05) in darkness, 0.4 +/- 0.7 lines (P = .05) at medium BAT, and 0.8 +/- 0.7 lines (P = .002) at high BAT. The 98% contrast acuity decreased a mean of 1.4 +/- 1.6 lines (P = .01) in darkness, 1.0 +/- 2.0 lines (P = .09) at medium BAT, and 0.8 +/- 2.3 lines (P = .22) at high BAT. The 13% contrast acuity decreased a mean of 2.2 +/- 2.6 lines (P = .01) in darkness, 1.3 +/- 1.9 lines (P = .02) at medium BAT, and 1.4 +/- 2.5 lines (P = .07) at high BAT. The predicted corneal acuity (PCA) obtained from corneal topography decreased by a mean of 3.3 +/- 3.1 lines (P = .002), and the asphericity (Q-value) increased by an average of +0.35 +/- 0.67 (P = .07). All values returned to the preoperative levels by 1 week except PCA, asphericity, visual acuity at 13%, and contrast threshold in darkness, which improved slightly but had not returned to baseline by 6 months. The 98% contrast acuity at medium BAT improved by 0.2 +/- 1.0 lines (P = .34) and 0.3 +/- 0.8 lines (P = .16) at high BAT at 1 month. The 98% contrast acuity values remained 0.3 lines over baseline through 6 months. Corneal topography showed that all corneas became oblate after LASIK to a mean Q-value of +0.47 +/- 0.40 (P = .0001) and PCA was decreased by 1.6 +/- 1.1 lines (P = .0002) at 6 months. CONCLUSIONS: Functional vision changes do occur after LASIK. The optical quality of the cornea is reduced and the asphericity becomes oblate. Changes in functional vision worsen as the target contrast diminishes and the pupil size increases. These findings indicate that the oblate shape of the cornea following LASIK is the predominant factor in the functional vision decrease.

Adult↗

PubMed2003

Viewing geometry determines how vision and haptics combine in size perception.

Vision and haptics have different limitations and advantages because they obtain information by different methods. If the brain combined information from the two senses optimally, it would rely more on the one providing more precise information for the current task. In this study, human observers judged the distance between two parallel surfaces in two within-modality experiments (vision-alone and haptics-alone) and in an intermodality experiment (vision and haptics together). In the within-modality experiments, the precision of visual estimates varied with surface orientation, as expected from geometric considerations; the precision of haptic estimates did not. An ideal observer that combines visual and haptic information weights them differently as a function of orientation. In the intermodality experiment, humans adjusted visual and haptic weights in a fashion quite similar to that of the ideal observer. As a result, combined size estimates are finer than is possible with either vision or haptics alone; indeed, they approach statistical optimality.

Adult↗

PubMed1989

Fused binocular vision is required for development of proper eye alignment in barn owls.

The eyes of adult barn owls (Tyto alba) are virtually fixed in the head in positions that are highly consistent from one individual to the next. However, early in development the eyes are exodeviated; the eyes achieve their adult positions during the owl's second month of life. Disruption of binocular vision in baby owls leads to permanent, highly abnormal eye positions and interocular alignment. Of three owls raised with both eyelids sutured closed, two developed exotropic strabismus and one developed esotropic strabismus. Two owls reared with monocular vision developed esotropic strabismus, whereas three owls reared with fused, but optically deviated binocular vision developed normal eye positions. Thus, the alignment of the eyes in adults results from an active process that depends on fused binocular vision during early life. Extracellular microelectrode recordings from the optic tecta of strabismic owls reveal that many units retain binocular inputs from corresponding points of the two eyes: the left-eye and right-eye receptive fields of individual units are misaligned by an amount predicted by the direction and magnitude of the strabismus. These results indicate that an innately determined pattern of connections in the brain anticipates the eye positions necessary to achieve binocular fusion. The hypothesis is put forth that the powerful activation of such binocular neurons by strong, synchronous inputs from the two eyes is the signal required by the optimotor system that proper eye alignment has been attained.

Animals↗

PubMedDate not supplied

Quantification of color vision with cone contrast sensitivity.

Human color vision is based fundamentally on three separate cone photopigments. Hereditary color deficiency, which affects up to 10% of males, results from an absorption shift or lack of L or M cone phototoreceptors. While hereditary S cone deficiency is rare, decreased S cone sensitivity occurs early in eye disease, underscoring the importance of quantifying S cone function. Our purpose is to describe a novel approach for quantifying human color vision based on the photopigments of normal color vision. Colored letters, visible to a single cone type, are presented in graded steps of cone contrast to determine the threshold for letter recognition. This approach quantifies normal color vision, indicates type and severity of hereditary deficiency, and reveals sensitivity decrements in various diseases.

Color Perception↗

PubMed2001

Wavelength dependent cis-trans isomerization in vision.

The primary event in vision is the light-driven cis-trans isomerization of the 11-cis-retinal chromophore in the G-protein coupled receptor rhodopsin. Early measurements showed that this photoisomerization has a reaction quantum yield phi of approximately 0.67 [Dartnall (1936) Proc. R. Soc. A 156, 158-170; Dartnall (1968) Vision Res. 8, 339-358] and suggested that the quantum yield was wavelength independent [Schneider (1939) Proc. Natl. Acad. Sci. U.S.A. 170, 102-112]. Here we more accurately determine phi(500) = 0.65 +/- 0.01 and reveal that phi surprisingly depends on the wavelength of the incident light. Although there is no difference in the quantum yield between 450 and 480 nm, the quantum yield falls significantly as the photon energy is reduced below 20 000 cm(-1) (500 nm). At the reddest wavelength measured (570 nm), the quantum yield is reduced by 5 +/- 1% relative to the 500 nm value. These experiments correct the long-held presumption that the quantum yield in vision is wavelength independent, and support the hypothesis that the 200 fs photoisomerization reaction that initiates vision is dictated by nonstationary excited-state vibrational wave packet dynamics.

Animals↗