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At least 1,153 records · Page 64Linked to original sources
PubMed2004

A novel visual analogue scale (VAS) device: an instrument based on the VAS designed to quantify the subjective visual experience.

PURPOSE: To evaluate a novel device intended to facilitate the direct quantification of the subjective visual experience. The design principle is based on that of the visual analogue scale (VAS) technique but obviates the need for subsequent measurement unlike the administration of the conventional paper VAS. METHODS: The visual experience of 134 normally sighted 17-40-year-olds was quantified using (in randomised sequence) a paper VAS and the novel VAS device. A notional 100-point scale was utilised in either case, and the extreme descriptive anchors for both instruments were 'dreadful' and 'perfect'. RESULTS: The degree of clinical agreement between the two alternative VAS techniques was very high. A small bias (mean = +0.7 VAS units: 95% confidence interval 0.3-1.2 units) towards the paper VAS was evident in these data, an outcome of no clinical significance or impediment as regards the substitution of the novel device for the conventional paper-based approach. CONCLUSIONS: The moving of a bead along a wire is shown to be a clinically and statistically reliable alternative procedure to the pen-marking of a conventional paper VAS for the evaluation of the recent subjective visual experience, provided that the same minimum/maximum descriptive anchors are used for either instrument. The instant quantification of the VAS score afforded by the novel technique introduced here broadens the potential clinical application of this technique.

Adolescent↗
PubMed2005

The advantages of occupational therapy in oral hygiene measures for institutionalised elderly adults.

OBJECTIVE: To investigate a new method in teaching and supervising tooth and denture brushing activities by employing occupational therapy techniques. MATERIALS AND METHODS: Sixty-one residents, 44 women and 17 men, with an average age of 85.7 +/- 6.6 years (range 72-97 years) living in a Long-Term Care home (LTC) in Geneva were enrolled in a randomised controlled trial. They were divided at random into experimental (EG) and control groups (CG) with matched age and sex distribution. Two subjects passed away during the 3-month experimental period. Following medical history, plaque scores and tooth brushing habits were evaluated within the context of a comprehensive clinical assessment. Furthermore, a Mini Mental State and a vision test were taken. Based on the results of these health assessments both the EG and the CG were divided into an 'assisted' (IA) and an 'independent' (II) subgroup. In the EG, tooth brushing was initially taught and in the IA monitored and re-educated once a week by an occupational therapist. In contrast, the CG-IA group received a weekly placebo activity such as manicure by the same person. RESULTS: From the individual movements taught and monitored by the occupational therapist, opening a tube of toothpaste (n.s.) and denture brushing (p < 0.05) were performed more independently after 3 months. Both the occupational therapy and the placebo activity led to a significant improvement in oral (p < 0.01 and 0.05) and in denture hygiene (p < 0.001 and 0.05). From all participants, the EG-IA subgroup presented the most significant amelioration in plaque (p < 0.01) and denture hygiene scores (p < 0.001). This group consisted mostly of subjects with an impaired cognitive state. CONCLUSIONS: Despite the marked placebo effect, the results indicate that occupational therapy is particularly useful to improve the oral and denture hygiene in dependent and cognitively impaired LTC residents and may promote their autonomy in the execution of activities of daily life such as denture brushing.

Aged↗
PubMed1979

Age variations in normal human contrast sensitivity.

The visual contrast sensitivity (the reciprocal of contrast threshold) was studied as a function of age. Psychophysical measurements of binocular and monocular contrast thresholds were made for 33 normal observers at spatial frequencies within the range 0.5 to 40 cycles/degree. The observers were divided into three different age groups: young, middle-aged, and old subjects with the age ranges 6--10 years, 20--40 years, and 60--70 years, respectively. All observers had healthy eyes, normal vision, and Snellen visual acuity of 1.0 or better in both eyes. In all groups, contrast sensitivity for binocular and monocular viewing peaked at a spatial frequency around 3--5 cycles/degree and showed the typical attenuation at low and high spatial frequencies. The binocular contrast sensitivity was higher than the monocular. There was no significant difference between young and middle-aged subjects with regard to contrast sensitivity. Subjects aged 60 years or more showed significantly lower contrast sensitivity than younger subjects for most spatial frequencies above 4 cycles/degree. We may thus conclude that both the binocular and monocular contrast sensitivity seemed independent of age within the range of 6 to 40 years. For higher ages studied (above 60 years), there was a loss of sensitivity in the middle and high frequency regions.

