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At least 19 recordsLinked to original sources

Age differences in peripheral refractive error.

Refractive error was measured at 0 degrees to 40 degrees temporal to fixation in 10 young adults (M age = 26 years) and 10 older adults (M age = 63 years). Older adults exhibited a greater amount of sphere (i.e., overall) error, but no more so in the periphery than in the fovea. Although age differences were small, younger adults were found to exhibit more peripheral astigmatism than the older adults. Discrepancies between obtained results and those of Millodot (1985) may be attributed to the relationship between peripheral astigmatism and presenting refractive status. Alternatively, a two-mechanism model of age-related change in lens curvature is capable of accounting for across-study outcome differences. Recommendations are made concerning optimal viewing conditions for the study of age differences in visual perceptual processes.

Adult

Intraocular lens powers used in the triple procedure. Effect on visual acuity and refractive error.

The refractive results of 43 consecutive triple procedures (transplant, cataract extraction, and lens implant) performed by one surgeon were analyzed. Twenty-one out of 43 eyes achieved refractive errors within 2 diopters (D) of emmetropia. The mean refractive error was -1.79 D, and the mean corneal astigmatic error was 2.75 D. Seventy percent of the eyes achieved 20/40 or better corrected acuity. Forty-four percent had 20/80 or better uncorrected acuity. Using the average postoperative keratometry readings from other recent transplant cases and an updated A constant in the SRK regression formula would have placed 39 of 43 eyes (91%) within 2 D of emmetropia with a mean refractive error of -0.07 D. The use of recent keratometry readings in a multiple regression formula is recommended to improve refractive results with the triple procedure.

Cataract Extraction

Cost-effective screening of schoolchildren for refractive errors.

Uncorrected refractive errors are the main cause of severely impaired vision in India. This in itself indicates that there is a shortage of basic eye care services and spectacles, and too little public awareness of the need for them. A simple method for screening schoolchildren for refractive errors is described and the results are analysed. Evaluation of the materials used and the accuracy of the screening shows that this method can be used successfully by teachers.

Adolescent

Effects of intraocular lens position errors on postoperative refractive error.

Previous theoretical attempts to predict the refractive effects of intraocular lens (IOL) misalignment have resulted in conflicting information. Discrepancies in both the potential magnitude and direction of the refractive changes exist in the literature. This paper provides a detailed description of the mathematical framework required to achieve a valid predictive model and a quantitative analysis of the effects of IOL positional errors. The effects of misalignment are shown to influence the spherical refractive component primarily. Astigmatism related to oblique incidence is generally small. Movement of the IOL away from the retina produces myopia, while movement toward the retina produces hyperopia. It is likely that longitudinal IOL positional errors are a principal component of postoperative refractive errors. Alignment errors, on the other hand, must have generally minor effects on refraction.

Astigmatism

Variation of the green-red ratio with refractive error.

The relationship of refractive error to green-red ratios among color normals was investigated by asking 27 subjects to match a standard yellow with a mixture of red and green primaries using a Nagel anomaloscope. Green-red ratios did not show any regular change with refractive error. Differences in refractive error, natural or induced, among color normal persons did not change the measurements of color vision with the Nagel anomaloscope.

Color Perception

Myopia and refractive error in dogs.

The refractive error of 240 phakic dogs of various breeds was measured using streak retinoscopy and averaged (-0.27 +/- 1.41 D relative to infinity). Analysis by breed showed that the German Shepherd, Rottweiler, and Miniature Schnauzer breeds had an increased prevalence of myopia with an average refractive error of -0.86 +/- 1.31 D, -1.77 +/- 1.84 D, and -0.66 +/- 1.05 D, respectively. Myopia also was found in older dogs with marked nuclear sclerosis of the crystalline lens. Fifty-three percent of all German Shepherd dogs in a veterinary clinic population (n = 58 eyes) had a myopic refraction of greater than or equal to -0.50 D; 64% of all Rottweiler dogs (n = 28 eyes) were myopic. An in-depth investigation of German Shepherd dogs, using A-scan ultrasonography, photokeratoscopy, and streak retinoscopy, was done at Guide Dogs for the Blind (San Rafael, CA). By contrast with the results obtained in the veterinary clinic population, the overall average refractive error of guide dog German Shepherd dogs (n = 106 eyes) was +0.19 +/- 0.81 D, and only 15% of these dogs were myopic. The axial length and corneal curvature of myopic eyes did not differ significantly from nonmyopic eyes.

