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"With a little help from my friends".
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Paraoptometry as a career.
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No child left behind...visually.
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Small foveal targets for studies of accommodation and the Stiles-Crawford effect.
The properties of small monochromatic targets as accommodative stimuli are not well understood. We used a dynamic optometer to record accommodation responses to monochromatic disc targets (1.0-27.3 min arc) and to a Maltese cross. Accommodation responded adequately to points as small as 13.6 min arc. The response to these small targets is relevant to the question of whether the Stiles-Crawford (SC) effect could provide a stimulus to accommodation. Previous studies have used pupil apodizing filters to neutralise the natural SC function and so determine how visual performance or accommodation is influenced by the SC effect. However, these filters cannot correct for known inhomogeneities in the SC function across the retina for extended targets. Therefore, we calculated the SC function inhomogeneities across the retinal image of a smaller 13.6-min arc target. Unfortunately, even this small target is too large to permit a homogenous SC function across its extent. Alternatives to the apodizing filter approach are discussed.
Accommodation responses to stimuli in cone contrast space.
The aim was to identify the cone contributions and pathways for reflex accommodation. Twelve illumination conditions were used to test specified locations in cone-contrast space. Accommodation was monitored continuously in a Badal optometer while the grating stimulus (2.2 c/d sine-wave; 0.27 modulation) moved sinusoidally (0.195 Hz) towards and away from the eye from a mean position of 2.00 D (+/-1.00 D). Mean accommodation level and dynamic gain and phase at 0.195 Hz were calculated. Mean accommodation level varied significantly when the long- and middle-wavelength cone contrast ratio was altered in both the luminance and chromatic quadrants of cone-contrast space. This experiment indicates that L- and M-cones contribute to luminance and chromatic signals that produce the accommodation response, most likely through magno-cellular and parvo-cellular pathways, respectively. The L:M cone weighting to the luminance pathway that mediates accommodation is 1.63:1. The amplitude and direction of the response depends on changes in chromatic contrast and luminance contrast signals that result from longitudinal chromatic aberration and defocus of the image.
Accommodative state of young adults using reading spectacles.
We examined the accommodative state of young adults wearing +2D and +3D reading spectacles under normal conditions and with the elimination of accommodative cues. Subjects' refractions were measured with an infrared PowerRefractor. Power of the vertical meridian was recorded for subjects viewing far and near targets in free space and through a Badal lens apparatus with and without reading spectacles. Additionally, refractive measurements were taken after subjects wore +2D reading spectacles for 30 min (post-adaptation). In free viewing and viewing through the Badal lens, subjects uniformly over-accommodated relative to the target while wearing reading spectacles (i.e., with the spectacles, they focused at a plane in front of the target). Subjects in the first post-adaptation test showed no significant difference in accommodation between viewing a near target with and without +2D spectacles after having read with them for 30 min, though they had without post-adaptation. Subjects in the second post-adaptation test were not significantly differently accommodated before and after reading when binocularly viewing a near target with +2D reading spectacles. The results imply that no adaptation of the subjects' accommodative postures while viewing visual targets occurred as a result of a 1/2 h near work task with the spectacles. The over-accommodation of subjects using reading spectacles while they are performing visual tasks shows the necessity of measurement if their true accommodative posture is to be determined.
Accommodation with and without short-wavelength-sensitive cones and chromatic aberration.
Accommodation was monitored while observers (23) viewed a square-wave grating (2.2 cycles/deg; 0.53 contrast) in a Badal optometer. The grating moved sinusoidally (0.2 Hz) to provide a stimulus between -1.00 D and -3.00 D during trials lasting 40.96 s. There were three illumination conditions: 1. Monochromatic 550 nm light to stimulate long-wavelength-sensitive cones (L-cones) and medium-wavelength-sensitive cones (M-cones) without chromatic aberration; 2. Monochromatic 550 nm light+420 nm light to stimulate long-, medium- and short-wavelength-sensitive cones (S-cones) with longitudinal chromatic aberration (LCA); 3. Monochromatic 550 nm light+420 nm light to stimulate L-, M- and S-cones viewed through an achromatizing lens. In the presence of LCA mean dynamic gain decreased (p=0.0003; ANOVA) and mean accommodation level was reduced (p=0.001; ANOVA). The reduction in gain and increased lag of accommodation in the presence of LCA could result from a blue-yellow chromatic signal or from a larger depth-of-focus.
Noticeable, troublesome and objectionable limits of blur.
We investigated limits at which induced blur becomes noticeable, troublesome and objectionable. We used 15 cyclopleged subjects, a Badal optometer with lines of three high contrast letters as targets, 3-6 mm artificial pupils, and 0.0-0.7 logMAR letter sizes. For 0.0 logMAR size, mean "noticeable" blur limits were +/-0.33D, +/-0.30D and +/-0.28D at 3 mm, 4 mm and 6 mm, respectively, but increased by about 70% for 0.7 logMAR letters. All limits reduced by about 17% as pupil size increased from 3 mm to 6 mm. Letter size had a significant influence on all blur limits (1.6-2.1 times), but blur direction had no significant effect. Magnitudes of "troublesome" and 'objectionable" limits were 1.6-1.8 times and 2.1-2.5 times relative to "noticeable" limits, respectively. Our results suggest criteria for troublesome and objectionable blur are relatively unaffected by letter size.
Dynamic control of ocular disaccommodation: first and second-order dynamics.