Adolescent↗
PubMed1981

Contrast sensitivity function in evaluation of visual impairment due to retinitis pigmentosa.

Spatial contrast sensitivity functions of 11 retinitis pigmentosa patients were studied. The patients represented 3 different stages of the disease: 1: in the very severely impaired patients the contrast sensitivity and grating resolution had decreased to a fraction of normal. 2: in severely impaired patients, who had lost peripheral field but had subjectively satisfactory vision in the central field, contrast sensitivity differed considerably from one patient to another, 3: some of the moderately impaired patients, who still had useful peripheral vision, had nearly normal contrast sensitivity in the central vision while they already had large ring scotomas. The severity of reduction in contrast sensitivity was poorly correlated with visual acuity, the size of the visual field and the age of the patient. Because contrast sensitivity function cannot be predicted by means of other clinical measurements, it should be included in evaluation of visual impairment due to retinitis pigmentosa. We also measured contrast sensitivity at low luminance levels: this procedure provided useful information for evaluation of vision in retinitis pigmentosa. The contrast sensitivity function of each patient agreed with the subjective view of the patient about his visual impairment and it also corresponded with the examiners' evaluation of the patient's performance in different visual and visuomotor tasks.

Adolescent↗
PubMed1983

The assessment of 'vision for development' in severely visually handicapped babies.

Vision makes a substantial contribution to the pattern and rate of normal development. Considering infant development in 3 phases, global, integrative and specific the most important attributes to vision of development within each phase are discussed. A method for assessment of the aspects of vision most relevant to each child's current developmental needs is described and a philosophy outlined whereby the findings can be represented as a balanced practical prescription for development. The development of the visual system is often delayed in visually handicapped babies; some reasons are put forward and a concern that many may never achieve their potential maximum visual competence is expressed. A method for evaluating the current stage of visual development in a visually handicapped baby is described in which the findings form the starting point of a programme towards achieving maximum visual competence as young as possible.

Child↗
PubMed1984

Minimum visual requirements in different occupations in Finland.

In Finland the employers can individually fix the minimum visual requirements for their personnel in almost every occupation. In transportation, in police and national defence proper eyesight is regarded so important that strict visual requirements for these have been fixed by the Government. The regulations are often more close when accepting the person to the occupation than later on when working. The minimum requirements are mostly stated for visual acuity, colour perception and visual fields. In some occupations the regulations concern also the refractive error of the eyes and possible eye diseases. In aviation the regulations have been stated by the International Civil Aviation Organization ( ICAO ). The minimum visual requirements for a driving license in highway traffic are classed according to the types of motor vehicles. In railways , maritime commerce and national defence the task of the worker determines the specified regulations. The policeman must have a distant visual acuity of 0.5 without eyeglasses in both eyes and nearly normal colour perception when starting the training course.

Adolescent↗
PubMed1985

Objective evaluation of binocular function with pattern reversal VER. I. Effect of contrast.

The effect of change of contrast on the pattern reversal monocular VER, binocular VER, and binocular summation (binocular VER amplitude/monocular VER amplitude) was studied in normal subjects. The monocular VER amplitudes showed significant increase until the 0.50 contrast and saturation above that contrast. The largest binocular VER amplitude was observed at 0.20 contrast, and the amplitude tended to decrease with increasing contrast. The value of the binocular summation was highest at 0.20 contrast and decreased significantly with increasing contrast. At high contrast, there was no significant binocular summation. The difference of peak time (phase) between the binocular and the monocular VER was greatest at low contrast and decreased with increasing contrast. These results are explained by the difference of saturation level between the binocular and monocular systems. Our findings lead us to advocate strongly the use of low- to midlevel contrast for evaluating binocular function with pattern reversal VER in clinical ophthalmology.

