Science.gov

Sample records for acuity refractive error

  1. Refractive Errors

    MedlinePlus

    ... and lens of your eye helps you focus. Refractive errors are vision problems that happen when the shape ... cornea, or aging of the lens. Four common refractive errors are Myopia, or nearsightedness - clear vision close up ...

  2. Refractive error blindness.

    PubMed Central

    Dandona, R.; Dandona, L.

    2001-01-01

    Recent data suggest that a large number of people are blind in different parts of the world due to high refractive error because they are not using appropriate refractive correction. Refractive error as a cause of blindness has been recognized only recently with the increasing use of presenting visual acuity for defining blindness. In addition to blindness due to naturally occurring high refractive error, inadequate refractive correction of aphakia after cataract surgery is also a significant cause of blindness in developing countries. Blindness due to refractive error in any population suggests that eye care services in general in that population are inadequate since treatment of refractive error is perhaps the simplest and most effective form of eye care. Strategies such as vision screening programmes need to be implemented on a large scale to detect individuals suffering from refractive error blindness. Sufficient numbers of personnel to perform reasonable quality refraction need to be trained in developing countries. Also adequate infrastructure has to be developed in underserved areas of the world to facilitate the logistics of providing affordable reasonable-quality spectacles to individuals suffering from refractive error blindness. Long-term success in reducing refractive error blindness worldwide will require attention to these issues within the context of comprehensive approaches to reduce all causes of avoidable blindness. PMID:11285669

  3. Does Assessing Eye Alignment along with Refractive Error or Visual Acuity Increase Sensitivity for Detection of Strabismus in Preschool Vision Screening?

    PubMed Central

    2007-01-01

    Purpose Preschool vision screenings often include refractive error or visual acuity (VA) testing to detect amblyopia, as well as alignment testing to detect strabismus. The purpose of this study was to determine the effect of combining screening for eye alignment with screening for refractive error or reduced VA on sensitivity for detection of strabismus, with specificity set at 90% and 94%. Methods Over 3 years, 4040 preschool children were screened in the Vision in Preschoolers (VIP) Study, with different screening tests administered each year. Examinations were performed to identify children with strabismus. The best screening tests for detecting children with any targeted condition were noncycloplegic retinoscopy (NCR), Retinomax autorefractor (Right Manufacturing, Virginia Beach, VA), SureSight Vision Screener (Welch-Allyn, Inc., Skaneateles, NY), and Lea Symbols (Precision Vision, LaSalle, IL and Good-Lite Co., Elgin, IL) and HOTV optotypes VA tests. Analyses were conducted with these tests of refractive error or VA paired with the best tests for detecting strabismus (unilateral cover testing, Random Dot “E” [RDE] and Stereo Smile Test II [Stereo Optical, Inc., Chicago, IL]; and MTI PhotoScreener [PhotoScreener, Inc., Palm Beach, FL]). The change in sensitivity that resulted from combining a test of eye alignment with a test of refractive error or VA was determined with specificity set at 90% and 94%. Results Among the 4040 children, 157 were identified as having strabismus. For screening tests conducted by eye care professionals, the addition of a unilateral cover test to a test of refraction generally resulted in a statistically significant increase (range, 15%–25%) in detection of strabismus. For screening tests administered by trained lay screeners, the addition of Stereo Smile II to SureSight resulted in a statistically significant increase (21%) in sensitivity for detection of strabismus. Conclusions The most efficient and low-cost ways to achieve

  4. Visual acuity and refractive status of Omani students with refractive error in grades 1, 4 and 7: A retrospective cohort study

    PubMed Central

    Al Harby, Saleh; Al-Asbali, Tariq; Khandekar, Rajiv

    2016-01-01

    Background: The visual and refractive status were assessed for grade 7 students in seven governorates in Oman. The health records were reviewed to assess the rationale for their previous school-based vision screening. Methods: A representative sample of 7th grade students with a refractive error (RE) was examined by optometrists in 2012. Their compliance with spectacle wear was also reviewed. Each student's vision and refractive status in grades 1 and 4 were compared with the status in grade 7. Each student's use of eye care services between grade 4 and 7 was evaluated to determine the uptake of existing eye services for vision problems. Results: This study had 286, 7th grade students with RE (myopia [94%], hyperopia [4%] and astigmatism [>1D] [2%]). The types of RE between genders in each grade were not significant (P > 0.05). During their vision screening when they were in grade 4, 5 of 13 moderate myopes (>−2D to − 6D) and 3 of 4 high myopes (>−6D) were detected and managed. Ten students with moderate and high myopia were already using spectacles before they were screened in grade 7. The compliance for spectacle wear was 62% in grade 7. Between grades, 4 and 7, 140 (49%) students did not visit eye clinics or an optician. Conclusions: Refractive services in grade 4 were an additional initiative from the eye health care systems in Oman to the actual World Health Organization recommendations of conducting vision screening and RE corrections at grade 7 and 10. However, this was not proved to be significantly effective in early detection, and even the uptake of eye care services by school children was also low. PMID:27013825

  5. Uncorrected refractive errors.

    PubMed

    Naidoo, Kovin S; Jaggernath, Jyoti

    2012-01-01

    Global estimates indicate that more than 2.3 billion people in the world suffer from poor vision due to refractive error; of which 670 million people are considered visually impaired because they do not have access to corrective treatment. Refractive errors, if uncorrected, results in an impaired quality of life for millions of people worldwide, irrespective of their age, sex and ethnicity. Over the past decade, a series of studies using a survey methodology, referred to as Refractive Error Study in Children (RESC), were performed in populations with different ethnic origins and cultural settings. These studies confirmed that the prevalence of uncorrected refractive errors is considerably high for children in low-and-middle-income countries. Furthermore, uncorrected refractive error has been noted to have extensive social and economic impacts, such as limiting educational and employment opportunities of economically active persons, healthy individuals and communities. The key public health challenges presented by uncorrected refractive errors, the leading cause of vision impairment across the world, require urgent attention. To address these issues, it is critical to focus on the development of human resources and sustainable methods of service delivery. This paper discusses three core pillars to addressing the challenges posed by uncorrected refractive errors: Human Resource (HR) Development, Service Development and Social Entrepreneurship. PMID:22944755

  6. Implantable collamer lens for residual refractive error after corneal refractive surgery

    PubMed Central

    Chen, Xun; Wang, Xiao-Ying; Zhang, Xi; Chen, Zhi; Zhou, Xing-Tao

    2016-01-01

    AIM To assess the safety, efficacy, predictability and stability of implantable collamer lens (ICL) for residual refractive error after corneal refractive surgery. METHODS This study evaluated 19 eyes of 12 patients who underwent ICL implantation after corneal refractive surgeries. They were followed up for 1y to 5y of uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refractive error, flat and steep K value, axial length, intraocular pressure, corneal endothelial cell density, adverse events after ICL surgery. RESULTS The mean follow-up period was 39.05±19.22 mo (range, 1-5y). Spherical equivalent refractive error changed from -7.45±3.02 D preoperatively to -0.85±1.10 D 1wk to 1mo after ICL implantation, with the safety and efficacy indices being 1.12 and 1.15, respectively. A total of 52.63% of eyes were within ±0.5 D of the predicted spherical equivalents, 73.68% were within ±1.0 D. A trend of mild regression towards myopia with axial elongation after 5y was observed. One eye with mild anterior capsule opacity and retinal detachment 1y after surgery were observed. CONCLUSION ICL implantation is safe and effective for the correction of residual refractive error after corneal refractive surgeries, especially in moderate to high residual myopia. PMID:27803858

  7. Refractive Errors - Multiple Languages: MedlinePlus

    MedlinePlus

    ... Are Here: Home → Multiple Languages → All Health Topics → Refractive Errors URL of this page: https://medlineplus.gov/languages/ ... V W XYZ List of All Topics All Refractive Errors - Multiple Languages To use the sharing features on ...

  8. Influence of uncorrected refractive error and unmet refractive error on visual impairment in a Brazilian population

    PubMed Central

    2014-01-01

    Background The World Health Organization (WHO) definitions of blindness and visual impairment are widely based on best-corrected visual acuity excluding uncorrected refractive errors (URE) as a visual impairment cause. Recently, URE was included as a cause of visual impairment, thus emphasizing the burden of visual impairment due to refractive error (RE) worldwide is substantially higher. The purpose of the present study is to determine the reversal of visual impairment and blindness in the population correcting RE and possible associations between RE and individual characteristics. Methods A cross-sectional study was conducted in nine counties of the western region of state of São Paulo, using systematic and random sampling of households between March 2004 and July 2005. Individuals aged more than 1 year old were included and were evaluated for demographic data, eye complaints, history, and eye exam, including no corrected visual acuity (NCVA), best corrected vision acuity (BCVA), automatic and manual refractive examination. The definition adopted for URE was applied to individuals with NCVA > 0.15 logMAR and BCVA ≤ 0.15 logMAR after refractive correction and unmet refractive error (UREN), individuals who had visual impairment or blindness (NCVA > 0.5 logMAR) and BCVA ≤ 0.5 logMAR after optical correction. Results A total of 70.2% of subjects had normal NCVA. URE was detected in 13.8%. Prevalence of 4.6% of optically reversible low vision and 1.8% of blindness reversible by optical correction were found. UREN was detected in 6.5% of individuals, more frequently observed in women over the age of 50 and in higher RE carriers. Visual impairment related to eye diseases is not reversible with spectacles. Using multivariate analysis, associations between URE and UREN with regard to sex, age and RE was observed. Conclusion RE is an important cause of reversible blindness and low vision in the Brazilian population. PMID:24965318

  9. Emmetropisation and the aetiology of refractive errors

    PubMed Central

    Flitcroft, D I

    2014-01-01

    The distribution of human refractive errors displays features that are not commonly seen in other biological variables. Compared with the more typical Gaussian distribution, adult refraction within a population typically has a negative skew and increased kurtosis (ie is leptokurtotic). This distribution arises from two apparently conflicting tendencies, first, the existence of a mechanism to control eye growth during infancy so as to bring refraction towards emmetropia/low hyperopia (ie emmetropisation) and second, the tendency of many human populations to develop myopia during later childhood and into adulthood. The distribution of refraction therefore changes significantly with age. Analysis of the processes involved in shaping refractive development allows for the creation of a life course model of refractive development. Monte Carlo simulations based on such a model can recreate the variation of refractive distributions seen from birth to adulthood and the impact of increasing myopia prevalence on refractive error distributions in Asia. PMID:24406411

  10. Refractive errors in Cameroonians diagnosed with complete oculocutaneous albinism

    PubMed Central

    Eballé, André Omgbwa; Mvogo, Côme Ebana; Noche, Christelle; Zoua, Marie Evodie Akono; Dohvoma, Andin Viola

    2013-01-01

    Background Albinism causes significant eye morbidity and amblyopia in children. The aim of this study was to determine the refractive state in patients with complete oculocutaneous albinism who were treated at the Gynaeco-Obstetric and Paediatric Hospital, Yaoundé, Cameroon and evaluate its effect on vision. Methods We carried out this retrospective study at the ophthalmology unit of our hospital. All oculocutaneous albino patients who were treated between March 1, 2003 and December 31, 2011 were included. Results Thirty-five patients (70 eyes) diagnosed with complete oculocutaneous albinism were enrolled. Myopic astigmatism was the most common refractive error (40%). Compared with myopic patients, those with myopic astigmatism and hypermetropic astigmatism were four and ten times less likely, respectively, to demonstrate significant improvement in distance visual acuity following optical correction. Conclusion Managing refractive errors is an important way to reduce eye morbidity-associated low vision in oculocutaneous albino patients. PMID:23901257

  11. Prevalence of Amblyopia and Refractive Errors Among Primary School Children

    PubMed Central

    Rajavi, Zhale; Sabbaghi, Hamideh; Baghini, Ahmad Shojaei; Yaseri, Mehdi; Moein, Hamidreza; Akbarian, Shadi; Behradfar, Narges; Hosseini, Simin; Rabei, Hossein Mohammad; Sheibani, Kourosh

    2015-01-01

    Purpose: To determine the prevalence of amblyopia and refractive errors among 7 to 12-year-old primary school children in Tehran, Iran. Methods: This population-based cross-sectional study included 2,410 randomly selected students. Visual acuity was tested using an E-chart on Yang vision tester. Refractive errors were measured by photorefractometry and cycloautorefraction. Strabismus was checked using cover test. Direct ophthalmoscopy was used to assess the anterior segment, lens opacities, red reflex and fundus. Functional amblyopia was defined as best corrected visual acuity ≤20/40 in one or both eyes with no anatomical problems. Results: Amblyopia was present in 2.3% (95% CI: 1.8% to 2.9%) of participants with no difference between the genders. Amblyopic subjects were significantly younger than non-amblyopic children (P=0.004). Overall, 15.9% of hyperopic and 5.9% of myopic cases had amblyopia. The prevalence of hyperopia ≥+2.00D, myopia ≤-0.50D, astigmatism ≥0.75D, and anisometropia (≥1.00D) was 3.5%, 4.9%, 22.6%, and 3.9%, respectively. With increasing age, the prevalence of myopia increased (P<0.001), that of hyperopia decreased (P=0.007), but astigmatism showed no change. Strabismus was found in 2.3% of cases. Strabismus (OR=17.9) and refractive errors, especially anisometropia (OR=12.87) and hyperopia (OR=11.87), were important amblyogenic risk factors. Conclusion: The high prevalence of amblyopia in our subjects in comparison to developed countries reveals the necessity of timely and sensitive screening methods. Due to the high prevalence of amblyopia among children with refractive errors, particularly high hyperopia and anisometropia, provision of glasses should be specifically attended by parents and supported by the Ministry of Health and insurance organizations. PMID:27051485

  12. Computed estimation of visual acuity after laser refractive keratectomy

    NASA Astrophysics Data System (ADS)

    Rol, Pascal O.; Parel, Jean-Marie A.; Hanna, Khalil

    1991-06-01

    A number of surgical techniques has been developed to correct ametropia (refractive defaults) of the eye by changing the anterior corneal radius. Because the air-cornea interface makes up for about two-third of the refractive power of the eye, a refractive correction is obtained by a suitable photoablation of the cornea. For this purpose, e.g., an ArF excimer laser which emits a wavelength of 193 nm is being used. After a mechanical removal of the epithelium, the Bowman's layer and the corneal stroma are photoablated on typically 50% of the central surface of the cornea with various precomputed shapes. Methods using a variable diaphragm1 or a scanning slit2 are being utilized. After regrowth of the epithelium, a smooth interface with air develops itself, which can be attributed to a mechanical equilibration. Yet, SEM studies have shown that with such kind of treatments, irregularities can remain in the new stromal surface (Fig. 1). A possible explanation for this effect is associated with an inhomogeneous energy distribution of the laser beam profile3. To some extent, the stromal surface is equalized by the epithelial layer during healing& However, as the corneal epithelium and stroma have different refractive indices, a scatter of the incident light may result causing a haze in the cornea and a blur of the image at the retina. In such a case the resolution and the contrast performance of the eye which is expected from a successful operation, may be reduced. This study is an attempt to quantify the vision blur as a function of the deformation observed at the epithelium-stroma interface.

  13. Survey on Visual Impairment and Refractive Errors on Ta’u Island, American Samoa

    PubMed Central

    Barnes, Shawn S; Utu, Pamela-Jaimelyn M; Sumida, Lauren; O’Carroll, Darragh C; Jenkins, Tyrie L; Corboy, John

    2011-01-01

    Purpose To assess the prevalence of presenting visual impairment and refractive errors on the isolated island of Ta’u, American Samoa. Methods Presenting visual acuity and refractive errors of 124 adults over 40 years of age (55 male and 69 female) were measured using the Snellen chart and an autorefractometer. This sample represented over 50% of the island’s eligible population. Results In this survey, all presenting visual acuity (VA) was uncorrected. Of the included sample, 10.5% presented with visual impairment (visual acuity lower than 6/18, but equal to or better than 3/60 in the better eye) and 4.8% presented with VA worse than 6/60 in the better eye. Overall, 4.0% of subjects presented with hyperopia (+3 D or more), 3.2% were myopic (−1 D or less), and 0.8% presented with high myopia (−5 D or less). There was no significant difference between genders in terms of visual impairment or refractive errors. Conclusion This study represents the first population-based survey on presenting visual acuity and refractive errors in American Samoa. In addition to providing baseline data on vision and refractive errors, we found that the prevalence of myopia and hyperopia was much lower than expected. PMID:22454704

  14. Correction of Refractive Errors in Rhesus Macaques (Macaca mulatta) Involved in Visual Research

    PubMed Central

    Mitchell, Jude F; Boisvert, Chantal J; Reuter, Jon D; Reynolds, John H; Leblanc, Mathias

    2014-01-01

    Macaques are the most common animal model for studies in vision research, and due to their high value as research subjects, often continue to participate in studies well into old age. As is true in humans, visual acuity in macaques is susceptible to refractive errors. Here we report a case study in which an aged macaque demonstrated clear impairment in visual acuity according to performance on a demanding behavioral task. Refraction demonstrated bilateral myopia that significantly affected behavioral and visual tasks. Using corrective lenses, we were able to restore visual acuity. After correction of myopia, the macaque's performance on behavioral tasks was comparable to that of a healthy control. We screened 20 other male macaques to assess the incidence of refractive errors and ocular pathologies in a larger population. Hyperopia was the most frequent ametropia but was mild in all cases. A second macaque had mild myopia and astigmatism in one eye. There were no other pathologies observed on ocular examination. We developed a simple behavioral task that visual research laboratories could use to test visual acuity in macaques. The test was reliable and easily learned by the animals in 1 d. This case study stresses the importance of screening macaques involved in visual science for refractive errors and ocular pathologies to ensure the quality of research; we also provide simple methodology for screening visual acuity in these animals. PMID:25427343

  15. Refractive error sensing from wavefront slopes.

    PubMed

    Navarro, Rafael

    2010-01-01

    The problem of measuring the objective refractive error with an aberrometer has shown to be more elusive than expected. Here, the formalism of differential geometry is applied to develop a theoretical framework of refractive error sensing. At each point of the pupil, the local refractive error is given by the wavefront curvature, which is a 2 × 2 symmetric matrix, whose elements are directly related to sphere, cylinder, and axis. Aberrometers usually measure the local gradient of the wavefront. Then refractive error sensing consists of differentiating the gradient, instead of integrating as in wavefront sensing. A statistical approach is proposed to pass from the local to the global (clinically meaningful) refractive error, in which the best correction is assumed to be the maximum likelihood estimation. In the practical implementation, this corresponds to the mode of the joint histogram of the 3 different elements of the curvature matrix. Results obtained both in computer simulations and with real data provide a close agreement and consistency with the main optical image quality metrics such as the Strehl ratio.

  16. Refractive error sensing from wavefront slopes.

    PubMed

    Navarro, Rafael

    2010-01-01

    The problem of measuring the objective refractive error with an aberrometer has shown to be more elusive than expected. Here, the formalism of differential geometry is applied to develop a theoretical framework of refractive error sensing. At each point of the pupil, the local refractive error is given by the wavefront curvature, which is a 2 × 2 symmetric matrix, whose elements are directly related to sphere, cylinder, and axis. Aberrometers usually measure the local gradient of the wavefront. Then refractive error sensing consists of differentiating the gradient, instead of integrating as in wavefront sensing. A statistical approach is proposed to pass from the local to the global (clinically meaningful) refractive error, in which the best correction is assumed to be the maximum likelihood estimation. In the practical implementation, this corresponds to the mode of the joint histogram of the 3 different elements of the curvature matrix. Results obtained both in computer simulations and with real data provide a close agreement and consistency with the main optical image quality metrics such as the Strehl ratio. PMID:21149305

  17. Refractive Error, Axial Length, and Relative Peripheral Refractive Error before and after the Onset of Myopia

    PubMed Central

    Mutti, Donald O.; Hayes, John R.; Mitchell, G. Lynn; Jones, Lisa A.; Moeschberger, Melvin L.; Cotter, Susan A.; Kleinstein, Robert N.; Manny, Ruth E.; Twelker, J. Daniel; Zadnik, Karla

    2009-01-01

    Purpose To evaluate refractive error, axial length, and relative peripheral refractive error before, during the year of, and after the onset of myopia in children who became myopic compared with emmetropes. Methods Subjects were 605 children 6 to 14 years of age who became myopic (at least −0.75 D in each meridian) and 374 emmetropic (between −0.25 D and + 1.00 D in each meridian at all visits) children participating between 1995 and 2003 in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error (CLEERE) Study. Axial length was measured annually by A-scan ultrasonography. Relative peripheral refractive error (the difference between the spherical equivalent cycloplegic autorefraction 30° in the nasal visual field and in primary gaze) was measured using either of two autorefractors (R-1; Canon, Lake Success, NY [no longer manufactured] or WR 5100-K; Grand Seiko, Hiroshima, Japan). Refractive error was measured with the same autorefractor with the subjects under cycloplegia. Each variable in children who became myopic was compared to age-, gender-, and ethnicity-matched model estimates of emmetrope values for each annual visit from 5 years before through 5 years after the onset of myopia. Results In the sample as a whole, children who became myopic had less hyperopia and longer axial lengths than did emmetropes before and after the onset of myopia (4 years before through 5 years after for refractive error and 3 years before through 5 years after for axial length; P < 0.0001 for each year). Children who became myopic had more hyperopic relative peripheral refractive errors than did emmetropes from 2 years before onset through 5 years after onset of myopia (P < 0.002 for each year). The fastest rate of change in refractive error, axial length, and relative peripheral refractive error occurred during the year before onset rather than in any year after onset. Relative peripheral refractive error remained at a consistent level of hyperopia each

  18. Associations between Hyperopia and other Vision and Refractive Error Characteristics

    PubMed Central

    Kulp, Marjean Taylor; Ying, Gui-shuang; Huang, Jiayan; Maguire, Maureen; Quinn, Graham; Ciner, Elise B.; Cyert, Lynn A.; Orel-Bixler, Deborah A.; Moore, Bruce D.

    2014-01-01

    Purpose To investigate the association of hyperopia >+3.25D with amblyopia, strabismus, anisometropia, astigmatism, and reduced stereoacuity in preschoolers. Methods 3- to 5-year old Head Start preschoolers (n=4040) underwent vision examination including monocular visual acuity (VA), cover testing, and cycloplegic refraction during the Vision In Preschoolers (VIP) study. VA was tested with habitual correction, and was retested with full cycloplegic correction when VA was reduced below age norms in the presence of significant refractive error. Stereoacuity testing (Stereo Smile II) was performed on 2898 children during study years 2 and 3. Hyperopia was classified into 3 levels of severity (based upon most positive meridian on cycloplegic refraction): Group 1:≥+5.00D, Group 2:>+3.25D to <+5.00D with interocular difference (IOD) in spherical equivalent (SE) ≥0.50D, and Group 3:>+3.25D to <+5.00D with IOD in SE<0.50D. “Without” hyperopia was defined as refractive error of +3.25 D or less in the most positive meridian in both eyes. Standard definitions were applied for amblyopia, strabismus, anisometropia, and astigmatism. Results Relative to children without hyperopia, children with hyperopia >+3.25D (N=472, Groups 1, 2, 3) had a higher proportion of amblyopia (34.5% vs. 2.8%, p<0.0001) and strabismus (17.0% vs. 2.2%, p<0.0001). More severe levels of hyperopia were associated with higher proportions of amblyopia (51.5% in Group 1 vs 13.2% in Group 3) and strabismus (32.9% in Group 1 vs 8.4% in Group 3; trend p<0.0001 for both). Presence of hyperopia >+3.25D also was associated with a higher proportion of anisometropia (26.9% vs. 5.1%, p<0.0001) and astigmatism (29.4% vs. 10.3%, p<0.0001). Median stereoacuity of non-strabismic, non-amblyopic children with hyperopia (N=206) (120″) was worse than that of children without hyperopia (60″) (p<0.0001) and more severe levels of hyperopia were associated with worse stereoacuity (480″ for Group 1, 120″ for

  19. Refractive Error Evaluation in Eccentric Photorefracation

    NASA Astrophysics Data System (ADS)

    Baker, K.; Tan, B.; Shi, L.; Chen, Y.; Lewis, J. W. L.

    2007-11-01

    Eccentric photorefraction (EPR) is a technique to measure eye refractive errors (RE) particularly in non-cooperative children. A camera and a decentered light source are used to illuminate eyes and photograph the reflex. Recently the National Eye Institute VIP study examined 10 methods to screen the crucial children eye disorders including RE. The 3 EPR based devices were found to have lower detection sensitivities. The deficiency is inherent in the current optical designs and a lack of knowledge of parameters that influence RE analysis. The new EPR experimental design includes multi-eccentric-meridian illuminations, pupil finding algorithm, and feedback loop data acquisition. NIR is used to prevent chromatic aberration. A novel integrated intensity analysis is developed to control multiple intraocular scattering/reflection. The RE is calculated from the 21 normalized related intensities of the 2-D array illuminations. Using computer eye modeling and simulations, error analysis is performed for monochromatic aberrations and eye orientation. Experimental data comparison is obtained from a physical model eye.

  20. Using neural nets to measure ocular refractive errors: a proposal

    NASA Astrophysics Data System (ADS)

    Netto, Antonio V.; Ferreira de Oliveira, Maria C.

    2002-12-01

    We propose the development of a functional system for diagnosing and measuring ocular refractive errors in the human eye (astigmatism, hypermetropia and myopia) by automatically analyzing images of the human ocular globe acquired with the Hartmann-Schack (HS) technique. HS images are to be input into a system capable of recognizing the presence of a refractive error and outputting a measure of such an error. The system should pre-process and image supplied by the acquisition technique and then use artificial neural networks combined with fuzzy logic to extract the necessary information and output an automated diagnosis of the refractive errors that may be present in the ocular globe under exam.

  1. Atmospheric refraction errors in laser ranging systems

    NASA Technical Reports Server (NTRS)

    Gardner, C. S.; Rowlett, J. R.

    1976-01-01

    The effects of horizontal refractivity gradients on the accuracy of laser ranging systems were investigated by ray tracing through three dimensional refractivity profiles. The profiles were generated by performing a multiple regression on measurements from seven or eight radiosondes, using a refractivity model which provided for both linear and quadratic variations in the horizontal direction. The range correction due to horizontal gradients was found to be an approximately sinusoidal function of azimuth having a minimum near 0 deg azimuth and a maximum near 180 deg azimuth. The peak to peak variation was approximately 5 centimeters at 10 deg elevation and decreased to less than 1 millimeter at 80 deg elevation.

  2. Statistics of the residual refraction errors in laser ranging data

    NASA Technical Reports Server (NTRS)

    Gardner, C. S.

    1977-01-01

    A theoretical model for the range error covariance was derived by assuming that the residual refraction errors are due entirely to errors in the meteorological data which are used to calculate the atmospheric correction. The properties of the covariance function are illustrated by evaluating the theoretical model for the special case of a dense network of weather stations uniformly distributed within a circle.

  3. Refractive Errors Affect the Vividness of Visual Mental Images

    PubMed Central

    Palermo, Liana; Nori, Raffaella; Piccardi, Laura; Zeri, Fabrizio; Babino, Antonio; Giusberti, Fiorella; Guariglia, Cecilia

    2013-01-01

    The hypothesis that visual perception and mental imagery are equivalent has never been explored in individuals with vision defects not preventing the visual perception of the world, such as refractive errors. Refractive error (i.e., myopia, hyperopia or astigmatism) is a condition where the refracting system of the eye fails to focus objects sharply on the retina. As a consequence refractive errors cause blurred vision. We subdivided 84 individuals according to their spherical equivalent refraction into Emmetropes (control individuals without refractive errors) and Ametropes (individuals with refractive errors). Participants performed a vividness task and completed a questionnaire that explored their cognitive style of thinking before their vision was checked by an ophthalmologist. Although results showed that Ametropes had less vivid mental images than Emmetropes this did not affect the development of their cognitive style of thinking; in fact, Ametropes were able to use both verbal and visual strategies to acquire and retrieve information. Present data are consistent with the hypothesis of equivalence between imagery and perception. PMID:23755186

  4. A study on refractive errors among school children in Kolkata.

    PubMed

    Das, Angshuman; Dutta, Himadri; Bhaduri, Gautam; De Sarkar, Ajay; Sarkar, Krishnendu; Bannerjee, Manas

    2007-04-01

    Childhood visual impairment due to refractive errors is a significant problem in school children and has a considerable impact on public health. To assess the magnitude of the problem the present study was undertaken among the school children aged 5 to 10 years in Kolkata. Detailed ophthalmological examination was carried out in the schools as well as in the Regional Institute of Ophthalmology, Kolkata. Among 2317 students examined, 582 (25.11%) were suffering from refractive errors, myopia being the commonest (n = 325; 14.02%). Astigmatism affected 91 children (3.93%). There is an increase of prevalence of refractive errors with increase of age, but it is not statistically significant (p > 0.05). There is also no significant difference of refractive errors between boys and girls. PMID:17822183

  5. Effect of refractive error on temperament and character properties

    PubMed Central

    Kalkan Akcay, Emine; Canan, Fatih; Simavli, Huseyin; Dal, Derya; Yalniz, Hacer; Ugurlu, Nagihan; Gecici, Omer; Cagil, Nurullah

    2015-01-01

    AIM To determine the effect of refractive error on temperament and character properties using Cloninger's psychobiological model of personality. METHODS Using the Temperament and Character Inventory (TCI), the temperament and character profiles of 41 participants with refractive errors (17 with myopia, 12 with hyperopia, and 12 with myopic astigmatism) were compared to those of 30 healthy control participants. Here, temperament comprised the traits of novelty seeking, harm-avoidance, and reward dependence, while character comprised traits of self-directedness, cooperativeness, and self-transcendence. RESULTS Participants with refractive error showed significantly lower scores on purposefulness, cooperativeness, empathy, helpfulness, and compassion (P<0.05, P<0.01, P<0.05, P<0.05, and P<0.01, respectively). CONCLUSION Refractive error might have a negative influence on some character traits, and different types of refractive error might have different temperament and character properties. These personality traits may be implicated in the onset and/or perpetuation of refractive errors and may be a productive focus for psychotherapy. PMID:25709911

  6. Evaluation of Visual Acuity Measurements after Autorefraction versus Manual Refraction in Eyes with and without Diabetic Macular Edema

    PubMed Central

    Sun, Jennifer K.; Qin, Haijing; Aiello, Lloyd Paul; Melia, Michele; Beck, Roy W.; Andreoli, Christopher M.; Edwards, Paul A.; Glassman, Adam R.; Pavlica, Michael R.

    2012-01-01

    Objective To compare visual acuity (VA) scores after autorefraction versus research protocol manual refraction in eyes of patients with diabetes and a wide range of VA. Methods Electronic Early Treatment Diabetic Retinopathy Study (E-ETDRS) VA Test© letter score (EVA) was measured after autorefraction (AR-EVA) and after Diabetic Retinopathy Clinical Research Network (DRCR.net) protocol manual refraction (MR-EVA). Testing order was randomized, study participants and VA examiners were masked to refraction source, and a second EVA utilizing an identical manual refraction (MR-EVAsupl) was performed to determine test-retest variability. Results In 878 eyes of 456 study participants, median MR-EVA was 74 (Snellen equivalent approximately 20/32). Spherical equivalent was often similar for manual and autorefraction (median difference: 0.00, 5th and 95th percentiles −1.75 to +1.13 Diopters). However, on average, MR-EVA results were slightly better than AR-EVA results across the entire VA range. Furthermore, variability between AR-EVA and MR-EVA was substantially greater than the test-retest variability of MR-EVA (P<0.001). Variability of differences was highly dependent on autorefractor model. Conclusions Across a wide range of VA at multiple sites using a variety of autorefractors, VA measurements tend to be worse with autorefraction than manual refraction. Differences between individual autorefractor models were identified. However, even among autorefractor models comparing most favorably to manual refraction, VA variability between autorefraction and manual refraction is higher than the test-retest variability of manual refraction. The results suggest that with current instruments, autorefraction is not an acceptable substitute for manual refraction for most clinical trials with primary outcomes dependent on best-corrected VA. PMID:22159173

  7. Inter-tester Agreement in Refractive Error Measurements

    PubMed Central

    Huang, Jiayan; Maguire, Maureen G.; Ciner, Elise; Kulp, Marjean T.; Quinn, Graham E.; Orel-Bixler, Deborah; Cyert, Lynn A.; Moore, Bruce; Ying, Gui-Shuang

    2014-01-01

    Purpose To determine the inter-tester agreement of refractive error measurements between lay and nurse screeners using the Retinomax Autorefractor (Retinomax) and the SureSight Vision Screener (SureSight). Methods Trained lay and nurse screeners measured refractive error in 1452 preschoolers (3- to 5-years old) using the Retinomax and the SureSight in a random order for screeners and instruments. Inter-tester agreement between lay and nurse screeners was assessed for sphere, cylinder and spherical equivalent (SE) using the mean difference and the 95% limits of agreement. The mean inter-tester difference (lay minus nurse) was compared between groups defined based on child’s age, cycloplegic refractive error, and the reading’s confidence number using analysis of variance. The limits of agreement were compared between groups using the Brown-Forsythe test. Inter-eye correlation was accounted for in all analyses. Results The mean inter-tester differences (95% limits of agreement) were −0.04 (−1.63, 1.54) Diopter (D) sphere, 0.00 (−0.52, 0.51) D cylinder, and −0.04 (1.65, 1.56) D SE for the Retinomax; and 0.05 (−1.48, 1.58) D sphere, 0.01 (−0.58, 0.60) D cylinder, and 0.06 (−1.45, 1.57) D SE for the SureSight. For either instrument, the mean inter-tester differences in sphere and SE did not differ by the child’s age, cycloplegic refractive error, or the reading’s confidence number. However, for both instruments, the limits of agreement were wider when eyes had significant refractive error or the reading’s confidence number was below the manufacturer’s recommended value. Conclusions Among Head Start preschool children, trained lay and nurse screeners agree well in measuring refractive error using the Retinomax or the SureSight. Both instruments had similar inter-tester agreement in refractive error measurements independent of the child’s age. Significant refractive error and a reading with low confidence number were associated with worse inter

  8. Pupil dilatation with tropicamide. The effects on acuity, accommodation and refraction.

    PubMed

    Montgomery, D M; MacEwan, C J

    1989-01-01

    The effect of pupil dilatation with tropicamide 1% on visual acuity and accommodation was assessed in 100 eyes of 52 consecutive patients attending the general ophthalmic outpatient clinic. Snellen visual acuity remained unchanged in 55 eyes and deteriorated by one line in 41 eyes. The remaining four eyes deteriorated by two lines. Tropicamide gave rise to a reduction in the amplitude of accommodation which tended to vary inversely with the age of the patient. However, all patients who wore reading glasses for presbyopia were still able to read when their pupils had been dilated.

  9. Automatic diagnostic system for measuring ocular refractive errors

    NASA Astrophysics Data System (ADS)

    Ventura, Liliane; Chiaradia, Caio; de Sousa, Sidney J. F.; de Castro, Jarbas C.

    1996-05-01

    Ocular refractive errors (myopia, hyperopia and astigmatism) are automatic and objectively determined by projecting a light target onto the retina using an infra-red (850 nm) diode laser. The light vergence which emerges from the eye (light scattered from the retina) is evaluated in order to determine the corresponding ametropia. The system basically consists of projecting a target (ring) onto the retina and analyzing the scattered light with a CCD camera. The light scattered by the eye is divided into six portions (3 meridians) by using a mask and a set of six prisms. The distance between the two images provided by each of the meridians, leads to the refractive error of the referred meridian. Hence, it is possible to determine the refractive error at three different meridians, which gives the exact solution for the eye's refractive error (spherical and cylindrical components and the axis of the astigmatism). The computational basis used for the image analysis is a heuristic search, which provides satisfactory calculation times for our purposes. The peculiar shape of the target, a ring, provides a wider range of measurement and also saves parts of the retina from unnecessary laser irradiation. Measurements were done in artificial and in vivo eyes (using cicloplegics) and the results were in good agreement with the retinoscopic measurements.

  10. Analysis of ionospheric refraction error corrections for GRARR systems

    NASA Technical Reports Server (NTRS)

    Mallinckrodt, A. J.; Parker, H. C.; Berbert, J. H.

    1971-01-01

    A determination is presented of the ionospheric refraction correction requirements for the Goddard range and range rate (GRARR) S-band, modified S-band, very high frequency (VHF), and modified VHF systems. The relation ships within these four systems are analyzed to show that the refraction corrections are the same for all four systems and to clarify the group and phase nature of these corrections. The analysis is simplified by recognizing that the range rate is equivalent to a carrier phase range change measurement. The equation for the range errors are given.

  11. Prevalence and predictors of refractive error and spectacle coverage in Nakuru, Kenya: a cross-sectional, population-based study.

    PubMed

    Bastawrous, Andrew; Mathenge, Wanjiku; Foster, Allen; Kuper, Hannah

    2013-10-01

    A cross-sectional study was undertaken in Nakuru, Kenya to assess the prevalence of refractive error and the spectacle coverage in a population aged ≥50 years. Of the 5,010 subjects who were eligible, 4,414 underwent examination (response rate 88.1 %). LogMAR visual acuity was assessed in all participants and refractive error was measured in both eyes using a Topcon auto refractor RM8800. Detailed interviews were undertaken and ownership of spectacles was assessed. Refractive error was responsible for 51.7 % of overall visual impairment (VI), 85.3 % (n = 191) of subjects with mild VI, 42.7 % (n = 152) of subjects with moderate VI, 16.7 % (n = 3) of subjects with severe VI and no cases of blindness. Myopia was more common than hyperopia affecting 59.5 % of those with refractive error compared to 27.4 % for hyperopia. High myopia (<-5.0 DS) was also more common than extreme hyperopia (>+5.0 DS). Of those who needed distance spectacles (spectacle coverage), 25.5 % owned spectacles. In conclusion, the oldest, most poor and least educated are most likely to have no spectacles and they should be specifically targeted when refractive services are put in place.