Velocity and acceleration characteristics provide valuable information about dynamic control of accommodation. We investigated velocity and acceleration of disaccommodation (near-far focusing) from three starting positions. Peak velocity and peak acceleration of disaccommodation increased with the proximity of starting position however for a given starting position they were invariant of response magnitude. These results suggest that all disaccommodation responses are initiated towards a constant primary destination and are switched mid-flight to attain the desired final position. Large discrepancies between the primary destination and desired final position appear to produce overshoots and oscillations of small responses from proximal starting positions.
Optical aberrations in the mouse eye.
PURPOSE: The mouse eye is a widely used model for retinal disease and has potential to become a model for myopia. Studies of retinal disease will benefit from imaging the fundus in vivo. Experimental models of myopia often rely on manipulation of the visual experience. In both cases, knowledge of the optical quality of the eye, and in particular, the retinal image quality degradation imposed by the ocular aberrations is essential. In this study, we measured the ocular aberrations in the wild type mouse. METHODS: Twelve eyes from six four-week old black C57BL/6 wild type mice were studied. Measurements were done on awake animals, one being also measured under anesthesia for comparative purposes. Ocular aberrations were measured using a custom-built Hartmann-Shack system (using 680-nm illumination). Wave aberrations are reported up to fourth order Zernike polynomials. Spherical equivalent and astigmatism were obtained from the 2nd order Zernike terms. Modulation Transfer Functions (MTF) were estimated for the best focus, and through-focus, to estimate depth-of-focus. All reported data were for 1.5-mm pupils. RESULTS: Hartmann-Shack refractions were consistently hyperopic (10.12+/-1.41 D, mean and standard deviation) and astigmatism was present in many of the eyes (3.64+/-3.70 D, on average). Spherical aberration was positive in all eyes (0.15+/-0.07 microm) and coma terms RMS were significantly high compared to other Zernike terms (0.10+/-0.03 microm). MTFs estimated from wave aberrations show a modulation of 0.4 at 2c/deg, for best focus (and 0.15 without cancelling the measured defocus). For that spatial frequency, depth-of-focus estimated from through-focus modulation data using the Rayleigh criterion was 6D. Aberrations in the eye of one anesthetized mouse were higher than in the same eye of the awake animal. CONCLUSIONS: Hyperopic refractions in the mouse eye are consistent with previous retinoscopic data. The optics of the mouse eye is far from being diffraction-limited at 1.5-mm pupil, with significant amounts of spherical aberration and coma. However, estimates of MTFs from wave aberrations are higher than previously reported using a double-pass technique, resulting in smaller depth-of-field predictions. Despite the large degradation imposed by the aberrations these are lower than the amount of aberrations typically corrected by available correction techniques (i.e., adaptive optics). On the other hand, aberrations do not seem to be the limiting factor in the mouse spatial resolution. While the mouse optics are much more degraded than in other experimental models of myopia, its tolerance to large amounts of defocus does not seem to be determined entirely by the ocular aberrations.
Cone contributions to signals for accommodation and the relationship to refractive error.
The accommodation response is sensitive to the chromatic properties of the stimulus, a sensitivity presumed to be related to making use of the longitudinal chromatic aberration of the eye to decode the sign of the defocus. Thus, the relative sensitivity to the long- (L) and middle-wavelength (M) cones may influence accommodation and may also be related to an individual's refractive error. Accommodation was measured continuously while subjects viewed a sine wave grating (2.2c/d) that had different cone contrast ratios. Seven conditions tested loci that form a circle with equal vector length (0.27) at 0, 22.5, 45, 67.5, 90, 120, 145 deg. An eighth condition produced an empty field stimulus (CIE (x,y) co-ordinates (0.4554, 0.3835)). Each of the gratings moved at 0.2 Hz sinusoidally between 1.00 D and 3.00 D for 40s, while the effects of longitudinal chromatic aberration were neutralized with an achromatizing lens. Both the mean level of accommodation and the gain of the accommodative response, to sinusoidal movements of the stimulus, depended on the relative L and M cone sensitivity: Individuals more sensitive to L-cone stimulation showed a higher level of accommodation (p=0.01; F=12.05; ANOVA) and dynamic gain was higher for gratings with relatively more L-cone contrast. Refractive error showed a similar correlation: More myopic individuals showed a higher mean level of accommodation (p<0.01; F=11.42; ANOVA) and showed higher gain for gratings with relatively more L-cone than M-cone contrast (p=0.01; F=10.83 ANOVA). If luminance contrast is maximized by accommodation, long wavelengths will be imaged behind the photoreceptors. Individuals in whom luminance is dominated by L-cones may maximize luminance contrast both by accommodating more, as shown here, and by increased ocular elongation, resulting in myopia, possibly explaining the correlations reported here among relative L/M-cone sensitivity, refractive error and accommodation.
Application of video-based technology for the simultaneous measurement of accommodation and vergence.
Accommodation and vergence are two ocular motor systems that interact during binocular vision. Independent measurement of the response dynamics of each system has been achieved by the application of optometers and eye trackers. However, relatively few devices, typically earlier model optometers, allow the simultaneous assessment of accommodation and vergence. In this study we describe the development and application of a custom designed high-speed digital photorefractor that allows for rapid measures of accommodation (up to 75Hz). In addition the photorefractor was also synchronized with a video-based stereo eye tracker to allow a simultaneous measurement of accommodation and vergence. Analysis of accommodation and vergence could then be conducted offline. The new instrumentation is suitable for investigation of young children and could be potentially used for clinical populations.
Eye care in a managed care environment.
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Competition and ophthalmology.
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A model for comparing the optical properties of different-sized corneal grafts.
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Mutual interests of optometrists and pharmacists.
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Ocular and visual side effects of drugs--a reconsideration.
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