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Tonic accommodation, tonic vergence and surround propinquity.

Previous studies have typically assessed tonic accommodation (TA) and tonic vergence (TV) by placing subjects in total darkness. However, a recent investigation demonstrated that even under such apparently stimulus-free conditions, subjects' awareness of the proximity of the adjacent surroundings and overall room topography (i.e. surround propinquity) may still influence the accommodative response. Accordingly, the aim of the present study was to measure TA and TV while subjects (n = 34) viewed an illuminated distant target (viewing distance = 6 m) to minimize this propinquity effect. TA was measured using an objective, open-field, infrared optometer under two conditions: first, while viewing the distant target monocularly through a 0.5 mm pinhole, and second in total darkness. Additionally, TV was assessed by determining the heterophoria subjectively while subjects viewed the distant target biocularly through 0.5 mm pinholes. The mean level of TA using the pinhole technique (mean = 0.28 D) was significantly lower than that observed in total darkness (mean = 0.60 D). Furthermore, a significant positive correlation (r = 0.86) was found when comparing the difference between the two TA measurements with the level obtained in total darkness. Those subjects having apparently high levels of TA in darkness exhibited the largest propinquity effect. Thus measurements of accommodation recorded in total darkness are likely to have overestimated both the magnitude and normal range of TA. The mean level of TV was 0.58 metre angle. No significant correlation was observed between TV and either of the two TA measurements.(ABSTRACT TRUNCATED AT 250 WORDS)

Accommodation, Ocular↗

Effect of fixation disparity on distance binocular visual acuity.

Subjects with appreciable values (2 delta and greater) of associated 'phoria, as measured by a Mallett unit, had their distance monocular and binocular visual acuities measured. In the latter case measurements were taken both with the associated 'phoria corrected by prisms and without such a correction. The improvement in binocular acuity compared to monocular acuity was less than would occur in normal subjects with minimal associated 'phorias although the improvement differed accordingly as to whether the readings were eso- or exo-in mature. When the associated 'phorias were corrected with prisms the improvement in binocular over monocular visual acuity was similar to that found in normal subjects.

Adult↗

Distance vergence adaptation is abnormal in subjects with convergence insufficiency.

It is well known that in convergence insufficiency (CI) prism adaptation is reduced in response to base-out (BO) prisms at near. There have also been some suggestions in the literature that adaptation is reduced at other distances as well. The present data show that in CI adaptation is not only reduced in response to BO at near, but also in response to base-in (BI) at near and for both BI and BO at distance. This raises the interesting question whether distance adaptation becomes reduced because of reduced near adaptation or whether these subjects have a generally reduced horizontal adaptation mechanism.

Adaptation, Ocular↗

Aberrations and myopia.

It has been suggested that high levels of axial aberration or specific patterns of peripheral refraction could play a role in myopia development. Possible mechanisms involving high levels of retinal image blur caused by axial aberrations include form deprivation through poor retinal image quality in distance vision, enhanced accommodative lags favouring compensatory eye growth, and an absence of adequate directional cues to guide emmetropization. In addition, in initially emmetropic eyes, hyperopia in the retinal periphery may result in local compensatory eye growth, which induces axial myopia. Evidence in support of these ideas is reviewed and it is concluded that, for any fixed pupil diameter, evidence for higher levels of axial aberration in myopes in comparison with other refractive groups is weak, making involvement of axial aberrations in myopization through image degradation at the fovea unlikely. If, however, some potential myopes had unusually large pupil diameters, their effective aberration levels and associated retinal blur would be larger than those of the rest of the population. There is stronger evidence in favour of differences in patterns of peripheral refraction in both potential and existing myopes, with myopes tending to show relative hyperopia in the periphery. These differences appear to be related to a more prolate eyeball shape. Longitudinal studies are required to confirm whether the retinal defocus associated with the peripheral hyperopia can cause patterns of eyeball growth which lead to axial myopia.

Accommodation, Ocular↗

Differential association between chronic cannabis use and brain function deficits.

To summarize, 12 objective tests that generated 16 test variables were administered to 850 male regular cannabis users and 839 nonusers. The tests were designed to assess various modalities, including speed of psychomotor performance, distance estimation, time estimation, immediate memory, and visuomotor coordination. Most of the test variables differentiated significantly between consumers and controls. At the same time, a significant second-order interaction emerged in most cases. This interaction meant that, under certain conditions that relate to the two dimensions "literacy-illiteracy" and/or "urbanism-ruralism," the superiority of controls over cannabis users became impressive, whereas under other conditions it almost disappeared. To account for this complex pattern of results, a working hypothesis was presented to the effect that "other conditions being equal, the lower the nondrug level of proficiency on tests of cognitive and psychomotor performance the smaller the size of function deficit associated with drug usage." For an empirical examination of the hypothesis, six predictions were formulated. Three predictions defined specific relationships between level of performance, on one hand, and each of three organismic variables, on the other: literacy, urbanism, and age. The remaining predictions delineated relationships to be expected between size of function deficit and the three organismic variables. All our predictions were confirmed, showing less function impairment to be contingent with cannabis usage among the illiterates, rurals, and older subjects. Level of cortical arousal was suggested as the central process associated with the three organismic variables. Because the version of our working hypothesis was formulated with reference to chronic material, the possibility of a transposition of the paradign to research on the acute effects of the drug was discussed. The suggestion was made that our working hypothesis, in either version, is capable of establishing genuine integration between reports that present conflicting results on possible function deficits contingent with cannabis consumption.

Adolescent↗