Animals

Refractive errors in children.

Optical correction of refractive errors in infants and young children is indicated when the refractive errors are sufficiently large to cause unilateral or bilateral amblyopia, if they are impairing the child's ability to function normally, or if the child has accommodative strabismus. Screening for refractive errors is important and should be performed as part of the annual physical examination in all verbal children. Screening for significant refractive errors in preverbal children is more difficult; however, the red reflex test of Bruckner is useful for the detection of anisometropic refractive errors. The photorefraction test, which is an adaptation of Bruckner's red reflex test, may prove to be a useful screening device for detecting bilateral as well as unilateral refractive errors. Objective testing as well as subjective testing enables ophthalmologists to prescribe proper optical correction for refractive errors for infants and children of any age.

Adolescent

Combining refractive error and uncorrected visual acuity to assess the effectiveness of refractive corneal surgery.

Residual refractive error and uncorrected visual acuity are two frequently measures used to assess the effectiveness of refractive corneal surgery. Nordan and colleagues have suggested a Visual Function Index which combines these two measures in one quantitative measure. This article presents a Visual Function Score for radial keratotomy which includes a set of qualitative categories (excellent, good, fair, poor) and specifies the clinical values for refractive error and visual acuity in each category. There was substantial agreement among ophthalmologists who reviewed the category definitions, and we think that the Visual Function Score improves our ability to objectively assess surgical outcome. Application of the score to the Prospective Evaluation of Radial Keratotomy (PERK) Study data yielded closer agreement with refractive error results than with visual acuity values. The Visual Function Score lowered the classification of eyes that were hyperopic but had sufficient accommodation to overcome so that a high visual acuity result could be achieved. The inclusion of astigmatism values would be an important next step in the development of composite measures for the assessment of refractive surgery. In the future, a multifactorial index or score may be used to estimate the outcome of reported surgical procedures.

Adult

The Humphrey Vision Analyzer tm: reliability and validity of refractive-error measures.

Four subjective measures of the refractive error of 42 eyes (21 patients) were obtained by 2 examiners, one using a Humphrey Vision Analyzer TM and the other using a conventional refractor. Each examiner made 2 separate measures of each subject's refractive error, one without and one with an added cylindrical lens chosen at random from a predetermined set of powers and axes. The order of using the instruments and the added lenses was mixed. Measures of the refractive errors differed with the 2 instruments by approximately the same amount on average as did duplicate measures with either instrument. Refractive-error measures obtained with the 2 instruments are about as valid as they are repeatable.

Adult

Stereoscopic acuity with induced refractive errors.

The relation between refractive error and stereoscopic acuity was investigated by measuring stereoacuity with different combinations of positive and negative spherical lenses over the usual refractive correction. A detailed study was performed on two subjects. In general, there was little change in stereoacuity when the added lenses were of equal power. On the other hand, power inequality almost invariably caused a reduction in stereoacuity. A technique is described for detecting a refractive overcorrection by means of a sequence of stereoacuity measurements.

Dominance, Cerebral

Genetics of epidermal ridges: a study in subjects with refractive errors.

The dermatoglyphic characteristics of subjects with refractive errors when compared with control group revealed significant differences in both qualitative and quantitative parameters. The loops were increased in male myopics; the whorls were increased in male hypermetropics and astigmatics and the arches were decreased in all types of refractive errors in males. However, the whorls were decreased in female hypermetropics only. The mean total ridge count was significantly higher in male astigmatics only. As regards pattern intensity (fingers) no significant difference in the mean value was observed in either sex with any type of refractive errors when compared with those of controls.

Adolescent

Relation between spherical refractive error and visual acuity.

The relation between a spherical refractive error and visual acuity is investigated and the results compared with previous studies. This study, unlike most of the previous studies, presents a mathematical model that includes a pupil size factor. It also examines a theoretical relation between refractive error and visual acuity which predicts that there should be a linear relation among refractive error (E), the pupil diameter (D), and minimum angle of resolution (A), over a wide range of refractive errors.

Humans

Correlation of aphakic retinal detachment and refractive error with gender.