  12. Refractive Errors and Strabismus in Down's Syndrome in Korea

    PubMed Central

    Han, Dae Heon; Kim, Kyun Hyung

    2012-01-01

    Purpose The aims of this study were to examine the distribution of refractive errors and clinical characteristics of strabismus in Korean patients with Down's syndrome. Methods A total of 41 Korean patients with Down's syndrome were screened for strabismus and refractive errors in 2009. Results A total of 41 patients with an average age of 11.9 years (range, 2 to 36 years) were screened. Eighteen patients (43.9%) had strabismus. Ten (23.4%) of 18 patients exhibited esotropia and the others had intermittent exotropia. The most frequently detected type of esotropia was acquired non-accommodative esotropia, and that of exotropia was the basic type. Fifteen patients (36.6%) had hypermetropia and 20 (48.8%) had myopia. The patients with esotropia had refractive errors of +4.89 diopters (D, ±3.73) and the patients with exotropia had refractive errors of -0.31 D (±1.78). Six of ten patients with esotropia had an accommodation weakness. Twenty one patients (63.4%) had astigmatism. Eleven (28.6%) of 21 patients had anisometropia and six (14.6%) of those had clinically significant anisometropia. Conclusions In Korean patients with Down's syndrome, esotropia was more common than exotropia and hypermetropia more common than myopia. Especially, Down's syndrome patients with esotropia generally exhibit clinically significant hyperopic errors (>+3.00 D) and evidence of under-accommodation. Thus, hypermetropia and accommodation weakness could be possible factors in esotropia when it occurs in Down's syndrome patients. Based on the results of this study, eye examinations of Down's syndrome patients should routinely include a measure of accommodation at near distances, and bifocals should be considered for those with evidence of under-accommodation. PMID:23204801

  13. Global cost of correcting vision impairment from uncorrected refractive error

    PubMed Central

    Fricke, TR; Wilson, DA; Schlenther, G; Naidoo, KS; Resnikoff, S; Frick, KD

    2012-01-01

    Abstract Objective To estimate the global cost of establishing and operating the educational and refractive care facilities required to provide care to all individuals who currently have vision impairment resulting from uncorrected refractive error (URE). Methods The global cost of correcting URE was estimated using data on the population, the prevalence of URE and the number of existing refractive care practitioners in individual countries, the cost of establishing and operating educational programmes for practitioners and the cost of establishing and operating refractive care facilities. The assumptions made ensured that costs were not underestimated and an upper limit to the costs was derived using the most expensive extreme for each assumption. Findings There were an estimated 158 million cases of distance vision impairment and 544 million cases of near vision impairment caused by URE worldwide in 2007. Approximately 47 000 additional full-time functional clinical refractionists and 18 000 ophthalmic dispensers would be required to provide refractive care services for these individuals. The global cost of educating the additional personnel and of establishing, maintaining and operating the refractive care facilities needed was estimated to be around 20 000 million United States dollars (US$) and the upper-limit cost was US$ 28 000 million. The estimated loss in global gross domestic product due to distance vision impairment caused by URE was US$ 202 000 million annually. Conclusion The cost of establishing and operating the educational and refractive care facilities required to deal with vision impairment resulting from URE was a small proportion of the global loss in productivity associated with that vision impairment. PMID:23109740

  14. Axial Length/Corneal Radius Ratio: Association with Refractive State and Role on Myopia Detection Combined with Visual Acuity in Chinese Schoolchildren

    PubMed Central

    He, Xiangui; Zou, Haidong; Lu, Lina; Zhao, Rong; Zhao, Huijuan; Li, Qiangqiang; Zhu, Jianfeng

    2015-01-01

    Purpose To evaluate the association between the AL/CR ratio and refractive state and explore the effectiveness of this ratio in the assessment of myopia, especially when combined with uncorrected visual acuity in schoolchildren among whom myopia is common. Methods Cross sectional study. 4686 children from 6 primary schools, aged from 6 to 12 years were selected using the clustered-stratified random sampling method. Uncorrected visual acuity (UCVA), axial length (AL), corneal radius of curvature (CR), and cycloplegic refraction were tested. Refraction was measured as the spherical equivalent (SE). Results 3922 children were included in the analysis. The mean AL/CR ratio was 2.973±0.002, increased with age, and different in gender. The coefficients of correlations of the SE with the AL/CR ratio, AL, and CR were -0.811, -0.657, and 0.095, respectively. Linear regression showed a 10.72 D shift towards myopia with every 1 unit increase in the AL/CR ratio (P<0.001, r2 = 66.4%). The estimated SE values obtained by substituting the AL/CR ratio and gender back to the regression model that were within a difference of ±0.50 D in ATE/LER (allowable total error and limits for erroneous results) zones compared to the actual measured values was 51%. The area under the ROC curve of the AL/CR ratio, AL, and UCVA for myopia detection were 0.910, 0.822, and 0.889, respectively, and the differences between each pair were statistically significant (P<0.01). At a specificity of 90%, the sensitivities were 72.98%, 50.50%, 71.99%, and 82.96%, respectively, for the AL/CR ratio, AL, UCVA, and the combination of the AL/CR ratio and UCVA. Conclusions The AL/CR ratio was found to explain the total variance in SE better than AL alone. The effectiveness of the AL/CR ratio was statistically significantly better than UCVA for detecting myopia in children, and combining the two produced increased sensitivity without significantly decreasing specificity. PMID:25693186

  15. Association between Ocular Sensory Dominance and Refractive Error Asymmetry

    PubMed Central

    Bi, Hua; Ekure, Edgar; Su, Binbin; Wu, Haoran; Huang, Yifei; Zhang, Bin; Jiang, Jun

    2015-01-01

    Purpose To investigate the association between ocular sensory dominance and interocular refractive error difference (IRED). Methods A total of 219 subjects were recruited. The refractive errors were determined by objective refraction with a fixation target located 6 meters away. 176 subjects were myopic, with 83 being anisometropic (IRED ≥ 0.75 D). 43 subjects were hyperopic, with 22 being anisometropic. Sensory dominance was measured with a continuous flashing technique with the tested eye viewing a Gabor increasing in contrast and the fellow eye viewing a Mondrian noise decreasing in contrast. The log ratio of Mondrian to Gabor’s contrasts was recorded when a subject just detected the tilting direction of the Gabor during each trial. T-test was used to compare the 50 values collected from each eye, and the t-value was used as a subject’s ocular dominance index (ODI) to quantify the degree of ocular dominance. A subject with ODI ≥ 2 (p < 0.05) had clear dominance and the eye with larger mean ratio was the dominant one. Otherwise, a subject had an unclear dominance. Results The anisometropic subjects had stronger ocular dominance in comparison to non-anisometropic subjects (rank-sum test, p < 0.01 for both myopic and hyperopic subjects). In anisometropic subjects with clear dominance, the amplitude of the anisometropia was correlated with ODI values (R = 0.42, p < 0.01 in myopic anisometropic subjects; R = 0.62, p < 0.01 in hyperopic anisometropic subjects). Moreover, the dominant eyes were more myopic in myopic anisometropic subjects (sign-test, p < 0.05) and less hyperopic in hyperopic anisometropic subjects (sign-test, p < 0.05). Conclusion The degree of ocular sensory dominance is associated with interocular refractive error difference. PMID:26295803

  16. Atmospheric refraction effects on baseline error in satellite laser ranging systems

    NASA Technical Reports Server (NTRS)

    Im, K. E.; Gardner, C. S.

    1982-01-01

    Because of the mathematical complexities involved in exact analyses of baseline errors, it is not easy to isolate atmospheric refraction effects; however, by making certain simplifying assumptions about the ranging system geometry, relatively simple expressions can be derived which relate the baseline errors directly to the refraction errors. The results indicate that even in the absence of other errors, the baseline error for intercontinental baselines can be more than an order of magnitude larger than the refraction error.

  17. Association between Refractive Errors and Ocular Biometry in Iranian Adults

    PubMed Central

    Hashemi, Hassan; Khabazkhoob, Mehdi; Emamian, Mohammad Hassan; Shariati, Mohammad; Miraftab, Mohammad; Yekta, Abbasali; Ostadimoghaddam, Hadi; Fotouhi, Akbar

    2015-01-01

    Purpose: To investigate the association between ocular biometrics such as axial length (AL), anterior chamber depth (ACD), lens thickness (LT), vitreous chamber depth (VCD) and corneal power (CP) with different refractive errors. Methods: In a cross-sectional study on the 40 to 64-year-old population of Shahroud, random cluster sampling was performed. Ocular biometrics were measured using the Allegro Biograph (WaveLight AG, Erlangen, Germany) for all participants. Refractive errors were determined using cycloplegic refraction. Results: In the first model, the strongest correlations were found between spherical equivalent with axial length and corneal power. Spherical equivalent was strongly correlated with axial length in high myopic and high hyperopic cases, and with corneal power in high hyperopic cases; 69.5% of variability in spherical equivalent was attributed to changes in these variables. In the second model, the correlations between vitreous chamber depth and corneal power with spherical equivalent were stronger in myopes than hyperopes, while the correlations between lens thickness and anterior chamber depth with spherical equivalent were stronger in hyperopic cases than myopic ones. In the third model, anterior chamber depth + lens thickness correlated with spherical equivalent only in moderate and severe cases of hyperopia, and this index was not correlated with spherical equivalent in moderate to severe myopia. Conclusion: In individuals aged 40-64 years, corneal power and axial length make the greatest contribution to spherical equivalent in high hyperopia and high myopia. Anterior segment biometric components have a more important role in hyperopia than myopia. PMID:26730304

  18. Optical refractive synchronization: bit error rate analysis and measurement

    NASA Astrophysics Data System (ADS)

    Palmer, James R.

    1999-11-01

    The direction of this paper is to describe the analytical tools and measurement techniques used at SilkRoad to evaluate the optical and electrical signals used in Optical Refractive Synchronization for transporting SONET signals across the transmission fiber. Fundamentally, the direction of this paper is to provide an outline of how SilkRoad, Inc., transports a multiplicity of SONET signals across a distance of fiber > 100 Km without amplification or regeneration of the optical signal, i.e., one laser over one fiber. Test and measurement data are presented to reflect how the SilkRoad technique of Optical Refractive Synchronization is employed to provide a zero bit error rate for transmission of multiple OC-12 and OC-48 SONET signals that are sent over a fiber optical cable which is > 100Km. The recovery and transformation modules are described for the modification and transportation of these SONET signals.

  19. Global Vision Impairment and Blindness Due to Uncorrected Refractive Error, 1990-2010.

    PubMed

    Naidoo, Kovin S; Leasher, Janet; Bourne, Rupert R; Flaxman, Seth R; Jonas, Jost B; Keeffe, Jill; Limburg, Hans; Pesudovs, Konrad; Price, Holly; White, Richard A; Wong, Tien Y; Taylor, Hugh R; Resnikoff, Serge

    2016-03-01

    The purpose of this systematic review was to estimate worldwide the number of people with moderate and severe visual impairment (MSVI; presenting visual acuity <6/18, ≥3/60) or blindness (presenting visual acuity <3/60) due to uncorrected refractive error (URE), to estimate trends in prevalence from 1990 to 2010, and to analyze regional differences. The review focuses on uncorrected refractive error which is now the most common cause of avoidable visual impairment globally. : The systematic review of 14,908 relevant manuscripts from 1990 to 2010 using Medline, Embase, and WHOLIS yielded 243 high-quality, population-based cross-sectional studies which informed a meta-analysis of trends by region. The results showed that in 2010, 6.8 million (95% confidence interval [CI]: 4.7-8.8 million) people were blind (7.9% increase from 1990) and 101.2 million (95% CI: 87.88-125.5 million) vision impaired due to URE (15% increase since 1990), while the global population increased by 30% (1990-2010). The all-age age-standardized prevalence of URE blindness decreased 33% from 0.2% (95% CI: 0.1-0.2%) in 1990 to 0.1% (95% CI: 0.1-0.1%) in 2010, whereas the prevalence of URE MSVI decreased 25% from 2.1% (95% CI: 1.6-2.4%) in 1990 to 1.5% (95% CI: 1.3-1.9%) in 2010. In 2010, URE contributed 20.9% (95% CI: 15.2-25.9%) of all blindness and 52.9% (95% CI: 47.2-57.3%) of all MSVI worldwide. The contribution of URE to all MSVI ranged from 44.2 to 48.1% in all regions except in South Asia which was at 65.4% (95% CI: 62-72%). : We conclude that in 2010, uncorrected refractive error continues as the leading cause of vision impairment and the second leading cause of blindness worldwide, affecting a total of 108 million people or 1 in 90 persons.

  20. Rasch Analysis of the Student Refractive Error and Eyeglass Questionnaire

    PubMed Central

    Crescioni, Mabel; Messer, Dawn H.; Warholak, Terri L.; Miller, Joseph M.; Twelker, J. Daniel; Harvey, Erin M.

    2014-01-01

    Purpose To evaluate and refine a newly developed instrument, the Student Refractive Error and Eyeglasses Questionnaire (SREEQ), designed to measure the impact of uncorrected and corrected refractive error on vision-related quality of life (VRQoL) in school-aged children. Methods. A 38 statement instrument consisting of two parts was developed: Part A relates to perceptions regarding uncorrected vision and Part B relates to perceptions regarding corrected vision and includes other statements regarding VRQoL with spectacle correction. The SREEQ was administered to 200 Native American 6th through 12th grade students known to have previously worn and who currently require eyeglasses. Rasch analysis was conducted to evaluate the functioning of the SREEQ. Statements on Part A and Part B were analyzed to examine the dimensionality and constructs of the questionnaire, how well the items functioned, and the appropriateness of the response scale used. Results Rasch analysis suggested two items be eliminated and the measurement scale for matching items be reduced from a 4-point response scale to a 3-point response scale. With these modifications, categorical data were converted to interval level data, to conduct an item and person analysis. A shortened version of the SREEQ was constructed with these modifications, the SREEQ-R, which included the statements that were able to capture changes in VRQoL associated with spectacle wear for those with significant refractive error in our study population. Conclusions While the SREEQ Part B appears to be a have less than optimal reliability to assess the impact of spectacle correction on VRQoL in our student population, it is also able to detect statistically significant differences from pretest to posttest on both the group and individual levels to show that the instrument can assess the impact that glasses have on VRQoL. Further modifications to the questionnaire, such as those included in the SREEQ-R, could enhance its functionality

  1. Peripheral refractive errors in myopic, emmetropic, and hyperopic young subjects

    NASA Astrophysics Data System (ADS)

    Seidemann, Anne; Schaeffel, Frank; Guirao, Antonio; Lopez-Gil, Noberto; Artal, Pablo

    2002-12-01

    To gain more insight into the relationship between foveal and peripheral refractive errors in humans, spheres, cylinders, and their axes were binocularly measured across the visual field in myopic, emmetropic, and hyperopic groups of young subjects. Both automated infrared photorefraction (the ``PowerRefractor'' www. plusoptix.de) and a double-pass technique were used because the PowerRefractor provided extensive data from the central 44 deg of the visual field in a very convenient and fast way. Two-dimensional maps for the average cross cylinders and spherical equivalents, as well as for the axes of the power meridians of the cylinders, were created. A small amount of lower-field myopia was detected with a significant vertical gradient in spherical equivalents. In the central visual field there was little difference among the three refractive groups. The established double-pass technique provided complementary data also from the far periphery. At 45 deg eccentricity the double-pass technique revealed relatively more hyperopic spherical equivalents in myopic subjects than in emmetropic subjects [+/-2.73+/-2.85 D relative to the fovea, p<0.01 (+/-standard deviation)] and more myopic spherical equivalents in hyperopic subjects (-3.84+/-2.86 D relative to the fovea, p<0.01). Owing to the pronounced peripheral astigmatism, spherical equivalents (refractions with respect to the plane of the circle of least confusion) became myopic relative to the fovea in all three groups. The finding of general peripheral myopia was unexpected. Its possible roles in foveal refractive development are discussed.

  2. Accommodation functions: co-dependency and relationship to refractive error.

    PubMed

    Allen, Peter M; O'Leary, Daniel J

    2006-02-01

    We assessed the extent to which different accommodative functions are correlated and whether accommodative functions predict the refractive error or the progression of myopia over a 12 month period in 64 young adults (30 myopes and 34 non-myopes). The functions were: amplitude of accommodation; monocular and binocular accommodative facility (6 m and 40 cm); monocular and binocular accommodative response to target distance; AC/A and CA/C ratios, tonic accommodation (dark focus and pinhole), accommodative hysteresis, and nearwork-induced transient myopia. Within groups of related accommodative functions (such as facility measures or open-loop measures) measurements on individuals were generally significantly correlated, however correlations between functions from different groups were generally not significant. Although accommodative amplitude and pinhole (open loop) accommodation were significantly different in myopes than in non-myopes, these functions were unrelated to myopia progression. Facility of accommodation and accommodative lag was independent predictors of myopia progression. PMID:16009391

  3. Accommodation functions: co-dependency and relationship to refractive error.

    PubMed

    Allen, Peter M; O'Leary, Daniel J

    2006-02-01

    We assessed the extent to which different accommodative functions are correlated and whether accommodative functions predict the refractive error or the progression of myopia over a 12 month period in 64 young adults (30 myopes and 34 non-myopes). The functions were: amplitude of accommodation; monocular and binocular accommodative facility (6 m and 40 cm); monocular and binocular accommodative response to target distance; AC/A and CA/C ratios, tonic accommodation (dark focus and pinhole), accommodative hysteresis, and nearwork-induced transient myopia. Within groups of related accommodative functions (such as facility measures or open-loop measures) measurements on individuals were generally significantly correlated, however correlations between functions from different groups were generally not significant. Although accommodative amplitude and pinhole (open loop) accommodation were significantly different in myopes than in non-myopes, these functions were unrelated to myopia progression. Facility of accommodation and accommodative lag was independent predictors of myopia progression.

  4. Baseline peripheral refractive error and changes in axial refraction during one year in a young adult population

    PubMed Central

    Hartwig, Andreas; Charman, William Neil; Radhakrishnan, Hema

    2015-01-01

    Purpose To determine whether the initial characteristics of individual patterns of peripheral refraction relate to subsequent changes in refraction over a one-year period. Methods 54 myopic and emmetropic subjects (mean age: 24.9 ± 5.1 years; median 24 years) with normal vision were recruited and underwent conventional non-cycloplegic subjective refraction. Peripheral refraction was also measured at 5° intervals over the central 60° of horizontal visual field, together with axial length. After one year, measurements of subjective refraction and axial length were repeated on the 43 subjects who were still available for examination. Results In agreement with earlier studies, higher myopes tended to show greater relative peripheral hyperopia. There was, however, considerable inter-subject variation in the pattern of relative peripheral refractive error (RPRE) at any level of axial refraction. Across the group, mean one-year changes in axial refraction and axial length did not differ significantly from zero. There was no correlation between changes in these parameters for individual subjects and any characteristic of their RPRE. Conclusion No evidence was found to support the hypothesis that the pattern of RPRE is predictive of subsequent refractive change in this age group. PMID:26188389

  5. Reducing visual deficits caused by refractive errors in school and preschool children: results of a pilot school program in the Andean region of Apurimac, Peru

    PubMed Central

    Latorre-Arteaga, Sergio; Gil-González, Diana; Enciso, Olga; Phelan, Aoife; García-Muñoz, Ángel; Kohler, Johannes

    2014-01-01

    Background Refractive error is defined as the inability of the eye to bring parallel rays of light into focus on the retina, resulting in nearsightedness (myopia), farsightedness (Hyperopia) or astigmatism. Uncorrected refractive error in children is associated with increased morbidity and reduced educational opportunities. Vision screening (VS) is a method for identifying children with visual impairment or eye conditions likely to lead to visual impairment. Objective To analyze the utility of vision screening conducted by teachers and to contribute to a better estimation of the prevalence of childhood refractive errors in Apurimac, Peru. Design A pilot vision screening program in preschool (Group I) and elementary school children (Group II) was conducted with the participation of 26 trained teachers. Children whose visual acuity was<6/9 [20/30] (Group I) and≤6/9 (Group II) in one or both eyes, measured with the Snellen Tumbling E chart at 6 m, were referred for a comprehensive eye exam. Specificity and positive predictive value to detect refractive error were calculated against clinical examination. Program assessment with participants was conducted to evaluate outcomes and procedures. Results A total sample of 364 children aged 3–11 were screened; 45 children were examined at Centro Oftalmológico Monseñor Enrique Pelach (COMEP) Eye Hospital. Prevalence of refractive error was 6.2% (Group I) and 6.9% (Group II); specificity of teacher vision screening was 95.8% and 93.0%, while positive predictive value was 59.1% and 47.8% for each group, respectively. Aspects highlighted to improve the program included extending training, increasing parental involvement, and helping referred children to attend the hospital. Conclusion Prevalence of refractive error in children is significant in the region. Vision screening performed by trained teachers is a valid intervention for early detection of refractive error, including screening of preschool children. Program

  6. Effect of static visual acuity on dynamic visual acuity: a pilot study.

    PubMed

    Nakatsuka, Mieko; Ueda, Tetsuo; Nawa, Yoshiaki; Yukawa, Eiichi; Hara, Tokuko; Hara, Yoshiaki

    2006-08-01

    The aim of this pilot study was to evaluate whether dynamic visual acuity changes with or without refractive correction. 42 healthy enrolled subjects with normal vision were divided into two age-matched groups. In Group A, dynamic visual acuity was measured first with the refractive error fully corrected and then without. In Group B, dynamic visual acuity measurements were taken in the reverse order of that performed by Group A. The measurements were binocularly performed five times using free-head viewing after dynamic visual acuity values were stable. Significant changes in dynamic visual acuity (static visual acuity 20/20 vs 12/20) were observed in both Group A (171.6 +/- 36.0 deg./sec. vs 151.8 +/- 39.6 deg./sec., Wilcoxon test, p < .001) and Group B (169.8 +/- 30.0 deg./sec. vs 151.2 +/- 36.0 deg./sec., Wilcoxon test, p < .001). The interaction was significant (F1.20 = 8.12, p = .009). These results indicated that refractive correction affected dynamic visual acuity.

  7. Using Femtosecond Laser to Create Customized Corneal Flaps for Patients with Low and Moderate Refractive Error Differing in Corneal Thickness

    PubMed Central

    Yu, Jianhong; Yu, Linli; Yu, Dan; Zhao, Gangping

    2015-01-01

    This study is designed to evaluate the visual outcomes, accuracy, and predictability of corneal flaps with different thicknesses created by 60-kHz femtosecond laser according to different corneal thicknesses in the patients with low and moderate refractive error. A total of 182 eyes were divided according to the central corneal thickness (470μm–499 μm in Group A, 500μm–549 μm in Group B, and 550μm–599 μm in Group C) and underwent femtosecond laser-assisted LASIK for a target corneal flap thickness (100 μm for Group A, 110 μm for Group B, and 120 μm for Group C). Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and refractive status were examined. The flap thickness of each eye was measured by anterior segment optical coherence tomography (AS-OCT) on 30 points at 1-month follow-up to assess the accuracy and predictability. Postoperatively, at least 75% of eyes had a UDVA of 20/16 or better, less than 2% of eyes lost one line, over 30% of eyes gained one or more lines in CDVA, at least 95% of eyes had astigmatism of less than 0.25 D, all eyes achieved a correction within ±1.00 D from the target spherical equivalent refraction. The visual and refractive outcomes did not differ significantly in all groups (P >0.05). The mean flap thickness was 100.36± 4.32 μm (range: 95–113 μm) in Group A, 111.64 ± 3.62 μm (range: 108–125 μm) in Group B, and 122.32 ± 2.88 μm (range: 112–128 μm) in Group C. The difference at each measured point among the three groups was significant (P < 0.05). The accuracy and predictability were satisfactory in all three groups. In conclusion, this customized treatment yielded satisfactory clinical outcomes with accurate and predictable flap thickness for patients with low and moderate refractive error. PMID:25807232

  8. Refractive errors induced by displacement of intraocular lenses within the pseudophakic eye.

    PubMed

    Atchison, D A

    1989-03-01

    Simple methods were developed to estimate refractive errors when intraocular lenses are not fitted optimally within pseudophakic eyes. The accuracy of these methods was determined by comparing results obtained with them to results obtained by raytracing through a model eye. Accuracy was good for longitudinal displacement and tilting, and reasonable for transverse displacement. Refractive errors are related linearly to the magnitude of the longitudinal displacement, and are related to the square of the magnitude of tilt or transverse displacement. The refractive error upon transverse displacement is quadratically dependent upon lens shape. PMID:2717142

  9. A clinic-based study of refractive errors, strabismus, and amblyopia in pediatric age-group

    PubMed Central

    Al-Tamimi, Elham R.; Shakeel, Ayisha; Yassin, Sanaa A.; Ali, Syed I.; Khan, Umar A.

    2015-01-01

    Purpose: The purpose of this cross-sectional observational study was to determine the distribution and patterns of refractive errors, strabismus, and amblyopia in children seen at a pediatric eye care. Materials and Methods: The study was conducted in a Private Hospital in Dammam, Kingdom of Saudi Arabia, from March to July 2013. During this period, a total of 1350 children, aged 1–15 years were seen at this Center's Pediatric Ophthalmology Unit. All the children underwent complete ophthalmic examination with cycloplegic refraction. Results: Refractive errors accounted for 44.4% of the cases, the predominant refractive error being hypermetropia which represented 83%. Strabismus and amblyopia were present in 38% and 9.1% of children, respectively. Conclusions: In this clinic-based study, the focus was on the frequency of refractive errors, strabismus, and amblyopia which were considerably high. Hypermetropia was the predominant refractive error in contrast to other studies in which myopia was more common. This could be attributed to the criteria for sample selection since it was clinic-based rather than a population-based study. However, it is important to promote public education on the significance of early detection of refractive errors, and have periodic screening in schools. PMID:26392796

  10. Accommodation, Acuity, and their Relationship to Emmetropization in Infants

    PubMed Central

    Mutti, Donald O.; Mitchell, G. Lynn; Jones, Lisa A.; Friedman, Nina E.; Frane, Sara L.; Lin, Wendy K.; Moeschberger, Melvin L.; Zadnik, Karla

    2009-01-01

    Purpose To evaluate the relationship between accommodation, visual acuity, and emmetropization in human infancy. Methods Defocus at distance and near (57cm) was assessed using Mohindra and dynamic retinoscopy, respectively, in 262 normal birthweight infants at 3, 9, and 18 months of age. Preferential looking provided acuity data at the same ages. The spherical equivalent refractive error was measured by cycloplegic retinoscopy (cyclopentolate 1%). Results Univariate linear regression analyses showed no associations between the change in refractive error and defocus at distance or near. Change in refractive error was linearly related to the accommodative response at distance (R2 = 0.17, p<0.0001) and near (R2 = 0.13, p<0.0001). The ten subjects with the poorest emmetropization relative to the change predicted by the linear effects of their refractive error had higher average levels of hyperopic defocus at distance and near (p-values <0.043). Logistic regression showed a decrease in the odds of reaching +2.00D or less hyperopia by 18 months with increasing levels of hyperopia at 3 months, or if Mohindra retinoscopy was myopic combined with acuity better than the median level of 1.25 logMAR (area under the receiver operating characteristic curve = 0.78 (95% CI = 0.68, 0.88)). Conclusions The level of cycloplegic refractive error was the best single factor for predicting emmetropization by 18 months of age, with smaller contributions from visual acuity and Mohindra retinoscopy. The lack of correlation between defocus and change in refractive error does not support a simple model of emmetropization in response to the level of hyperopic defocus. Infants were capable of maintaining accurate average levels of accommodation across a range of moderate hyperopic refractive errors at 3 months of age. The association between the change in refractive error and accommodative response suggests that the amount of accommodation is a plausible visual signal for emmetropization. PMID

  11. Prevalence of visual impairment due to uncorrected refractive error: Results from Delhi-Rapid Assessment of Visual Impairment Study

    PubMed Central

    Senjam, Suraj Singh; Vashist, Praveen; Gupta, Noopur; Malhotra, Sumit; Misra, Vasundhara; Bhardwaj, Amit; Gupta, Vivek

    2016-01-01

    Aim: To estimate the prevalence of visual impairment (VI) due to uncorrected refractive error (URE) and to assess the barriers to utilization of services in the adult urban population of Delhi. Materials and Methods: A population-based rapid assessment of VI was conducted among people aged 40 years and above in 24 randomly selected clusters of East Delhi district. Presenting visual acuity (PVA) was assessed in each eye using Snellen's E chart. Pinhole examination was done if PVA was <20/60 in either eye and ocular examination to ascertain the cause of VI. Barriers to utilization of services for refractive error were recorded with questionnaires. Results: Of 2421 individuals enumerated, 2331 (96%) individuals were examined. Females were 50.7% among them. The mean age of all examined subjects was 51.32 ± 10.5 years (standard deviation). VI in either eye due to URE was present in 275 individuals (11.8%, 95% confidence interval [CI]: 10.5–13.1). URE was identified as the most common cause (53.4%) of VI. The overall prevalence of VI due to URE in the study population was 6.1% (95% CI: 5.1 CI: 5.1–7.0). The elder population as well as females were more likely to have VI due to URE (odds ratio [OR] = 12.3; P < 0.001 and OR = 1.5; P < 0.02). Lack of felt need was the most common reported barrier (31.5%). Conclusions: The prevalence of VI due to URE among the urban adult population of Delhi is still high despite the availability of abundant eye care facilities. The majority of reported barriers are related to human behavior and attitude toward the refractive error. Understanding these aspects will help in planning appropriate strategies to eliminate VI due to URE. PMID:27380979

  12. Ray tracing evaluation of a technique for correcting the refraction errors in satellite tracking data

    NASA Technical Reports Server (NTRS)

    Gardner, C. S.; Rowlett, J. R.; Hendrickson, B. E.

    1978-01-01

    Errors may be introduced in satellite laser ranging data by atmospheric refractivity. Ray tracing data have indicated that horizontal refractivity gradients may introduce nearly 3-cm rms error when satellites are near 10-degree elevation. A correction formula to compensate for the horizontal gradients has been developed. Its accuracy is evaluated by comparing it to refractivity profiles. It is found that if both spherical and gradient correction formulas are employed in conjunction with meteorological measurements, a range resolution of one cm or less is feasible for satellite elevation angles above 10 degrees.

  13. Refractive errors among students occupying rooms lighted with incandescent or fluorescent lamps.

    PubMed

    Czepita, Damian; Gosławski, Wojciech; Mojsa, Artur

    2004-01-01

    The purpose of the study was to determine whether the development of refractive errors could be associated with exposure to light emitted by incandescent or fluorescent lamps. 3636 students were examined (1638 boys and 1998 girls, aged 6-18 years, mean age 12.1, SD 3.4). The examination included retinoscopy with cycloplegia. Myopia was defined as refractive error < or = -0.5 D, hyperopia as refractive error > or = +1.5 D, astigmatism as refractive error > 0.5 DC. Anisometropia was diagnosed when the difference in the refraction of both eyes was > 1.0 D. The children and their parents completed a questionnaire on exposure to light at home. Data were analyzed statistically with the chi2 test. P values of less than 0.05 were considered statistically significant. It was found that the use of fluorescent lamps was associated with an increase in the occurrence of hyperopia (P < 0.01). There was no association between sleeping with the light turned on and prevalence of refractive errors.

  14. Empirical estimates of cumulative refraction errors associated with procedurally constrained levelings based on the Gaithersburg- Tucson refraction tests of the National Geodetic Survey.

    USGS Publications Warehouse

    Castle, R.O.; Gilmore, T.D.; Mark, R.K.; Shaw, R.H.

    1985-01-01

    Analyses of results of the National Geodetic Survey's leveling refraction tests indicate that the standard deviation about the mean (sigma) for high-scale minus low-scale rod readings closely correlates with measured refraction error. Use of this relation in conjunction with values for sigma obtained from routinely constrainted surveys provides a basis for estimating the refraction error associated with levelings of stipulated order and class. -Authors

  15. Effects of Multiple Listenings on Error-Detection Acuity in Multivoice, Multitimbral Musical Examples

    ERIC Educational Resources Information Center

    Sheldon, Deborah A.

    2004-01-01

    This study is an investigation of the effects of multiple listenings on error-detection identification and labeling accuracy among brass and woodwind instrumentalists. Examples derived from band music used balanced four-voice incipits performed with differing timbres, and errors that occurred in one or multiple voices. Response rates for correct…

  16. The Association between Maternal Reproductive Age and Progression of Refractive Error in Urban Students in Beijing

    PubMed Central

    Vasudevan, Balamurali; Jin, Zi Bing; Ciuffreda, Kenneth J.; Jhanji, Vishal; Zhou, Hong Jia; Wang, Ning Li; Liang, Yuan Bo

    2015-01-01

    Purpose To investigate the association between maternal reproductive age and their children’ refractive error progression in Chinese urban students. Methods The Beijing Myopia Progression Study was a three-year cohort investigation. Cycloplegic refraction of these students at both baseline and follow-up vision examinations, as well as non-cycloplegic refraction of their parents at baseline, were performed. Student’s refractive change was defined as the cycloplegic spherical equivalent (SE) of the right eye at the final follow-up minus the cycloplegic SE of the right eye at baseline. Results At the final follow-up, 241 students (62.4%) were reexamined. 226 students (58.5%) with completed refractive data, as well as completed parental reproductive age data, were enrolled. The average paternal and maternal age increased from 29.4 years and 27.5 years in 1993–1994 to 32.6 years and 29.2 years in 2003–2004, respectively. In the multivariate analysis, students who were younger (β = 0.08 diopter/year/year, P<0.001), with more myopic refraction at baseline (β = 0.02 diopter/year/diopter, P = 0.01), and with older maternal reproductive age (β = -0.18 diopter/year/decade, P = 0.01), had more myopic refractive change. After stratifying the parental reproductive age into quartile groups, children with older maternal reproductive age (trend test: P = 0.04) had more myopic refractive change, after adjusting for the children's age, baseline refraction, maternal refraction, and near work time. However, no significant association between myopic refractive change and paternal reproductive age was found. Conclusions In this cohort, children with older maternal reproductive age had more myopic refractive change. This new risk factor for myopia progression may partially explain the faster myopic progression found in the Chinese population in recent decades. PMID:26421841

  17. Effect of refractive error on visual evoked potentials with pattern stimulation in dogs

    PubMed Central

    ITO, Yosuke; MAEHARA, Seiya; ITOH, Yoshiki; MATSUI, Ai; HAYASHI, Miri; KUBO, Akira; UCHIDE, Tsuyoshi

    2015-01-01

    The purpose of this study was to investigate the effects of refractive error on canine visual evoked potentials with pattern stimulation (P-VEP). Six normal beagle dogs were used. The refractive power of the recorded eyes was measured by skiascopy. The refractive power was corrected to −4 diopters (D) to +2 D using contact lens. P-VEP was recorded at each refractive power. The stimulus pattern size and distance were 50.3 arc-min and 50 cm. The P100 appeared at almost 100 msec at −2 D (at which the stimulus monitor was in focus). There was significant prolongation of the P100 implicit time at −4, −3, 0 and +1 D compared with −2 D, respectively. We concluded that the refractive power of the eye affected the P100 implicit time in canine P-VEP recording. PMID:26655769

  18. A population-based survey of the prevalence of refractive error in Malawi.

    PubMed

    Lewallen, S; Lowdon, R; Courtright, P; Mehl, G L

    1995-12-01

    Refractive errors, particularly myopia, are a common problem in industrialized countries, but the impression exists that myopia may be relatively uncommon in non-industrialized societies. We conducted a population-based survey of refractive error in two groups of Malawians: a group of rural agricultural workers (n = 510) and a group of students at an urban teachers' college (n = 534). The overall prevalence of myopia was low; 2.5% (95% confidence interval 1.3%, 3.7%) of participants had an error of -0.5 D or greater. The mean refractive error (right eye) in the urban student group was +0.52 D compared to +0.62 D among the rural agricultural workers and the excess myopia was accounted for by significant myopia (> or = -0.75 D) in a few individuals, rather than an overall shift towards myopia within the urban student group. Among the rural agricultural workers, literacy predicted refractive error (right eye), with a mean of +0.59 D in the rural literate compared to +0.67 D in the rural illiterate. These findings support the notion that myopia is uncommon in non-industrialized societies and that it is associated with increased literacy but we have not identified specific risk factors within this group to predict the occurrence of significant myopia. In settings such as Malawi, refractive services should be targeted to urban centers, where more educated populations are likely to be found.

  19. High Prevalence of Refractive Errors in 7 Year Old Children in Iran

    PubMed Central

    HASHEMI, Hassan; YEKTA, Abbasali; JAFARZADEHPUR, Ebrahim; OSTADIMOGHADDAM, Hadi; ETEMAD, Koorosh; ASHARLOUS, Amir; NABOVATI, Payam; KHABAZKHOOB, Mehdi

    2016-01-01

    Background: The latest WHO report indicates that refractive errors are the leading cause of visual impairment throughout the world. The aim of this study was to determine the prevalence of myopia, hyperopia, and astigmatism in 7 yr old children in Iran. Methods: In a cross-sectional study in 2013 with multistage cluster sampling, first graders were randomly selected from 8 cities in Iran. All children were tested by an optometrist for uncorrected and corrected vision, and non-cycloplegic and cycloplegic refraction. Refractive errors in this study were determined based on spherical equivalent (SE) cyloplegic refraction. Results: From 4614 selected children, 89.0% participated in the study, and 4072 were eligible. The prevalence rates of myopia, hyperopia and astigmatism were 3.04% (95% CI: 2.30–3.78), 6.20% (95% CI: 5.27–7.14), and 17.43% (95% CI: 15.39–19.46), respectively. Prevalence of myopia (P=0.925) and astigmatism (P=0.056) were not statistically significantly different between the two genders, but the odds of hyperopia were 1.11 (95% CI: 1.01–2.05) times higher in girls (P=0.011). The prevalence of with-the-rule astigmatism was 12.59%, against-the-rule was 2.07%, and oblique 2.65%. Overall, 22.8% (95% CI: 19.7–24.9) of the schoolchildren in this study had at least one type of refractive error. Conclusion: One out of every 5 schoolchildren had some refractive error. Conducting multicenter studies throughout the Middle East can be very helpful in understanding the current distribution patterns and etiology of refractive errors compared to the previous decade. PMID:27114984

  20. Effects of tropospheric and ionospheric refraction errors in the utilization of GEOS-C altimeter data

    NASA Technical Reports Server (NTRS)

    Goad, C. C.

    1977-01-01

    The effects of tropospheric and ionospheric refraction errors are analyzed for the GEOS-C altimeter project in terms of their resultant effects on C-band orbits and the altimeter measurement itself. Operational procedures using surface meteorological measurements at ground stations and monthly means for ocean surface conditions are assumed, with no corrections made for ionospheric effects. Effects on the orbit height due to tropospheric errors are approximately 15 cm for single pass short arcs (such as for calibration) and 10 cm for global orbits of one revolution. Orbit height errors due to neglect of the ionosphere have an amplitude of approximately 40 cm when the orbits are determined from C-band range data with predominantly daylight tracking. Altimeter measurement errors are approximately 10 cm due to residual tropospheric refraction correction errors. Ionospheric effects on the altimeter range measurement are also on the order of 10 cm during the GEOS-C launch and early operation period.

  1. Genome-Wide Association Studies of Refractive Error and Myopia, Lessons Learned, and Implications for the Future

    PubMed Central

    Hysi, Pirro G.; Wojciechowski, Robert; Rahi, Jugnoo S.; Hammond, Chris J.

    2014-01-01

    The investigation of the genetic basis of refractive error and myopia entered a new stage with the introduction of genome-wide association studies (GWAS). Multiple GWAS on many ethnic groups have been published over the years, providing new insight into the genetic architecture and pathophysiology of refractive error. This is a review of the GWAS published to date, the main lessons learned, and future possible directions of genetic studies of myopia and refractive error. PMID:24876304

  2. Comparing sports vision among three groups of soft tennis adolescent athletes: Normal vision, refractive errors with and without correction

    PubMed Central

    Chang, Shih-Tsun; Liu, Yen-Hsiu; Lee, Jiahn-Shing; See, Lai-Chu

    2015-01-01

    Background: The effect of correcting static vision on sports vision is still not clear. Aim: To examine whether sports vision (depth perception [DP], dynamic visual acuity [DVA], eye movement [EM], peripheral vision [PV], and momentary vision [MV],) were different among soft tennis adolescent athletes with normal vision (Group A), with refractive error and corrected with (Group B) and without eyeglasses (Group C). Setting and Design: A cross-section study was conducted. Soft tennis athletes aged 10–13 who played softball tennis for 2–5 years, and who were without any ocular diseases and without visual training for the past 3 months were recruited. Materials and Methods: DPs were measured in an absolute deviation (mm) between a moving rod and fixing rod (approaching at 25 mm/s, receding at 25 mm/s, approaching at 50 mm/s, receding at 50 mm/s) using electric DP tester. A smaller deviation represented better DP. DVA, EM, PV, and MV were measured on a scale from 1 (worse) to 10 (best) using ATHLEVISION software. Statistical Analysis: Chi-square test and Kruskal–Wallis test was used to compare the data among the three study groups. Results: A total of 73 athletes (37 in Group A, 8 in Group B, 28 in Group C) were enrolled in this study. All four items of DP showed significant difference among the three study groups (P = 0.0051, 0.0004, 0.0095, 0.0021). PV displayed significant difference among the three study groups (P = 0.0044). There was no significant difference in DVA, EM, and MV among the three study groups. Conclusions: Significant better DP and PV were seen among soft tennis adolescent athletes with normal vision than those with refractive error regardless whether they had eyeglasses corrected. On the other hand, DVA, EM, and MV were similar among the three study groups. PMID:26632127

  3. An examination of the southern California field test for the systematic accumulation of the optical refraction error in geodetic leveling.