Adult↗
PubMed1989

Long-term visual results in eyes cured for retinoblastoma by radiation.

Twenty-four eyes from 18 patients cured for retinoblastoma by radiation on an average 12 years previously, were re-examined with respect to visual performance. The macular functions, i.e. visual acuity, colour vision and contrast sensitivity demonstrated performances predictable from tumour localization and radiation dose to the macula. The rod functions, i.e. visual field and dark adaptation were found to be relatively resistant to the radiation treatment. A special problem encountered in two-eyed patients was the unavoidable amblyopia due to unequal handicaps in the two eyes at the vulnerable age.

Adolescent↗
PubMed1989

Retinitis punctata albescens. A family study.

A case report of retinitis punctata albescens in a young medical student is presented. At first, the condition was stationary with no visual problems, but after 3 years, the disease showed progression. After 9 years of follow-up, loss of visual acuity, a central scotoma, large errors in colour vision tests, much deteriorated dark adaptation, greatly diminished cone and rod responses in the electroretinogram, and progression in the myopic refraction were observed. In the family study, 71 of the relatives in four generations were examined. No signs of the disease could be found. Most probably, the disease is inherited as an autosomal recessive trait. However, tracing the ancestors back until the year 1829 no consanguinity could be found between the families of the mother and the father of the proband. As for genetic counseling of the relatives, there is a very small probability of acquiring the disease if marriages between relatives are avoided.

Adult↗
PubMed1993

A simple eyesight screening programme for dental undergraduates: results after 7 years.

This paper reports the results of a simple eyesight screening programme for dental undergraduates which has been used for 7 years. Examinations were performed by orthoptists at a general hospital associated with the dental school. Defects in visual acuity, squints, limitations of convergence, defective stereopsis and colour vision were found. Many students were unaware of their visual defects, and the findings support the continued use of visual screening to identify and encourage those with defects to seek professional treatment at an early opportunity. Many of the defects were correctable or could be improved with help. Those with defective colour-vision were encouraged to seek assistance with shade selection during their clinical careers. The value of visual screening and the significance of the findings are discussed.

Color Vision Defects↗
PubMed1985

Assessment of the optical contributions to the age-related deterioration in vision.

Contrast sensitivities were measured in human observers of different ages in response to sinusoidal grating patterns generated by laser interferometer and cathode ray tube (c.r.t.). The former method bypasses the effects of the optical media to assess directly the contrast sensitivity of the retina/visual system, while the over-all assessment including optical media is made to the c.r.t. display. The ratio of the two sets of values gives the contrast ratio of the optical media. The latter assessment does not include the effects of wide-angle light scattering which were measured by comparing the responses of eyes with a Perspex lens implant or without any lens at all (i.e. without the major source of scattering) with natural eyes. With increasing age, c.r.t. contrast sensitivities remained steady until the sixth decade when they declined while laser interference fringe contrast sensitivities declined continuously, apart from some abnormally low results for teenage observers. In contrast, the optical contrast did not vary systematically with age nor did its rate of change with spatial frequency vary. The latter was always less than the rate for laser interference fringe contrast sensitivities indicating that the retina/visual system always sets the limit to visual resolution. Wide-angle light scattering was not found to contribute significantly to the changes in ageing nor did reduced retinal illumination, as reproduced by reduced pupil diameter or viewing through a neutral density filter. We therefore conclude that the age-related deterioration is primarily caused by changes within the central nervous system rather than the optical media, the transmission quality of which remains unaffected.

Adult↗