I analyzed the aphakic refractive errors of men and women separately in a statistical study of patients with aphakic retinal detachments. I compared the distribution of aphakic refractive errors in a population of 81 adult patients with nontraumatic aphakic retinal detachment with that of a randomly selected control population of 93 adult patients with aphakia. As a group, women who developed aphakic retinal detachments were significantly more myopic than female controls (11.41 vs 12.37 diopters of spherical equivalent; P = .004). In contrast, the refractive error in men did not differ between the aphakic retinal detachment and control groups (11.31 vs 11.68 diopters; P = .156). A significantly higher percentage of patients with bilateral (87%) aphakic retinal detachments were men (P = .017). In men other risk factors for aphakic retinal detachment, including cardiovascular disease, may overshadow the influence of axial myopia.

Adult

Use of photoretinoscopy as a screening technique in the assessment of anisometropia and significant refractive error in infants/toddlers/children and special populations.

The presence of significant refractive error and/or anisometropia can produce an irreversible decrease in visual function if not detected and treated at an early age. The general consensus is that the earlier a problem is detected, the easier the process of remediation. The authors have examined photoretinoscopy as a means of screening infant/toddlers and/or nonverbal persons for refractive anomalies. Fifty adults and fifty infants/toddlers/children were photographed and the estimated refractive error from review of the pictures was compared to the refractive error obtained from retinoscopy. The results indicate that photoretinoscopy is an effective screening procedure for the detection of significant refractive error and is extremely sensitive to anisometropia.

Adolescent

Changes in refractive error for exotropes treated with overminus lenses.

The refractive changes of pediatric patients who were prescribed overminus lenses for exotropia were evaluated. Overminus lenses means additional minus power over the lenses required to correct the refractive error at distance. Forty exotropic patients, ages 1 to 15 years, were prescribed overminus lenses (-0.50 D to -3.75 D) for a period of 9 to 86 months. A small but significant correlation was found between the initial refractive error and the mean annual change toward myopia. Other factors such as age when treatment was given, duration of therapy, amount of overminus, and the amount of the exodeviation had little effect on the rate of myopic change. The mean annual changes in refractive error for hyperopes (-0.13 +/- 0.44 D, N = 15), emmetropes (-0.26 +/- 0.37 D, N = 17), and myopes (-0.75 +/- 0.77 D, N = 18) were similar to values reported in the literature for nonexotropic children.

Adolescent

Spherocylindrical refractive errors and visual acuity.

BACKGROUND: Understanding the relation between refractive error and visual acuity is complicated if astigmatic blur is present. No models are in widespread use that allow the combination of spherical and astigmatic errors for the purpose of predicting visual performance. METHODS: Models for combining spherical and astigmatic errors are discussed, and predictions of these models using data from the literature are presented. RESULTS: Three models for combining astigmatic with spherical errors are shown to predict visual acuity performance in uncorrected myopic refractive errors. A dioptric vector addition model is shown to have advantages over other candidate models. CONCLUSIONS: It is possible to combine spherocylindrical refractive errors into a single value when the objective is to correlate these values with visual acuity performance.

Eyeglasses

A comparison of cycloplegic refraction to the near retinoscopy technique for refractive error determination.

The near retinoscopy technique of refractive error determination was compared to the standard method of cycloplegic refraction using 10 "infants" (3-12 months of age) and 10 "children" (32-109 months of age). There was a significant difference between the techniques for both sphere and cylinder power. Although there was no interaction of refractive technique and age group, the difference between near retinoscopy and cycloplegic refractive error tended to be larger for infants than for children. No significant difference was found when the average refractive values were compared for monocular or binocular conditions and no significant effect was found for either gender or laterality (right versus left eye). Based on these findings, it is suggested that caution be used in substituting the near retinoscopy technique for cycloplegic refraction even utilizing a "correction" factor for the dioptric difference between techniques.

Analysis of Variance

Visual disability and blindness secondary to refractive errors in Africa.

Optical defects of the light-focusing apparatus of the eye are called errors of refraction. They are responsible for 13% of all significant vision loss in Kenya, ranking third of all causes, after cataract and trachoma. As the overall prevalence of such visual impairment in the Country is 3.7%, roughly 0.5% of the population can be said to need spectacles to obtain normal vision. The comparable figure for secondary school children in Nigeria has been found to be 2.4%. In addition, patients require special spectacles after cataract surgery to obtain adequate vision; without such spectacles these patients are still 'blind' by World Health Organization criteria. These glasses can be obtained through mission societies and various charitable organizations for a little as $5 per pair, and can be manufactured locally with available ophthalmic manpower and technology. Alternatives to spectacles such as contact lenses, intra-ocular lenses and Kerato-refractive surgery are not suitable for use in developing Countries.

Africa