    USGS Publications Warehouse

    Castle, R.O.; Brown, B.W., Jr.; Gilmore, T.D.; Mark, R.K.; Wilson, R.C.

    1983-01-01

    Appraisals of the two levelings that formed the southern California field test for the accumulation of the atmospheric refraction error indicate that random error and systematic error unrelated to refraction competed with the systematic refraction error and severely complicate any analysis of the test results. If the fewer than one-third of the sections that met less than second-order, class I standards are dropped, the divergence virtually disappears between the presumably more refraction contaminated long-sight-length survey and the less contaminated short-sight-length survey. -Authors

  4. Ionospheric refraction effects on orbit determination using the orbit determination error analysis system

    NASA Technical Reports Server (NTRS)

    Yee, C. P.; Kelbel, D. A.; Lee, T.; Dunham, J. B.; Mistretta, G. D.

    1990-01-01

    The influence of ionospheric refraction on orbit determination was studied through the use of the Orbit Determination Error Analysis System (ODEAS). The results of a study of the orbital state estimate errors due to the ionospheric refraction corrections, particularly for measurements involving spacecraft-to-spacecraft tracking links, are presented. In current operational practice at the Goddard Space Flight Center (GSFC) Flight Dynamics Facility (FDF), the ionospheric refraction effects on the tracking measurements are modeled in the Goddard Trajectory Determination System (GTDS) using the Bent ionospheric model. While GTDS has the capability of incorporating the ionospheric refraction effects for measurements involving ground-to-spacecraft tracking links, such as those generated by the Ground Spaceflight Tracking and Data Network (GSTDN), it does not have the capability to incorporate the refraction effects for spacecraft-to-spacecraft tracking links for measurements generated by the Tracking and Data Relay Satellite System (TDRSS). The lack of this particular capability in GTDS raised some concern about the achievable accuracy of the estimated orbit for certain classes of spacecraft missions that require high-precision orbits. Using an enhanced research version of GTDS, some efforts have already been made to assess the importance of the spacecraft-to-spacecraft ionospheric refraction corrections in an orbit determination process. While these studies were performed using simulated data or real tracking data in definitive orbit determination modes, the study results presented here were obtained by means of covariance analysis simulating the weighted least-squares method used in orbit determination.

  5. Evaluation of the orientation of the steepest meridian of regular astigmatism among highly myopic Egyptian patients seeking non-ablative surgical correction of the refractive error

    PubMed Central

    Refai, Tamer Adel

    2015-01-01

    Introduction: LASIK surgery is currently the preferred procedure to correct low to moderate myopia. The aim of this study was to determine the orientation of the steepest meridian of regular astigmatism in order to determine the relative incidence of vertical, horizontal, and oblique regular astigmatism among highly myopic Egyptian patients seeking non-ablative surgical correction of the refractive error. Methods: One hundred and one eyes of 68 highly myopic patients who were seeking refractive surgery were included in this consecutive case series study. The refractive errors were measured using an autorefractometer and confirmed by trial. We measured the uncorrected and best corrected visual acuity in Snellen lines. Keratometry, central corneal thickness, and anterior chamber depth also were measured. The cylinder power in diopters and the axis in degrees were reported. Astigmatism was graded as with the rule (i.e., vertical meridian steeper), against the rule (i.e., horizontal meridian steeper), and oblique astigmatism. The number and the percentage of eyes with the rule, against the rule, and oblique astigmatism were calculated, and the chi-squared test was performed to analyze the data. Results: The spherical refractive error ranged from −6.5 to −24.5 diopters (−13.45 ± 4.60). The cylinder power (Cyl) ranged from −0.25 to −7.5 diopters (−2.23 ± 1.28). The uncorrected visual acuity (UCVA) in Snellen lines ranged from 0.01 – 0.1 (0.03 ± 0.02). The mean for best corrected visual acuity (BCVA) in Snellen lines was 0.40 (± 0.23). The steepest meridian was vertical (i.e., with-the-rule astigmatism) in 44 eyes (43.56%), horizontal (i.e., against-the-rule astigmatism) in 27 eyes (26.73%), and oblique (i.e., oblique astigmatism) in 30 eyes (29.70%). Conclusions: The incidence of with-the-rule astigmatism in patients with high myopia was found to be much lower than in previous studies for non-myopic patients, with a higher incidence for against

  6. Three-dimensional ray-tracing model for the study of advanced refractive errors in keratoconus.

    PubMed

    Schedin, Staffan; Hallberg, Per; Behndig, Anders

    2016-01-20

    We propose a numerical three-dimensional (3D) ray-tracing model for the analysis of advanced corneal refractive errors. The 3D modeling was based on measured corneal elevation data by means of Scheimpflug photography. A mathematical description of the measured corneal surfaces from a keratoconus (KC) patient was used for the 3D ray tracing, based on Snell's law of refraction. A model of a commercial intraocular lens (IOL) was included in the analysis. By modifying the posterior IOL surface, it was shown that the imaging quality could be significantly improved. The RMS values were reduced by approximately 50% close to the retina, both for on- and off-axis geometries. The 3D ray-tracing model can constitute a basis for simulation of customized IOLs that are able to correct the advanced, irregular refractive errors in KC.

  7. Decreasing Uncorrected Refractive Error in the Classroom through a Multifactorial Pilot Intervention

    ERIC Educational Resources Information Center

    Kodjebacheva, Gergana; Maliski, Sally; Yu, Fei; Oelrich, Faye; Coleman, Anne L.

    2014-01-01

    The study assessed the effectiveness of a pilot intervention to promote the use of eyeglasses in one school in California. The intervention used a one-group pretest, posttest design. Between January and June 2011, during the intervention, all first- and second-grade children received eye evaluations and the children with refractive error received…

  8. A Meta-Analysis for Association of Maternal Smoking with Childhood Refractive Error and Amblyopia

    PubMed Central

    Li, Li; Qi, Ya; Shi, Wei; Wang, Yuan; Liu, Wen; Hu, Man

    2016-01-01

    Background. We aimed to evaluate the association between maternal smoking and the occurrence of childhood refractive error and amblyopia. Methods. Relevant articles were identified from PubMed and EMBASE up to May 2015. Combined odds ratio (OR) corresponding with its 95% confidence interval (CI) was calculated to evaluate the influence of maternal smoking on childhood refractive error and amblyopia. The heterogeneity was evaluated with the Chi-square-based Q statistic and the I2 test. Potential publication bias was finally examined by Egger's test. Results. A total of 9 articles were included in this meta-analysis. The pooled OR showed that there was no significant association between maternal smoking and childhood refractive error. However, children whose mother smoked during pregnancy were 1.47 (95% CI: 1.12–1.93) times and 1.43 (95% CI: 1.23-1.66) times more likely to suffer from amblyopia and hyperopia, respectively, compared with children whose mother did not smoke, and the difference was significant. Significant heterogeneity was only found among studies involving the influence of maternal smoking on children's refractive error (P < 0.05; I2 = 69.9%). No potential publication bias was detected by Egger's test. Conclusion. The meta-analysis suggests that maternal smoking is a risk factor for childhood hyperopia and amblyopia. PMID:27247800

  9. A Meta-Analysis for Association of Maternal Smoking with Childhood Refractive Error and Amblyopia.

    PubMed

    Li, Li; Qi, Ya; Shi, Wei; Wang, Yuan; Liu, Wen; Hu, Man

    2016-01-01

    Background. We aimed to evaluate the association between maternal smoking and the occurrence of childhood refractive error and amblyopia. Methods. Relevant articles were identified from PubMed and EMBASE up to May 2015. Combined odds ratio (OR) corresponding with its 95% confidence interval (CI) was calculated to evaluate the influence of maternal smoking on childhood refractive error and amblyopia. The heterogeneity was evaluated with the Chi-square-based Q statistic and the I (2) test. Potential publication bias was finally examined by Egger's test. Results. A total of 9 articles were included in this meta-analysis. The pooled OR showed that there was no significant association between maternal smoking and childhood refractive error. However, children whose mother smoked during pregnancy were 1.47 (95% CI: 1.12-1.93) times and 1.43 (95% CI: 1.23-1.66) times more likely to suffer from amblyopia and hyperopia, respectively, compared with children whose mother did not smoke, and the difference was significant. Significant heterogeneity was only found among studies involving the influence of maternal smoking on children's refractive error (P < 0.05; I (2) = 69.9%). No potential publication bias was detected by Egger's test. Conclusion. The meta-analysis suggests that maternal smoking is a risk factor for childhood hyperopia and amblyopia. PMID:27247800

  10. Modeling of mouse eye and errors in ocular parameters affecting refractive state

    NASA Astrophysics Data System (ADS)

    Bawa, Gurinder

    Rodents eye are particularly used to study refractive error state of an eye and development of refractive eye. Genetic organization of rodents is similar to that of humans, which makes them interesting candidates to be researched upon. From rodents family mice models are encouraged over rats because of availability of genetically engineered models. Despite of extensive work that has been performed on mice and rat models, still no one is able to quantify an optical model, due to variability in the reported ocular parameters. In this Dissertation, we have extracted ocular parameters and generated schematics of eye from the raw data from School of Medicine, Detroit. In order to see how the rays would travel through an eye and the defects associated with an eye; ray tracing has been performed using ocular parameters. Finally we have systematically evaluated the contribution of various ocular parameters, such as radii of curvature of ocular surfaces, thicknesses of ocular components, and refractive indices of ocular refractive media, using variational analysis and a computational model of the rodent eye. Variational analysis revealed that variation in all the ocular parameters does affect the refractive status of the eye, but depending upon the magnitude of the impact those parameters are listed as critical or non critical. Variation in the depth of the vitreous chamber, thickness of the lens, radius of the anterior surface of the cornea, radius of the anterior surface of the lens, as well as refractive indices for the lens and vitreous, appears to have the largest impact on the refractive error and thus are categorized as critical ocular parameters. The radii of the posterior surfaces of the cornea and lens have much smaller contributions to the refractive state, while the radii of the anterior and posterior surfaces of the retina have no effect on the refractive error. These data provide the framework for further refinement of the optical models of the rat and mouse

  11. Change in visual acuity is well correlated with change in image-quality metrics for both normal and keratoconic wavefront errors

    PubMed Central

    Ravikumar, Ayeswarya; Marsack, Jason D.; Bedell, Harold E.; Shi, Yue; Applegate, Raymond A.

    2013-01-01

    We determined the degree to which change in visual acuity (VA) correlates with change in optical quality using image-quality (IQ) metrics for both normal and keratoconic wavefront errors (WFEs). VA was recorded for five normal subjects reading simulated, logMAR acuity charts generated from the scaled WFEs of 15 normal and seven keratoconic eyes. We examined the correlations over a large range of acuity loss (up to 11 lines) and a smaller, more clinically relevant range (up to four lines). Nine IQ metrics were well correlated for both ranges. Over the smaller range of primary interest, eight were also accurate and precise in estimating the variations in logMAR acuity in both normal and keratoconic WFEs. The accuracy for these eight best metrics in estimating the mean change in logMAR acuity ranged between ±0.0065 to ±0.017 logMAR (all less than one letter), and the precision ranged between ±0.10 to ±0.14 logMAR (all less than seven letters). PMID:24281244

  12. Refractive Errors

    MedlinePlus

    ... Read in Chinese How does the eye focus light? In order to see clearly, light rays from an object must focus onto the ... mechanism (the cornea and crystalline lens), and a light-sensing portion at the back (the retina). If ...

  13. Longitudinal Development of Refractive Error in Children With Accommodative Esotropia: Onset, Amblyopia, and Anisometropia

    PubMed Central

    Wang, Jingyun; Morale, Sarah E.; Ren, Xiaowei; Birch, Eileen E.

    2016-01-01

    Purpose We investigated longitudinal changes of refractive error in children with accommodative esotropia (ET) throughout the first 12 years of life, its dependence on age at onset of ET, and whether amblyopia or anisometropia are associated with defective emmetropization. Methods Longitudinal refractive errors in children with accommodative ET were analyzed retrospectively. Eligibility criteria included: initial hyperopia ≥+4.00 diopters (D), initial cycloplegic refraction before 4 years, at least 3 visits, and at least one visit between 7 and 12 years. Children were classified as having infantile (N = 30; onset ≤12 months) or late-onset (N = 78; onset at 18–48 months) accommodative ET. Cycloplegic refractions culled from medical records were converted into spherical equivalent (SEQ). Results Although the initial visit right eye SEQ was similar for the infantile and late-onset groups (+5.86 ± 1.28 and +5.67 ± 1.26 D, respectively), there were different developmental changes in refractive error. Neither group had a significant decrease in hyperopia before age 7 years, but after 7 years, the infantile group experienced a myopic shift of −0.43 D/y. The late-onset group did not experience a myopic shift at 7 to 12 years. Among amblyopic children, a slower myopic shift was observed for the amblyopic eye. Among anisometropic children, the more hyperopic eye experienced more myopic shift than the less hyperopic eye. Conclusions Children with infantile accommodative ET experienced prolonged hyperopia followed by a myopic shift after 7 years of age, consistent with dissociation between infantile emmetropization and school age myopic shift. In contrast, children with late-onset accommodative ET had little myopic shift before or after 7 years. PMID:27116548

  14. Short-duration transient visual evoked potential for objective measurement of refractive errors.

    PubMed

    Anand, Aashish; De Moraes, Carlos Gustavo V; Teng, Christopher C; Liebmann, Jeffrey M; Ritch, Robert; Tello, Celso

    2011-12-01

    This study examined effects of uncorrected refractive errors (RE) in a short-duration transient visual evoked potential (SD t-VEP) system and investigated their role for objective measurement of RE. Refractive errors were induced by means of trial lenses in 35 emmetropic subjects. A synchronized single-channel EEG was recorded for emmetropia, and each simulated refractive state to generate 21 VEP responses for each subject. P100 amplitude (N75 trough to P100 peak) and latency were identified by an automated post-signal processing algorithm. Induced hypermetropia and myopia correlated strongly with both P100 amplitude and latency. To minimize the effect of baseline shift and waveform fluctuations, a VEP scoring system, based on software-derived P100 latency, amplitude and waveform quality, was used to estimate the RE. Using the VEP scores, a single VEP response had a high sensitivity and specificity for discerning emmetropia, small RE (<2 diopter) within a 2 diopter range and large RE (2-14 diopter) within a 4 diopter range. The VEP scoring system has a potential for objective screening of RE and for a more accurate 3-step objective refraction. PMID:21931961

  15. Decreasing uncorrected refractive error in the classroom through a multifactorial pilot intervention.

    PubMed

    Kodjebacheva, Gergana; Maliski, Sally; Yu, Fei; Oelrich, Faye; Coleman, Anne L

    2014-02-01

    The study assessed the effectiveness of a pilot intervention to promote the use of eyeglasses in one school in California. The intervention used a one-group pretest, posttest design. Between January and June 2011, during the intervention, all first- and second-grade children received eye evaluations and the children with refractive error received two pairs of attractive eyeglasses. Parents received eye care education. Teachers monitored the use of eyeglasses in the classroom. Prior to the intervention in January 2011, 1 of the 15 children with refractive error (6.7%) wore eyeglasses in the classroom and the remaining 14 (93.3%) lacked eyeglasses altogether; 6 months following the end of the intervention in December 2011, 11 of the 15 children (73.3%) wore eyeglasses in the classroom and the remaining 4 (26.7%) did not (p = .002). The multifactorial intervention increased the use of eyeglasses in the classroom even months after the end of the summer vacation.

  16. Early Childhood Refractive Error and Parental History of Myopia as Predictors of Myopia

    PubMed Central

    Jones-Jordan, Lisa A.; Sinnott, Loraine T.; Manny, Ruth E.; Cotter, Susan A.; Kleinstein, Robert N.; Mutti, Donald O.; Twelker, J. Daniel

    2010-01-01

    Purpose. To determine the utility of a child's first grade refractive error and parental history of myopia as predictors of myopia onset between the second and eighth grades. Methods. Subjects were nonmyopic children in the first grade who were enrolled in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error (CLEERE) Study. Myopia was defined as −0.75 D or more myopia in both meridians (by cycloplegic autorefraction). The children were classified as having a high (versus low) risk of myopia with a cycloplegic sphere cutoff of +0.75 D or less (versus more) of hyperopia. Parental myopia was determined by a parent-completed survey. Discrete-time survival models predicted the risk of myopia. Results. Of the 1854 nonmyopic first graders, 21.3% were at high risk of myopia. More high-risk subjects had two myopic parents, 25.4% compared with 16.5% in the low-risk group (P < 0.0001). The low-risk survival function was similar regardless of the number of myopic parents. Among high-risk eighth graders, the survival probability was lower than in the low-risk group, decreasing with an increase in the number of myopic parents. The sensitivity and specificity of first grade refractive error with the number of myopic parents as predictors for myopia onset were 62.5% and 81.9%, respectively. Conclusions. First grade refractive error and the number of myopic parents can predict a child's risk of myopia; however, because the sensitivity of these factors is low, these two predictors may not be sufficient at this young age when a more accurate prediction of myopia onset is needed. PMID:19737876

  17. A survey of the criteria for prescribing in cases of borderline refractive errors

    PubMed Central

    Shneor, Einat; Evans, Bruce John William; Fine, Yael; Shapira, Yehudit; Gantz, Liat; Gordon-Shaag, Ariela

    2015-01-01

    Purpose This research investigated the reported optometric prescribing criteria of Israeli optometrists. Methods An online questionnaire based on previous studies was distributed via email and social networking sites to optometrists in Israel. The questionnaire surveyed the level of refractive error at which respondents would prescribe for different types of refractive error at various ages with and without symptoms. Results 124 responses were obtained, yielding a response rate of approximately 12–22%, 92% of whom had trained in Israel. For all refractive errors, the presence of symptoms strongly influenced prescribing criteria. For example, for 10–20 year old patients the degree of hyperopia for which 50% of practitioners would prescribe is +0.75 D in the presence of symptoms but twice this value (+1.50 D) in the absence of symptoms. As might be expected, optometrists prescribed at lower degrees of hyperopia for older compared with younger patients. There was a trend for more experienced practitioners to be less likely to prescribe for lower degrees of myopia and presbyopia. Practitioner gender, country of training, the type of practice environment, and financial incentives were not strongly related to prescribing criteria. Conclusions The prescribing criteria found in this study are broadly comparable with those in previous studies and with published prescribing guidelines. Subtle indications suggest that optometrists may become more conservative in their prescribing criteria with experience. PMID:26520884

  18. GEOS-2 refraction program summary document. [ionospheric and tropospheric propagation errors in satellite tracking instruments

    NASA Technical Reports Server (NTRS)

    Mallinckrodt, A. J.

    1977-01-01

    Data from an extensive array of collocated instrumentation at the Wallops Island test facility were intercompared in order to (1) determine the practical achievable accuracy limitations of various tropospheric and ionospheric correction techniques; (2) examine the theoretical bases and derivation of improved refraction correction techniques; and (3) estimate internal systematic and random error levels of the various tracking stations. The GEOS 2 satellite was used as the target vehicle. Data were obtained regarding the ionospheric and tropospheric propagation errors, the theoretical and data analysis of which was documented in some 30 separate reports over the last 6 years. An overview of project results is presented.

  19. Characteristics of peripheral refractive errors of myopic and non-myopic Chinese eyes.

    PubMed

    Chen, Xiang; Sankaridurg, Padmaja; Donovan, Les; Lin, Zhi; Li, Li; Martinez, Aldo; Holden, Brien; Ge, Jian

    2010-01-01

    Interest in peripheral refractive errors has increased as it was hypothesized that peripheral hypermetropia might provide a stimulus for axial elongation (Smith et al., 2005), this study was to determine relative peripheral refractive errors (RPRE) of the eyes of a group of Chinese children and adults. Central and peripheral (20 degrees , 30 degrees , 40 degrees at nasal, temporal, superior and inferior meridians of retina) refractive errors were obtained from cyclopleged eyes of 40 children and 42 adults with a Shin-Nippon auto-refractor. Only right eyes were considered. Central spherical equivalent (M) was used to classify the eyes as Moderate Myopia (MM, -3.00 < M < or = -6.00D), Low Myopia (LM, -0.50 < or = M < or = -3.00D), Emmetropia (E, -0.50refractive error groups showed a myopic shift. Off-axis astigmatism increased and horizontally a shift from 'with the rule' to 'against the rule' astigmatism was observed for all groups. Our observations demonstrated that in Chinese eyes, the myopic group present a hyperopic shift in the periphery, the hypermetropic eye present a myopic shift and the emmetropic eyes present no differences to the fovea, which are similar to those reports in Caucasian eyes. The variations in the RPRE between various refractive error groups can be explained on the basis of eye shape. PMID:19825388

  20. Five-Year Progression of Refractive Errors and Incidence of Myopia in School-Aged Children in Western China

    PubMed Central

    Zhou, Wen-Jun; Zhang, Yong-Ye; Li, Hua; Wu, Yu-Fei; Xu, Ji; Lv, Sha; Li, Ge; Liu, Shi-Chun; Song, Sheng-Fang

    2016-01-01

    Background To determine the change in refractive error and the incidence of myopia among school-aged children in the Yongchuan District of Chongqing City, Western China. Methods A population-based cross-sectional survey was initially conducted in 2006 among 3070 children aged 6 to 15 years. A longitudinal follow-up study was then conducted 5 years later between November 2011 and March 2012. Refractive error was measured under cycloplegia with autorefraction. Age, sex, and baseline refractive error were evaluated as risk factors for progression of refractive error and incidence of myopia. Results Longitudinal data were available for 1858 children (60.5%). The cumulative mean change in refractive error was −2.21 (standard deviation [SD], 1.87) diopters (D) for the entire study population, with an annual progression of refraction in a myopic direction of −0.43 D. Myopic progression of refractive error was associated with younger age, female sex, and higher myopic or hyperopic refractive error at baseline. The cumulative incidence of myopia, defined as a spherical equivalent refractive error of −0.50 D or more, among initial emmetropes and hyperopes was 54.9% (95% confidence interval [CI], 45.2%–63.5%), with an annual incidence of 10.6% (95% CI, 8.7%–13.1%). Myopia was found more likely to happen in female and older children. Conclusions In Western China, both myopic progression and incidence of myopia were higher than those of children from most other locations in China and from the European Caucasian population. Compared with a previous study in China, there was a relative increase in annual myopia progression and annual myopia incidence, a finding which is consistent with the increasing trend on prevalence of myopia in China. PMID:26875599

  1. Theoretical effect of refractive error and accommodation on longitudinal chromatic aberration of the human eye.

    PubMed

    Atchison, D A; Smith, G; Waterworth, M D

    1993-09-01

    Simple formulas based on reduced eyes have been developed to predict the variation in longitudinal chromatic aberration with variation in ametropia or accommodation. Two formulas were developed, one for axial ametropia and one for refractive ametropia. The latter also served as a model for accommodation. The results using the formulas are in close agreement with results obtained using raytracing through more sophisticated models. Combining the results of different methods gives the following predictions of change in chromatic difference of focus, between wavelengths of 400 and 700 nm, with change in each diopter of refractive error or accommodation: axial ametropia 0.012 to 0.017 D (0.6 to 0.9%), refractive ametropia 0.05 D (2.2 to 2.4%), and accommodation 0.04 to 0.05 D (2.1 to 2.6%). The chromatic aberration effects of correcting lenses with low dispersion are intermediate in effect and opposite in sign to the effects of corresponding degrees of axial ametropia and refractive ametropia. PMID:8233365

  2. Refractive errors and ocular findings in children with intellectual disability: A controlled study

    PubMed Central

    Akinci, Arsen; Oner, Ozgur; Bozkurt, Ozlem Hekim; Guven, Alev; Degerliyurt, Aydan; Munir, Kerim

    2015-01-01

    PURPOSE To evaluate the ocular findings and refractive errors in children with intellectual disability and in controls of average intellectual development of similar socioeconomic backgrounds. METHODS The study was conducted at Diskapi Children’s Hospital in Ankara, Turkey: 724 subjects with intellectual disability and 151 control subjects were evaluated. The subjects with intellectual disability were subdivided into mild (IQ 50–69, n = 490), moderate (IQ 35–49, n = 164), and severe (IQ <34, n = 70) groups, and syndromic (n = 138) versus nonsyndromic (n = 586) disability. All children underwent cycloplegic autorefraction or retinoscopy, slit-lamp biomicroscopy, and dilated fundus examination. Ocular alignment was assessed by Hirschberg, Krimsky, or prism cover test. The main outcome measure was the prevalence of refractive errors and ocular findings. RESULTS Seventy-seven percent of subjects with intellectual disability, and 42.4% of controls, had ocular findings. The children with intellectual disability had significantly more nystagmus, strabismus, astigmatism, and hypermetropia than controls. Children with syndromic intellectual disability had significantly more nystagmus, strabismus, astigmatism, and hypermetropia than subjects with nonsyndromic intellectual disability. Increasing severity of intellectual disability was related to higher prevalence of nystagmus, strabismus, astigmatism, hypermetropia, and anisometropia. CONCLUSIONS From a public health perspective, evaluation and treatment of ocular and refractive findings in children with moderate, severe, and syndromic intellectual disability categories is urgently needed and likely to be highly effective in alleviating future health and social care costs, as well as improving the productive lives of individuals with intellectual disability. PMID:18595752

  3. Refractive Errors and Strabismus in Children With Down Syndrome: A Controlled Study

    PubMed Central

    Akinci, Arsen; Oner, Ozgur; Bozkurt, Ozlem Hekim; Guven, Alev; Degerliyurt, Aydan; Munir, Kerim

    2014-01-01

    Purpose To evaluate the prevalence of refractive errors, strabismus, nystagmus, and congenital cataract in children with Down syndrome and control subjects of similar age. Methods Seventy-seven children with Down syndrome and 151 control subjects were evaluated for the prevalence of ocular findings. Results Ocular findings were discovered in 97.4% of children with Down syndrome and 42.4% of control subjects (P < .0001). The point prevalence of nystagmus, strabismus, hypermetropia, astigmatism, and congenital cataract was significantly higher in children with Down syndrome (P < .0001 for the first four categories, and P < .01 for congenital cataract). Conclusion Evaluation, treatment, and regular review of ocular and refractive findings in children with Down syndrome is urgently needed. PMID:19343969

  4. APLP2 Regulates Refractive Error and Myopia Development in Mice and Humans.

    PubMed

    Tkatchenko, Andrei V; Tkatchenko, Tatiana V; Guggenheim, Jeremy A; Verhoeven, Virginie J M; Hysi, Pirro G; Wojciechowski, Robert; Singh, Pawan Kumar; Kumar, Ashok; Thinakaran, Gopal; Williams, Cathy

    2015-08-01

    Myopia is the most common vision disorder and the leading cause of visual impairment worldwide. However, gene variants identified to date explain less than 10% of the variance in refractive error, leaving the majority of heritability unexplained ("missing heritability"). Previously, we reported that expression of APLP2 was strongly associated with myopia in a primate model. Here, we found that low-frequency variants near the 5'-end of APLP2 were associated with refractive error in a prospective UK birth cohort (n = 3,819 children; top SNP rs188663068, p = 5.0 × 10-4) and a CREAM consortium panel (n = 45,756 adults; top SNP rs7127037, p = 6.6 × 10-3). These variants showed evidence of differential effect on childhood longitudinal refractive error trajectories depending on time spent reading (gene x time spent reading x age interaction, p = 4.0 × 10-3). Furthermore, Aplp2 knockout mice developed high degrees of hyperopia (+11.5 ± 2.2 D, p < 1.0 × 10-4) compared to both heterozygous (-0.8 ± 2.0 D, p < 1.0 × 10-4) and wild-type (+0.3 ± 2.2 D, p < 1.0 × 10-4) littermates and exhibited a dose-dependent reduction in susceptibility to environmentally induced myopia (F(2, 33) = 191.0, p < 1.0 × 10-4). This phenotype was associated with reduced contrast sensitivity (F(12, 120) = 3.6, p = 1.5 × 10-4) and changes in the electrophysiological properties of retinal amacrine cells, which expressed Aplp2. This work identifies APLP2 as one of the "missing" myopia genes, demonstrating the importance of a low-frequency gene variant in the development of human myopia. It also demonstrates an important role for APLP2 in refractive development in mice and humans, suggesting a high level of evolutionary conservation of the signaling pathways underlying refractive eye development.

  5. APLP2 Regulates Refractive Error and Myopia Development in Mice and Humans

    PubMed Central

    Verhoeven, Virginie J. M.; Hysi, Pirro G.; Wojciechowski, Robert; Singh, Pawan Kumar; Kumar, Ashok; Thinakaran, Gopal; Williams, Cathy

    2015-01-01

    Myopia is the most common vision disorder and the leading cause of visual impairment worldwide. However, gene variants identified to date explain less than 10% of the variance in refractive error, leaving the majority of heritability unexplained (“missing heritability”). Previously, we reported that expression of APLP2 was strongly associated with myopia in a primate model. Here, we found that low-frequency variants near the 5’-end of APLP2 were associated with refractive error in a prospective UK birth cohort (n = 3,819 children; top SNP rs188663068, p = 5.0 × 10−4) and a CREAM consortium panel (n = 45,756 adults; top SNP rs7127037, p = 6.6 × 10−3). These variants showed evidence of differential effect on childhood longitudinal refractive error trajectories depending on time spent reading (gene x time spent reading x age interaction, p = 4.0 × 10−3). Furthermore, Aplp2 knockout mice developed high degrees of hyperopia (+11.5 ± 2.2 D, p < 1.0 × 10−4) compared to both heterozygous (-0.8 ± 2.0 D, p < 1.0 × 10−4) and wild-type (+0.3 ± 2.2 D, p < 1.0 × 10−4) littermates and exhibited a dose-dependent reduction in susceptibility to environmentally induced myopia (F(2, 33) = 191.0, p < 1.0 × 10−4). This phenotype was associated with reduced contrast sensitivity (F(12, 120) = 3.6, p = 1.5 × 10−4) and changes in the electrophysiological properties of retinal amacrine cells, which expressed Aplp2. This work identifies APLP2 as one of the “missing” myopia genes, demonstrating the importance of a low-frequency gene variant in the development of human myopia. It also demonstrates an important role for APLP2 in refractive development in mice and humans, suggesting a high level of evolutionary conservation of the signaling pathways underlying refractive eye development. PMID:26313004

  6. Antioxidant supplementation increases retinal responses and decreases refractive error changes in dogs.

    PubMed

    Wang, Wei; Hernandez, Jerome; Moore, Cecil; Jackson, Janet; Narfström, Kristina

    2016-01-01

    The objective of the study was to examine whether a nutritional antioxidant supplementation could improve visual function in healthy dogs as measured by electroretinography (ERG) and autorefraction. A total of twelve Beagles, 6 to 8 years of age, with normal eyes upon indirect ophthalmoscopy and slit lamp biomicroscopy, were age and sex matched and randomly assigned to receive a feeding regimen for 6 months with or without a daily antioxidant supplementation. Portable, mini-Ganzfeld ERG and a Welch Allyn hand-held autorefractor were used to test retinal response and refractive error in the dogs at baseline and at the end of the supplementation period. All ERG a-wave amplitudes obtained were increased in the treatment group compared with those of dogs in the control group, with significant improvements in the scotopic high and photopic single flash cone ERG responses (P < 0·05 for both). For the b-wave amplitudes, all responses were similarly increased, with significant improvements in responses for the scotopic high light intensity stimulation (P < 0·05), and for photopic single flash cone and 30 Hz flicker (P < 0·01 for both) recordings. Change in refractive error was significantly less in the treatment group compared with that of the control group during the 6-month study (P < 0·05). Compared with the control group, the antioxidant-supplemented group showed improvement to varying degrees for retinal function and significantly less decline in refractive error. Dogs, like humans, experience retinal and lens functional decline with age. Antioxidant supplementation as demonstrated may be beneficial and effective in the long-term preservation and improvement of various functions of the canine eye. PMID:27293555

  7. Anthropometry, Amplitude of Accommodation, and Spherical Equivalent Refractive Error in a Nigerian Population

    PubMed Central

    Iyamu, Eghosasere; Iyamu, Joy Edoghogho; Oghovwerha, Liticia

    2012-01-01

    Aim. The aim of this study was to investigate the association between anthropometry, amplitude of accommodation assessed by minus-lens to blur (AAPUB) and push-up to blur (AAMLB), and spherical equivalent refraction (SEQ). Method. A total of two hundred and one subjects aged between 17 and 70 years with mean age of 34.2 ± 13.3 years, consisting of 93 males and 108 females were recruited for this study. Anthropometric variables were measured with standard instruments like the free-standing rod for height, weighing balance for body weight, and body mass index (BMI) calculated. The refractive error was measured by static retinoscopy and subjective refraction. Result. An inverse correlation was found between age, AAMLB and AAPUB (r = −0.84, −0.81, both P < 0.0001). BMI increased with age (r = 0.32, P < 0.0001). There was an inverse correlation between BMI, AAPUB and AAMLB (r = −0.27, −0.25, both P < 0.0001), respectively. However, the association between SEQ and anthropometry was not significant (P > 0.05). The AAPUB and AAMLB decreased with age while BMI increased. AAPUB and AAMLB decreased with BMI, but were not affected by the SEQ. Conclusion. BMI increased with age while AA measured by the two methods decreased with age, and BMI increased with decreasing AA. PMID:24527232

  8. Prevalence of refractive errors in teenage high school students in Singapore.

    PubMed

    Quek, Timothy P L; Chua, Choon Guan; Chong, Choon Seng; Chong, Jin Ho; Hey, Hwee Weng; Lee, June; Lim, Yee Fei; Saw, Seang-Mei

    2004-01-01

    We aimed to study the prevalence of refractive conditions in Singapore teenagers. Grade 9 and 10 students (n = 946) aged 15-19 years from two secondary schools in Singapore were recruited. The refractive errors of the students' eyes were measured using non-cycloplegic autorefraction. Sociodemographic data and information on risk factors for myopia (such as reading and writing) were also obtained using an interviewer-administered questionnaire. The prevalence of refractive conditions was found to be: myopia [spherical equivalent (SE) at least -0.50 D] - 73.9%, hyperopia (SE at least +0.50 D) - 1.5%, astigmatism (cylinder at least -0.50 D) - 58.7% and anisometropia (SE difference at least 1.00 D) - 11.2%. After adjusting for age and gender, currently doing more than 20.5 h of reading and writing a week was found to be positively associated with myopia [odds ratio 1.12 (95% CI 1.04-1.20, p = 0.003)], as was reading and writing at a close distance and a better educational stream. The prevalence of myopia (73.9%) in Singapore teenagers is high. Current reading and writing habits, reading at close distances and a better educational stream are possible risk factors for myopia. PMID:14687201

  9. Refractive Errors and Concomitant Strabismus: A Systematic Review and Meta-analysis

    PubMed Central

    Tang, Shu Min; Chan, Rachel Y. T.; Bin Lin, Shi; Rong, Shi Song; Lau, Henry H. W.; Lau, Winnie W. Y.; Yip, Wilson W. K.; Chen, Li Jia; Ko, Simon T. C.; Yam, Jason C. S.

    2016-01-01

    This systematic review and meta-analysis is to evaluate the risk of development of concomitant strabismus due to refractive errors. Eligible studies published from 1946 to April 1, 2016 were identified from MEDLINE and EMBASE that evaluated any kinds of refractive errors (myopia, hyperopia, astigmatism and anisometropia) as an independent factor for concomitant exotropia and concomitant esotropia. Totally 5065 published records were retrieved for screening, 157 of them eligible for detailed evaluation. Finally 7 population-based studies involving 23,541 study subjects met our criteria for meta-analysis. The combined OR showed that myopia was a risk factor for exotropia (OR: 5.23, P = 0.0001). We found hyperopia had a dose-related effect for esotropia (OR for a spherical equivalent [SE] of 2–3 diopters [D]: 10.16, P = 0.01; OR for an SE of 3-4D: 17.83, P < 0.0001; OR for an SE of 4-5D: 41.01, P < 0.0001; OR for an SE of ≥5D: 162.68, P < 0.0001). Sensitivity analysis indicated our results were robust. Results of this study confirmed myopia as a risk for concomitant exotropia and identified a dose-related effect for hyperopia as a risk of concomitant esotropia. PMID:27731389

  10. Remediation of refractive amblyopia by optical correction alone.

    PubMed

    Moseley, Merrick J; Neufeld, Meir; McCarry, Bernadette; Charnock, Avril; McNamara, Rowena; Rice, Tricia; Fielder, Alistair

    2002-07-01

    Amblyopia--the commonest vision abnormality of childhood--is characterized by a loss of visual acuity usually of one eye only. Treatment aims to promote function of the amblyopic eye and does this by restricting, usually through occlusion, the competitive advantage of the fellow eye. Recent experimental evidence demonstrates that the recovery of vision following early deprivation is facilitated by increasing visually evoked activity. An analogous approach in humans is to minimise image blur by correcting refractive error prior to treatment--a practice which may account for the poorly quantified improvements in visual acuity sometimes attributed to 'spectacle adaptation'. Here we describe clinically significant gains in visual acuity obtained over a period of 4-24 weeks in a group of amblyopic children arising solely in response to the correction of refractive error. Consequences for the clinical management of refractive amblyopia are discussed. PMID:12162480

  11. Refractive Error and Visual Functions in Children with Special Needs Compared with the First Grade School Students in Oman

    PubMed Central

    Vora, Urmi; Khandekar, Rajiv; Natrajan, Sarvanan; Al-Hadrami, Khalfan

    2010-01-01

    Background: We evaluated the refractive status and visual function of children with special needs (other handicap) in 2010 and compared them with healthy 1st grade school students in Oman. Materials and Methods: This was a cohort study. Optometrists recorded vision using a logarithm of minimum angle of resolution (LogMAR) chart. Preferential looking method was used for testing 31 children. Cycloplegic refraction was performed on all children. Contrast sensitivity was tested using 2.5%, 10%, and 100% contrast charts. Ocular movement, alignment, and anterior segment were also assessed. A pediatrician reviewed the health records of all the children at the time of their enrollment in this study to determine if the child had been diagnosed with a systemic condition or syndromes. The visual functions were assessed by study investigators. We estimated the rates and the risk of different visual function defects in children with special needs. Result: The prevalence of refractive error in 70 children (4.7 ± 0.8 years) with special needs (group 1) and 175 normal healthy first grade students (group 2) were 58.5% and 2.9%, respectively. The risk of refractive error was significantly higher in children with special needs [relative risk, 48.1 (95% confidence interval, 17.54–131.8)]. Hyperopia (>1.00 D), myopia (≥ 1.00D) and astigmatism (≥ ±1.00 D) were found in 18.6%, 24.3%, and 27.1%, respectively, in group 1. Six children in this group had defective near vision. Sixteen (80%) children with Down syndrome had refractive error. Seven (50%) children with developmental disorder showed decreased contrast sensitivity. Conclusion: Prevalence of uncorrected refractive error was much higher in children with special needs. Prevalence of strabismus, nystagmus, and reduced contrast sensitivity was also higher in children with special needs. Early vision screening, visual function assessment, correction of refractive error, and frequent follow-up are recommended. PMID:21180428

  12. Genome-wide association study for refractive astigmatism reveals genetic co-determination with spherical equivalent refractive error: the CREAM consortium.

