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At least 1,387 records · Page 77Linked to original sources
PubMed1988

Diagnosis and management of macular holes.

A macular hole is an important clinical entity which the practicing optometrist may encounter during the course of examination. The vast majority of macular holes are idiopathic, however, there is a wide array of macular disorders which may stimulate a true macular hole. A case report of bilateral idiopathic macular holes is presented with a discussion and differential diagnosis to assist clinicians in effectively managing this anomaly.

Aged↗
PubMed1987

[Evaluation of the usefulness of methods of diagnosing eyestrain].

The examinations have been carried out under model conditions in women aged 33.6 +/- 3.8, in whom refraction defects or other sight organ disorders had been excluded. In order to select factors that would be most sensitive and specific for evaluation of visual fatigue, variations in the following indices of the sight organ occupational condition have been analysed: the near vision point, dispersing lens tolerance, retina sensibility, critical fusion frequency, speed and accuracy of perception, visual simple and choice reaction time. The indices have been analysed under the performance of sigh work and medium-hard physical effort. Variations in the near point and retina irritability have been regarded the most sensitive and specific indices of asthenopia. In addition, intra- and interpersonal variability, as well as seasonal variability of the indices listed have been assessed. Significant seasonal differences have been found between the values measured in the persons prior to work in summer and winter for near vision sense point, dispersing lens tolerance, retina irritability, and critical fusion frequency.

Adult↗
PubMedDate not supplied

The dynamic illegible E-test. A technique for assessing the vestibulo-ocular reflex.

The Dynamic Illegible E (DIE) test measures visual acuity with head held still while reading a specially designed visual acuity chart of E's. The head is then moved passively and the change in visual acuity is recorded. The DIE test has previously been shown to be very useful for assessing patients with aminoglycoside ototoxicity. In the present study, statistical analysis using multiple regression showed that the degree of abnormality in the DIE test during horizontal and vertical head movement was correlated with the degree of caloric reduction. Ridit analysis allows comparison between a number of naturally ordered categories. The ridit analysis showed significant differences between groups of patients with varying degrees of caloric reduction. There was also a significant difference in DIE test scores between a group of normals with no history of otoneurological complaint and an age- and sex-matched population of dizzy patients with normal caloric results. As none of our 110 normal patients had more than a one row drop while reading the DIE test with head moving, we feel that it is safe to regard a drop of more than two rows with head moving as abnormal. Perhaps even a mild caloric reduction represents relatively severe vestibular damage and the DIE test has the potential to delineate some patients who have no caloric reduction.

Adolescent↗
PubMed1987

Contrast sensitivity: characteristics of a large, young, adult population.

Contrast sensitivity functions and complete eye examinations were obtained from 103 normal, healthy young adults (ages 21 to 40 years). Descriptive statistics were compiled for the group in order to provide normative information. Subsets of the population were evaluated with respect to the relations among the attributes of accommodation, visual acuity, refraction, spectacle wear, and contrast sensitivity. The influence of age in this restricted population was seen only at 16 cpd. In those subjects with better than 6/6 (20/20) Snellen acuity, there were statistically significant relations with the parameters of the contrast sensitivity function as compared to those observers with 6/6 (20/20) or poorer acuity. High spatial frequency resolution was significantly better for those observers with better than 6/6 (20/20) acuity in either eye. In addition, this study provides a broad base of normative data for variability from a large population confined to a specific age range and with refractive errors that ranged from minimal to more than average.

Adult↗
PubMed1987

Assessment of visual function in MS patients: comparative study of some diagnostic tests.

Optic pathways are frequently involved in Multiple Sclerosis (MS). However, in some cases the involvement is asymptomatic or gives rise to only slight visual disturbances without alterations of visual acuity or of clinically evident visual field defects. In these cases several diagnostic tests permit an objective evaluation of the visual dysfunction. The aim of this study is to compare the value of contrast sensitivity test (CST), pattern reversal visual evoked potential (VEP), ophthalmoscopy, Goldmann perimetry in 45 MS patients with normal visual acuity. Examination of contrast sensitivity was carried out with a simple two-alternative forced choice test estimating the spatial frequency of 4 cycles/degree. The VEP was performed with a pattern reversal checkerboard at a spatial frequency of 1 and 2 cycles/degree. Fundus examination was abnormal in 12 patients; visual field defects were detected in 16 patients. 32 patients (71.1%) had abnormal CST in one or both eyes. VEP for the 30' checks was abnormal in 32 cases (71.1%) and that for the 15' checks in 36 cases (80.0%). All but 4 patients (91.2%) had one or more abnormal tests. All patients with abnormal perimetry and/or fundus examination had also CST and/or VEP altered. It is apparent that CST and VEP reveal a significant proportion of abnormalities in the visual system that have not been revealed by routine neuroophthalmological examination.

Adolescent↗
PubMed1986

Visual representation at the cerebral cortex: qualitative and quantitative aspects.

The cerebral representation of peripheral sensory surfaces is strictly ordered. In the case of the visual system, the scale of the cortical representation of visual space is non-linear: the area devoted to the fovea is greatly enlarged. Attempts have been made to quantify this retino-cortical relationship in animals and man: the result is the cortical magnification factor (M) which indicates the linear distance in mm along the striate cortex concerned with each degree of the visual field. The cortical magnification factor has indicated an alternative approach both to the theoretical interpretation of visual processing and to the clinical aspects of visual field examination. By M-scaling vision test stimuli, visual sensitivity, while quantitatively different at foveal and peripheral projections, remains qualitatively similar across the entire field.

Brain Mapping↗