    PubMed

    Li, Qing; Wojciechowski, Robert; Simpson, Claire L; Hysi, Pirro G; Verhoeven, Virginie J M; Ikram, Mohammad Kamran; Höhn, René; Vitart, Veronique; Hewitt, Alex W; Oexle, Konrad; Mäkelä, Kari-Matti; MacGregor, Stuart; Pirastu, Mario; Fan, Qiao; Cheng, Ching-Yu; St Pourcain, Beaté; McMahon, George; Kemp, John P; Northstone, Kate; Rahi, Jugnoo S; Cumberland, Phillippa M; Martin, Nicholas G; Sanfilippo, Paul G; Lu, Yi; Wang, Ya Xing; Hayward, Caroline; Polašek, Ozren; Campbell, Harry; Bencic, Goran; Wright, Alan F; Wedenoja, Juho; Zeller, Tanja; Schillert, Arne; Mirshahi, Alireza; Lackner, Karl; Yip, Shea Ping; Yap, Maurice K H; Ried, Janina S; Gieger, Christian; Murgia, Federico; Wilson, James F; Fleck, Brian; Yazar, Seyhan; Vingerling, Johannes R; Hofman, Albert; Uitterlinden, André; Rivadeneira, Fernando; Amin, Najaf; Karssen, Lennart; Oostra, Ben A; Zhou, Xin; Teo, Yik-Ying; Tai, E Shyong; Vithana, Eranga; Barathi, Veluchamy; Zheng, Yingfeng; Siantar, Rosalynn Grace; Neelam, Kumari; Shin, Youchan; Lam, Janice; Yonova-Doing, Ekaterina; Venturini, Cristina; Hosseini, S Mohsen; Wong, Hoi-Suen; Lehtimäki, Terho; Kähönen, Mika; Raitakari, Olli; Timpson, Nicholas J; Evans, David M; Khor, Chiea-Chuen; Aung, Tin; Young, Terri L; Mitchell, Paul; Klein, Barbara; van Duijn, Cornelia M; Meitinger, Thomas; Jonas, Jost B; Baird, Paul N; Mackey, David A; Wong, Tien Yin; Saw, Seang-Mei; Pärssinen, Olavi; Stambolian, Dwight; Hammond, Christopher J; Klaver, Caroline C W; Williams, Cathy; Paterson, Andrew D; Bailey-Wilson, Joan E; Guggenheim, Jeremy A

    2015-02-01

    To identify genetic variants associated with refractive astigmatism in the general population, meta-analyses of genome-wide association studies were performed for: White Europeans aged at least 25 years (20 cohorts, N = 31,968); Asian subjects aged at least 25 years (7 cohorts, N = 9,295); White Europeans aged <25 years (4 cohorts, N = 5,640); and all independent individuals from the above three samples combined with a sample of Chinese subjects aged <25 years (N = 45,931). Participants were classified as cases with refractive astigmatism if the average cylinder power in their two eyes was at least 1.00 diopter and as controls otherwise. Genome-wide association analysis was carried out for each cohort separately using logistic regression. Meta-analysis was conducted using a fixed effects model. In the older European group the most strongly associated marker was downstream of the neurexin-1 (NRXN1) gene (rs1401327, P = 3.92E-8). No other region reached genome-wide significance, and association signals were lower for the younger European group and Asian group. In the meta-analysis of all cohorts, no marker reached genome-wide significance: The most strongly associated regions were, NRXN1 (rs1401327, P = 2.93E-07), TOX (rs7823467, P = 3.47E-07) and LINC00340 (rs12212674, P = 1.49E-06). For 34 markers identified in prior GWAS for spherical equivalent refractive error, the beta coefficients for genotype versus spherical equivalent, and genotype versus refractive astigmatism, were highly correlated (r = -0.59, P = 2.10E-04). This work revealed no consistent or strong genetic signals for refractive astigmatism; however, the TOX gene region previously identified in GWAS for spherical equivalent refractive error was the second most strongly associated region. Analysis of additional markers provided evidence supporting widespread genetic co-susceptibility for spherical and astigmatic refractive errors.

  13. An international collaborative family-based whole genome quantitative trait linkage scan for myopic refractive error

    PubMed Central

    Abbott, Diana; Li, Yi-Ju; Guggenheim, Jeremy A.; Metlapally, Ravikanth; Malecaze, Francois; Calvas, Patrick; Rosenberg, Thomas; Paget, Sandrine; Zayats, Tetyana; Mackey, David A.; Feng, Sheng

    2012-01-01

    Purpose To investigate quantitative trait loci linked to refractive error, we performed a genome-wide quantitative trait linkage analysis using single nucleotide polymorphism markers and family data from five international sites. Methods Genomic DNA samples from 254 families were genotyped by the Center for Inherited Disease Research using the Illumina Linkage Panel IVb. Quantitative trait linkage analysis was performed on 225 Caucasian families and 4,656 markers after accounting for linkage disequilibrium and quality control exclusions. Two refractive quantitative phenotypes, sphere (SPH) and spherical equivalent (SE), were analyzed. The SOLAR program was used to estimate identity by descent probabilities and to conduct two-point and multipoint quantitative trait linkage analyses. Results We found 29 markers and 11 linkage regions reaching peak two-point and multipoint logarithms of the odds (LODs)>1.5. Four linkage regions revealed at least one LOD score greater than 2: chromosome 6q13–6q16.1 (LOD=1.96 for SPH, 2.18 for SE), chromosome 5q35.1–35.2 (LOD=2.05 for SPH, 1.80 for SE), chromosome 7q11.23–7q21.2 (LOD=1.19 for SPH, 2.03 for SE), and chromosome 3q29 (LOD=1.07 for SPH, 2.05 for SE). Among these, the chromosome 6 and chromosome 5 regions showed the most consistent results between SPH and SEM. Four linkage regions with multipoint scores above 1.5 are near or within the known myopia (MYP) loci of MYP3, MYP12, MYP14, and MYP16. Overall, we observed consistent linkage signals across the SPH and SEM phenotypes, although scores were generally higher for the SEM phenotype. Conclusions Our quantitative trait linkage analyses of a large myopia family cohort provided additional evidence for several known MYP loci, and identified two additional potential loci at chromosome 6q13–16.1 and chromosome 5q35.1–35.2 for myopia. These results will benefit the efforts toward determining genes for myopic refractive error. PMID:22509102

  14. Frequency and Distribution of Refractive Error in Adult Life: Methodology and Findings of the UK Biobank Study

    PubMed Central

    Cumberland, Phillippa M.; Bao, Yanchun; Hysi, Pirro G.; Foster, Paul J.; Hammond, Christopher J.; Rahi, Jugnoo S.

    2015-01-01

    Purpose To report the methodology and findings of a large scale investigation of burden and distribution of refractive error, from a contemporary and ethnically diverse study of health and disease in adults, in the UK. Methods U K Biobank, a unique contemporary resource for the study of health and disease, recruited more than half a million people aged 40–69 years. A subsample of 107,452 subjects undertook an enhanced ophthalmic examination which provided autorefraction data (a measure of refractive error). Refractive error status was categorised using the mean spherical equivalent refraction measure. Information on socio-demographic factors (age, gender, ethnicity, educational qualifications and accommodation tenure) was reported at the time of recruitment by questionnaire and face-to-face interview. Results Fifty four percent of participants aged 40–69 years had refractive error. Specifically 27% had myopia (4% high myopia), which was more common amongst younger people, those of higher socio-economic status, higher educational attainment, or of White or Chinese ethnicity. The frequency of hypermetropia increased with age (7% at 40–44 years increasing to 46% at 65–69 years), was higher in women and its severity was associated with ethnicity (moderate or high hypermetropia at least 30% less likely in non-White ethnic groups compared to White). Conclusions Refractive error is a significant public health issue for the UK and this study provides contemporary data on adults for planning services, health economic modelling and monitoring of secular trends. Further investigation of risk factors is necessary to inform strategies for prevention. There is scope to do this through the planned longitudinal extension of the UK Biobank study. PMID:26430771

  15. Refractive errors and corrections for OCT images in an inflated lung phantom

    PubMed Central

    Golabchi, Ali; Faust, J.; Golabchi, F. N.; Brooks, D. H.; Gouldstone, A.; DiMarzio, C. A.

    2012-01-01

    Visualization and correct assessment of alveolar volume via intact lung imaging is important to study and assess respiratory mechanics. Optical Coherence Tomography (OCT), a real-time imaging technique based on near-infrared interferometry, can image several layers of distal alveoli in intact, ex vivo lung tissue. However optical effects associated with heterogeneity of lung tissue, including the refraction caused by air-tissue interfaces along alveoli and duct walls, and changes in speed of light as it travels through the tissue, result in inaccurate measurement of alveolar volume. Experimentally such errors have been difficult to analyze because of lack of ’ground truth,’ as the lung has a unique microstructure of liquid-coated thin walls surrounding relatively large airspaces, which is difficult to model with cellular foams. In addition, both lung and foams contain airspaces of highly irregular shape, further complicating quantitative measurement of optical artifacts and correction. To address this we have adapted the Bragg-Nye bubble raft, a crystalline two-dimensional arrangement of elements similar in geometry to alveoli (up to several hundred μm in diameter with thin walls) as an inflated lung phantom in order to understand, analyze and correct these errors. By applying exact optical ray tracing on OCT images of the bubble raft, the errors are predicted and corrected. The results are validated by imaging the bubble raft with OCT from one edge and with a charged coupled device (CCD) camera in transillumination from top, providing ground truth for the OCT. PMID:22567599

  16. Is Emmetropia the Natural Endpoint for Human Refractive Development? An Analysis of Population-based Data from the Refractive Error Study in Children (RESC)

    PubMed Central

    Morgan, Ian G.; Rose, Kathryn A.; Ellwein, Leon B.

    2009-01-01

    Purpose To determine the natural end-point for refractive development during childhood. Methods Cycloplegic (1% cyclopentolate) autorefraction was performed on 38,811 children aged 5 and 15 in population-based samples at eight sites in the Refractive Error Study in Children (RESC). Refractions (right eye) were categorized as myopic (≤ −0.5D), emmetropic (> −0.5D to ≤ +0.5D), mildly hyperopic (> +0.5D to ≤ +2.0D and hyperopic (> +2.0D). Results At 5 sites (Jhapa – rural Nepal, New Delhi -urban India, Mahabubnagar - rural India, Durban - semi-urban South Africa, and La Florida – urban Chile), there was <20% myopia by age 15. Mild hyperopia was the most prevalent category at all ages, except for Mahabubnagar where emmetropia became the marginally most prevalent category at ages 14 and 15. At the other sites (Gombak – semi-urban Malaysia, Shunyi – semi-rural China, and Guangzhou - urban China) there was substantial (>35%) myopia by age 15. At these sites, mild hyperopia was the most prevalent category during early childhood, and myopia became the predominant category later. In Gombak district and Guangzhou, emmetropia was a minor category at all ages, with myopia increasing as mild hyperopia decreased. In Shunyi district, emmetropia was the most prevalent category over the ages 11-14. Conclusion Emmetropia was not the predominant outcome for refractive development in children. Instead, populations were either predominantly mildly hyperopic, or substantial amounts of myopia appeared. This suggests that mild hyperopia is the natural state of refractive development in children, and that emmetropia during childhood carries the risk of subsequent progression to myopia. PMID:19958289

  17. Heritability of strabismus: genetic influence is specific to eso-deviation and independent of refractive error.

    PubMed

    Sanfilippo, Paul G; Hammond, Christopher J; Staffieri, Sandra E; Kearns, Lisa S; Melissa Liew, S H; Barbour, Julie M; Hewitt, Alex W; Ge, Dongliang; Snieder, Harold; Mackinnon, Jane R; Brown, Shayne A; Lorenz, Birgit; Spector, Tim D; Martin, Nicholas G; Wilmer, Jeremy B; Mackey, David A

    2012-10-01

    Strabismus represents a complex oculomotor disorder characterized by the deviation of one or both eyes and poor vision. A more sophisticated understanding of the genetic liability of strabismus is required to guide searches for associated molecular variants. In this classical twin study of 1,462 twin pairs, we examined the relative influence of genes and environment in comitant strabismus, and the degree to which these influences can be explained by factors in common with refractive error. Participants were examined for the presence of latent ('phoria') and manifest ('tropia') strabismus using cover-uncover and alternate cover tests. Two phenotypes were distinguished: eso-deviation (esophoria and esotropia) and exo-deviation (exophoria and exotropia). Structural equation modeling was subsequently employed to partition the observed phenotypic variation in the twin data into specific variance components. The prevalence of eso-deviation and exo-deviation was 8.6% and 20.7%, respectively. For eso-deviation, the polychoric correlation was significantly greater in monozygotic (MZ) (r = 0.65) compared to dizygotic (DZ) twin pairs (r = 0.33), suggesting a genetic role (p = .003). There was no significant difference in polychoric correlation between MZ (r = 0.55) and DZ twin pairs (r = 0.53) for exo-deviation (p = .86), implying that genetic factors do not play a significant role in the etiology of exo-deviation. The heritability of an eso-deviation was 0.64 (95% CI 0.50-0.75). The additive genetic correlation for eso-deviation and refractive error was 0.13 and the bivariate heritability (i.e., shared variance) was less than 1%, suggesting negligible shared genetic effect. This study documents a substantial heritability of 64% for eso-deviation, yet no corresponding heritability for exo-deviation, suggesting that the genetic contribution to strabismus may be specific to eso-deviation. Future studies are now needed to identify the genes associated with eso-deviation and

  18. Demonstrating the Error Budget for the Climate Absolute Radiance and Refractivity Observatory Through Solar Irradiance Measurements

    NASA Technical Reports Server (NTRS)

    Thome, Kurtis; McCorkel, Joel; McAndrew, Brendan

    2016-01-01

    The Climate Absolute Radiance and Refractivity Observatory (CLARREO) mission addresses the need to observe highaccuracy, long-term climate change trends and to use decadal change observations as a method to determine the accuracy of climate change. A CLARREO objective is to improve the accuracy of SI-traceable, absolute calibration at infrared and reflected solar wavelengths to reach on-orbit accuracies required to allow climate change observations to survive data gaps and observe climate change at the limit of natural variability. Such an effort will also demonstrate National Institute of Standards and Technology (NIST) approaches for use in future spaceborne instruments. The current work describes the results of laboratory and field measurements with the Solar, Lunar for Absolute Reflectance Imaging Spectroradiometer (SOLARIS) which is the calibration demonstration system (CDS) for the reflected solar portion of CLARREO. SOLARIS allows testing and evaluation of calibration approaches, alternate design and/or implementation approaches and components for the CLARREO mission. SOLARIS also provides a test-bed for detector technologies, non-linearity determination and uncertainties, and application of future technology developments and suggested spacecraft instrument design modifications. Results of laboratory calibration measurements are provided to demonstrate key assumptions about instrument behavior that are needed to achieve CLARREO's climate measurement requirements. Absolute radiometric response is determined using laser-based calibration sources and applied to direct solar views for comparison with accepted solar irradiance models to demonstrate accuracy values giving confidence in the error budget for the CLARREO reflectance retrieval.

  19. Exploration and detection of potential regulatory variants in refractive error GWAS

    PubMed Central

    Liao, Xuan; Lan, ChangJun; Liao, Dan; Tian, Jing; Huang, XiuQi

    2016-01-01

    Refractive error (RE) is a complex multifactorial disease. Genome-wide association studies (GWAS) have provided significant insight into the genetic architecture and identified plenty of robust genetic variations or single nucleotide polymorphisms (SNPs) associated with complex disease. A major current challenge is to convert those resources into causal variants and target genes. We used RegulomeDB and HaploReg to annotate regulatory information onto associated SNPs derived from the two largest RE GWAS, and additional SNPs in linkage disequilibrium (LD) with GWAS significant SNPs. Overall 868 SNPs were investigated, out of which 662 returned RegulomeDB scores of 1 to 6. It was observed that 36 out of those SNPs show strong evidence of regulatory effects with a RegulomeDB score of 1, while only four of them were GWAS significant SNPs (CD55/rs1652333, CNDP2/rs12971120, RDH5/rs3138142 and rs3138144). The results encourage us to explore those putative pathogenic variants, both GWAS significant SNPs as well as the SNPs in LD, for future discernment of functional consequence. This study offers the attractive approach for prioritizing potential functional variants by combining ENCODE data and GWAS information, and provide further insights into the pathogenesis and mechanism and ultimately therapeutics. PMID:27604318

  20. Demonstrating the error budget for the Climate Absolute Radiance and Refractivity Observatory through solar irradiance measurements

    NASA Astrophysics Data System (ADS)

    Thome, Kurtis; McCorkel, Joel; McAndrew, Brendan

    2015-09-01

    The Climate Absolute Radiance and Refractivity Observatory (CLARREO) mission addresses the need to observe highaccuracy, long-term climate change trends and to use decadal change observations as a method to determine the accuracy of climate change. A CLARREO objective is to improve the accuracy of SI-traceable, absolute calibration at infrared and reflected solar wavelengths to reach on-orbit accuracies required to allow climate change observations to survive data gaps and observe climate change at the limit of natural variability. Such an effort will also demonstrate National Institute of Standards and Technology (NIST) approaches for use in future spaceborne instruments. The current work describes the results of laboratory and field measurements with the Solar, Lunar for Absolute Reflectance Imaging Spectroradiometer (SOLARIS) which is the calibration demonstration system (CDS) for the reflected solar portion of CLARREO. SOLARIS allows testing and evaluation of calibration approaches, alternate design and/or implementation approaches and components for the CLARREO mission. SOLARIS also provides a testbed for detector technologies, non-linearity determination and uncertainties, and application of future technology developments and suggested spacecraft instrument design modifications. Results of laboratory calibration measurements are provided to demonstrate key assumptions about instrument behavior that are needed to achieve CLARREO's climate measurement requirements. Absolute radiometric response is determined using laser-based calibration sources and applied to direct solar views for comparison with accepted solar irradiance models to demonstrate accuracy values giving confidence in the error budget for the CLARREO reflectance retrieval.

  1. Exploration and detection of potential regulatory variants in refractive error GWAS.

    PubMed

    Liao, Xuan; Lan, ChangJun; Liao, Dan; Tian, Jing; Huang, XiuQi

    2016-01-01

    Refractive error (RE) is a complex multifactorial disease. Genome-wide association studies (GWAS) have provided significant insight into the genetic architecture and identified plenty of robust genetic variations or single nucleotide polymorphisms (SNPs) associated with complex disease. A major current challenge is to convert those resources into causal variants and target genes. We used RegulomeDB and HaploReg to annotate regulatory information onto associated SNPs derived from the two largest RE GWAS, and additional SNPs in linkage disequilibrium (LD) with GWAS significant SNPs. Overall 868 SNPs were investigated, out of which 662 returned RegulomeDB scores of 1 to 6. It was observed that 36 out of those SNPs show strong evidence of regulatory effects with a RegulomeDB score of 1, while only four of them were GWAS significant SNPs (CD55/rs1652333, CNDP2/rs12971120, RDH5/rs3138142 and rs3138144). The results encourage us to explore those putative pathogenic variants, both GWAS significant SNPs as well as the SNPs in LD, for future discernment of functional consequence. This study offers the attractive approach for prioritizing potential functional variants by combining ENCODE data and GWAS information, and provide further insights into the pathogenesis and mechanism and ultimately therapeutics. PMID:27604318

  2. Compensation of X-ray mirror shape-errors using refractive optics

    NASA Astrophysics Data System (ADS)

    Sawhney, Kawal; Laundy, David; Dhamgaye, Vishal; Pape, Ian

    2016-08-01

    Focusing of X-rays to nanometre scale focal spots requires high precision X-ray optics. For nano-focusing mirrors, height errors in the mirror surface retard or advance the X-ray wavefront and after propagation to the focal plane, this distortion of the wavefront causes blurring of the focus resulting in a limit on the spatial resolution. We describe here the implementation of a method for correcting the wavefront that is applied before a focusing mirror using custom-designed refracting structures which locally cancel out the wavefront distortion from the mirror. We demonstrate in measurements on a synchrotron radiation beamline a reduction in the size of the focal spot of a characterized test mirror by a factor of greater than 10 times. This technique could be used to correct existing synchrotron beamline focusing and nanofocusing optics providing a highly stable wavefront with low distortion for obtaining smaller focus sizes. This method could also correct multilayer or focusing crystal optics allowing larger numerical apertures to be used in order to reduce the diffraction limited focal spot size.

  3. Refractive Results: Safety and Efficacy of Secondary Piggyback Sensar™ AR40 Intraocular Lens Implantation to Correct Pseudophakic Refractive Error

    PubMed Central

    Hassan, Alahmady Hamad Alsmman; Sayed, Khulood M.; ElAgooz, Mohammed; Elhawary, Ashraf Mostafa

    2016-01-01

    In this study we evaluate the visual outcomes, safety, efficacy, and stability of implanting of second sulcus intraocular lens (IOL) to correct unsatisfied ametropic patients after phacoemulsification. Methods. Retrospective study of 15 eyes (15 patients) underwent secondary intraocular lens implanted into the ciliary sulcus. The IOL used was a Sensar IOL three-piece foldable hydrophobic acrylic IOL. The first IOL in all patients was acrylic intrabagal IOL implanted in uncomplicated phacoemulsification surgery. Results. Fifteen eyes (15 patients) were involved in this study. Preoperatively, mean log⁡MAR UDVA and CDVA were 0.88 ± 0.22 and 0.19 ± 0.13, respectively, with a mean follow-up of 28 months (range: 24 to 36 months). At the end of the follow-up, all eyes achieved log⁡MAR UDVA of 0.20 ± 0.12 with postoperative refraction ranging from 0.00 to −0.50 D of attempted emmetropia. Conclusions. Implantation of the second sulcus SensarAR40 IOL was found to be safe, easy, and simple technique for management of ametropia following uncomplicated phacoemulsification. PMID:27313869

  4. Preliminary Error Budget for the Reflected Solar Instrument for the Climate Absolute Radiance and Refractivity Observatory

    NASA Technical Reports Server (NTRS)

    Thome, Kurtis; Gubbels, Timothy; Barnes, Robert

    2011-01-01

    The Climate Absolute Radiance and Refractivity Observatory (CLARREO) plans to observe climate change trends over decadal time scales to determine the accuracy of climate projections. The project relies on spaceborne earth observations of SI-traceable variables sensitive to key decadal change parameters. The mission includes a reflected solar instrument retrieving at-sensor reflectance over the 320 to 2300 nm spectral range with 500-m spatial resolution and 100-km swath. Reflectance is obtained from the ratio of measurements of the earth s surface to those while viewing the sun relying on a calibration approach that retrieves reflectance with uncertainties less than 0.3%. The calibration is predicated on heritage hardware, reduction of sensor complexity, adherence to detector-based calibration standards, and an ability to simulate in the laboratory on-orbit sources in both size and brightness to provide the basis of a transfer to orbit of the laboratory calibration including a link to absolute solar irradiance measurements. The Climate Absolute Radiance and Refractivity Observatory (CLARREO) mission addresses the need to observe high-accuracy, long-term climate change trends and to use decadal change observations as the most critical method to determine the accuracy of climate change projections such as those in the IPCC Report. A rigorously known accuracy of both decadal change observations as well as climate projections is critical in order to enable sound policy decisions. The CLARREO Project will implement a spaceborne earth observation mission designed to provide rigorous SI traceable observations (i.e., radiance, reflectance, and refractivity) that are sensitive to a wide range of key decadal change variables, including: 1) Surface temperature and atmospheric temperature profile 2) Atmospheric water vapor profile 3) Far infrared water vapor greenhouse 4) Aerosol properties and anthropogenic aerosol direct radiative forcing 5) Total and spectral solar

  5. Eye exercises of acupoints: their impact on refractive error and visual symptoms in Chinese urban children

    PubMed Central

    2013-01-01

    Background Traditional Chinese eye exercises of acupoints involve acupoint self-massage. These have been advocated as a compulsory measure to reduce ocular fatigue, as well as to retard the development of myopia, among Chinese school children. This study evaluated the impact of these eye exercises among Chinese urban children. Methods 409 children (195 males, 47.7%), aged 11.1 ± 3.2 (range 6–17) years, from the Beijing Myopia Progression Study (BMPS) were recruited. All had completed the eye exercise questionnaire, the convergence insufficiency symptom survey (CISS), and a cycloplegic autorefraction. Among these, 395 (96.6%) performed the eye exercises of acupoints. Multiple logistic regressions for myopia and multiple linear regressions for the CISS score (after adjusting for age, gender, average parental refractive error, and time spent doing near work and outdoor activity) for the different items of the eye exercises questionnaire were performed. Results Only the univariate odds ratio (95% confidence interval) for “seriousness of attitude” towards performing the eye exercises of acupoints (0.51, 0.33-0.78) showed a protective effect towards myopia. However, none of the odds ratios were significant after adjusting for the confounding factors. The univariate and multiple β coefficients for the CISS score were -2.47 (p = 0.002) and -1.65 (p = 0.039), -3.57 (p = 0.002) and -2.35 (p = 0.042), and -2.40 (p = 0.003) and -2.29 (p = 0.004), for attitude, speed of exercise, and acquaintance with acupoints, respectively, which were all significant. Conclusions The traditional Chinese eye exercises of acupoints appeared to have a modest effect on relieving near vision symptoms among Chinese urban children aged 6 to 17 years. However, no remarkable effect on reducing myopia was observed. PMID:24195652

  6. Education influences the association between genetic variants and refractive error: a meta-analysis of five Singapore studies.

    PubMed

    Fan, Qiao; Wojciechowski, Robert; Kamran Ikram, M; Cheng, Ching-Yu; Chen, Peng; Zhou, Xin; Pan, Chen-Wei; Khor, Chiea-Chuen; Tai, E-Shyong; Aung, Tin; Wong, Tien-Yin; Teo, Yik-Ying; Saw, Seang-Mei

    2014-01-15

    Refractive error is a complex ocular trait governed by both genetic and environmental factors and possibly their interplay. Thus far, data on the interaction between genetic variants and environmental risk factors for refractive errors are largely lacking. By using findings from recent genome-wide association studies, we investigated whether the main environmental factor, education, modifies the effect of 40 single nucleotide polymorphisms on refractive error among 8461 adults from five studies including ethnic Chinese, Malay and Indian residents of Singapore. Three genetic loci SHISA6-DNAH9, GJD2 and ZMAT4-SFRP1 exhibited a strong association with myopic refractive error in individuals with higher secondary or university education (SHISA6-DNAH9: rs2969180 A allele, β = -0.33 D, P = 3.6 × 10(-6); GJD2: rs524952 A allele, β = -0.31 D, P = 1.68 × 10(-5); ZMAT4-SFRP1: rs2137277 A allele, β = -0.47 D, P = 1.68 × 10(-4)), whereas the association at these loci was non-significant or of borderline significance in those with lower secondary education or below (P for interaction: 3.82 × 10(-3)-4.78 × 10(-4)). The evidence for interaction was strengthened when combining the genetic effects of these three loci (P for interaction = 4.40 × 10(-8)), and significant interactions with education were also observed for axial length and myopia. Our study shows that low level of education may attenuate the effect of risk alleles on myopia. These findings further underline the role of gene-environment interactions in the pathophysiology of myopia.

  7. Education influences the association between genetic variants and refractive error: a meta-analysis of five Singapore studies

    PubMed Central

    Fan, Qiao; Wojciechowski, Robert; Kamran Ikram, M.; Cheng, Ching-Yu; Chen, Peng; Zhou, Xin; Pan, Chen-Wei; Khor, Chiea-Chuen; Tai, E-Shyong; Aung, Tin; Wong, Tien-Yin; Teo, Yik-Ying; Saw, Seang-Mei

    2014-01-01

    Refractive error is a complex ocular trait governed by both genetic and environmental factors and possibly their interplay. Thus far, data on the interaction between genetic variants and environmental risk factors for refractive errors are largely lacking. By using findings from recent genome-wide association studies, we investigated whether the main environmental factor, education, modifies the effect of 40 single nucleotide polymorphisms on refractive error among 8461 adults from five studies including ethnic Chinese, Malay and Indian residents of Singapore. Three genetic loci SHISA6-DNAH9, GJD2 and ZMAT4-SFRP1 exhibited a strong association with myopic refractive error in individuals with higher secondary or university education (SHISA6-DNAH9: rs2969180 A allele, β = −0.33 D, P = 3.6 × 10–6; GJD2: rs524952 A allele, β = −0.31 D, P = 1.68 × 10−5; ZMAT4-SFRP1: rs2137277 A allele, β = −0.47 D, P = 1.68 × 10−4), whereas the association at these loci was non-significant or of borderline significance in those with lower secondary education or below (P for interaction: 3.82 × 10−3–4.78 × 10−4). The evidence for interaction was strengthened when combining the genetic effects of these three loci (P for interaction = 4.40 × 10−8), and significant interactions with education were also observed for axial length and myopia. Our study shows that low level of education may attenuate the effect of risk alleles on myopia. These findings further underline the role of gene–environment interactions in the pathophysiology of myopia. PMID:24014484

  8. Genome-wide meta-analyses of multiancestry cohorts identify multiple new susceptibility loci for refractive error and myopia.

    PubMed

    Verhoeven, Virginie J M; Hysi, Pirro G; Wojciechowski, Robert; Fan, Qiao; Guggenheim, Jeremy A; Höhn, René; MacGregor, Stuart; Hewitt, Alex W; Nag, Abhishek; Cheng, Ching-Yu; Yonova-Doing, Ekaterina; Zhou, Xin; Ikram, M Kamran; Buitendijk, Gabriëlle H S; McMahon, George; Kemp, John P; Pourcain, Beate St; Simpson, Claire L; Mäkelä, Kari-Matti; Lehtimäki, Terho; Kähönen, Mika; Paterson, Andrew D; Hosseini, S Mohsen; Wong, Hoi Suen; Xu, Liang; Jonas, Jost B; Pärssinen, Olavi; Wedenoja, Juho; Yip, Shea Ping; Ho, Daniel W H; Pang, Chi Pui; Chen, Li Jia; Burdon, Kathryn P; Craig, Jamie E; Klein, Barbara E K; Klein, Ronald; Haller, Toomas; Metspalu, Andres; Khor, Chiea-Chuen; Tai, E-Shyong; Aung, Tin; Vithana, Eranga; Tay, Wan-Ting; Barathi, Veluchamy A; Chen, Peng; Li, Ruoying; Liao, Jiemin; Zheng, Yingfeng; Ong, Rick T; Döring, Angela; Evans, David M; Timpson, Nicholas J; Verkerk, Annemieke J M H; Meitinger, Thomas; Raitakari, Olli; Hawthorne, Felicia; Spector, Tim D; Karssen, Lennart C; Pirastu, Mario; Murgia, Federico; Ang, Wei; Mishra, Aniket; Montgomery, Grant W; Pennell, Craig E; Cumberland, Phillippa M; Cotlarciuc, Ioana; Mitchell, Paul; Wang, Jie Jin; Schache, Maria; Janmahasatian, Sarayut; Janmahasathian, Sarayut; Igo, Robert P; Lass, Jonathan H; Chew, Emily; Iyengar, Sudha K; Gorgels, Theo G M F; Rudan, Igor; Hayward, Caroline; Wright, Alan F; Polasek, Ozren; Vatavuk, Zoran; Wilson, James F; Fleck, Brian; Zeller, Tanja; Mirshahi, Alireza; Müller, Christian; Uitterlinden, André G; Rivadeneira, Fernando; Vingerling, Johannes R; Hofman, Albert; Oostra, Ben A; Amin, Najaf; Bergen, Arthur A B; Teo, Yik-Ying; Rahi, Jugnoo S; Vitart, Veronique; Williams, Cathy; Baird, Paul N; Wong, Tien-Yin; Oexle, Konrad; Pfeiffer, Norbert; Mackey, David A; Young, Terri L; van Duijn, Cornelia M; Saw, Seang-Mei; Bailey-Wilson, Joan E; Stambolian, Dwight; Klaver, Caroline C; Hammond, Christopher J

    2013-03-01

    Refractive error is the most common eye disorder worldwide and is a prominent cause of blindness. Myopia affects over 30% of Western populations and up to 80% of Asians. The CREAM consortium conducted genome-wide meta-analyses, including 37,382 individuals from 27 studies of European ancestry and 8,376 from 5 Asian cohorts. We identified 16 new loci for refractive error in individuals of European ancestry, of which 8 were shared with Asians. Combined analysis identified 8 additional associated loci. The new loci include candidate genes with functions in neurotransmission (GRIA4), ion transport (KCNQ5), retinoic acid metabolism (RDH5), extracellular matrix remodeling (LAMA2 and BMP2) and eye development (SIX6 and PRSS56). We also confirmed previously reported associations with GJD2 and RASGRF1. Risk score analysis using associated SNPs showed a tenfold increased risk of myopia for individuals carrying the highest genetic load. Our results, based on a large meta-analysis across independent multiancestry studies, considerably advance understanding of the mechanisms involved in refractive error and myopia.

  9. Spatial and temporal dissociation of AQP4 and Kir4.1 expression during induction of refractive errors

    PubMed Central

    Goodyear, Melinda J.; Crewther, Sheila G.; Murphy, Melanie J.; Giummarra, Loretta; Hazi, Agnes; Junghans, Barbara M.; Crewther, David P.

    2010-01-01

    Purpose Spatial co-localization of aquaporin water channels (AQP4) and inwardly rectifying potassium ion channels (Kir4.1) on the endfeet regions of glial cells has been suggested as the basis of functionally interrelated mechanisms of osmoregulation in brain edema. The aim of this study was to investigate the spatial and temporal changes in the expression of AQP4 and Kir4.1 channels in an avascular retina during the first week of the optical induction of refractive errors. Methods Three-day-old hatchling chicks were randomly assigned to three groups and either did not wear lenses or were monocularly goggled with ±10D lenses for varying times up to 7 days before biometric assessment. Retinal tissue was prepared either for western blot analysis to show the presence of the AQP4 and Kir4.1 protein in the chick retina or for immunolocalization using AQP4 and Kir4.1 antibodies to determine the regional distribution and intensity of labeling during the induction of refractive errors. Results As expected, ultrasonography demonstrated that all eyes showed rapid elongation post hatching. Negative lens-wearing eyes elongated faster than fellow eyes or normal non goggled eyes and became progressively more myopic with time post lensing. Positive lens-wearing eyes showed reduced ocular growth compared to normal controls and developed a hyperopic refraction. Quantitative immunohistochemistry revealed the upregulation of AQP4 channel expression on Müller cells in the retinal nerve fiber layer during the first 2 days of negative lens wear. Kir4.1 channel upregulation in the inner plexiform layer was only found on day 4 of positive lens wear during the development of refractive hyperopia. Conclusions These results indicate that the expression of AQP4 and Kir4.1 channels on Müller cells is associated with the changes in ocular volume seen during the induction of refractive errors. However, the sites of greatest expression and the temporal pattern of the upregulation of AQP4 and

  10. Atmospheric microwave refractivity and refraction

    NASA Technical Reports Server (NTRS)

    Yu, E.; Hodge, D. B.

    1980-01-01

    The atmospheric refractivity can be expressed as a function of temperature, pressure, water vapor content, and operating frequency. Based on twenty-year meteorological data, statistics of the atmospheric refractivity were obtained. These statistics were used to estimate the variation of dispersion, attenuation, and refraction effects on microwave and millimeter wave signals propagating along atmospheric paths. Bending angle, elevation angle error, and range error were also developed for an exponentially tapered, spherical atmosphere.

  11. Refractive Error and Ocular Parameters: Comparison of Two SD-OCT Systems

    PubMed Central

    Ostrin, Lisa A.; Yuzuriha, Jill; Wildsoet, Christine F.

    2015-01-01

    Purpose Spectral domain optical coherence tomography (SD-OCT) was used to examine the influence of refractive error (RE) on foveal retinal and choroidal thicknesses and scleral canal width (SCW). The performance of the Cirrus and Bioptigen SD-OCT instruments was compared in the same eyes. Methods Both eyes of forty healthy human subjects, ages 22 to 38 years, were dilated and imaged, with the Cirrus OCT, using 6 mm 5-line rasters collapsed into one line, one centered on the fovea and one bisecting the optic nerve head. Seventy-two of the same eyes were imaged with the Bioptigen OCT, using 6 mm × 6 mm scans, one centered on the fovea and one on the optic nerve head. Subfoveal retinal and choroidal thicknesses and SCW were measured. Axial lengths (AL) and REs were obtained using an IOLMaster and a Grand Seiko autorefractor, respectively. Results Only right eyes were included in analyses. Spherical equivalent REs ranged from −12.18 to +8.12 D (mean: −3.44 ± 4.06 D), and ALs ranged from 20.56 to 29.17 mm (mean: 24.86 ± 1.91 mm). Myopia was associated with relatively thin choroids at the fovea (p<0.05) but normal retinal thickness. SCW was significantly correlated with AL as measured with the Bioptigen OCT (p<0.05). Retinal and choroidal thicknesses recorded with the Bioptigen OCT tended to be smaller than values obtained with the Cirrus OCT (mean difference: 5.63 and 24.76 µm, respectively), while the converse was true for the SCW (mean difference: 25.45 µm). Conclusions The finding that high myopes tend to have a thinner subfoveal choroid is consistent with previous studies. That high myopia was linked to enlarged scleral canals may help to explain the increased risk of glaucoma in myopia. Observed differences obtained with the Cirrus and Bioptigen instruments urge caution in comparing results collected with different instruments. PMID:25785537

  12. Nine Loci for Ocular Axial Length Identified through Genome-wide Association Studies, Including Shared Loci with Refractive Error

    PubMed Central

    Cheng, Ching-Yu; Schache, Maria; Ikram, M. Kamran; Young, Terri L.; Guggenheim, Jeremy A.; Vitart, Veronique; MacGregor, Stuart; Verhoeven, Virginie J.M.; Barathi, Veluchamy A.; Liao, Jiemin; Hysi, Pirro G.; Bailey-Wilson, Joan E.; St. Pourcain, Beate; Kemp, John P.; McMahon, George; Timpson, Nicholas J.; Evans, David M.; Montgomery, Grant W.; Mishra, Aniket; Wang, Ya Xing; Wang, Jie Jin; Rochtchina, Elena; Polasek, Ozren; Wright, Alan F.; Amin, Najaf; van Leeuwen, Elisabeth M.; Wilson, James F.; Pennell, Craig E.; van Duijn, Cornelia M.; de Jong, Paulus T.V.M.; Vingerling, Johannes R.; Zhou, Xin; Chen, Peng; Li, Ruoying; Tay, Wan-Ting; Zheng, Yingfeng; Chew, Merwyn; Rahi, Jugnoo S.; Hysi, Pirro G.; Yoshimura, Nagahisa; Yamashiro, Kenji; Miyake, Masahiro; Delcourt, Cécile; Maubaret, Cecilia; Williams, Cathy; Guggenheim, Jeremy A.; Northstone, Kate; Ring, Susan M.; Davey-Smith, George; Craig, Jamie E.; Burdon, Kathryn P.; Fogarty, Rhys D.; Iyengar, Sudha K.; Igo, Robert P.; Chew, Emily; Janmahasathian, Sarayut; Iyengar, Sudha K.; Igo, Robert P.; Chew, Emily; Janmahasathian, Sarayut; Stambolian, Dwight; Wilson, Joan E. Bailey; MacGregor, Stuart; Lu, Yi; Jonas, Jost B.; Xu, Liang; Saw, Seang-Mei; Baird, Paul N.; Rochtchina, Elena; Mitchell, Paul; Wang, Jie Jin; Jonas, Jost B.; Nangia, Vinay; Hayward, Caroline; Wright, Alan F.; Vitart, Veronique; Polasek, Ozren; Campbell, Harry; Vitart, Veronique; Rudan, Igor; Vatavuk, Zoran; Vitart, Veronique; Paterson, Andrew D.; Hosseini, S. Mohsen; Iyengar, Sudha K.; Igo, Robert P.; Fondran, Jeremy R.; Young, Terri L.; Feng, Sheng; Verhoeven, Virginie J.M.; Klaver, Caroline C.; van Duijn, Cornelia M.; Metspalu, Andres; Haller, Toomas; Mihailov, Evelin; Pärssinen, Olavi; Wedenoja, Juho; Wilson, Joan E. Bailey; Wojciechowski, Robert; Baird, Paul N.; Schache, Maria; Pfeiffer, Norbert; Höhn, René; Pang, Chi Pui; Chen, Peng; Meitinger, Thomas; Oexle, Konrad; Wegner, Aharon; Yoshimura, Nagahisa; Yamashiro, Kenji; Miyake, Masahiro; Pärssinen, Olavi; Yip, Shea Ping; Ho, Daniel W.H.; Pirastu, Mario; Murgia, Federico; Portas, Laura; Biino, Genevra; Wilson, James F.; Fleck, Brian; Vitart, Veronique; Stambolian, Dwight; Wilson, Joan E. Bailey; Hewitt, Alex W.; Ang, Wei; Verhoeven, Virginie J.M.; Klaver, Caroline C.; van Duijn, Cornelia M.; Saw, Seang-Mei; Wong, Tien-Yin; Teo, Yik-Ying; Fan, Qiao; Cheng, Ching-Yu; Zhou, Xin; Ikram, M. Kamran; Saw, Seang-Mei; Teo, Yik-Ying; Fan, Qiao; Cheng, Ching-Yu; Zhou, Xin; Ikram, M. Kamran; Saw, Seang-Mei; Wong, Tien-Yin; Teo, Yik-Ying; Fan, Qiao; Cheng, Ching-Yu; Zhou, Xin; Ikram, M. Kamran; Saw, Seang-Mei; Wong, Tien-Yin; Teo, Yik-Ying; Fan, Qiao; Cheng, Ching-Yu; Zhou, Xin; Ikram, M. Kamran; Saw, Seang-Mei; Tai, E-Shyong; Teo, Yik-Ying; Fan, Qiao; Cheng, Ching-Yu; Zhou, Xin; Ikram, M. Kamran; Saw, Seang-Mei; Teo, Yik-Ying; Fan, Qiao; Cheng, Ching-Yu; Zhou, Xin; Ikram, M. Kamran; Mackey, David A.; MacGregor, Stuart; Hammond, Christopher J.; Hysi, Pirro G.; Deangelis, Margaret M.; Morrison, Margaux; Zhou, Xiangtian; Chen, Wei; Paterson, Andrew D.; Hosseini, S. Mohsen; Mizuki, Nobuhisa; Meguro, Akira; Lehtimäki, Terho; Mäkelä, Kari-Matti; Raitakari, Olli; Kähönen, Mika; Burdon, Kathryn P.; Craig, Jamie E.; Iyengar, Sudha K.; Igo, Robert P.; Lass, Jonathan H.; Reinhart, William; Belin, Michael W.; Schultze, Robert L.; Morason, Todd; Sugar, Alan; Mian, Shahzad; Soong, Hunson Kaz; Colby, Kathryn; Jurkunas, Ula; Yee, Richard; Vital, Mark; Alfonso, Eduardo; Karp, Carol; Lee, Yunhee; Yoo, Sonia; Hammersmith, Kristin; Cohen, Elisabeth; Laibson, Peter; Rapuano, Christopher; Ayres, Brandon; Croasdale, Christopher; Caudill, James; Patel, Sanjay; Baratz, Keith; Bourne, William; Maguire, Leo; Sugar, Joel; Tu, Elmer; Djalilian, Ali; Mootha, Vinod; McCulley, James; Bowman, Wayne; Cavanaugh, H. Dwight; Verity, Steven; Verdier, David; Renucci, Ann; Oliva, Matt; Rotkis, Walter; Hardten, David R.; Fahmy, Ahmad; Brown, Marlene; Reeves, Sherman; Davis, Elizabeth A.; Lindstrom, Richard; Hauswirth, Scott; Hamilton, Stephen; Lee, W. Barry; Price, Francis; Price, Marianne; Kelly, Kathleen; Peters, Faye; Shaughnessy, Michael; Steinemann, Thomas; Dupps, B.J.; Meisler, David M.; Mifflin, Mark; Olson, Randal; Aldave, Anthony; Holland, Gary; Mondino, Bartly J.; Rosenwasser, George; Gorovoy, Mark; Dunn, Steven P.; Heidemann, David G.; Terry, Mark; Shamie, Neda; Rosenfeld, Steven I.; Suedekum, Brandon; Hwang, David; Stone, Donald; Chodosh, James; Galentine, Paul G.; Bardenstein, David; Goddard, Katrina; Chin, Hemin; Mannis, Mark; Varma, Rohit; Borecki, Ingrid; Chew, Emily Y.; Haller, Toomas; Mihailov, Evelin; Metspalu, Andres; Wedenoja, Juho; Simpson, Claire L.; Wojciechowski, Robert; Höhn, René; Mirshahi, Alireza; Zeller, Tanja; Pfeiffer, Norbert; Lackner, Karl J.; Donnelly, Peter; Barroso, Ines; Blackwell, Jenefer M.; Bramon, Elvira; Brown, Matthew A.; Casas, Juan P.; Corvin, Aiden; Deloukas, Panos; Duncanson, Audrey; Jankowski, Janusz; Markus, Hugh S.; Mathew, Christopher G.; Palmer, Colin N.A.; Plomin, Robert; Rautanen, Anna; Sawcer, Stephen J.; Trembath, Richard C.; Viswanathan, Ananth C.; Wood, Nicholas W.; Spencer, Chris C.A.; Band, Gavin; Bellenguez, Céline; Freeman, Colin; Hellenthal, Garrett; Giannoulatou, Eleni; Pirinen, Matti; Pearson, Richard; Strange, Amy; Su, Zhan; Vukcevic, Damjan; Donnelly, Peter; Langford, Cordelia; Hunt, Sarah E.; Edkins, Sarah; Gwilliam, Rhian; Blackburn, Hannah; Bumpstead, Suzannah J.; Dronov, Serge; Gillman, Matthew; Gray, Emma; Hammond, Naomi; Jayakumar, Alagurevathi; McCann, Owen T.; Liddle, Jennifer; Potter, Simon C.; Ravindrarajah, Radhi; Ricketts, Michelle; Waller, Matthew; Weston, Paul; Widaa, Sara; Whittaker, Pamela; Barroso, Ines; Deloukas, Panos; Mathew, Christopher G.; Blackwell, Jenefer M.; Brown, Matthew A.; Corvin, Aiden; Spencer, Chris C.A.; Bettecken, Thomas; Meitinger, Thomas; Oexle, Konrad; Pirastu, Mario; Portas, Laura; Nag, Abhishek; Williams, Katie M.; Yonova-Doing, Ekaterina; Klein, Ronald; Klein, Barbara E.; Hosseini, S. Mohsen; Paterson, Andrew D.; Genuth, S.; Nathan, D.M.; Zinman, B.; Crofford, O.; Crandall, J.; Reid, M.; Brown-Friday, J.; Engel, S.; Sheindlin, J.; Martinez, H.; Shamoon, H.; Engel, H.; Phillips, M.; Gubitosi-Klug, R.; Mayer, L.; Pendegast, S.; Zegarra, H.; Miller, D.; Singerman, L.; Smith-Brewer, S.; Novak, M.; Quin, J.; Dahms, W.; Genuth, Saul; Palmert, M.; Brillon, D.; Lackaye, M.E.; Kiss, S.; Chan, R.; Reppucci, V.; Lee, T.; Heinemann, M.; Whitehouse, F.; Kruger, D.; Jones, J.K.; McLellan, M.; Carey, J.D.; Angus, E.; Thomas, A.; Galprin, A.; Bergenstal, R.; Johnson, M.; Spencer, M.; Morgan, K.; Etzwiler, D.; Kendall, D.; Aiello, Lloyd Paul; Golden, E.; Jacobson, A.; Beaser, R.; Ganda, O.; Hamdy, O.; Wolpert, H.; Sharuk, G.; Arrigg, P.; Schlossman, D.; Rosenzwieg, J.; Rand, L.; Nathan, D.M.; Larkin, M.; Ong, M.; Godine, J.; Cagliero, E.; Lou, P.; Folino, K.; Fritz, S.; Crowell, S.; Hansen, K.; Gauthier-Kelly, C.; Service, J.; Ziegler, G.; Luttrell, L.; Caulder, S.; Lopes-Virella, M.; Colwell, J.; Soule, J.; Fernandes, J.; Hermayer, K.; Kwon, S.; Brabham, M.; Blevins, A.; Parker, J.; Lee, D.; Patel, N.; Pittman, C.; Lindsey, P.; Bracey, M.; Lee, K.; Nutaitis, M.; Farr, A.; Elsing, S.; Thompson, T.; Selby, J.; Lyons, T.; Yacoub-Wasef, S.; Szpiech, M.; Wood, D.; Mayfield, R.; Molitch, M.; Schaefer, B.; Jampol, L.; Lyon, A.; Gill, M.; Strugula, Z.; Kaminski, L.; Mirza, R.; Simjanoski, E.; Ryan, D.; Kolterman, O.; Lorenzi, G.; Goldbaum, M.; Sivitz, W.; Bayless, M.; Counts, D.; Johnsonbaugh, S.; Hebdon, M.; Salemi, P.; Liss, R.; Donner, T.; Gordon, J.; Hemady, R.; Kowarski, A.; Ostrowski, D.; Steidl, S.; Jones, B.; Herman, W.H.; Martin, C.L.; Pop-Busui, R.; Sarma, A.; Albers, J.; Feldman, E.; Kim, K.; Elner, S.; Comer, G.; Gardner, T.; Hackel, R.; Prusak, R.; Goings, L.; Smith, A.; Gothrup, J.; Titus, P.; Lee, J.; Brandle, M.; Prosser, L.; Greene, D.A.; Stevens, M.J.; Vine, A.K.; Bantle, J.; Wimmergren, N.; Cochrane, A.; Olsen, T.; Steuer, E.; Rath, P.; Rogness, B.; Hainsworth, D.; Goldstein, D.; Hitt, S.; Giangiacomo, J.; Schade, D.S.; Canady, J.L.; Chapin, J.E.; Ketai, L.H.; Braunstein, C.S.; Bourne, P.A.; Schwartz, S.; Brucker, A.; Maschak-Carey, B.J.; Baker, L.; Orchard, T.; Silvers, N.; Ryan, C.; Songer, T.; Doft, B.; Olson, S.; Bergren, R.L.; Lobes, L.; Rath, P. Paczan; Becker, D.; Rubinstein, D.; Conrad, P.W.; Yalamanchi, S.; Drash, A.; Morrison, A.; Bernal, M.L.; Vaccaro-Kish, J.; Malone, J.; Pavan, P.R.; Grove, N.; Iyer, M.N.; Burrows, A.F.; Tanaka, E.A.; Gstalder, R.; Dagogo-Jack, S.; Wigley, C.; Ricks, H.; Kitabchi, A.; Murphy, M.B.; Moser, S.; Meyer, D.; Iannacone, A.; Chaum, E.; Yoser, S.; Bryer-Ash, M.; Schussler, S.; Lambeth, H.; Raskin, P.; Strowig, S.; Zinman, B.; Barnie, A.; Devenyi, R.; Mandelcorn, M.; Brent, M.; Rogers, S.; Gordon, A.; Palmer, J.; Catton, S.; Brunzell, J.; Wessells, H.; de Boer, I.H.; Hokanson, J.; Purnell, J.; Ginsberg, J.; Kinyoun, J.; Deeb, S.; Weiss, M.; Meekins, G.; Distad, J.; Van Ottingham, L.; Dupre, J.; Harth, J.; Nicolle, D.; Driscoll, M.; Mahon, J.; Canny, C.; May, M.; Lipps, J.; Agarwal, A.; Adkins, T.; Survant, L.; Pate, R.L.; Munn, G.E.; Lorenz, R.; Feman, S.; White, N.; Levandoski, L.; Boniuk, I.; Grand, G.; Thomas, M.; Joseph, D.D.; Blinder, K.; Shah, G.; Boniuk; Burgess; Santiago, J.; Tamborlane, W.; Gatcomb, P.; Stoessel, K.; Taylor, K.; Goldstein, J.; Novella, S.; Mojibian, H.; Cornfeld, D.; Lima, J.; Bluemke, D.; Turkbey, E.; van der Geest, R.J.; Liu, C.; Malayeri, A.; Jain, A.; Miao, C.; Chahal, H.; Jarboe, R.; Maynard, J.; Gubitosi-Klug, R.; Quin, J.; Gaston, P.; Palmert, M.; Trail, R.; Dahms, W.; Lachin, J.; Cleary, P.; Backlund, J.; Sun, W.; Braffett, B.; Klumpp, K.; Chan, K.; Diminick, L.; Rosenberg, D.; Petty, B.; Determan, A.; Kenny, D.; Rutledge, B.; Younes, Naji; Dews, L.; Hawkins, M.; Cowie, C.; Fradkin, J.; Siebert, C.; Eastman, R.; Danis, R.; Gangaputra, S.; Neill, S.; Davis, M.; Hubbard, L.; Wabers, H.; Burger, M.; Dingledine, J.; Gama, V.; Sussman, R.; Steffes, M.; Bucksa, J.; Nowicki, M.; Chavers, B.; O’Leary, D.; Polak, J.; Harrington, A.; Funk, L.; Crow, R.; Gloeb, B.; Thomas, S.; O’Donnell, C.; Soliman, E.; Zhang, Z.M.; Prineas, R.; Campbell, C.; Ryan, C.; Sandstrom, D.; Williams, T.; Geckle, M.; Cupelli, E.; Thoma, F.; Burzuk, B.; Woodfill, T.; Low, P.; Sommer, C.; Nickander, K.; Budoff, M.; Detrano, R.; Wong, N.; Fox, M.; Kim, L.; Oudiz, R.; Weir, G.; Espeland, M.; Manolio, T.; Rand, L.; Singer, D.; Stern, M.; Boulton, A.E.; Clark, C.; D’Agostino, R.; Lopes-Virella, M.; Garvey, W.T.; Lyons, T.J.; Jenkins, A.; Virella, G.; Jaffa, A.; Carter, Rickey; Lackland, D.; Brabham, M.; McGee, D.; Zheng, D.; Mayfield, R.K.; Boright, A.; Bull, S.; Sun, L.; Scherer, S.; Zinman, B.; Natarajan, R.; Miao, F.; Zhang, L.; Chen;, Z.; Nathan, D.M.; Makela, Kari-Matti; Lehtimaki, Terho; Kahonen, Mika; Raitakari, Olli; Yoshimura, Nagahisa; Matsuda, Fumihiko; Chen, Li Jia; Pang, Chi Pui; Yip, Shea Ping; Yap, Maurice K.H.; Meguro, Akira; Mizuki, Nobuhisa; Inoko, Hidetoshi; Foster, Paul J.; Zhao, Jing Hua; Vithana, Eranga; Tai, E-Shyong; Fan, Qiao; Xu, Liang; Campbell, Harry; Fleck, Brian; Rudan, Igor; Aung, Tin; Hofman, Albert; Uitterlinden, André G.; Bencic, Goran; Khor, Chiea-Chuen; Forward, Hannah; Pärssinen, Olavi; Mitchell, Paul; Rivadeneira, Fernando; Hewitt, Alex W.; Williams, Cathy; Oostra, Ben A.; Teo, Yik-Ying; Hammond, Christopher J.; Stambolian, Dwight; Mackey, David A.; Klaver, Caroline C.W.; Wong, Tien-Yin; Saw, Seang-Mei; Baird, Paul N.

    2013-01-01

    Refractive errors are common eye disorders of public health importance worldwide. Ocular axial length (AL) is the major determinant of refraction and thus of myopia and hyperopia. We conducted a meta-analysis of genome-wide association studies for AL, combining 12,531 Europeans and 8,216 Asians. We identified eight genome-wide significant loci for AL (RSPO1, C3orf26, LAMA2, GJD2, ZNRF3, CD55, MIP, and ALPPL2) and confirmed one previously reported AL locus (ZC3H11B). Of the nine loci, five (LAMA2, GJD2, CD55, ALPPL2, and ZC3H11B) were associated with refraction in 18 independent cohorts (n = 23,591). Differential gene expression was observed for these loci in minus-lens-induced myopia mouse experiments and human ocular tissues. Two of the AL genes, RSPO1 and ZNRF3, are involved in Wnt signaling, a pathway playing a major role in the regulation of eyeball size. This study provides evidence of shared genes between AL and refraction, but importantly also suggests that these traits may have unique pathways. PMID:24144296

  13. Nine loci for ocular axial length identified through genome-wide association studies, including shared loci with refractive error.

    PubMed

    Cheng, Ching-Yu; Schache, Maria; Ikram, M Kamran; Young, Terri L; Guggenheim, Jeremy A; Vitart, Veronique; MacGregor, Stuart; Verhoeven, Virginie J M; Barathi, Veluchamy A; Liao, Jiemin; Hysi, Pirro G; Bailey-Wilson, Joan E; St Pourcain, Beate; Kemp, John P; McMahon, George; Timpson, Nicholas J; Evans, David M; Montgomery, Grant W; Mishra, Aniket; Wang, Ya Xing; Wang, Jie Jin; Rochtchina, Elena; Polasek, Ozren; Wright, Alan F; Amin, Najaf; van Leeuwen, Elisabeth M; Wilson, James F; Pennell, Craig E; van Duijn, Cornelia M; de Jong, Paulus T V M; Vingerling, Johannes R; Zhou, Xin; Chen, Peng; Li, Ruoying; Tay, Wan-Ting; Zheng, Yingfeng; Chew, Merwyn; Burdon, Kathryn P; Craig, Jamie E; Iyengar, Sudha K; Igo, Robert P; Lass, Jonathan H; Chew, Emily Y; Haller, Toomas; Mihailov, Evelin; Metspalu, Andres; Wedenoja, Juho; Simpson, Claire L; Wojciechowski, Robert; Höhn, René; Mirshahi, Alireza; Zeller, Tanja; Pfeiffer, Norbert; Lackner, Karl J; Bettecken, Thomas; Meitinger, Thomas; Oexle, Konrad; Pirastu, Mario; Portas, Laura; Nag, Abhishek; Williams, Katie M; Yonova-Doing, Ekaterina; Klein, Ronald; Klein, Barbara E; Hosseini, S Mohsen; Paterson, Andrew D; Makela, Kari-Matti; Lehtimaki, Terho; Kahonen, Mika; Raitakari, Olli; Yoshimura, Nagahisa; Matsuda, Fumihiko; Chen, Li Jia; Pang, Chi Pui; Yip, Shea Ping; Yap, Maurice K H; Meguro, Akira; Mizuki, Nobuhisa; Inoko, Hidetoshi; Foster, Paul J; Zhao, Jing Hua; Vithana, Eranga; Tai, E-Shyong; Fan, Qiao; Xu, Liang; Campbell, Harry; Fleck, Brian; Rudan, Igor; Aung, Tin; Hofman, Albert; Uitterlinden, André G; Bencic, Goran; Khor, Chiea-Chuen; Forward, Hannah; Pärssinen, Olavi; Mitchell, Paul; Rivadeneira, Fernando; Hewitt, Alex W; Williams, Cathy; Oostra, Ben A; Teo, Yik-Ying; Hammond, Christopher J; Stambolian, Dwight; Mackey, David A; Klaver, Caroline C W; Wong, Tien-Yin; Saw, Seang-Mei; Baird, Paul N

    2013-08-01

    Refractive errors are common eye disorders of public health importance worldwide. Ocular axial length (AL) is the major determinant of refraction and thus of myopia and hyperopia. We conducted a meta-analysis of genome-wide association studies for AL, combining 12,531 Europeans and 8,216 Asians. We identified eight genome-wide significant loci for AL (RSPO1, C3orf26, LAMA2, GJD2, ZNRF3, CD55, MIP, and ALPPL2) and confirmed one previously reported AL locus (ZC3H11B). Of the nine loci, five (LAMA2, GJD2, CD55, ALPPL2, and ZC3H11B) were associated with refraction in 18 independent cohorts (n = 23,591). Differential gene expression was observed for these loci in minus-lens-induced myopia mouse experiments and human ocular tissues. Two of the AL genes, RSPO1 and ZNRF3, are involved in Wnt signaling, a pathway playing a major role in the regulation of eyeball size. This study provides evidence of shared genes between AL and refraction, but importantly also suggests that these traits may have unique pathways.

  14. The hepatocyte growth factor receptor (MET) gene is not associated with refractive error and ocular biometrics in a Caucasian population

    PubMed Central

    Schache, M.; Chen, C.Y.; Dirani, M.; Baird, P.N.

    2009-01-01

    Purpose The purpose of this study was to determine if genetic variants in the hepatocyte growth factor receptor (MET) gene are associated with refractive error and ocular biometric measures in a Caucasian cohort. Methods A case-control association study using 818 Caucasian adults (37.2% male, 62.8% female; average age: 51.21±17.17 years) was undertaken. All individuals were genotyped for 16 tag single nucleotide polymorphisms (tSNPs) across the MET gene region. Myopia was defined as –0.5 DS or worse in both eyes and divided into high myopia (≤–6.0 DS) and low/moderate myopia (–0.5 DS to –5.99 DS). Hypermetropia was defined as at least +1.0 DS in both eyes. Genotyping results were analyzed using PLINK, comparing cases (all myopia, high myopia, low/moderate myopia, and hypermetropia) to controls (emmetropia). Association tests were also performed using the quantitative traits of refraction, axial length, anterior chamber depth, and corneal curvature. Results No statistically significant genetic associations were detected for any of the 16 tSNPs with refractive error (myopia and hypermetropia) or ocular biometric measures. Conclusions These data indicate there is likely no genetic association of the MET gene with myopia, axial length, anterior chamber depth, and corneal curvature in this cohort. PMID:20011629

  15. Assessing the Accuracy and Feasibility of a Refractive Error Screening Program Conducted by School Teachers in Pre-Primary and Primary Schools in Thailand

    PubMed Central

    Teerawattananon, Kanlaya; Myint, Chaw-Yin; Wongkittirux, Kwanjai; Teerawattananon, Yot; Chinkulkitnivat, Bunyong; Orprayoon, Surapong; Kusakul, Suwat; Tengtrisorn, Supaporn; Jenchitr, Watanee

    2014-01-01

    Introduction As part of the development of a system for the screening of refractive error in Thai children, this study describes the accuracy and feasibility of establishing a program conducted by teachers. Objective To assess the accuracy and feasibility of screening by teachers. Methods A cross-sectional descriptive and analytical study was conducted in 17 schools in four provinces representing four geographic regions in Thailand. A two-staged cluster sampling was employed to compare the detection rate of refractive error among eligible students between trained teachers and health professionals. Serial focus group discussions were held for teachers and parents in order to understand their attitude towards refractive error screening at schools and the potential success factors and barriers. Results The detection rate of refractive error screening by teachers among pre-primary school children is relatively low (21%) for mild visual impairment but higher for moderate visual impairment (44%). The detection rate for primary school children is high for both levels of visual impairment (52% for mild and 74% for moderate). The focus group discussions reveal that both teachers and parents would benefit from further education regarding refractive errors and that the vast majority of teachers are willing to conduct a school-based screening program. Conclusion Refractive error screening by health professionals in pre-primary and primary school children is not currently implemented in Thailand due to resource limitations. However, evidence suggests that a refractive error screening program conducted in schools by teachers in the country is reasonable and feasible because the detection and treatment of refractive error in very young generations is important and the screening program can be implemented and conducted with relatively low costs. PMID:24926993

  16. Screening for refractive errors at age 1 year: a pilot study.

    PubMed Central

    Ingram, R M; Traynar, M J; Walker, C; Wilson, J M

    1979-01-01

    Cycloplegic refraction of 1-year-old children is technically possible and is acceptable to mothers as a method for screening children for visual defects. The range of refractions found in a sample of 186 1-year-old children is reported. Prediction of which children are significantly at risk for squint and/or amblyopia is possible on the basis of refractions at age 1 year according to the criteria selected for an 'abnormal' refraction. Bilateral hypermetropia and/or astigmatism or anisometropia at age 1 year was significantly (P less than 1 in 10 000) associated with a child eventually being found to have squint or amblyopia. Both the age of screening and criteria of abnormality will probably need modification. +2.50 or more D hypermetropia in any one meridian of either eye at age 1 year was even more significantly (P = 0.000 000 05%) associated with squint and/or amblyopia. The possibility that meridional hypermetropia could be the basic defect in squint and amblyopia is discussed. PMID:435441

  17. Refractive Error and Risk of Early or Late Age-Related Macular Degeneration: A Systematic Review and Meta-Analysis

    PubMed Central

    Li, Ying; Wang, JiWen; Zhong, XiaoJing; Tian, Zhen; Wu, Peipei; Zhao, Wenbo; Jin, Chenjin

    2014-01-01

    Objective To summarize relevant evidence investigating the associations between refractive error and age-related macular degeneration (AMD). Design Systematic review and meta-analysis. Methods We searched Medline, Web of Science, and Cochrane databases as well as the reference lists of retrieved articles to identify studies that met the inclusion criteria. Extracted data were combined using a random-effects meta-analysis. Studies that were pertinent to our topic but did not meet the criteria for quantitative analysis were reported in a systematic review instead. Main outcome measures Pooled odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between refractive error (hyperopia, myopia, per-diopter increase in spherical equivalent [SE] toward hyperopia, per-millimeter increase in axial length [AL]) and AMD (early and late, prevalent and incident). Results Fourteen studies comprising over 5800 patients were eligible. Significant associations were found between hyperopia, myopia, per-diopter increase in SE, per-millimeter increase in AL, and prevalent early AMD. The pooled ORs and 95% CIs were 1.13 (1.06–1.20), 0.75 (0.56–0.94), 1.10 (1.07–1.14), and 0.79 (0.73–0.85), respectively. The per-diopter increase in SE was also significantly associated with early AMD incidence (OR, 1.06; 95% CI, 1.02–1.10). However, no significant association was found between hyperopia or myopia and early AMD incidence. Furthermore, neither prevalent nor incident late AMD was associated with refractive error. Considerable heterogeneity was found among studies investigating the association between myopia and prevalent early AMD (P = 0.001, I2 = 72.2%). Geographic location might play a role; the heterogeneity became non-significant after stratifying these studies into Asian and non-Asian subgroups. Conclusion Refractive error is associated with early AMD but not with late AMD. More large-scale longitudinal studies are needed to further investigate such

  18. Development of Refractive Error in Individual Children With Regressed Retinopathy of Prematurity

    PubMed Central

    Wang, Jingyun; Ren, Xiaowei; Shen, Li; Yanni, Susan E.; Leffler, Joel N.; Birch, Eileen E.

    2013-01-01

    Purpose. We investigated longitudinally the refraction development in children with regressed retinopathy of prematurity (ROP), including those with and those without a history of peripheral retinal laser photocoagulation. Methods. Longitudinal (0–7 years) cycloplegic refraction data were collected prospectively for two groups of preterm children: severe ROP group included those with regressed ROP following bilateral panretinal laser photocoagulation (n = 37; median gestational age [GA] = 25.2; range, 22.7–27.9 weeks) and mild/no ROP group included those with spontaneously regressed ROP or no ROP (n = 27; median GA = 27.1; range, 23.1–32.0 weeks). Analyses were based on spherical equivalent (SEQ), anisometropia, astigmatism, and age (corrected for gestation). Results. The prevalence, magnitude, and rate of myopic progression all were significantly higher in the severe ROP group than in the mild/no ROP group. Longitudinal SEQ in the severe ROP group were best fit with a bilinear model. Before 1.3 years old, the rate of myopic shift was −4.7 diopters (D)/y; after 1.3 years, the rate slowed to −0.15 D/y. Longitudinal SEQ in the mild/no ROP group was best fit with a linear model, with a rate of −0.004 D/y. Anisometropia in the severe ROP group increased approximately three times faster than in the mild/no ROP group. In the severe ROP group, with-the-rule astigmatism increased significantly with age. Conclusions. The severe ROP group progressed rapidly toward myopia, particularly during the first 1.3 years; anisometropia and astigmatism also increased with age. The mild/no ROP group showed little change in refraction. Infants treated with laser photocoagulation for severe ROP should be monitored with periodic cycloplegic refractions and provided with early optical correction. PMID:23920368

  19. Refractive Errors in Northern China Between the Residents with Drinking Water Containing Excessive Fluorine and Normal Drinking Water.

    PubMed

    Bin, Ge; Liu, Haifeng; Zhao, Chunyuan; Zhou, Guangkai; Ding, Xuchen; Zhang, Na; Xu, Yongfang; Qi, Yanhua

    2016-10-01

    The purpose of this study was to evaluate the refractive errors and the demographic associations between drinking water with excessive fluoride and normal drinking water among residents in Northern China. Of the 1843 residents, 1415 (aged ≥40 years) were divided into drinking-water-excessive fluoride (DWEF) group (>1.20 mg/L) and control group (≤1.20 mg/L) on the basis of the fluoride concentrations in drinking water. Of the 221 subjects in the DWEF group, with 1.47 ± 0.25 mg/L (fluoride concentrations in drinking water), the prevalence rates of myopia, hyperopia, and astigmatism were 38.5 % (95 % confidence interval [CI] = 32.1-45.3), 19.9 % (95 % CI = 15-26), and 41.6 % (95 % CI = 35.1-48.4), respectively. Of the 1194 subjects in the control group with 0.20 ± 0.18 mg/L, the prevalence of myopia, hyperopia, and astigmatism were 31.5 % (95 % CI = 28.9-34.2), 27.6 % (95 % CI = 25.1-30.3), and 45.6 % (95 % CI = 42.8-48.5), respectively. A statistically significant difference was not observed in the association of spherical equivalent and fluoride concentrations in drinking water (P = 0.84 > 0.05). This report provides the data of the refractive state of the residents consuming drinking water with excess amounts of fluoride in northern China. The refractive errors did not result from ingestion of mild excess amounts of fluoride in the drinking water.

  20. Meta-analysis of gene–environment-wide association scans accounting for education level identifies additional loci for refractive error

    PubMed Central

    Fan, Qiao; Verhoeven, Virginie J. M.; Wojciechowski, Robert; Barathi, Veluchamy A.; Hysi, Pirro G.; Guggenheim, Jeremy A.; Höhn, René; Vitart, Veronique; Khawaja, Anthony P.; Yamashiro, Kenji; Hosseini, S Mohsen; Lehtimäki, Terho; Lu, Yi; Haller, Toomas; Xie, Jing; Delcourt, Cécile; Pirastu, Mario; Wedenoja, Juho; Gharahkhani, Puya; Venturini, Cristina; Miyake, Masahiro; Hewitt, Alex W.; Guo, Xiaobo; Mazur, Johanna; Huffman, Jenifer E.; Williams, Katie M.; Polasek, Ozren; Campbell, Harry; Rudan, Igor; Vatavuk, Zoran; Wilson, James F.; Joshi, Peter K.; McMahon, George; St Pourcain, Beate; Evans, David M.; Simpson, Claire L.; Schwantes-An, Tae-Hwi; Igo, Robert P.; Mirshahi, Alireza; Cougnard-Gregoire, Audrey; Bellenguez, Céline; Blettner, Maria; Raitakari, Olli; Kähönen, Mika; Seppala, Ilkka; Zeller, Tanja; Meitinger, Thomas; Ried, Janina S.; Gieger, Christian; Portas, Laura; van Leeuwen, Elisabeth M.; Amin, Najaf; Uitterlinden, André G.; Rivadeneira, Fernando; Hofman, Albert; Vingerling, Johannes R.; Wang, Ya Xing; Wang, Xu; Tai-Hui Boh, Eileen; Ikram, M. Kamran; Sabanayagam, Charumathi; Gupta, Preeti; Tan, Vincent; Zhou, Lei; Ho, Candice E. H.; Lim, Wan'e; Beuerman, Roger W.; Siantar, Rosalynn; Tai, E-Shyong; Vithana, Eranga; Mihailov, Evelin; Khor, Chiea-Chuen; Hayward, Caroline; Luben, Robert N.; Foster, Paul J.; Klein, Barbara E. K.; Klein, Ronald; Wong, Hoi-Suen; Mitchell, Paul; Metspalu, Andres; Aung, Tin; Young, Terri L.; He, Mingguang; Pärssinen, Olavi; van Duijn, Cornelia M.; Jin Wang, Jie; Williams, Cathy; Jonas, Jost B.; Teo, Yik-Ying; Mackey, David A.; Oexle, Konrad; Yoshimura, Nagahisa; Paterson, Andrew D.; Pfeiffer, Norbert; Wong, Tien-Yin; Baird, Paul N.; Stambolian, Dwight; Wilson, Joan E. Bailey; Cheng, Ching-Yu; Hammond, Christopher J.; Klaver, Caroline C. W.; Saw, Seang-Mei; Rahi, Jugnoo S.; Korobelnik, Jean-François; Kemp, John P.; Timpson, Nicholas J.; Smith, George Davey; Craig, Jamie E.; Burdon, Kathryn P.; Fogarty, Rhys D.; Iyengar, Sudha K.; Chew, Emily; Janmahasatian, Sarayut; Martin, Nicholas G.; MacGregor, Stuart; Xu, Liang; Schache, Maria; Nangia, Vinay; Panda-Jonas, Songhomitra; Wright, Alan F.; Fondran, Jeremy R.; Lass, Jonathan H.; Feng, Sheng; Zhao, Jing Hua; Khaw, Kay-Tee; Wareham, Nick J.; Rantanen, Taina; Kaprio, Jaakko; Pang, Chi Pui; Chen, Li Jia; Tam, Pancy O.; Jhanji, Vishal; Young, Alvin L.; Döring, Angela; Raffel, Leslie J.; Cotch, Mary-Frances; Li, Xiaohui; Yip, Shea Ping; Yap, Maurice K.H.; Biino, Ginevra; Vaccargiu, Simona; Fossarello, Maurizio; Fleck, Brian; Yazar, Seyhan; Tideman, Jan Willem L.; Tedja, Milly; Deangelis, Margaret M.; Morrison, Margaux; Farrer, Lindsay; Zhou, Xiangtian; Chen, Wei; Mizuki, Nobuhisa; Meguro, Akira; Mäkelä, Kari Matti

    2016-01-01

    Myopia is the most common human eye disorder and it results from complex genetic and environmental causes. The rapidly increasing prevalence of myopia poses a major public health challenge. Here, the CREAM consortium performs a joint meta-analysis to test single-nucleotide polymorphism (SNP) main effects and SNP × education interaction effects on refractive error in 40,036 adults from 25 studies of European ancestry and 10,315 adults from 9 studies of Asian ancestry. In European ancestry individuals, we identify six novel loci (FAM150B-ACP1, LINC00340, FBN1, DIS3L-MAP2K1, ARID2-SNAT1 and SLC14A2) associated with refractive error. In Asian populations, three genome-wide significant loci AREG, GABRR1 and PDE10A also exhibit strong interactions with education (P<8.5 × 10−5), whereas the interactions are less evident in Europeans. The discovery of these loci represents an important advance in understanding how gene and environment interactions contribute to the heterogeneity of myopia. PMID:27020472

  1. Meta-analysis of gene-environment-wide association scans accounting for education level identifies additional loci for refractive error.

    PubMed

    Fan, Qiao; Verhoeven, Virginie J M; Wojciechowski, Robert; Barathi, Veluchamy A; Hysi, Pirro G; Guggenheim, Jeremy A; Höhn, René; Vitart, Veronique; Khawaja, Anthony P; Yamashiro, Kenji; Hosseini, S Mohsen; Lehtimäki, Terho; Lu, Yi; Haller, Toomas; Xie, Jing; Delcourt, Cécile; Pirastu, Mario; Wedenoja, Juho; Gharahkhani, Puya; Venturini, Cristina; Miyake, Masahiro; Hewitt, Alex W; Guo, Xiaobo; Mazur, Johanna; Huffman, Jenifer E; Williams, Katie M; Polasek, Ozren; Campbell, Harry; Rudan, Igor; Vatavuk, Zoran; Wilson, James F; Joshi, Peter K; McMahon, George; St Pourcain, Beate; Evans, David M; Simpson, Claire L; Schwantes-An, Tae-Hwi; Igo, Robert P; Mirshahi, Alireza; Cougnard-Gregoire, Audrey; Bellenguez, Céline; Blettner, Maria; Raitakari, Olli; Kähönen, Mika; Seppala, Ilkka; Zeller, Tanja; Meitinger, Thomas; Ried, Janina S; Gieger, Christian; Portas, Laura; van Leeuwen, Elisabeth M; Amin, Najaf; Uitterlinden, André G; Rivadeneira, Fernando; Hofman, Albert; Vingerling, Johannes R; Wang, Ya Xing; Wang, Xu; Tai-Hui Boh, Eileen; Ikram, M Kamran; Sabanayagam, Charumathi; Gupta, Preeti; Tan, Vincent; Zhou, Lei; Ho, Candice E H; Lim, Wan'e; Beuerman, Roger W; Siantar, Rosalynn; Tai, E-Shyong; Vithana, Eranga; Mihailov, Evelin; Khor, Chiea-Chuen; Hayward, Caroline; Luben, Robert N; Foster, Paul J; Klein, Barbara E K; Klein, Ronald; Wong, Hoi-Suen; Mitchell, Paul; Metspalu, Andres; Aung, Tin; Young, Terri L; He, Mingguang; Pärssinen, Olavi; van Duijn, Cornelia M; Jin Wang, Jie; Williams, Cathy; Jonas, Jost B; Teo, Yik-Ying; Mackey, David A; Oexle, Konrad; Yoshimura, Nagahisa; Paterson, Andrew D; Pfeiffer, Norbert; Wong, Tien-Yin; Baird, Paul N; Stambolian, Dwight; Wilson, Joan E Bailey; Cheng, Ching-Yu; Hammond, Christopher J; Klaver, Caroline C W; Saw, Seang-Mei; Rahi, Jugnoo S; Korobelnik, Jean-François; Kemp, John P; Timpson, Nicholas J; Smith, George Davey; Craig, Jamie E; Burdon, Kathryn P; Fogarty, Rhys D; Iyengar, Sudha K; Chew, Emily; Janmahasatian, Sarayut; Martin, Nicholas G; MacGregor, Stuart; Xu, Liang; Schache, Maria; Nangia, Vinay; Panda-Jonas, Songhomitra; Wright, Alan F; Fondran, Jeremy R; Lass, Jonathan H; Feng, Sheng; Zhao, Jing Hua; Khaw, Kay-Tee; Wareham, Nick J; Rantanen, Taina; Kaprio, Jaakko; Pang, Chi Pui; Chen, Li Jia; Tam, Pancy O; Jhanji, Vishal; Young, Alvin L; Döring, Angela; Raffel, Leslie J; Cotch, Mary-Frances; Li, Xiaohui; Yip, Shea Ping; Yap, Maurice K H; Biino, Ginevra; Vaccargiu, Simona; Fossarello, Maurizio; Fleck, Brian; Yazar, Seyhan; Tideman, Jan Willem L; Tedja, Milly; Deangelis, Margaret M; Morrison, Margaux; Farrer, Lindsay; Zhou, Xiangtian; Chen, Wei; Mizuki, Nobuhisa; Meguro, Akira; Mäkelä, Kari Matti

    2016-03-29

    Myopia is the most common human eye disorder and it results from complex genetic and environmental causes. The rapidly increasing prevalence of myopia poses a major public health challenge. Here, the CREAM consortium performs a joint meta-analysis to test single-nucleotide polymorphism (SNP) main effects and SNP × education interaction effects on refractive error in 40,036 adults from 25 studies of European ancestry and 10,315 adults from 9 studies of Asian ancestry. In European ancestry individuals, we identify six novel loci (FAM150B-ACP1, LINC00340, FBN1, DIS3L-MAP2K1, ARID2-SNAT1 and SLC14A2) associated with refractive error. In Asian populations, three genome-wide significant loci AREG, GABRR1 and PDE10A also exhibit strong interactions with education (P<8.5 × 10(-5)), whereas the interactions are less evident in Europeans. The discovery of these loci represents an important advance in understanding how gene and environment interactions contribute to the heterogeneity of myopia.

  2. The Contributions of Near Work and Outdoor Activity to the Correlation Between Siblings in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error (CLEERE) Study

    PubMed Central

    Jones-Jordan, Lisa A.; Sinnott, Loraine T.; Graham, Nicholas D.; Cotter, Susan A.; Kleinstein, Robert N.; Manny, Ruth E.; Mutti, Donald O.; Twelker, J. Daniel; Zadnik, Karla

    2014-01-01

    Purpose. We determined the correlation between sibling refractive errors adjusted for shared and unique environmental factors using data from the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error (CLEERE) Study. Methods. Refractive error from subjects' last study visits was used to estimate the intraclass correlation coefficient (ICC) between siblings. The correlation models used environmental factors (diopter-hours and outdoor/sports activity) assessed annually from parents by survey to adjust for shared and unique environmental exposures when estimating the heritability of refractive error (2*ICC). Results. Data from 700 families contributed to the between-sibling correlation for spherical equivalent refractive error. The mean age of the children at the last visit was 13.3 ± 0.90 years. Siblings engaged in similar amounts of near and outdoor activities (correlations ranged from 0.40–0.76). The ICC for spherical equivalent, controlling for age, sex, ethnicity, and site was 0.367 (95% confidence interval [CI] = 0.304, 0.420), with an estimated heritability of no more than 0.733. After controlling for these variables, and near and outdoor/sports activities, the resulting ICC was 0.364 (95% CI = 0.304, 0.420; estimated heritability no more than 0.728, 95% CI = 0.608, 0.850). The ICCs did not differ significantly between male–female and single sex pairs. Conclusions. Adjusting for shared family and unique, child-specific environmental factors only reduced the estimate of refractive error correlation between siblings by 0.5%. Consistent with a lack of association between myopia progression and either near work or outdoor/sports activity, substantial common environmental exposures had little effect on this correlation. Genetic effects appear to have the major role in determining the similarity of refractive error between siblings. PMID:25205866

  3. Visual acuity test

    MedlinePlus

    Eye test -- acuity; Vision test -- acuity; Snellen test ... from your face. This will test your near vision. ... examination, particularly if there is a change in vision or a problem with vision. In children, the ...

  4. Error Budget for a Calibration Demonstration System for the Reflected Solar Instrument for the Climate Absolute Radiance and Refractivity Observatory

    NASA Technical Reports Server (NTRS)

    Thome, Kurtis; McCorkel, Joel; McAndrew, Brendan

    2013-01-01

    A goal of the Climate Absolute Radiance and Refractivity Observatory (CLARREO) mission is to observe highaccuracy, long-term climate change trends over decadal time scales. The key to such a goal is to improving the accuracy of SI traceable absolute calibration across infrared and reflected solar wavelengths allowing climate change to be separated from the limit of natural variability. The advances required to reach on-orbit absolute accuracy to allow climate change observations to survive data gaps exist at NIST in the laboratory, but still need demonstration that the advances can move successfully from to NASA and/or instrument vendor capabilities for spaceborne instruments. The current work describes the radiometric calibration error budget for the Solar, Lunar for Absolute Reflectance Imaging Spectroradiometer (SOLARIS) which is the calibration demonstration system (CDS) for the reflected solar portion of CLARREO. The goal of the CDS is to allow the testing and evaluation of calibration approaches, alternate design and/or implementation approaches and components for the CLARREO mission. SOLARIS also provides a test-bed for detector technologies, non-linearity determination and uncertainties, and application of future technology developments and suggested spacecraft instrument design modifications. The resulting SI-traceable error budget for reflectance retrieval using solar irradiance as a reference and methods for laboratory-based, absolute calibration suitable for climatequality data collections is given. Key components in the error budget are geometry differences between the solar and earth views, knowledge of attenuator behavior when viewing the sun, and sensor behavior such as detector linearity and noise behavior. Methods for demonstrating this error budget are also presented.

  5. Comparative Study of Refractive Errors, Strabismus, Microsaccades, and Visual Perception Between Preterm and Full-Term Children With Infantile Cerebral Palsy.

    PubMed

    Kozeis, Nikolaos; Panos, Georgios D; Zafeiriou, Dimitrios I; de Gottrau, Philippe; Gatzioufas, Zisis

    2015-07-01

    The purpose of this study was to examine the refractive status, orthoptic status and visual perception in a group of preterm and another of full-term children with cerebral palsy, in order to investigate whether prematurity has an effect on the development of refractive errors and binocular disorders. A hundred school-aged children, 70 preterm and 30 full-term, with congenital cerebral palsy were examined. Differences for hypermetropia, myopia, and emmetropia were not statistically significant between the 2 groups. Astigmatism was significantly increased in the preterm group. The orthoptic status was similar for both groups. Visual perception was markedly reduced in both groups, but the differences were not significant. In conclusion, children with cerebral palsy have impaired visual skills, leading to reading difficulties. The presence of prematurity does not appear to represent an additional risk factor for the development of refractive errors and binocular disorders. PMID:25296927

  6. Preschool visual acuity screening tests.

    PubMed Central

    Friendly, D S

    1978-01-01

    The purpose of the study was to evaluate the relative merits of two screening tests used for visual acuity assessment of preschool children. The tests that were compared were the Good-Lite Company versions of the E-Test and of the STYCAR (Screening Test for Young Children and Retardates). The former is the most popular method for evaluating central acuity in young children in this nation; the STYCAR is a relatively new letter-matching-test developed in England, where it is widely employed. The E-Test poses left-right orientation problems which are eliminated by the symmetrical letters H, T, O and V utilized in the Letter-Matching-Test. Both visual acuity tests were administered on two separate occasions by personnel from the Prevention of Blindness Society of Metropolitan Washington to 633 preschool children in Washington, D.C. By random selection, 150 of the children received the E-Test at both sessions, 162 children received the Letter-Matching-Test at both sessions, 160 chilt athe the second session, and 161 children received the Letter-Matching-Test at the first session and the E-Test at the second session. The author medically examined the eyes of 408 of the 633 children without knowledge of which test had been initially administered. Statistical analysis of the data obtained from the study indicated that the Letter-Matching-Test was significantly better in terms of testability rates, group and individual instruction time, and performance time. The E-Test was more reliable in terms of test-retest acuity scores and was also more valid in terms of agreement between pass-fail results obtained at the first screening session and two levels of pass-fail refraction criteria. Images FIGURE 4 FIGURE 5 FIGURE 7 A FIGURE 7 B FIGURE 9 A FIGURE 9 B PMID:754379

  7. Utility of an open field Shack-Hartmann aberrometer for measurement of refractive error in infants and young children

    PubMed Central

    Harvey, Erin M.; Miller, Joseph M.; Schwiegerling, Jim

    2013-01-01

    PURPOSE To assess the utility of an open-field Shack-Hartmann aberrometer for measurement of refractive error without cycloplegia in infants and young children. METHOD Data included 2698 subject encounters with Native American infants and children aged 6 months to <8 years. We attempted right eye measurements without cycloplegia using the pediatric wavefront evaluator (PeWE) on all participants while they viewed near (50 cm) and distant (2 m) fixation targets. Cycloplegic autorefraction (Rmax [Nikon Retinomax K-plus2]) measurements were obtained for children aged ≥3 years. RESULTS The success rates of noncycloplegic PeWE measurement for near (70%) and distant targets (56%) significantly improved with age. Significant differences in mean spherical equivalent (M) across near versus distant fixation target conditions were consistent with the difference in accommodative demand. Differences in astigmatism measurements for near versus distant target conditions were not clinically significant. Noncycloplegic PeWE and cycloplegic Rmax measurements of M and astigmatism were strongly correlated. Mean noncycloplegic PeWE M was significantly more myopic or less hyperopic and astigmatism measurements tended to be greater in magnitude compared with cycloplegic Rmax. CONCLUSIONS The PeWE tended to overestimate myopia and underestimate hyperopia when cycloplegia was not used. The PeWE is useful for measuring accommodation and astigmatism. PMID:24160970

  8. Accuracy of Noncycloplegic Retinoscopy, Retinomax Autorefractor, and SureSight Vision Screener for Detecting Significant Refractive Errors

    PubMed Central

    Kulp, Marjean Taylor; Ying, Gui-shuang; Huang, Jiayan; Maguire, Maureen; Quinn, Graham; Ciner, Elise B.; Cyert, Lynn A.; Orel-Bixler, Deborah A.; Moore, Bruce D.

    2014-01-01

    Purpose. To evaluate, by receiver operating characteristic (ROC) analysis, the ability of noncycloplegic retinoscopy (NCR), Retinomax Autorefractor (Retinomax), and SureSight Vision Screener (SureSight) to detect significant refractive errors (RE) among preschoolers. Methods. Refraction results of eye care professionals using NCR, Retinomax, and SureSight (n = 2588) and of nurse and lay screeners using Retinomax and SureSight (n = 1452) were compared with masked cycloplegic retinoscopy results. Significant RE was defined as hyperopia greater than +3.25 diopters (D), myopia greater than 2.00 D, astigmatism greater than 1.50 D, and anisometropia greater than 1.00 D interocular difference in hyperopia, greater than 3.00 D interocular difference in myopia, or greater than 1.50 D interocular difference in astigmatism. The ability of each screening test to identify presence, type, and/or severity of significant RE was summarized by the area under the ROC curve (AUC) and calculated from weighted logistic regression models. Results. For detection of each type of significant RE, AUC of each test was high; AUC was better for detecting the most severe levels of RE than for all REs considered important to detect (AUC 0.97–1.00 vs. 0.92–0.93). The area under the curve of each screening test was high for myopia (AUC 0.97–0.99). Noncycloplegic retinoscopy and Retinomax performed better than SureSight for hyperopia (AUC 0.92–0.99 and 0.90–0.98 vs. 0.85–0.94, P ≤ 0.02), Retinomax performed better than NCR for astigmatism greater than 1.50 D (AUC 0.95 vs. 0.90, P = 0.01), and SureSight performed better than Retinomax for anisometropia (AUC 0.85–1.00 vs. 0.76–0.96, P ≤ 0.07). Performance was similar for nurse and lay screeners in detecting any significant RE (AUC 0.92–1.00 vs. 0.92–0.99). Conclusions. Each test had a very high discriminatory power for detecting children with any significant RE. PMID:24481262

  9. The measurement of patient-reported outcomes of refractive surgery: the refractive status and vision profile.

    PubMed Central

    Schein, O D

    2000-01-01

    PURPOSE: To develop a questionnaire, the Refractive Status and Vision Profile (RSVP), to assess health-related quality of life associated with refractive error and its correction. METHODS: The published literature on patient report of visual and overall function was reviewed, and the RSVP was self-administered by 550 participants with refractive error. Cross-sectional validation was performed using standard psychometric techniques. The responsiveness of the RSVP to surgical intervention was assessed prospectively in a subset of 176 patients. The principal outcomes measures were scores on the overall RSVP scale (S) and on 8 RSVP subscales (functioning, driving, concern, expectations, symptoms, glare, optical problems, problems with corrective lenses). RESULTS: The RSVP (S) and its subscales demonstrated very good internal consistency (Cronbach's alpha, 0.70-0.93). S and several subscale scores were independently associated with satisfaction with vision and were more correlated with satisfaction with vision than with either visual acuity or refractive error. Higher refractive error was associated with lower scores on S and on 5 subscales. In the prospective surgical cohort, 15% of patients had some worsening in their total RSVP score; however, substantial variation was seen in the individual subscales where worsening ranged from 7% (problems with corrective lenses) to 41% (driving). The effect size (measure of responsiveness) of the RSVP and most of its subscales was very high. Approximately 14% of patients had significant worsening in 3 or more subscales, and this outcome was found to be independently associated with being dissatisfied with vision following surgery (OR, 5.84; 95% CI, 1.88, 8.13). CONCLUSIONS: The RSVP has been validated as a questionnaire that measures patient-reported quality of life related to refractive error and its correction. It is responsive to surgical intervention and provides important information regarding patient outcomes not available

  10. A method for enhancing digital information displayed to computer users with visual refractive errors via spatial and spectral processing

    NASA Astrophysics Data System (ADS)

    Alonso, Miguel, Jr.

    2007-12-01

    This research pursued the conceptualization, implementation, and verification of a system that enhances digital information displayed on an LCD panel to users with visual refractive errors. The target user groups for this system are individuals who have moderate to severe visual aberrations for which conventional means of compensation, such as glasses or contact lenses, does not improve their vision. This research is based on a priori knowledge of the user's visual aberration, as measured by a wavefront analyzer. With this information it is possible to generate images that, when displayed to this user, will counteract his/her visual aberration. The method described in this dissertation advances the development of techniques for providing such compensation by integrating spatial information in the image as a means to eliminate some of the shortcomings inherent in using display devices such as monitors or LCD panels. Additionally, physiological considerations are discussed and integrated into the method for providing said compensation. In order to provide a realistic sense of the performance of the methods described, they were tested by mathematical simulation in software, as well as by using a single-lens high resolution CCD camera that models an aberrated eye, and finally with human subjects having various forms of visual aberrations. Experiments were conducted on these systems and the data collected from these experiments was evaluated using statistical analysis. The experimental results revealed that the pre-compensation method resulted in a statistically significant improvement in vision for all of the systems. Although significant, the improvement was not as large as expected for the human subject tests. Further analysis suggest that even under the controlled conditions employed for testing with human subjects, the characterization of the eye may be changing. This would require real-time monitoring of relevant variables (e.g. pupil diameter) and continuous

  11. Genome-wide meta-analyses of multi-ethnic cohorts identify multiple new susceptibility loci for refractive error and myopia

    PubMed Central

    Verhoeven, Virginie J.M.; Hysi, Pirro G.; Wojciechowski, Robert; Fan, Qiao; Guggenheim, Jeremy A.; Höhn, René; MacGregor, Stuart; Hewitt, Alex W.; Nag, Abhishek; Cheng, Ching-Yu; Yonova-Doing, Ekaterina; Zhou, Xin; Ikram, M. Kamran; Buitendijk, Gabriëlle H.S.; McMahon, George; Kemp, John P.; St. Pourcain, Beate; Simpson, Claire L.; Mäkelä, Kari-Matti; Lehtimäki, Terho; Kähönen, Mika; Paterson, Andrew D.; Hosseini, S. Mohsen; Wong, Hoi Suen; Xu, Liang; Jonas, Jost B.; Pärssinen, Olavi; Wedenoja, Juho; Yip, Shea Ping; Ho, Daniel W. H.; Pang, Chi Pui; Chen, Li Jia; Burdon, Kathryn P.; Craig, Jamie E.; Klein, Barbara E. K.; Klein, Ronald; Haller, Toomas; Metspalu, Andres; Khor, Chiea-Chuen; Tai, E-Shyong; Aung, Tin; Vithana, Eranga; Tay, Wan-Ting; Barathi, Veluchamy A.; Chen, Peng; Li, Ruoying; Liao, Jiemin; Zheng, Yingfeng; Ong, Rick T.; Döring, Angela; Evans, David M.; Timpson, Nicholas J.; Verkerk, Annemieke J.M.H.; Meitinger, Thomas; Raitakari, Olli; Hawthorne, Felicia; Spector, Tim D.; Karssen, Lennart C.; Pirastu, Mario; Murgia, Federico; Ang, Wei; Mishra, Aniket; Montgomery, Grant W.; Pennell, Craig E.; Cumberland, Phillippa M.; Cotlarciuc, Ioana; Mitchell, Paul; Wang, Jie Jin; Schache, Maria; Janmahasathian, Sarayut; Igo, Robert P.; Lass, Jonathan H.; Chew, Emily; Iyengar, Sudha K.; Gorgels, Theo G.M.F.; Rudan, Igor; Hayward, Caroline; Wright, Alan F.; Polasek, Ozren; Vatavuk, Zoran; Wilson, James F.; Fleck, Brian; Zeller, Tanja; Mirshahi, Alireza; Müller, Christian; Uitterlinden, Andre’ G.; Rivadeneira, Fernando; Vingerling, Johannes R.; Hofman, Albert; Oostra, Ben A.; Amin, Najaf; Bergen, Arthur A.B.; Teo, Yik-Ying; Rahi, Jugnoo S.; Vitart, Veronique; Williams, Cathy; Baird, Paul N.; Wong, Tien-Yin; Oexle, Konrad; Pfeiffer, Norbert; Mackey, David A.; Young, Terri L.; van Duijn, Cornelia M.; Saw, Seang-Mei; Wilson, Joan E. Bailey; Stambolian, Dwight; Klaver, Caroline C.; Hammond, Christopher J.

    2013-01-01

    Refractive error is the most common eye disorder worldwide, and a prominent cause of blindness. Myopia affects over 30% of Western populations, and up to 80% of Asians. The CREAM consortium conducted genome-wide meta-analyses including 37,382 individuals from 27 studies of European ancestry, and 8,376 from 5 Asian cohorts. We identified 16 new loci for refractive error in subjects of European ancestry, of which 8 were shared with Asians. Combined analysis revealed 8 additional loci. The new loci include genes with functions in neurotransmission (GRIA4), ion channels (KCNQ5), retinoic acid metabolism (RDH5), extracellular matrix remodeling (LAMA2, BMP2), and eye development (SIX6, PRSS56). We also confirmed previously reported associations with GJD2 and RASGRF1. Risk score analysis using associated SNPs showed a tenfold increased risk of myopia for subjects with the highest genetic load. Our results, accumulated across independent multi-ethnic studies, considerably advance understanding of mechanisms involved in refractive error and myopia. PMID:23396134

  12. Childhood gene-environment interactions and age-dependent effects of genetic variants associated with refractive error and myopia: The CREAM Consortium.

    PubMed

    Fan, Qiao; Guo, Xiaobo; Tideman, J Willem L; Williams, Katie M; Yazar, Seyhan; Hosseini, S Mohsen; Howe, Laura D; Pourcain, Beaté St; Evans, David M; Timpson, Nicholas J; McMahon, George; Hysi, Pirro G; Krapohl, Eva; Wang, Ya Xing; Jonas, Jost B; Baird, Paul Nigel; Wang, Jie Jin; Cheng, Ching-Yu; Teo, Yik-Ying; Wong, Tien-Yin; Ding, Xiaohu; Wojciechowski, Robert; Young, Terri L; Pärssinen, Olavi; Oexle, Konrad; Pfeiffer, Norbert; Bailey-Wilson, Joan E; Paterson, Andrew D; Klaver, Caroline C W; Plomin, Robert; Hammond, Christopher J; Mackey, David A; He, Mingguang; Saw, Seang-Mei; Williams, Cathy; Guggenheim, Jeremy A

    2016-01-01

    Myopia, currently at epidemic levels in East Asia, is a leading cause of untreatable visual impairment. Genome-wide association studies (GWAS) in adults have identified 39 loci associated with refractive error and myopia. Here, the age-of-onset of association between genetic variants at these 39 loci and refractive error was investigated in 5200 children assessed longitudinally across ages 7-15 years, along with gene-environment interactions involving the major environmental risk-factors, nearwork and time outdoors. Specific variants could be categorized as showing evidence of: (a) early-onset effects remaining stable through childhood, (b) early-onset effects that progressed further with increasing age, or (c) onset later in childhood (N = 10, 5 and 11 variants, respectively). A genetic risk score (GRS) for all 39 variants explained 0.6% (P = 6.6E-08) and 2.3% (P = 6.9E-21) of the variance in refractive error at ages 7 and 15, respectively, supporting increased effects from these genetic variants at older ages. Replication in multi-ancestry samples (combined N = 5599) yielded evidence of childhood onset for 6 of 12 variants present in both Asians and Europeans. There was no indication that variant or GRS effects altered depending on time outdoors, however 5 variants showed nominal evidence of interactions with nearwork (top variant, rs7829127 in ZMAT4; P = 6.3E-04). PMID:27174397

  13. Childhood gene-environment interactions and age-dependent effects of genetic variants associated with refractive error and myopia: The CREAM Consortium.

    PubMed

    Fan, Qiao; Guo, Xiaobo; Tideman, J Willem L; Williams, Katie M; Yazar, Seyhan; Hosseini, S Mohsen; Howe, Laura D; Pourcain, Beaté St; Evans, David M; Timpson, Nicholas J; McMahon, George; Hysi, Pirro G; Krapohl, Eva; Wang, Ya Xing; Jonas, Jost B; Baird, Paul Nigel; Wang, Jie Jin; Cheng, Ching-Yu; Teo, Yik-Ying; Wong, Tien-Yin; Ding, Xiaohu; Wojciechowski, Robert; Young, Terri L; Pärssinen, Olavi; Oexle, Konrad; Pfeiffer, Norbert; Bailey-Wilson, Joan E; Paterson, Andrew D; Klaver, Caroline C W; Plomin, Robert; Hammond, Christopher J; Mackey, David A; He, Mingguang; Saw, Seang-Mei; Williams, Cathy; Guggenheim, Jeremy A

    2016-05-13

    Myopia, currently at epidemic levels in East Asia, is a leading cause of untreatable visual impairment. Genome-wide association studies (GWAS) in adults have identified 39 loci associated with refractive error and myopia. Here, the age-of-onset of association between genetic variants at these 39 loci and refractive error was investigated in 5200 children assessed longitudinally across ages 7-15 years, along with gene-environment interactions involving the major environmental risk-factors, nearwork and time outdoors. Specific variants could be categorized as showing evidence of: (a) early-onset effects remaining stable through childhood, (b) early-onset effects that progressed further with increasing age, or (c) onset later in childhood (N = 10, 5 and 11 variants, respectively). A genetic risk score (GRS) for all 39 variants explained 0.6% (P = 6.6E-08) and 2.3% (P = 6.9E-21) of the variance in refractive error at ages 7 and 15, respectively, supporting increased effects from these genetic variants at older ages. Replication in multi-ancestry samples (combined N = 5599) yielded evidence of childhood onset for 6 of 12 variants present in both Asians and Europeans. There was no indication that variant or GRS effects altered depending on time outdoors, however 5 variants showed nominal evidence of interactions with nearwork (top variant, rs7829127 in ZMAT4; P = 6.3E-04).

  14. Childhood gene-environment interactions and age-dependent effects of genetic variants associated with refractive error and myopia: The CREAM Consortium

    PubMed Central

    Fan, Qiao; Guo, Xiaobo; Tideman, J. Willem L.; Williams, Katie M.; Yazar, Seyhan; Hosseini, S. Mohsen; Howe, Laura D.; Pourcain, Beaté St; Evans, David M.; Timpson, Nicholas J.; McMahon, George; Hysi, Pirro G.; Krapohl, Eva; Wang, Ya Xing; Jonas, Jost B.; Baird, Paul Nigel; Wang, Jie Jin; Cheng, Ching-Yu; Teo, Yik-Ying; Wong, Tien-Yin; Ding, Xiaohu; Wojciechowski, Robert; Young, Terri L.; Pärssinen, Olavi; Oexle, Konrad; Pfeiffer, Norbert; Bailey-Wilson, Joan E.; Paterson, Andrew D.; Klaver, Caroline C. W.; Plomin, Robert; Hammond, Christopher J.; Mackey, David A.; He, Mingguang; Saw, Seang-Mei; Williams, Cathy; Guggenheim, Jeremy A.; Meguro, Akira; Wright, Alan F.; Hewitt, Alex W.; Young, Alvin L.; Veluchamy, Amutha Barathi; Metspalu, Andres; Paterson, Andrew D.; Döring, Angela; Khawaja, Anthony P.; Klein, Barbara E.; Pourcain, Beate St; Fleck, Brian; Klaver, Caroline C. W.; Hayward, Caroline; Williams, Cathy; Delcourt, Cécile; Pang, Chi Pui; Khor, Chiea-Chuen; Cheng, Ching-Yu; Gieger, Christian; Hammond, Christopher J.; Simpson, Claire L.; van Duijn, Cornelia M.; Mackey, David A.; Evans, David M.; Stambolian, Dwight; Chew, Emily; Tai, E-Shyong; Krapohl, Eva; Mihailov, Evelin; Smith, George Davey; McMahon, George; Biino, Ginevra; Campbell, Harry; Rudan, Igor; Seppälä, Ilkka; Kaprio, Jaakko; Wilson, James F.; Craig, Jamie E.; Tideman, J. Willem L.; Ried, Janina S.; Korobelnik, Jean-François; Guggenheim, Jeremy A.; Fondran, Jeremy R.; Wang, Jie Jin; Liao, Jiemin; Zhao, Jing Hua; Xie, Jing; Bailey-Wilson, Joan E.; Kemp, John P.; Lass, Jonathan H.; Jonas, Jost B.; Rahi, Jugnoo S.; Wedenoja, Juho; Mäkelä, Kari-Matti; Burdon, Kathryn P.; Williams, Katie M; Khaw, Kay-Tee; Yamashiro, Kenji; Oexle, Konrad; Howe, Laura D.; Chen, Li Jia; Xu, Liang; Farrer, Lindsay; Ikram, M. Kamran; Deangelis, Margaret M.; Morrison, Margaux; Schache, Maria; Pirastu, Mario; Miyake, Masahiro; Yap, Maurice K. H.; Fossarello, Maurizio; Kähönen, Mika; Tedja, Milly S.; He, Mingguang; Yoshimura, Nagahisa; Martin, Nicholas G.; Timpson, Nicholas J.; Wareham, Nick J.; Mizuki, Nobuhisa; Pfeiffer, Norbert; Pärssinen, Olavi; Raitakari, Olli; Polasek, Ozren; Tam, Pancy O.; Foster, Paul J.; Mitchell, Paul; Baird, Paul Nigel; Chen, Peng; Hysi, Pirro G.; Cumberland, Phillippa; Gharahkhani, Puya; Fan, Qiao; Höhn, René; Fogarty, Rhys D.; Luben, Robert N.; Igo Jr, Robert P.; Plomin, Robert; Wojciechowski, Robert; Klein, Ronald; Mohsen Hosseini, S.; Janmahasatian, Sarayut; Saw, Seang-Mei; Yazar, Seyhan; Ping Yip, Shea; Feng, Sheng; Vaccargiu, Simona; Panda-Jonas, Songhomitra; MacGregor, Stuart; Iyengar, Sudha K.; Rantanen, Taina; Lehtimäki, Terho; Young, Terri L.; Meitinger, Thomas; Wong, Tien-Yin; Aung, Tin; Haller, Toomas; Vitart, Veronique; Nangia, Vinay; Verhoeven, Virginie J. M.; Jhanji, Vishal; Zhao, Wanting; Chen, Wei; Zhou, Xiangtian; Guo, Xiaobo; Ding, Xiaohu; Wang, Ya Xing; Lu, Yi; Teo, Yik-Ying; Vatavuk, Zoran

    2016-01-01

    Myopia, currently at epidemic levels in East Asia, is a leading cause of untreatable visual impairment. Genome-wide association studies (GWAS) in adults have identified 39 loci associated with refractive error and myopia. Here, the age-of-onset of association between genetic variants at these 39 loci and refractive error was investigated in 5200 children assessed longitudinally across ages 7–15 years, along with gene-environment interactions involving the major environmental risk-factors, nearwork and time outdoors. Specific variants could be categorized as showing evidence of: (a) early-onset effects remaining stable through childhood, (b) early-onset effects that progressed further with increasing age, or (c) onset later in childhood (N = 10, 5 and 11 variants, respectively). A genetic risk score (GRS) for all 39 variants explained 0.6% (P = 6.6E–08) and 2.3% (P = 6.9E–21) of the variance in refractive error at ages 7 and 15, respectively, supporting increased effects from these genetic variants at older ages. Replication in multi-ancestry samples (combined N = 5599) yielded evidence of childhood onset for 6 of 12 variants present in both Asians and Europeans. There was no indication that variant or GRS effects altered depending on time outdoors, however 5 variants showed nominal evidence of interactions with nearwork (top variant, rs7829127 in ZMAT4; P = 6.3E–04). PMID:27174397

  15. Steps towards Smarter Solutions in Optometry and Ophthalmology—Inter-Device Agreement of Subjective Methods to Assess the Refractive Errors of the Eye

    PubMed Central

    Ohlendorf, Arne; Leube, Alexander; Wahl, Siegfried

    2016-01-01

    Purpose: To investigate the inter-device agreement and mean differences between a newly developed digital phoropter and the two standard methods (trial frame and manual phoropter). Methods: Refractive errors of two groups of participants were measured by two examiners (examiner 1 (E1): 36 subjects; examiner 2 (E2): 38 subjects). Refractive errors were assessed using a trial frame, a manual phoropter and a digital phoropter. Inter-device agreement regarding the measurement of refractive errors was analyzed for differences in terms of the power vector components (spherical equivalent (SE) and the cylindrical power vector components J0 and J45) between the used methods. Intraclass correlation coefficients (ICC’s) were calculated to evaluate correlations between the used methods. Results: Analyzing the variances between the three methods for SE, J0 and J45 using a two-way ANOVA showed no significant differences between the methods (SE: p = 0.13, J0: p = 0.58 and J45: p = 0.96) for examiner 1 and for examiner 2 (SE: p = 0.88, J0: p = 0.95 and J45: p = 1). Mean differences and ±95% Limits of Agreement for each pair of inter-device agreement regarding the SE for both examiners were as follows: Trial frame vs. digital phoropter: +0.10 D ± 0.56 D (E1) and +0.19 D ± 0.60 D (E2), manual phoropter vs. trial frame: −0.04 D ± 0.59 D (E1) and −0.12 D ± 0.49 D (E2) and for manual vs. digital phoropter: +0.06 D ± 0.65 D (E1) and +0.08 D ± 0.45 D (E2). ICCs revealed high correlations between all methods for both examiner (p < 0.001). The time to assess the subjective refraction was significantly smaller with the digital phoropter (examiner 1: p < 0.001; examiner 2: p < 0.001). Conclusion: “All used subjective methods show a good agreement between each other terms of ICC (>0.9). Assessing refractive errors using different subjective methods, results in similar mean differences and 95% limits of agreement, when compared to those reported in studies comparing subjective

  16. [Results of refractive surgery in hyperopic and combined astigmatism].

    PubMed

    Vlaicu, Valeria

    2013-01-01

    The refractive surgery includes a lot of procedures for changing the refraction of the eye to obtain a better visual acuity with no glasses or contact lenses. LASIK is the most commonly performed laser refractive surgery today. The goal is to present the postoperative evolution of the refraction and visual acuity after LASIK for Mixed and Hyperopic Astigmatism. The results show that LASIK is safe and predictible if we have well performed interventions and well-selected patients.

  17. Contrast (modulation) sensitivity functions measured in patients with high refractive error with emphasis on aphakia: II. Determinations of patients.

    PubMed

    Enoch, J M; Yamade, S; Namba, A

    1979-09-17

    Measurements of Constrast Sensitivity Functions (CSF) were made on normal observers made artificially highly ametropic with spectacle lenses (with high back vertex) distance in order to determine the effect of retinal image size alterations upon CSF measures. While not an exact model for high ametropia per se, this experiment served to familiarize the experimenters with problems associated with the task. Image size alterations occur normally in aphakic patients and highly myopic patients. As a clinical trial, a series of aphakic observers were tested using an interferometric acuity device. CSF measures were made with the patient's spectacle corrections in place and again with correcting contact lenses substituted. The contact lenses reduce induced image size alterations in these cases. The use of contact lenses in such measures allows differentiation between artifactual low frequency fall off in aphakia due to lens effects and possible low frequency fall-off due to other causes. PMID:520139

  18. Axial Eye Growth and Refractive Error Development Can Be Modified by Exposing the Peripheral Retina to Relative Myopic or Hyperopic Defocus

    PubMed Central

    Benavente-Pérez, Alexandra; Nour, Ann; Troilo, David

    2014-01-01

    Purpose. Bifocal contact lenses were used to impose hyperopic and myopic defocus on the peripheral retina of marmosets. Eye growth and refractive state were compared with untreated animals and those treated with single-vision or multizone contact lenses from earlier studies. Methods. Thirty juvenile marmosets wore one of three experimental annular bifocal contact lens designs on their right eyes and a plano contact lens on the left eye as a control for 10 weeks from 70 days of age (10 marmosets/group). The experimental designs had plano center zones (1.5 or 3 mm) and +5 diopters [D] or −5 D in the periphery (referred to as +5 D/1.5 mm, +5 D/3 mm and −5 D/3 mm). We measured the central and peripheral mean spherical refractive error (MSE), vitreous chamber depth (VC), pupil diameter (PD), calculated eye growth, and myopia progression rates prior to and during treatment. The results were compared with age-matched untreated (N = 25), single-vision positive (N = 19), negative (N = 16), and +5/−5 D multizone lens-reared marmosets (N = 10). Results. At the end of treatment, animals in the −5 D/3 mm group had larger (P < 0.01) and more myopic eyes (P < 0.05) than animals in the +5 D/1.5 mm group. There was a dose-dependent relationship between the peripheral treatment zone area and the treatment-induced changes in eye growth and refractive state. Pretreatment ocular growth rates and baseline peripheral refraction accounted for 40% of the induced refraction and axial growth rate changes. Conclusions. Eye growth and refractive state can be manipulated by altering peripheral retinal defocus. Imposing peripheral hyperopic defocus produces axial myopia, whereas peripheral myopic defocus produces axial hyperopia. The effects are smaller than using single-vision contact lenses that impose full-field defocus, but support the use of bifocal or multifocal contact lenses as an effective treatment for myopia control. PMID:25190657

  19. Error induced by the estimation of the corneal power and the effective lens position with a rotationally asymmetric refractive multifocal intraocular lens

    PubMed Central

    Piñero, David P.; Camps, Vicente J.; Ramón, María L.; Mateo, Verónica; Pérez-Cambrodí, Rafael J.

    2015-01-01

    AIM To evaluate the prediction error in intraocular lens (IOL) power calculation for a rotationally asymmetric refractive multifocal IOL and the impact on this error of the optimization of the keratometric estimation of the corneal power and the prediction of the effective lens position (ELP). METHODS Retrospective study including a total of 25 eyes of 13 patients (age, 50 to 83y) with previous cataract surgery with implantation of the Lentis Mplus LS-312 IOL (Oculentis GmbH, Germany). In all cases, an adjusted IOL power (PIOLadj) was calculated based on Gaussian optics using a variable keratometric index value (nkadj) for the estimation of the corneal power (Pkadj) and on a new value for ELP (ELPadj) obtained by multiple regression analysis. This PIOLadj was compared with the IOL power implanted (PIOLReal) and the value proposed by three conventional formulas (Haigis, Hoffer Q and Holladay I). RESULTS PIOLReal was not significantly different than PIOLadj and Holladay IOL power (P>0.05). In the Bland and Altman analysis, PIOLadj showed lower mean difference (-0.07 D) and limits of agreement (of 1.47 and -1.61 D) when compared to PIOLReal than the IOL power value obtained with the Holladay formula. Furthermore, ELPadj was significantly lower than ELP calculated with other conventional formulas (P<0.01) and was found to be dependent on axial length, anterior chamber depth and Pkadj. CONCLUSION Refractive outcomes after cataract surgery with implantation of the multifocal IOL Lentis Mplus LS-312 can be optimized by minimizing the keratometric error and by estimating ELP using a mathematical expression dependent on anatomical factors. PMID:26085998

  20. The refractive outcome of Toric Lentis Mplus implant in cataract surgery

    PubMed Central

    Chiam, Patrick J; Quah, Say A

    2016-01-01

    AIM To evaluate the refractive outcome of Toric Lentis Mplus intraocular lens (IOL) implant. METHODS This is a retrospective case series. Consecutive patients with corneal astigmatism of at least 1.5 D had Toric Lentis Mplus IOL implant during cataract surgery. The exclusion criteria included irregular astigmatism on corneal topography, large scotopic pupil diameter (>6 mm), poor visual potential and significant ocular comorbidity. Postoperative manifest refraction, uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (BCVA), uncorrected intermediate visual acuity (UIVA) at 3/4 m and uncorrected near visual acuity (UNVA) were obtained. RESULTS There were 70 eyes from 49 patients in this study. Patients were refracted at a median of 8.9wk (range 4.0 to 15.5) from the operation date. Sixty-five percent of eyes had 6/7.5 (0.10 logMAR) or better, and 99% 6/12 (0.30 logMAR) or better postoperative UDVA. Eighty-nine percent could read Jaeger (J) 3 (0.28 logMAR) and 95% J5 (0.37 logMAR) at 40 cm. The median magnitude of astigmatism decreased from 1.91 D to 0.49 D (Wilcoxon, P<0.001) after the operation. The range of the cylindrical error was reduced from 1.5-3.95 D (keratometric) preoperatively to 0.00-1.46 D (subjective refraction transposed to corneal plane) postoperatively. CONCLUSION Toric Lentis Mplus IOL has good predictability in reducing preexisting corneal astigmatism. PMID:27275424

  1. Tactile acuity charts: a reliable measure of spatial acuity.

    PubMed

    Bruns, Patrick; Camargo, Carlos J; Campanella, Humberto; Esteve, Jaume; Dinse, Hubert R; Röder, Brigitte

    2014-01-01

    For assessing tactile spatial resolution it has recently been recommended to use tactile acuity charts which follow the design principles of the Snellen letter charts for visual acuity and involve active touch. However, it is currently unknown whether acuity thresholds obtained with this newly developed psychophysical procedure are in accordance with established measures of tactile acuity that involve passive contact with fixed duration and control of contact force. Here we directly compared tactile acuity thresholds obtained with the acuity charts to traditional two-point and grating orientation thresholds in a group of young healthy adults. For this purpose, two types of charts, using either Braille-like dot patterns or embossed Landolt rings with different orientations, were adapted from previous studies. Measurements with the two types of charts were equivalent, but generally more reliable with the dot pattern chart. A comparison with the two-point and grating orientation task data showed that the test-retest reliability of the acuity chart measurements after one week was superior to that of the passive methods. Individual thresholds obtained with the acuity charts agreed reasonably with the grating orientation threshold, but less so with the two-point threshold that yielded relatively distinct acuity estimates compared to the other methods. This potentially considerable amount of mismatch between different measures of tactile acuity suggests that tactile spatial resolution is a complex entity that should ideally be measured with different methods in parallel. The simple test procedure and high reliability of the acuity charts makes them a promising complement and alternative to the traditional two-point and grating orientation thresholds.

  2. Prognostic factors for stereopsis in refractive accommodative esotropia

    PubMed Central

    Guclu, Hande; Gurlu, Vuslat Pelitli; Ozal, Sadik Altan; Ozkurt, Zeynep Gursel

    2015-01-01

    Objective: To determine the prognostic factors affecting stereoacuity in patients with refractive accommodative esotropia (RAE) according to the results of long follow- up period. Methods: We reviewed the charts of 70 patients with RAE between the years 1985-2014. Patients were classified into three groups. G-1: Stereoacuity score 40 second/arc. G-2: Stereoacuity score >40 second/arc (50-3000). G-3: No binocular vision. Initiation age of RAE, duration of deviation, refractive error, amblyopia, amblyopia treatment, anisometropia, visual acuity, family history, angle of deviation for distance and near at each group and the prognostic factors affecting stereoacuity were analyzed. Results: The mean initiation age of RAE was 2.7±1.5 years, the mean age at first visit was 6.4±4.2 years. The mean follow up time was 7.3±4.4 years. Seven patients had 40 second/arc, 48 patients had 50 to 3000 second/arc stereoacuity, 15 patients had no binocular vision. Mean deviation for near was statistically higher in group 2 and 3. Visual acuity levels were higher in group 1 and 2 and was statistically significant. Low visual acuity (p=0.001, 0.008), higher angle of deviation at near (p=0.01), increased duration of deviation (p=0.01), presence of amblyopia (p=0.001) and irregularity of amblyopia treatment (p=0.01) were significantly related with poor stereoacuity. Conclusion: According to the prognostic factors low stereoacuity was mostly related with amblyopia as a result the late presentation of the patients in seeking care. Appropriate treatment as full refractive correction and amblyopia treatment during the RAE is important for development of good stereopsis. Also angle of deviation at near and duration of deviation can be a useful predictor for poor stereoacuity levels. PMID:26430408

  3. Refraction test

    MedlinePlus

    ... acuity (BCVA). Abnormal results may be due to: Astigmatism (abnormally curved cornea causing blurred vision) Hyperopia (farsightedness) Myopia (nearsightedness) Presbyopia (inability to focus on near objects ...

  4. Refractive keratoplasty

    SciTech Connect

    Schwab, I.R. )

    1987-01-01

    This book contains 12 chapters. Some of the titles are: Perspectives on refractive surgery; Radial keratotomy; The refractive aspects of corneal transplantation; Wedge resection and relating incisions; Laser surgery of the cornea; and All plastic corneal lenses.

  5. Corneal refractive surgery: Is intracorneal the way to go and what are the needs for technology?

    NASA Astrophysics Data System (ADS)

    Hjortdal, Jesper; Ivarsen, Anders

    2014-02-01

    Corneal refractive surgery aims to reduce or eliminate refractive errors of the eye by changing the refractive power of the cornea. For the last 20 years controlled excimer laser ablation of corneal tissue, either directly from the corneal stromal surface or from the corneal interior after creation of a superficial corneal flap has become widely used to correct myopia, hyperopia, and astigmatism. Recently, an intrastromal refractive procedure whereby a tissue lenticule is cut free in the corneal stroma by a femtosecond laser and removed through a small peripheral incision has been introduced. This procedure avoids creation of a corneal flap and the potential associated risks while avoiding the slow visual recovery of surface ablation procedures. Precise intrastromal femtosecond laser cutting of the fine lenticule requires very controlled laser energy delivery in order to avoid lenticule irregularities, which would compromise the refractive result and visual acuity. This newly introduced all-femtosecond based flap-free intracorneal refractive procedure has been documented to be a predictable, efficient, and safe procedure for correction of myopia and astigmatism. Technological developments related to further improved cutting quality, hyperopic and individualized treatments are desirable.

  6. Comparison of Snellen and interferometer visual acuity in an aging noncataractous population.

    PubMed

    Geddes, L A; Patel, B J; Bradley, A

    1990-05-01

    Using standard clinical procedures we have compared visual acuity (VA) estimates made with a hand-held white light interferometer to those obtained with a Snellen acuity chart. Fifty noncataractous patients with a mean age of 45 years (SD = 18) were tested. Snellen and interferometric acuity measures were obtained with and without refractive correction. On average, aided Snellen VA's were better (decimal acuity = 0.98) than the unaided interferometric VA's (decimal acuity = 0.67). Although we found a statistically significant p less than 0.01) correlation between unaided interferometric and aided Snellen VA's, the correlation was poor (r = 0.36). This poor correlation may account for the often observed failure to estimate postoperative aided Snellen VA with preoperative interferometric VA in cataract patients.

  7. Indication of advanced orthokeratology as an additional treatment after refractive surgeries

    NASA Astrophysics Data System (ADS)

    Mitsui, Iwane; Yamada, Yoshida

    2005-04-01

    Ortho-K was indicated for twenty-three eyes of thirteen patients after refractive surgeries such as RK(1) ,PRK(2), and LASIK(3). The average of their Uncorrective Visual Acuity (UCVA) after surgeries was 20/30 or worse, and mean spherical equivalent (SE) was -2.42D. They were followed at least two years wearing of Advanced Ortho-K lenses during night. The following studies were examined on their auto-refraction, auto-keratometry, uncorrected and corrected visual acuity, intra-ocular pressure, corneal endothelium, corneal thickness, corneal curvature, and corneal shape for more than two years. 95% of the patients improved in UCVA up to 20/20 or better, 86% of them improved up to 20/15 or better, and 76% of them improved up to 20/10. The mean SEs improved to -1.20+/-1.02D during six months, - 1.03+/-0.83D during one year, and -0.73+/-0.64D during two years. Astigmatism also slightly decreased. Ophthalmologic examinations showed no abnormalities including flap formation, intra-ocular pressure, and endothelium. Among the refractive surgeries as well as RK and PRK, LASIK has been most popularly spread all over the world. However, patient's quality of vision is not always satisfied during and/or after refractive surgeries, because of several complications such as instability of flap formation, unexpected keratoectasia, diffuse lamellar keratitis, epithelial ingrowth, irregularity of corneal surface which caused myopia regression. In such cases, additional surgical procedures should not be indicated easily. However, Ortho-K is safe and effective enough to correct refractive errors still remained or re-appeared after refractive surgeries. It enables to restore the corneal irregularity to the ideal shape.

  8. Comparability of ophthalmic diagnoses by clinical and Reading Center examiners in the Visual Acuity Impairment Survey Pilot Study.

    PubMed

    Sperduto, R D; Hiller, R; Podgor, M J; Palmberg, P; Ferris, F L; Wentworth, D

    1986-12-01

    Technologic advances in ophthalmic equipment offer the possibility of replacing direct clinical examinations with Reading Center evaluations of data recorded in epidemiologic studies. Clinical and Reading Center examiners made independent ophthalmic diagnoses of 133 right and 132 left eyes of 138 adults in the Visual Acuity Impairment Survey Pilot Study, carried out in three US cities, Boston, Detroit, and Minneapolis, in August 1981-December 1982. The Reading Center diagnosed eye conditions using only photographic and visual field data collected at the time of the clinical examination. In the comparisons of clinical and Reading Center evaluations reported here, only eyes judged by the examiners to have pathology severe enough to reduce visual acuity to 6/9 or worse were classified as having pathology. (No visual acuity criterion was required for the diagnosis of glaucoma or diabetic retinopathy.) There was agreement in diagnostic assessments between clinical and Reading Center examiners in about 80% of eyes. The kappa statistic, which adjusts for chance agreement, was in the fair to good range: 0.60 for 133 right eyes and 0.62 for 132 left eyes. When the Reading Center examiners were provided with additional information on medical history, refractive error and best corrected visual acuity, the agreement between clinical and Reading Center assessments among the subset of eyes with 6/9 or worse vision again was in the fair to good range, with kappas of 0.61 for 45 right eyes and 0.68 for 48 left eyes. Inter-observer agreement between Reading Center examiners in diagnosing pathology was in the good to excellent range. Use of Reading Centers in future epidemiologic studies should be considered, but elimination of the clinical examinations is not recommended until modifications in the protocol described here have been made and shown to improve levels of agreement between clinical and Reading Center examiners.

  9. Comparability of ophthalmic diagnoses by clinical and Reading Center examiners in the Visual Acuity Impairment Survey Pilot Study.

    PubMed

    Sperduto, R D; Hiller, R; Podgor, M J; Palmberg, P; Ferris, F L; Wentworth, D

    1986-12-01

    Technologic advances in ophthalmic equipment offer the possibility of replacing direct clinical examinations with Reading Center evaluations of data recorded in epidemiologic studies. Clinical and Reading Center examiners made independent ophthalmic diagnoses of 133 right and 132 left eyes of 138 adults in the Visual Acuity Impairment Survey Pilot Study, carried out in three US cities, Boston, Detroit, and Minneapolis, in August 1981-December 1982. The Reading Center diagnosed eye conditions using only photographic and visual field data collected at the time of the clinical examination. In the comparisons of clinical and Reading Center evaluations reported here, only eyes judged by the examiners to have pathology severe enough to reduce visual acuity to 6/9 or worse were classified as having pathology. (No visual acuity criterion was required for the diagnosis of glaucoma or diabetic retinopathy.) There was agreement in diagnostic assessments between clinical and Reading Center examiners in about 80% of eyes. The kappa statistic, which adjusts for chance agreement, was in the fair to good range: 0.60 for 133 right eyes and 0.62 for 132 left eyes. When the Reading Center examiners were provided with additional information on medical history, refractive error and best corrected visual acuity, the agreement between clinical and Reading Center assessments among the subset of eyes with 6/9 or worse vision again was in the fair to good range, with kappas of 0.61 for 45 right eyes and 0.68 for 48 left eyes. Inter-observer agreement between Reading Center examiners in diagnosing pathology was in the good to excellent range. Use of Reading Centers in future epidemiologic studies should be considered, but elimination of the clinical examinations is not recommended until modifications in the protocol described here have been made and shown to improve levels of agreement between clinical and Reading Center examiners. PMID:3776982

  10. The prevalence of refractive conditions in Puerto Rican adults attending an eye clinic system

    PubMed Central

    Rodriguez, Neisha M.; Romero, Angel. F.

    2014-01-01

    Purpose To determine the prevalence of refractive conditions in the adult population that visited primary care optometry clinics in Puerto Rico. Methods A retrospective cross-sectional study of patients examined at the Inter American University of Puerto Rico School of Optometry Eye Institute Clinics between 2004 and 2010. Subjects considered had best corrected visual acuity by standardized subjective refraction of 20/40 or better. The refractive errors were classified by the spherical equivalent (SE): sphere+½ cylinder. Myopia was classified as a SE>−0.50 D, hyperopia as a SE>+0.50  D, and emmetropia as a SE between −0.50 and +0.50, both included. Astigmatism equal or higher than 0.25 D in minus cylinder form was used. Patients with documented history of cataract extraction (pseudophakia or aphakia), amblyopia, refractive surgery or other corneal/ocular surgery were excluded from the study. Results A total of 784 randomly selected subjects older than 40 years of age were selected. The estimated prevalence (95%, confidence interval) among all subjects was hyperopia 51.5% (48.0–55.0), emmetropia 33.8% (30.5–37.2), myopia 14.7% (12.1–17.2) and astigmatism 69.6% (68.8–73.3). Hyperopia was more common in females than males although the difference was not statistically significant. The mean spherical equivalent values was hyperopic until 70 y/o and decreased slightly as the population ages. Conclusion Hyperopia is the most common refractive error and its prevalence and seems to increase among the aging population who visited the clinics. Further programs and studies must be developed to address the refractive errors needs of the adult Puerto Rican population. PMID:25000872

  11. Visual Acuity and the Eye.

    ERIC Educational Resources Information Center

    Beynon, J.

    1985-01-01

    Shows that visual acuity is a function of the structure of the eye and that its limit is set by the structure of the retina, emphasizing the role of lens aberrations and difraction on image quality. Also compares human vision with that of other vertebrates and insects. (JN)

  12. Dynamic visual acuity and coincidence-anticipation timing by experienced and inexperienced women players of fast pitch softball.

    PubMed

    Millslagle, D G

    2000-04-01

    This study examined the relationship between dynamic visual acuity and coincidence-anticipation timing in 16 inexperienced and 16 experienced women's fast pitch softball players. Pearson-product correlations indicated a low relationship between dynamic visual acuity and coincidence-anticipation timing. The correlations for dynamic visual acuity and coincidence anticipation between experienced and inexperienced dynamic visual acuity were not significant. A significant difference was found between the mean dynamic visual acuity of the two groups, i.e., experienced players had better dynamic visual acuity than inexperienced players. Analysis of variance of constant errors, variable errors, and absolute errors of coincidence anticipation indicated no significant differences between groups or across the three accuracy scores. The interaction between experience and accuracy was not significant.

  13. Effect of reduced visual acuity on precision of two-dimensional tracing movements

    PubMed Central

    Domkin, Dmitry; Richter, Hans O.; Zetterlund, Christina; Lundqvist, Lars-Olov

    2015-01-01

    Purpose We intended to assess consequences of reduced visual acuity for performance in a natural simple motor task (tracing) using objective kinematic performance measures. Specifically, we intended to elucidate the kind of relationship between the task performance and best corrected binocular visual acuity and to determine the threshold of visual acuity when task performance starts to deteriorate. Methods Ninety-five individuals with different best corrected visual acuity participated in the study (age 49 ± 12 years, mean ± SD, 27 men and 68 women). The participants manually traced maze-like visual patterns of different spatial complexity presented on the screen of a portable notebook computer using Clinical Kinematic Assessment Tool software. Tracing error was computed as performance measure in each trial with a spatial pattern matching technique – rigid point set registration method. Results The segmented linear regression analysis showed that the relation between visual acuity and tracing errors was best described with a regression function having a break point between two data segments. Tracing performance was unaffected by values of visual acuity below 0.2 on logMAR scale, but when logMAR values increased above this critical limit (i.e. when visual acuity is further reduced), tracing errors linearly increased. The rate of the increase of the tracing error correlated with the complexity of visual stimulus shape. Conclusion Testing of fine motor functions with objective kinematic measures during visuomotor tasks may help differentiating between actual effects of reduced visual acuity on eye–hand coordination in individuals with similar levels of impairment of visual acuity. PMID:26002409

  14. Incremental exercise in dynamic visual acuity.

    PubMed

    Millslagle, Duane; DeLaRosby, Anna; VonBank, Sara

    2005-10-01

    As research is limited the purpose of this study was to investigate dynamic visual acuity while cycling at different exercise loads. Accuracy of dynamic visual acuity scores of 20 college-age participants was analyzed by a repeated-measures analysis of variance which indicated improved dynamic visual acuity during cycling as the intensity of exercise increased. A retention test conducted two days after testing yielded evidence of trainability of dynamic visual acuity. In the discussion findings were compared to other visual functions associated with exercise.

  15. 38 CFR 4.76 - Visual acuity.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... distance and near vision using Snellen's test type or its equivalent. (b) Evaluation of visual acuity. (1) Evaluate central visual acuity on the basis of corrected distance vision with central fixation, even if a central scotoma is present. However, when the lens required to correct distance vision in the poorer...

  16. 38 CFR 4.76 - Visual acuity.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... distance and near vision using Snellen's test type or its equivalent. (b) Evaluation of visual acuity. (1) Evaluate central visual acuity on the basis of corrected distance vision with central fixation, even if a central scotoma is present. However, when the lens required to correct distance vision in the poorer...

  17. 38 CFR 4.76 - Visual acuity.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... distance and near vision using Snellen's test type or its equivalent. (b) Evaluation of visual acuity. (1) Evaluate central visual acuity on the basis of corrected distance vision with central fixation, even if a central scotoma is present. However, when the lens required to correct distance vision in the poorer...

  18. 38 CFR 4.76 - Visual acuity.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... distance and near vision using Snellen's test type or its equivalent. (b) Evaluation of visual acuity. (1) Evaluate central visual acuity on the basis of corrected distance vision with central fixation, even if a central scotoma is present. However, when the lens required to correct distance vision in the poorer...

  19. 38 CFR 4.76 - Visual acuity.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... distance and near vision using Snellen's test type or its equivalent. (b) Evaluation of visual acuity. (1) Evaluate central visual acuity on the basis of corrected distance vision with central fixation, even if a central scotoma is present. However, when the lens required to correct distance vision in the poorer...

  20. Limits of visual acuity in the frontal field of the rock pigeon (Columba livia).

    PubMed

    Rounsley, Kevin J; McFadden, Sally A

    2005-01-01

    The eye of the rock pigeon is typical of a granivorous lateral-eyed bird, in that it has both a laterally projecting central fovea and a second high-density cellular area in peripheral retina (area dorsalis) which projects to the binocular frontal field below the beak. Such a dual system is faced with potentially different optical restraints arising from central and peripheral vision. We asked whether the frontal axis can support high resolution vision from a refractive resting position (predicted to be 25-33 cm; Fitzke et al, 1985 Journal of Physiology 369 33-44) to some near point of accommodation. We measured the visual acuity on the frontal axis in five pigeons using an operant discrimination of high-contrast square-wave gratings at a series of distances from 7 to 80 cm from the eye. The peak average acuity was 11.04 cycles deg(-1), which occurred 10 cm from the eye. The average of the maximum acuity of each bird at 10 cm was 12.8 +/- 1.1 cycles deg(-1), a value equal to the Nyquist frequency calculated from the peak ganglion cell density of the area dorsalis. However, this maximum acuity was restricted to a narrow depth in space, located around 10 cm from the eye, and at greater distances fell exponentially such that acuity was 50% of its maximum at 35 cm and less than 1 cycle deg(-1) at 100 cm. We propose that the range of high-acuity vision is limited in the frontal field by either increased refractive power and/or inaccuracy in frontal accommodation, and is optimized for a preferred far point located 10 cm from the eye.

  1. Factors affecting tactile spatial acuity.

    PubMed

    Craig, J C; Kisner, J M

    1998-01-01

    Tactile spatial acuity on the fingerpad was measured using a grating orientation task. In this task, subjects are required to identify the orientation of square-wave gratings placed on the skin. Previous studies have shown that performance varies as a function of the width of the grooves in the gratings. In the present study, both groove width and the overall size and configuration of the contactors were varied. Sensitivity improved with wider grooves and with larger contactors. Additional measurements showed that the improved sensitivity is not the result of the increase in total area contacted, but rather is due to two other factors associated with larger contactors. One is the greater linear extent of the larger contactors. The other appears to be due to the reduction in the interference produced by the outer edge of the contactor. Specifically, as the contactor increases in size, the distance between the outer edge and the center portion of the grooves also increases. It was also shown that subjects are more sensitive to a single, continuous groove as compared with two grooves of the same total length but spatially discontinuous. Similarly, subjects are more sensitive to a contactor with a continuous groove than to a contactor in which just the end points of the groove are presented. The results are generally consistent with the results of peripheral, neurophysiological recordings. The results are discussed in terms of the way in which both spatial and intensive factors may affect sensitivity to grating orientation.

  2. Determine the effect of neck muscle fatigue on dynamic visual acuity in healthy young adults.

    PubMed

    Al Saif, Amer A; Al Senany, Samira

    2015-01-01

    [Purpose] The aim of this study was to determine whether neck muscle fatigue affects dynamic visual acuity in healthy young participants. [Subjects and Methods] This study was a double-blinded, prospective, randomized, controlled trial. Thirty healthy young subjects (ages 21 to 30 years) participated in the study. Participants were randomly divided into an experimental group (n=15) and a control group (n=15). The experimental group performed an exercise designed to induce neck muscle fatigue and the control group preformed non-fatiguing sham exercises. [Results] There were significant differences in mean dynamic visual acuity between the two groups (0.26±0.11 LogMar versus 0.003±0.02 LogMar). Subjects in the experimental group showed a significant decline in their dynamic visual acuity compared with the control group. Dynamic visual acuity strongly correlated with neck muscle fatigue (r = 0.79). No significant differences in joint position error were observed between the two groups and no significant correlations between joint position error and neck muscle fatigue were observed (r = 0.23). [Conclusion] The results of this study suggest that neck muscle fatigue negatively impacts dynamic visual acuity. Although not statistically significant, cervical spine proprioception as measured by the joint position error in the experimental group was diminished after fatigue.

  3. Acuity, crowding, reading and fixation stability.

    PubMed

    Falkenberg, Helle K; Rubin, Gary S; Bex, Peter J

    2007-01-01

    People with age-related macular disease frequently experience reading difficulty that could be attributed to poor acuity, elevated crowding or unstable fixation associated with peripheral visual field dependence. We examine how the size, location, spacing and instability of retinal images affect the visibility of letters and words at different eccentricities. Fixation instability was simulated in normally sighted observers by randomly jittering single or crowded letters or words along a circular arc of fixed eccentricity. Visual performance was assessed at different levels of instability with forced choice measurements of acuity, crowding and reading speed in a rapid serial visual presentation paradigm. In the periphery: (1) acuity declined; (2) crowding increased for acuity- and eccentricity-corrected targets; and (3), the rate of reading fell with acuity-, crowding- and eccentricity-corrected targets. Acuity and crowding were unaffected by even high levels of image instability. However, reading speed decreased with image instability, even though the visibility of the component letters was unaffected. The results show that reading performance cannot be standardised across the visual field by correcting the size, spacing and eccentricity of letters or words. The results suggest that unstable fixation may contribute to reading difficulties in people with low vision and therefore that rehabilitation may benefit from fixation training.

  4. Treatment of Bilateral Refractive Amblyopia in Children 3 to <10 Years Old

    PubMed Central

    Wallace, David; Chandler, Danielle L.; Beck, Roy W.; Arnold, Robert W.; Bacal, Darron A.; Birch, Eileen E.; Felius, Joost; Frazier, Marcela; Holmes, Jonathan M.; Hoover, Darren; Klimek, Deborah A.; Lorenzana, Ingryd; Quinn, Graham E.; Repka, Michael X.; Suh, Donny W.; Tamkins, Susanna

    2007-01-01

    Purpose To determine the amount and time course of binocular visual acuity improvement during treatment of bilateral refractive amblyopia in children age 3 to <10 years old Design Prospective, multicenter noncomparative intervention Methods 113 children (mean age = 5.1 years) with previously untreated bilateral refractive amblyopia were enrolled at 27 community- and university-based sites and were provided optimal spectacle correction. Bilateral refractive amblyopia was defined as 20/40 to 20/400 best-corrected binocular acuity in the presence of ≥ 4.00 D hypermetropia by spherical equivalent and/or ≥ 2.00 D astigmatism in each eye. Best-corrected binocular and monocular visual acuities were measured at baseline and at 5, 13, 26 and 52 weeks. The primary study outcome was binocular acuity at one year. Results Mean binocular visual acuity improved from 0.50 logMAR (20/63) at baseline to 0.11 logMAR (20/25) at one year (mean improvement 3.9 lines, 95% confidence interval [CI] = 3.5 to 4.2). Mean improvement at one year for the 84 children with baseline binocular acuity of 20/40 to 20/80 was 3.4 lines (95% CI = 3.2 to 3.7) and for the 16 children with baseline binocular acuity of 20/100 to 20/320 was 6.3 lines (95% CI = 5.1 to 7.5). The cumulative probability of binocular acuity of 20/25 or better was 21% at 5 weeks, 46% at 13 weeks, 59% at 26 weeks, and 74% at 52 weeks. Conclusions Treatment of bilateral refractive amblyopia with spectacle correction improves binocular visual acuity in children age 3 to <10 years old, with most improving to 20/25 or better within one year. PMID:17707330

  5. The importance of measuring dynamic visual acuity.

    PubMed

    Muzdalo, Natasa Vujko

    2013-04-01

    In their everyday life, people interact with different objects, static as well as those in motion. However, dynamic acuity is rarely checked in medical examinations, even those preceding the issue of driving license. In order for driving to be safe, good eyesight or good correction with visual aids is imperative. Beside good eyesight, drivers also have to have good reflexes and short reaction span. The aim of this study was to compare dynamic and static visual acuity in order to observe how they vary among individuals. Twenty female and male participants, 65 years of age, took part in the study and the comparison was made with the results provided by 20 20-year old participants. Dynamic acuity was tested using the Landolt-ring optotype which was simulating movement velocity of 72 km/h. T-test demonstrated the presence of a statistically significant difference between dynamic and static acuity among the participants from 62 to 68 years of age (t = 15.852; df = 39; p < 0.01). Within the same group, dynamic acuity (mean = 0.887; std. deviation = 0.297) proved to be significantly worse than static acuity (mean = 1.40; std. deviation = 0.317). By comparing the results measured within the older group of participants with those measured in the younger group, it was shown that there exists a statistically significant difference (t = 0.275; df = 58; p < 0,05) between the older and younger group in their dynamic binocular acuity with correction. Younger participants had better dynamic binocular acuity with correction (mean = 1.063; std. deviation = 0.259) than the older participants (mean = 0.884; std. deviation = 0.298). The differences between dynamic and static acuity and its degradation in the older age groups have to be taken into account when issuing driving licenses. The future of research lies within the study of correlation between the age and acuity in order that the results can be applied in practice.

  6. Visual Acuity Assessment in Persons with Dementia. Research Report

    ERIC Educational Resources Information Center

    Morse, Alan R.; Teresi, Jeanne; Rosenthal, Bruce; Holmes, Douglas; Yatzkan, Elaine S.

    2004-01-01

    Most studies of vision in persons with Alzheimer's disease either exclude those with advanced dementia or are unable to assess their vision adequately, and therefore, improperly report these persons' visual acuity status. In this study, visual acuity was assessed using the ETDRS Snellen-type acuity chart and Teller Acuity Cards. The Teller Acuity…

  7. Creation of an Accurate Algorithm to Detect Snellen Best Documented Visual Acuity from Ophthalmology Electronic Health Record Notes

    PubMed Central

    French, Dustin D; Gill, Manjot; Mitchell, Christopher; Jackson, Kathryn; Kho, Abel; Bryar, Paul J

    2016-01-01

    Background Visual acuity is the primary measure used in ophthalmology to determine how well a patient can see. Visual acuity for a single eye may be recorded in multiple ways for a single patient visit (eg, Snellen vs. Jäger units vs. font print size), and be recorded for either distance or near vision. Capturing the best documented visual acuity (BDVA) of each eye in an individual patient visit is an important step for making electronic ophthalmology clinical notes useful in research. Objective Currently, there is limited methodology for capturing BDVA in an efficient and accurate manner from electronic health record (EHR) notes. We developed an algorithm to detect BDVA for right and left eyes from defined fields within electronic ophthalmology clinical notes. Methods We designed an algorithm to detect the BDVA from defined fields within 295,218 ophthalmology clinical notes with visual acuity data present. About 5668 unique responses were identified and an algorithm was developed to map all of the unique responses to a structured list of Snellen visual acuities. Results Visual acuity was captured from a total of 295,218 ophthalmology clinical notes during the study dates. The algorithm identified all visual acuities in the defined visual acuity section for each eye and returned a single BDVA for each eye. A clinician chart review of 100 random patient notes showed a 99% accuracy detecting BDVA from these records and 1% observed error. Conclusions Our algorithm successfully captures best documented Snellen distance visual acuity from ophthalmology clinical notes and transforms a variety of inputs into a structured Snellen equivalent list. Our work, to the best of our knowledge, represents the first attempt at capturing visual acuity accurately from large numbers of electronic ophthalmology notes. Use of this algorithm can benefit research groups interested in assessing visual acuity for patient centered outcome. All codes used for this study are currently

  8. [Some basic aspects in statistical analysis of visual acuity data].

    PubMed

    Ren, Ze-Qin

    2007-06-01

    All visual acuity charts used currently have their own shortcomings. Therefore, it is difficult for ophthalmologists to evaluate visual acuity data. Many problems present in the use of statistical methods for handling visual acuity data in clinical research. The quantitative relationship between visual acuity and visual angle varied in different visual acuity charts. The type of visual acuity and visual angle are different from each other. Therefore, different statistical methods should be used for different data sources. A correct understanding and analysis of visual acuity data could be obtained only after the elucidation of these aspects.

  9. Meta-analysis of genome-wide association studies in five cohorts reveals common variants in RBFOX1, a regulator of tissue-specific splicing, associated with refractive error

    PubMed Central

    Stambolian, Dwight; Wojciechowski, Robert; Oexle, Konrad; Pirastu, Mario; Li, Xiaohui; Raffel, Leslie J.; Cotch, Mary Frances; Chew, Emily Y.; Klein, Barbara; Klein, Ronald; Wong, Tien Y.; Simpson, Claire L.; Klaver, Caroline C.W.; van Duijn, Cornelia M.; Verhoeven, Virginie J.M.; Baird, Paul N.; Vitart, Veronique; Paterson, Andrew D.; Mitchell, Paul; Saw, Seang Mei; Fossarello, Maurizio; Kazmierkiewicz, Krista; Murgia, Federico; Portas, Laura; Schache, Maria; Richardson, Andrea; Xie, Jing; Wang, Jie Jin; Rochtchina, Elena; Viswanathan, Ananth C.; Hayward, Caroline; Wright, Alan F.; Polašek, Ozren; Campbell, Harry; Rudan, Igor; Oostra, Ben A.; Uitterlinden, André G.; Hofman, Albert; Rivadeneira, Fernando; Amin, Najaf; Karssen, Lennart C.; Vingerling, Johannes R.; Hosseini, S.M.; Döring, Angela; Bettecken, Thomas; Vatavuk, Zoran; Gieger, Christian; Wichmann, H.-Erich; Wilson, James F.; Fleck, Brian; Foster, Paul J.; Topouzis, Fotis; McGuffin, Peter; Sim, Xueling; Inouye, Michael; Holliday, Elizabeth G.; Attia, John; Scott, Rodney J.; Rotter, Jerome I.; Meitinger, Thomas; Bailey-Wilson, Joan E.

    2013-01-01

    Visual refractive errors (REs) are complex genetic traits with a largely unknown etiology. To date, genome-wide association studies (GWASs) of moderate size have identified several novel risk markers for RE, measured here as mean spherical equivalent (MSE). We performed a GWAS using a total of 7280 samples from five cohorts: the Age-Related Eye Disease Study (AREDS); the KORA study (‘Cooperative Health Research in the Region of Augsburg’); the Framingham Eye Study (FES); the Ogliastra Genetic Park-Talana (OGP-Talana) Study and the Multiethnic Study of Atherosclerosis (MESA). Genotyping was performed on Illumina and Affymetrix platforms with additional markers imputed to the HapMap II reference panel. We identified a new genome-wide significant locus on chromosome 16 (rs10500355, P = 3.9 × 10−9) in a combined discovery and replication set (26 953 samples). This single nucleotide polymorphism (SNP) is located within the RBFOX1 gene which is a neuron-specific splicing factor regulating a wide range of alternative splicing events implicated in neuronal development and maturation, including transcription factors, other splicing factors and synaptic proteins. PMID:23474815

  10. Potential acuity meter for predicting visual acuity after Nd:YAG posterior capsulotomy

    SciTech Connect

    Smiddy, W.E.; Radulovic, D.; Yeo, J.H.; Stark, W.J.; Maumenee, A.E.

    1986-03-01

    We studied 30 patients with opacifications of the posterior capsule to determine if the potential acuity meter (PAM) could accurately predict final visual outcome after Nd:YAG discussion. The final visual acuity was within one line of the PAM prediction in 22 of 30 patients (73%), better by two or more lines in seven patients (23%), and worse in one patient (4%) by two lines. Although in thicker capsules the final acuity was occasionally better than the PAM prediction, the rates of false negative and false positive predictions were very low. Mild cystoid macular edema (3 patients), age-related macular degeneration (3 patients), intraocular lens status, and level of initial acuity did not diminish PAM accuracy. The PAM effectively predicts final visual acuity after YAG posterior capsulotomy, when used in a patient, unhurried manner.

  11. Visual Acuity of Children: United States.

    ERIC Educational Resources Information Center

    Health Services and Mental Health Administration (DHEW), Bethesda, MD.

    National estimates based on the findings from the Health Examination Survey in 1963 to 1965 of uncorrected monocular and binocular visual-acuity levels of children were studied. A nationwide sample of 7,417 children was selected to represent the approximately 24 million noninstitutionalized American children between ages 6 and 11 years. Testing…

  12. Robot-Aided Mapping of Wrist Proprioceptive Acuity across a 3D Workspace.

    PubMed

    Marini, Francesca; Squeri, Valentina; Morasso, Pietro; Konczak, Jürgen; Masia, Lorenzo

    2016-01-01

    Proprioceptive signals from peripheral mechanoreceptors form the basis for bodily perception and are known to be essential for motor control. However we still have an incomplete understanding of how proprioception differs between joints, whether it differs among the various degrees-of-freedom (DoFs) within a particular joint, and how such differences affect motor control and learning. We here introduce a robot-aided method to objectively measure proprioceptive function: specifically, we systematically mapped wrist proprioceptive acuity across the three DoFs of the wrist/hand complex with the aim to characterize the wrist position sense. Thirty healthy young adults performed an ipsilateral active joint position matching task with their dominant wrist using a haptic robotic exoskeleton. Our results indicate that the active wrist position sense acuity is anisotropic across the joint, with the abduction/adduction DoF having the highest acuity (the error of acuity for flexion/extension is 4.64 ± 0.24°; abduction/adduction: 3.68 ± 0.32°; supination/pronation: 5.15 ± 0.37°) and they also revealed that proprioceptive acuity decreases for smaller joint displacements. We believe this knowledge is imperative in a clinical scenario when assessing proprioceptive deficits and for understanding how such sensory deficits relate to observable motor impairments.

  13. Robot-Aided Mapping of Wrist Proprioceptive Acuity across a 3D Workspace.

    PubMed

    Marini, Francesca; Squeri, Valentina; Morasso, Pietro; Konczak, Jürgen; Masia, Lorenzo

    2016-01-01

    Proprioceptive signals from peripheral mechanoreceptors form the basis for bodily perception and are known to be essential for motor control. However we still have an incomplete understanding of how proprioception differs between joints, whether it differs among the various degrees-of-freedom (DoFs) within a particular joint, and how such differences affect motor control and learning. We here introduce a robot-aided method to objectively measure proprioceptive function: specifically, we systematically mapped wrist proprioceptive acuity across the three DoFs of the wrist/hand complex with the aim to characterize the wrist position sense. Thirty healthy young adults performed an ipsilateral active joint position matching task with their dominant wrist using a haptic robotic exoskeleton. Our results indicate that the active wrist position sense acuity is anisotropic across the joint, with the abduction/adduction DoF having the highest acuity (the error of acuity for flexion/extension is 4.64 ± 0.24°; abduction/adduction: 3.68 ± 0.32°; supination/pronation: 5.15 ± 0.37°) and they also revealed that proprioceptive acuity decreases for smaller joint displacements. We believe this knowledge is imperative in a clinical scenario when assessing proprioceptive deficits and for understanding how such sensory deficits relate to observable motor impairments. PMID:27536882

  14. Robot-Aided Mapping of Wrist Proprioceptive Acuity across a 3D Workspace

    PubMed Central

    Marini, Francesca; Squeri, Valentina; Morasso, Pietro; Konczak, Jürgen; Masia, Lorenzo

    2016-01-01

    Proprioceptive signals from peripheral mechanoreceptors form the basis for bodily perception and are known to be essential for motor control. However we still have an incomplete understanding of how proprioception differs between joints, whether it differs among the various degrees-of-freedom (DoFs) within a particular joint, and how such differences affect motor control and learning. We here introduce a robot-aided method to objectively measure proprioceptive function: specifically, we systematically mapped wrist proprioceptive acuity across the three DoFs of the wrist/hand complex with the aim to characterize the wrist position sense. Thirty healthy young adults performed an ipsilateral active joint position matching task with their dominant wrist using a haptic robotic exoskeleton. Our results indicate that the active wrist position sense acuity is anisotropic across the joint, with the abduction/adduction DoF having the highest acuity (the error of acuity for flexion/extension is 4.64 ± 0.24°; abduction/adduction: 3.68 ± 0.32°; supination/pronation: 5.15 ± 0.37°) and they also revealed that proprioceptive acuity decreases for smaller joint displacements. We believe this knowledge is imperative in a clinical scenario when assessing proprioceptive deficits and for understanding how such sensory deficits relate to observable motor impairments. PMID:27536882

  15. [The best corrected presenting distance visual acuity in forensic medicine].

    PubMed

    Liu, Rui-Jue

    2011-06-01

    At present the sight impairment evaluation in forensic medicine of China is based on the international classification of disease by WHO in 1973. The main measured indicator is "best corrected visual acuity". It is different from "presenting distance visual acuity" in some situations. In the new blindness and vision loss classification made by WHO in 2003, "presenting distance visual acuity" took the place of the "best corrected visual acuity". In the practice of forensic medicine, "presenting distance visual acuity" can not reflect the real visual acuity duo to the exaggeration or disguise of the wounded. We suggest to use "the best corrected presenting distance visual acuity" instead of "presenting distance visual acuity" in order to avoid the influences of the exaggeration or disguise of the wounded.

  16. Refraction near the horizon

    NASA Technical Reports Server (NTRS)

    Schaefer, Bradley E.; Liller, William

    1990-01-01

    Variations in astronomical refraction near the horizon are examined. Sunset timings, a sextant mounted on a tripod, and a temperature profile are utilized to derive the variations in refraction data, collected from 7 locations. It is determined that the refraction ranges from 0.234 to 1.678 deg with an rms deviation of 0.16, and it is observed that the variation is larger than previously supposed. Some applications for the variation of refraction value are discussed.

  17. 21 CFR 886.1150 - Visual acuity chart.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Visual acuity chart. 886.1150 Section 886.1150...) MEDICAL DEVICES OPHTHALMIC DEVICES Diagnostic Devices § 886.1150 Visual acuity chart. (a) Identification. A visual acuity chart is a device that is a chart, such as a Snellen chart with block letters...

  18. THE VISUAL ACUITY OF THE HONEY BEE.

    PubMed

    Hecht, S; Wolf, E

    1929-07-20

    1. Bees respond by a characteristic reflex to a movement in their visual field. By confining the field to a series of parallel dark and luminous bars it is possible to determine the size of bar to which the bees respond under different conditions and in this way to measure the resolving power or visual acuity of the eye. The maximum visual acuity of the bee is lower than the lowest human visual acuity. Under similar, maximal conditions the fineness of resolution of the human eye is about 100 times that of the bee. 2. The eye of the bee is a mosaic composed of hexagonal pyramids of variable apical angle. The size of this angle determines the angular separation between adjacent ommatidia and therefore sets the structural limits to the resolving power of the eye. It is found that the visual angle corresponding to the maximum visual acuity as found experimentally is identical with the structural angular separation of adjacent ommatidia in the region of maximum density of ommatidia population. When this region of maximum ommatidia population is rendered non-functional by being covered with an opaque paint, the maximum visual acuity then corresponds to the angular separation of those remaining ommatidia which now constitute the maximum density of population. 3. The angular separation of adjacent ommatidia is much smaller in the vertical (dorso-ventral) axis than in the horizontal (anterio-posterior) axis. The experimentally found visual acuity varies correspondingly. From this and other experiments as well as from the shape of the eye itself, it is shown that the bee's eye is essentially an instrument for uni-directional visual resolution, functional along the dorso-ventral axis. The resolution of the visual pattern is therefore determined by the vertical angular separation of those ocular elements situated in the region of maximum density of ommatidia population. 4. The visual acuity of the bee varies with the illumination in much the same way that it does for the human

  19. Variable acuity remote viewing system flight demonstration

    NASA Technical Reports Server (NTRS)

    Fisher, R. W.

    1983-01-01

    The Variable Acuity Remote Viewing System (VARVS), originally developed under contract to the Navy (ONR) as a laboratory brassboard, was modified for flight demonstration. The VARVS system was originally conceived as a technique which could circumvent the acuity/field of view/bandwidth tradeoffs that exists in remote viewing to provide a nearly eye limited display in both field of view (160 deg) and resolution (2 min arc) while utilizing conventional TV sensing, transmission, and display equipment. The modifications for flight demonstration consisted of modifying the sensor so it could be installed and flow in a Piper PA20 aircraft, equipped for remote control and modifying the display equipment so it could be integrated with the NASA Research RPB (RPRV) remote control cockpit.

  20. Refractive evaluation in thalidomide embryopathy.

    PubMed

    Strömland, K; Miller, M T

    1992-01-01

    To evaluate the ocular findings associated with thalidomide embryopathy, we examined 86 of 100 Swedes who had a proven correlation between birth defects and the mother's intake of thalidomide during pregnancy. Cycloplegic refraction, keratometry, and axial length measurements were performed. The subjects were divided into four groups according to their physical malformations, giving a time frame for when in gestation the insult occurred (the sensitive phase for thalidomide is 20-36 days after conception). The results indicate a trend toward shorter and longer axial lengths, high refractive errors, and corneal astigmatism in thalidomide embryopathy compared to controls, and in addition there was a tendency for those anomalies to occur in the group with the earliest thalidomide-induced defects. It is suggested that thalidomide disturbs the growth and shape of the eye and that this effect is exerted early in its teratogenic period.

  1. Visual acuity for optotypes made visible by relative motion.

    PubMed

    Regan, D; Hong, X H

    1990-01-01

    There are several visual mechanisms for analyzing spatial information additional to the much researched mechanism sensitive to luminance contrast. We describe a Snellen-type acuity test for motion-defined (MD) letters. Acuity for these MD letters collapsed at dot speeds slower than 0.05 deg/s, but acuity for contrast-defined (CD) letters was unaffected by speed over the entire 0 to 0.3 deg/s range used. Acuity was a power function of presentation duration for both kinds of letter, but the exponent was higher for MD than for CD letters. Acuity for MD letters was comparatively unaffected by dot density from 50 to 0.05%, below which it suddenly collapsed to zero. On the other hand, acuity for CD letters progressively fell as dot density was reduced from 50%, and below about 0.5% approximated acuity for MD letters.

  2. Prediction of visual acuity recovery in cystoid macular edema.

    PubMed

    McDonnell, P J; Ryan, S J; Walonker, A F; Miller-Scholte, A

    1992-05-01

    Three consecutive patients participated in a prospective evaluation of pseudophakic cystoid macular edema. The duration of the macular edema ranged from 6 to 8 months. On the initial visit, the best corrected acuity with spectacles was determined and a potential acuity meter reading was obtained; this test suggested potential for visual recovery in two of the three patients. Sub-tenon's injections of methylprednisolone acetate (20 mg) were administered along with topical 1% prednisolone acetate and 1% atropine. One month later, visual acuity was improved by more than 2 Snellen lines in all three of the patients. A visual acuity measurement with the potential acuity meter that is better than the best corrected acuity with spectacles may reflect the presence of intact, but dysfunctional photoreceptors that are capable of restoring visual acuity upon resolution of the edema.

  3. Photometric Compliance of Tablet Screens and Retro-Illuminated Acuity Charts As Visual Acuity Measurement Devices.

    PubMed

    Livingstone, I A T; Tarbert, C M; Giardini, M E; Bastawrous, A; Middleton, D; Hamilton, R

    2016-01-01

    Mobile technology is increasingly used to measure visual acuity. Standards for chart-based acuity tests specify photometric requirements for luminance, optotype contrast and luminance uniformity. Manufacturers provide some photometric data but little is known about tablet performance for visual acuity testing. This study photometrically characterised seven tablet computers (iPad, Apple inc.) and three ETDRS (Early Treatment Diabetic Retinopathy Study) visual acuity charts with room lights on and off, and compared findings with visual acuity measurement standards. Tablet screen luminance and contrast were measured using nine points across a black and white checkerboard test screen at five arbitrary brightness levels. ETDRS optotypes and adjacent white background luminance and contrast were measured. All seven tablets (room lights off) exceeded the most stringent requirement for mean luminance (≥ 120 cd/m2) providing the nominal brightness setting was above 50%. All exceeded contrast requirement (Weber ≥ 90%) regardless of brightness setting, and five were marginally below the required luminance uniformity threshold (Lmin/Lmax ≥ 80%). Re-assessing three tablets with room lights on made little difference to mean luminance or contrast, and improved luminance uniformity to exceed the threshold. The three EDTRS charts (room lights off) had adequate mean luminance (≥ 120 cd/m2) and Weber contrast (≥ 90%), but all three charts failed to meet the luminance uniformity standard (Lmin/Lmax ≥ 80%). Two charts were operating beyond manufacturer's recommended lamp replacement schedule. With room lights on, chart mean luminance and Weber contrast increased, but two charts still had inadequate luminance uniformity. Tablet computers showed less inter-device variability, higher contrast, and better luminance uniformity than charts in both lights-on and lights-off environments, providing brightness setting was >50%. Overall, iPad tablets matched or marginally out

  4. Photometric Compliance of Tablet Screens and Retro-Illuminated Acuity Charts As Visual Acuity Measurement Devices

    PubMed Central

    Livingstone, I. A. T.; Tarbert, C. M.; Giardini, M. E.; Bastawrous, A.; Middleton, D.; Hamilton, R.

    2016-01-01

    Mobile technology is increasingly used to measure visual acuity. Standards for chart-based acuity tests specify photometric requirements for luminance, optotype contrast and luminance uniformity. Manufacturers provide some photometric data but little is known about tablet performance for visual acuity testing. This study photometrically characterised seven tablet computers (iPad, Apple inc.) and three ETDRS (Early Treatment Diabetic Retinopathy Study) visual acuity charts with room lights on and off, and compared findings with visual acuity measurement standards. Tablet screen luminance and contrast were measured using nine points across a black and white checkerboard test screen at five arbitrary brightness levels. ETDRS optotypes and adjacent white background luminance and contrast were measured. All seven tablets (room lights off) exceeded the most stringent requirement for mean luminance (≥ 120 cd/m2) providing the nominal brightness setting was above 50%. All exceeded contrast requirement (Weber ≥ 90%) regardless of brightness setting, and five were marginally below the required luminance uniformity threshold (Lmin/Lmax ≥ 80%). Re-assessing three tablets with room lights on made little difference to mean luminance or contrast, and improved luminance uniformity to exceed the threshold. The three EDTRS charts (room lights off) had adequate mean luminance (≥ 120 cd/m2) and Weber contrast (≥ 90%), but all three charts failed to meet the luminance uniformity standard (Lmin/Lmax ≥ 80%). Two charts were operating beyond manufacturer’s recommended lamp replacement schedule. With room lights on, chart mean luminance and Weber contrast increased, but two charts still had inadequate luminance uniformity. Tablet computers showed less inter-device variability, higher contrast, and better luminance uniformity than charts in both lights-on and lights-off environments, providing brightness setting was >50%. Overall, iPad tablets matched or marginally out

  5. Population-based visual acuity in the presence of defocus well predicted by classical theory

    NASA Astrophysics Data System (ADS)

    Weeber, Henk A.; Featherstone, Kristen A.; Piers, Patricia A.

    2010-07-01

    According to classical theory, visual acuity (VA) can be modeled using the intersection of the eye's modulation transfer function with a retinal threshold function. To date, there have been limited attempts to validate this methodology by comparing theory with actual measured data. We use the methodology to predict the visual acuity in the presence of defocus of a population of cataract patients implanted with diffractive multifocal intraocular lenses. For the prediction, we used a set of physiological eye models that include chromatic and higher order aberrations. We found that the simulations correlated strongly to the clinical outcomes (R2=0.93). While the simulated VA of the eye models was systematically 0.05 logMAR units lower (better acuity) than the clinical results, this difference was independent of defocus (p=0.98). These results show that when the simple and straightforward classical theory is applied using physiological eye models, accurate predictions of the VA, and through-focus VA of a population can be made. This method may be suited for predicting visual performance of new cataract and refractive treatments.

  6. A New Expression for Astronomical Refraction

    NASA Astrophysics Data System (ADS)

    Yan, Haojian

    1996-09-01

    In this paper, new sophisticated computing formulas for astronomical refraction have been developed based on the generator function method of atmospheric refractive integrals proposed by Yan & Ping (1995, AJ, 110, 934). The accuracies of the expressions have been numerically improved about one order of magnitude in comparison with those commonly used. A significant advantage of using a calibrated continued fraction mapping function for the astronomical refraction correction is to extend the coverage of the formulas to rather lower elevation observations with high accuracy. The corrections related to the finite distances of objects have been considered in detail. We have briefly analyzed the influences of the errors of atmospheric profile and of the deviation of atmospheric parameters. in order to match different requirements in astrometry and geodesy, we have considered the corrections at both radio and optical frequencies, respectively. The dispersion of signals at optical frequencies plays a primary role in astronomical refraction computation.

  7. Modeling acuity for optotypes varying in complexity.

    PubMed

    Watson, Andrew B; Ahumada, Albert J

    2012-01-01

    Watson and Ahumada (2008) described a template model of visual acuity based on an ideal-observer limited by optical filtering, neural filtering, and noise. They computed predictions for selected optotypes and optical aberrations. Here we compare this model's predictions to acuity data for six human observers, each viewing seven different optotype sets, consisting of one set of Sloan letters and six sets of Chinese characters, differing in complexity (Zhang, Zhang, Xue, Liu, & Yu, 2007). Since optical aberrations for the six observers were unknown, we constructed 200 model observers using aberrations collected from 200 normal human eyes (Thibos, Hong, Bradley, & Cheng, 2002). For each condition (observer, optotype set, model observer) we estimated the model noise required to match the data. Expressed as efficiency, performance for Chinese characters was 1.4 to 2.7 times lower than for Sloan letters. Efficiency was weakly and inversely related to perimetric complexity of optotype set. We also compared confusion matrices for human and model observers. Correlations for off-diagonal elements ranged from 0.5 to 0.8 for different sets, and the average correlation for the template model was superior to a geometrical moment model with a comparable number of parameters (Liu, Klein, Xue, Zhang, & Yu, 2009). The template model performed well overall. Estimated psychometric function slopes matched the data, and noise estimates agreed roughly with those obtained independently from contrast sensitivity to Gabor targets. For optotypes of low complexity, the model accurately predicted relative performance. This suggests the model may be used to compare acuities measured with different sets of simple optotypes. PMID:23024356

  8. Fully 3D refraction correction dosimetry system

    NASA Astrophysics Data System (ADS)

    Manjappa, Rakesh; Sharath Makki, S.; Kumar, Rajesh; Mohan Vasu, Ram; Kanhirodan, Rajan

    2016-02-01

    The irradiation of selective regions in a polymer gel dosimeter results in an increase in optical density and refractive index (RI) at those regions. An optical tomography-based dosimeter depends on rayline path through the dosimeter to estimate and reconstruct the dose distribution. The refraction of light passing through a dose region results in artefacts in the reconstructed images. These refraction errors are dependant on the scanning geometry and collection optics. We developed a fully 3D image reconstruction algorithm, algebraic reconstruction technique-refraction correction (ART-rc) that corrects for the refractive index mismatches present in a gel dosimeter scanner not only at the boundary, but also for any rayline refraction due to multiple dose regions inside the dosimeter. In this study, simulation and experimental studies have been carried out to reconstruct a 3D dose volume using 2D CCD measurements taken for various views. The study also focuses on the effectiveness of using different refractive-index matching media surrounding the gel dosimeter. Since the optical density is assumed to be low for a dosimeter, the filtered backprojection is routinely used for reconstruction. We carry out the reconstructions using conventional algebraic reconstruction (ART) and refractive index corrected ART (ART-rc) algorithms. The reconstructions based on FDK algorithm for cone-beam tomography has also been carried out for comparison. Line scanners and point detectors, are used to obtain reconstructions plane by plane. The rays passing through dose region with a RI mismatch does not reach the detector in the same plane depending on the angle of incidence and RI. In the fully 3D scanning setup using 2D array detectors, light rays that undergo refraction are still collected and hence can still be accounted for in the reconstruction algorithm. It is found that, for the central region of the dosimeter, the usable radius using ART-rc algorithm with water as RI matched

  9. Fully 3D refraction correction dosimetry system.

    PubMed

    Manjappa, Rakesh; Makki, S Sharath; Kumar, Rajesh; Vasu, Ram Mohan; Kanhirodan, Rajan

    2016-02-21

    The irradiation of selective regions in a polymer gel dosimeter results in an increase in optical density and refractive index (RI) at those regions. An optical tomography-based dosimeter depends on rayline path through the dosimeter to estimate and reconstruct the dose distribution. The refraction of light passing through a dose region results in artefacts in the reconstructed images. These refraction errors are dependant on the scanning geometry and collection optics. We developed a fully 3D image reconstruction algorithm, algebraic reconstruction technique-refraction correction (ART-rc) that corrects for the refractive index mismatches present in a gel dosimeter scanner not only at the boundary, but also for any rayline refraction due to multiple dose regions inside the dosimeter. In this study, simulation and experimental studies have been carried out to reconstruct a 3D dose volume using 2D CCD measurements taken for various views. The study also focuses on the effectiveness of using different refractive-index matching media surrounding the gel dosimeter. Since the optical density is assumed to be low for a dosimeter, the filtered backprojection is routinely used for reconstruction. We carry out the reconstructions using conventional algebraic reconstruction (ART) and refractive index corrected ART (ART-rc) algorithms. The reconstructions based on FDK algorithm for cone-beam tomography has also been carried out for comparison. Line scanners and point detectors, are used to obtain reconstructions plane by plane. The rays passing through dose region with a RI mismatch does not reach the detector in the same plane depending on the angle of incidence and RI. In the fully 3D scanning setup using 2D array detectors, light rays that undergo refraction are still collected and hence can still be accounted for in the reconstruction algorithm. It is found that, for the central region of the dosimeter, the usable radius using ART-rc algorithm with water as RI matched

  10. Atmospheric refraction: a history.

    PubMed

    Lehn, Waldemar H; van der Werf, Siebren

    2005-09-20

    We trace the history of atmospheric refraction from the ancient Greeks up to the time of Kepler. The concept that the atmosphere could refract light entered Western science in the second century B.C. Ptolemy, 300 years later, produced the first clearly defined atmospheric model, containing air of uniform density up to a sharp upper transition to the ether, at which the refraction occurred. Alhazen and Witelo transmitted his knowledge to medieval Europe. The first accurate measurements were made by Tycho Brahe in the 16th century. Finally, Kepler, who was aware of unusually strong refractions, used the Ptolemaic model to explain the first documented and recognized mirage (the Novaya Zemlya effect).

  11. Atmospheric refraction: a history

    NASA Astrophysics Data System (ADS)

    Lehn, Waldemar H.; van der Werf, Siebren

    2005-09-01

    We trace the history of atmospheric refraction from the ancient Greeks up to the time of Kepler. The concept that the atmosphere could refract light entered Western science in the second century B.C. Ptolemy, 300 years later, produced the first clearly defined atmospheric model, containing air of uniform density up to a sharp upper transition to the ether, at which the refraction occurred. Alhazen and Witelo transmitted his knowledge to medieval Europe. The first accurate measurements were made by Tycho Brahe in the 16th century. Finally, Kepler, who was aware of unusually strong refractions, used the Ptolemaic model to explain the first documented and recognized mirage (the Novaya Zemlya effect).

  12. Autonomous satellite navigation by stellar refraction

    NASA Technical Reports Server (NTRS)

    Gounley, R.; White, R.; Gai, E.

    1983-01-01

    This paper describes an error analysis of an autonomous navigator using refraction measurements of starlight passing through the upper atmosphere. The analysis is based on a discrete linear Kalman filter. The filter generated steady-state values of navigator performance for a variety of test cases. Results of these simulations show that in low-earth orbit position-error standard deviations of less than 0.100 km may be obtained using only 40 star sightings per orbit.

  13. Visual acuity estimation from simulated images

    NASA Astrophysics Data System (ADS)

    Duncan, William J.

    Simulated images can provide insight into the performance of optical systems, especially those with complicated features. Many modern solutions for presbyopia and cataracts feature sophisticated power geometries or diffractive elements. Some intraocular lenses (IOLs) arrive at multifocality through the use of a diffractive surface and multifocal contact lenses have a radially varying power profile. These type of elements induce simultaneous vision as well as affecting vision much differently than a monofocal ophthalmic appliance. With myriad multifocal ophthalmics available on the market it is difficult to compare or assess performance in ways that effect wearers of such appliances. Here we present software and algorithmic metrics that can be used to qualitatively and quantitatively compare ophthalmic element performance, with specific examples of bifocal intraocular lenses (IOLs) and multifocal contact lenses. We anticipate this study, methods, and results to serve as a starting point for more complex models of vision and visual acuity in a setting where modeling is advantageous. Generating simulated images of real- scene scenarios is useful for patients in assessing vision quality with a certain appliance. Visual acuity estimation can serve as an important tool for manufacturing and design of ophthalmic appliances.

  14. Set shot shooting performance and visual acuity in basketball.

    PubMed

    Applegate, R A; Applegate, R A

    1992-10-01

    Common sense suggests that decreasing visual acuity will have a negative effect on basketball shooting performance. To test the hypothesis that basketball shooting performance monotonically decreases with decreasing acuity, 19 subjects attempted 25 set shots from a fixed location at each of 5 different acuity levels: 6/6 or better and vision blurred (by optical defocus) to visual acuities of 6/12, 6/24, 6/48, and 6/75. Our results revealed a small but statistically nonsignificant decrease in shooting performance between the 6/6+ and 6/12 conditions. For visual acuities between 6/12 and 6/75, the number of baskets made remained constant. We conclude that decreases in visual acuity over the range of 6/6+ to 6/75 resulting from defocus do not significantly reduce set shot shooting performance.

  15. Gradient Refractive Index Lenses.

    ERIC Educational Resources Information Center

    Morton, N.

    1984-01-01

    Describes the nature of gradient refractive index (GRIN) lenses, focusing on refraction in these materials, focal length of a thin Wood lens, and on manufacturing of such lenses. Indicates that GRIN lenses of small cross section are in limited production with applications suggested for optical communication and photocopying fields. (JN)

  16. Developing a reliable and valid scale to measure psychosocial acuity.

    PubMed

    Klett, Stacey; Firn, Janice; Abney, Nina; Battles, Alethia; Harrington, Jack; Vantine, Aimee

    2014-01-01

    This tool is a unique comprehensive scale and methodology to measure the psychosocial acuity of patients and families across a health care continuum. Coupled with other measures, psychosocial acuity can tell a complete and compelling story of social work contributions and aid in resource alignment. Accurately conveying the full scope of social work value to anyone, especially health system leadership, requires that the psychosocial acuity of the patient and family be measured and factored into the equation, along with productivity, time spent, and services provided. The development and utilization of the Psychosocial Acuity Tool is the focus of this publication.

  17. Functional Visual Acuity of Early Presbyopia

    PubMed Central

    Watanabe, Kazuhiro; Shigeno, Yuta; Saiki, Megumi; Torii, Hidemasa; Kaido, Minako; Tsubota, Kazuo

    2016-01-01

    Purpose To evaluate visual function in patients with early presbyopia using the functional visual acuity (FVA) test. Methods This study included 27 eyes of 27 healthy older volunteers (mean age, 44.1 ± 2.6 years) and 14 eyes of 14 healthy young volunteers (mean age, 28.4±4.8 years). The distance-corrected visual acuity (DCVA), distance-corrected near VA (DCNVA), subjective amplitude of accommodation (AA), and distance and near pupillary diameters were measured. The distance FVA and distance-corrected near FVA (DCNFVA) were measured using the FVA Measurement System. The standard Schirmer test and standard tear break-up time measurement also were performed. Results The logarithm of the minimum angle of resolution (logMAR) DCVA was better than 0 in all subjects. The percentages of subjects with logMAR DCNVA below 0 was significantly lower in the presbyopia group than in the young group. The DCNFVA in the presbyopia group was significantly (P < 0.001) poorer than the DCNVA in that group. Significant linear negative correlations were seen between the DCNVA and AA (r = -0.507, P < 0.001) and the DCNFVA and AA (r = -0.681, P < 0.001) in the older subjects. Stepwise regression analysis showed that only the AA was a significant factor predictive of the DCNFVA in the presbyopia group. Tear function parameters were not adopted in the regression model. Conclusions Measurement of the DCNFVA can detect decreased AA in early presbyopia better than measurement of the conventional near VA. The DCNFVA is a good index for early presbyopia. PMID:26959362

  18. Studies of atmospheric refraction effects on laser data

    NASA Technical Reports Server (NTRS)

    Dunn, P. J.; Pearce, W. A.; Johnson, T. S.

    1982-01-01

    The refraction effect from three perspectives was considered. An analysis of the axioms on which the accepted correction algorithms were based was the first priority. The integrity of the meteorological measurements on which the correction model is based was also considered and a large quantity of laser observations was processed in an effort to detect any serious anomalies in them. The effect of refraction errors on geodetic parameters estimated from laser data using the most recent analysis procedures was the focus of the third element of study. The results concentrate on refraction errors which were found to be critical in the eventual use of the data for measurements of crustal dynamics.

  19. Cycloplegic refraction is the gold standard for epidemiological studies.

    PubMed

    Morgan, Ian G; Iribarren, Rafael; Fotouhi, Akbar; Grzybowski, Andrzej

    2015-09-01

    Many studies on children have shown that lack of cycloplegia is associated with slight overestimation of myopia and marked errors in estimates of the prevalence of emmetropia and hyperopia. Non-cycloplegic refraction is particularly problematic for studies of associations with risk factors. The consensus around the importance of cycloplegia in children left undefined at what age, if any, cycloplegia became unnecessary. It was often implicitly assumed that cycloplegia is not necessary beyond childhood or early adulthood, and thus, the protocol for the classical studies of refraction in older adults did not include cycloplegia. Now that population studies of refractive error are beginning to fill the gap between schoolchildren and older adults, whether cycloplegia is required for measuring refractive error in this age range, needs to be defined. Data from the Tehran Eye Study show that, without cycloplegia, there are errors in the estimation of myopia, emmetropia and hyperopia in the age range 20-50, just as in children. Similar results have been reported in an analysis of data from the Beaver Dam Offspring Eye Study. If the only important outcome measure of a particular study is the prevalence of myopia, then cycloplegia may not be crucial in some cases. But, without cycloplegia, measurements of other refractive categories as well as spherical equivalent are unreliable. In summary, the current evidence suggests that cycloplegic refraction should be considered as the gold standard for epidemiological studies of refraction, not only in children, but in adults up to the age of 50.

  20. Refractive index of air: 3. The roles of CO2, H2O, and refractivity virials.

    PubMed

    Ciddor, Philip E

    2002-04-20

    The author's recent studies of the refractive index of air are extended, and several assumptions made therein are further examined. It is shown that the alternative dispersion equations for CO2, which are due to Edlen [Metrologia 2, 71 (1966)] and Old et al. [J. Opt. Soc. Am. 61, 89 (1971)] result in differences of less than 2 x 10(-9) in the phase refractive index and less than 3 x 10(-9) in the group refractive index for current and predicted concentrations of CO2. However, because the dispersion equation given by Old et al. is consistent with experimental data in the near infrared, it is preferable to the equation used by Edlen, which is valid only in the ultraviolet and the visible. The classical measurement by Barrell and Sears [Philos. Trans. R. Soc. London Ser. A 238, 1 (1939)] on the refractivity of moist air is shown to have some procedural errors in addition to the one discussed by Birch and Downs [Metrologia 30, 155 (1993)]. It is shown that for normal atmospheric conditions the higher refractivity virial coefficients related to the Lorentz-Lorenz relation are adequately incorporated into the empirically determined first refractivity virial. As a guide to users the practical limits to the calculation of the refractive index of the atmosphere that result from the uncertainties in the measurement of the various atmospheric parameters are summarized.

  1. Under-correction of human myopia – Is it myopigenic?: A retrospective analysis of clinical refraction data

    PubMed Central

    Vasudevan, Balamurali; Esposito, Christina; Peterson, Cody; Coronado, Cory; Ciuffreda, Kenneth J.

    2014-01-01

    Purpose To investigate retrospectively, based on routine clinical records in an optometric office, the effect of refractive under-correction of the myopic spectacle prescription on myopic progression in children and young adults. Methods Patient records of children and young-adult myopes in a private optometric practice in Glendale, Arizona, USA, were initially reviewed to identify those that met the criteria. Information collected from the patient records included: age, gender, the dates and number of their visits (more than one visit was required for use of the data), final prescription, and non-cycloplegic subjective refraction. For each patient visit, the difference in spherical equivalent (SE) between the subjective refraction for maximum visual acuity and the final prescription was calculated for both the left and right eyes. Myopia progression was defined as the difference in SE between the final subjective refraction of the previous visit and that of the subsequent visit. Based on the study criteria, a total of 275 patient visits were obtained from the data collected in 76 patients. Results A significant positive correlation was found between the magnitude of under-correction of the refractive error and myopic progression (r = 0.301, p < 0.01); that is, the greater the under-correction, the greater the myopic progression. In addition, there was a significant positive correlation between myopia progression and subjective refraction (r = 0.166, p = 0.006); that is, the greater the degree of myopia, the greater the effect of under-correction. However, there was no significant correlation between myopia progression and either age (r = −0.11, p = 0.86) or gender (r = −0.82, p = 0.17). Conclusion Under-correction of myopia produced a small but progressively greater degree of myopic progression than did full correction. The present finding is consistent with earlier clinical trials and modeling of human myopia. PMID:25000870

  2. Specific features of measuring the optical power of artificial refractive and diffractive-refractive eye lenses

    NASA Astrophysics Data System (ADS)

    Lenkova, G. A.

    2016-08-01

    Methods for monitoring the optical power of artificial refractive eye lenses (intraocular lenses) based on measuring focal lengths in air and in medium are analyzed. The methods for determining the refraction of diffractive-refractive lenses (in particular, of MIOL-Akkord type), with allowance for the specific features of the diffractive structure, are considered. A computer simulation of the measurement of the focal length of MIOL-Akkord lenses is performed. The effective optical power of the diffractive component of these lenses is shown to depend on the diaphragm diameter. The optimal diaphragm diameter, at which spherical aberrations do not affect the position of foci, is found to be 3 mm. Possible errors in measuring the focal lengths are analyzed, and the necessary corrections that must be introduced into measurement results and calculations of refractions are determined.

  3. Brief Report: Visual Acuity in Children with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Albrecht, Matthew A.; Stuart, Geoffrey W.; Falkmer, Marita; Ordqvist, Anna; Leung, Denise; Foster, Jonathan K.; Falkmer, Torbjorn

    2014-01-01

    Recently, there has been heightened interest in suggestions of enhanced visual acuity in autism spectrum disorders (ASD) which was sparked by evidence that was later accepted to be methodologically flawed. However, a recent study that claimed children with ASD have enhanced visual acuity (Brosnan et al. in "J Autism Dev Disord"…

  4. The association between higher education and approximate number system acuity.

    PubMed

    Lindskog, Marcus; Winman, Anders; Juslin, Peter

    2014-01-01

    Humans are equipped with an approximate number system (ANS) supporting non-symbolic numerosity representation. Studies indicate a relationship between ANS-precision (acuity) and math achievement. Whether the ANS is a prerequisite for learning mathematics or if mathematics education enhances the ANS remains an open question. We investigated the association between higher education and ANS acuity with university students majoring in subjects with varying amounts of mathematics (mathematics, business, and humanities), measured either early (First year) or late (Third year) in their studies. The results suggested a non-significant trend where students taking more mathematics had better ANS acuity and a significant improvement in ANS acuity as a function of study length that was mainly confined to the business students. The results provide partial support for the hypothesis that education in mathematics can enhance the ANS acuity. PMID:24904478

  5. The association between higher education and approximate number system acuity.

    PubMed

    Lindskog, Marcus; Winman, Anders; Juslin, Peter

    2014-01-01

    Humans are equipped with an approximate number system (ANS) supporting non-symbolic numerosity representation. Studies indicate a relationship between ANS-precision (acuity) and math achievement. Whether the ANS is a prerequisite for learning mathematics or if mathematics education enhances the ANS remains an open question. We investigated the association between higher education and ANS acuity with university students majoring in subjects with varying amounts of mathematics (mathematics, business, and humanities), measured either early (First year) or late (Third year) in their studies. The results suggested a non-significant trend where students taking more mathematics had better ANS acuity and a significant improvement in ANS acuity as a function of study length that was mainly confined to the business students. The results provide partial support for the hypothesis that education in mathematics can enhance the ANS acuity.

  6. The association between higher education and approximate number system acuity

    PubMed Central

    Lindskog, Marcus; Winman, Anders; Juslin, Peter

    2014-01-01

    Humans are equipped with an approximate number system (ANS) supporting non-symbolic numerosity representation. Studies indicate a relationship between ANS-precision (acuity) and math achievement. Whether the ANS is a prerequisite for learning mathematics or if mathematics education enhances the ANS remains an open question. We investigated the association between higher education and ANS acuity with university students majoring in subjects with varying amounts of mathematics (mathematics, business, and humanities), measured either early (First year) or late (Third year) in their studies. The results suggested a non-significant trend where students taking more mathematics had better ANS acuity and a significant improvement in ANS acuity as a function of study length that was mainly confined to the business students. The results provide partial support for the hypothesis that education in mathematics can enhance the ANS acuity. PMID:24904478

  7. Coincidence anticipation and dynamic visual acuity in young adolescents.

    PubMed

    Millslagle, Duane

    2004-12-01

    Research involving college-age students and women fast pitch softball players indicated that coincidence anticipation and dynamic visual acuity are different visual abilities. This study used an alternative procedure to measure dynamic visual acuity to re-examine their relationship. Coincidence anticipation and dynamic visual acuity were measured in 24 young adolescents (12 boys, 12 girls) 11 to 14 years of age. During the dynamic visual acuity procedure, the subject tracked an object of a constant size while the researcher manipulated the object's velocity. Analysis indicated that they are different visual abilities. Findings indicated that the dynamic visual acuity of boys was significantly better than that of girls, and coincidence anticipation between boys and girls did not differ.

  8. Multiple encounter simulation for high-acuity multipatient environment training.

    PubMed

    Kobayashi, Leo; Shapiro, Marc J; Gutman, Deborah C; Jay, Gregory

    2007-12-01

    Patient safety interventions for multitasking, multipatient, error-prone work settings such as the emergency department (ED) must improve assorted clinical abilities, specific cognitive strategies, and teamwork functions of the staff to be effective. Multiple encounter simulation scenarios explore and convey this specialized mental work-set through use of multiple high-fidelity medical simulation (SIM) manikins in realistic surroundings. Multipatient scenarios reflect the work situations being targeted yet have the benefit of scripted control and instructor guidance to advance specific educational objectives. The use of two or more SIM patients promotes the exploration not only of multiple distinct clinical issues but also of interdependent processes pervasive in EDs. Cascading shortages of time, personnel, equipment, and supplies are re-created, thereby replicating process limitations at various levels, in a safe environment in which compensatory actions and adaptive behaviors can be learned. Distinguishing features of multipatient exercises include 1) broadened educational scope and expanded indications for SIM application, 2) enhanced scenario complexity, 3) controlled exposure to high workload environments, 4) expanded communication requirements, and 5) increased potential for reflective learning. Widespread and effective training in well-replicated, carefully coordinated representations of complex multipatient work environments may strengthen educational interventions for personnel working in high acuity and work-overloaded settings such as the ED. The use of concurrent patient encounter SIM exercises to elicit calculated stressors and to foster compensatory staff behaviors is an educational advance toward this objective. The authors present SIM methodology using concurrent patient encounters to replicate these environments.

  9. Refractive surgery for keratoconus.

    PubMed

    Ormonde, Sue

    2013-03-01

    Traditionally, keratoconus has been managed with glasses when mild, contact lenses when moderate and keratoplasty when severe. When cornea-based refractive surgery was first developed it appeared to be a useful option for keratoconus until reports of post-operative progressive ectasia emerged and thus keratoconus was considered a contraindication to refractive surgery. However, improvements in older techniques and the development of new techniques mean that there are now several viable options to avoid keratoplasty in contact lens-intolerant patients. This review discusses the risks and benefits of excimer laser refractive procedures, both with and without corneal collagen cross linking, as well as intra-corneal ring segments, phakic intraocular lenses and refractive lens exchange with toric intraocular lens implantation. PMID:23496655

  10. Atmospheric refraction: a history.

    PubMed

    Lehn, Waldemar H; van der Werf, Siebren

    2005-09-20

    We trace the history of atmospheric refraction from the ancient Greeks up to the time of Kepler. The concept that the atmosphere could refract light entered Western science in the second century B.C. Ptolemy, 300 years later, produced the first clearly defined atmospheric model, containing air of uniform density up to a sharp upper transition to the ether, at which the refraction occurred. Alhazen and Witelo transmitted his knowledge to medieval Europe. The first accurate measurements were made by Tycho Brahe in the 16th century. Finally, Kepler, who was aware of unusually strong refractions, used the Ptolemaic model to explain the first documented and recognized mirage (the Novaya Zemlya effect). PMID:16201423

  11. Nonlinear Refractive Properties

    NASA Technical Reports Server (NTRS)

    Vikram, Chandra S.; Witherow, William K.

    2001-01-01

    Using nonlinear refractive properties of a salt-water solution at two wavelengths, numerical analysis has been performed to extract temperature and concentration from interferometric fringe data. The theoretical study, using a commercially available equation solving software, starts with critical fringe counting needs and the role of nonlinear refractive properties in such measurements. Finally, methodology of the analysis, codes, fringe counting accuracy needs, etc. is described in detail.

  12. Refractive index of air. 2. Group index.

    PubMed

    Ciddor, P E; Hill, R J

    1999-03-20

    In a previous paper [Appl. Opt. 35, 1566 (1996)] one of us presented new equations for evaluation of the phase refractive index of air over a range of wavelengths and atmospheric parameters. That paper also gave an incorrect, although sufficiently accurate, procedure for calculating the group refractive index. Here we describe the results of a more rigorous derivation of the group index that takes proper account of the Lorentz-Lorenz formula, and we demonstrate that deviations from the Lorentz-Lorenz formula are insignificant to within a foreseeable precision of dispersion measurements for atmospheric conditions. We also derive and evaluate a simplification of the resultant equation that is useful for exploratory calculations. We clarify the limits of validity of the standard equation for the group refractive index and correct some minor errors in the previous paper.

  13. The inverse problem of refraction travel times, part II: Quantifying refraction nonuniqueness using a three-layer model

    USGS Publications Warehouse

    Ivanov, J.; Miller, R.D.; Xia, J.; Steeples, D.

    2005-01-01

    This paper is the second of a set of two papers in which we study the inverse refraction problem. The first paper, "Types of Geophysical Nonuniqueness through Minimization," studies and classifies the types of nonuniqueness that exist when solving inverse problems depending on the participation of a priori information required to obtain reliable solutions of inverse geophysical problems. In view of the classification developed, in this paper we study the type of nonuniqueness associated with the inverse refraction problem. An approach for obtaining a realistic solution to the inverse refraction problem is offered in a third paper that is in preparation. The nonuniqueness of the inverse refraction problem is examined by using a simple three-layer model. Like many other inverse geophysical problems, the inverse refraction problem does not have a unique solution. Conventionally, nonuniqueness is considered to be a result of insufficient data and/or error in the data, for any fixed number of model parameters. This study illustrates that even for overdetermined and error free data, nonlinear inverse refraction problems exhibit exact-data nonuniqueness, which further complicates the problem of nonuniqueness. By evaluating the nonuniqueness of the inverse refraction problem, this paper targets the improvement of refraction inversion algorithms, and as a result, the achievement of more realistic solutions. The nonuniqueness of the inverse refraction problem is examined initially by using a simple three-layer model. The observations and conclusions of the three-layer model nonuniqueness study are used to evaluate the nonuniqueness of more complicated n-layer models and multi-parameter cell models such as in refraction tomography. For any fixed number of model parameters, the inverse refraction problem exhibits continuous ranges of exact-data nonuniqueness. Such an unfavorable type of nonuniqueness can be uniquely solved only by providing abundant a priori information

  14. RETENTION OF HIGH TACTILE ACUITY THROUGHOUT THE LIFESPAN IN BLINDNESS

    PubMed Central

    Legge, Gordon E.; Madison, Cindee; Vaughn, Brenna N.; Cheong, Allen M.Y.; Miller, Joseph C.

    2009-01-01

    Previous studies of tactile acuity on the fingertip using passive touch have demonstrated an age-related decline in spatial resolution for both sighted and blind subjects. We have re-examined this age dependence with two newly designed tactile-acuity charts requiring active exploration of the test symbols. One chart used dot patterns similar to Braille and the other used embossed Landolt rings. Groups of blind Braille readers and sighted subjects, ranging in age from 12 to 85 years, were tested in two experiments. We replicated previous findings for sighted subjects by showing an age related decrease in tactile acuity by nearly 1% per year. Surprisingly, the blind subjects retained high acuity into old age showing no age-related decline. For the blind subjects, tactile acuity did not correlate with braille reading speed, the amount of daily reading, or the age at which braille was learned. We conclude that when measured with active touch, blind subjects retain high tactile acuity into old age, unlike their aging sighted peers. We propose that blind people's use of active touch in daily activities, not specifically Braille reading, results in preservation of tactile acuity across the lifespan. PMID:19064491

  15. Visual acuity in the short-tailed opossum (Monodelphis domestica)

    PubMed Central

    Dooley, James C.; Nguyen, Hoang; Seelke, Adele M. H.; Krubitzer, Leah

    2013-01-01

    Monodelphis domestica (short-tailed opossum) is an emerging animal model for studies of neural development due to the extremely immature state of the nervous system at birth and its subsequent rapid growth to adulthood. Yet little is known about its normal sensory discrimination abilities. In the present investigation, visual acuity was determined in this species using the optokinetic test (OPT), which relies on involuntary head tracking of a moving stimulus and can be easily elicited using a rotating visual stimulus of varying spatial frequencies. Using this methodology, we determined that the acuity of Monodelphis is 0.58 cycles per degree (cpd), which is similar to the acuity of rats using the same methodology, and higher than in mice. However, acuity in the short-tailed opossum is lower than in other marsupials. This is in part due to the methodology used to determine acuity, but may also be due to differences in diel patterns, lifestyle and phylogeny. We demonstrate that for the short-tailed opossum, the OPT is a rapid and reliable method of determining a baseline acuity and can be used to study enhanced acuities due to cortical plasticity. PMID:22871523

  16. Proprioceptive acuity predicts muscle co-contraction of the tibialis anterior and gastrocnemius medialis in older adults' dynamic postural control.

    PubMed

    Craig, C E; Goble, D J; Doumas, M

    2016-05-13

    Older adults use a different muscle strategy to cope with postural instability, in which they 'co-contract' the muscles around the ankle joint. It has been suggested that this is a compensatory response to age-related proprioceptive decline however this view has never been assessed directly. The current study investigated the association between proprioceptive acuity and muscle co-contraction in older adults. We compared muscle activity, by recording surface electromyography (EMG) from the bilateral tibialis anterior (TA) and gastrocnemius medialis (GM) muscles, in young (aged 18-34) and older adults (aged 65-82) during postural assessment on a fixed and sway-referenced surface at age-equivalent levels of sway. We performed correlations between muscle activity and proprioceptive acuity, which was assessed using an active contralateral matching task. Despite successfully inducing similar levels of sway in the two age groups, older adults still showed higher muscle co-contraction. A stepwise regression analysis showed that proprioceptive acuity measured using variable error was the best predictor of muscle co-contraction in older adults. However, despite suggestions from previous research, proprioceptive error and muscle co-contraction were negatively correlated in older adults, suggesting that better proprioceptive acuity predicts more co-contraction. Overall, these results suggest that although muscle co-contraction may be an age-specific strategy used by older adults, it is not to compensate for age-related proprioceptive deficits.

  17. Proprioceptive acuity predicts muscle co-contraction of the tibialis anterior and gastrocnemius medialis in older adults' dynamic postural control.

    PubMed

    Craig, C E; Goble, D J; Doumas, M

    2016-05-13

    Older adults use a different muscle strategy to cope with postural instability, in which they 'co-contract' the muscles around the ankle joint. It has been suggested that this is a compensatory response to age-related proprioceptive decline however this view has never been assessed directly. The current study investigated the association between proprioceptive acuity and muscle co-contraction in older adults. We compared muscle activity, by recording surface electromyography (EMG) from the bilateral tibialis anterior (TA) and gastrocnemius medialis (GM) muscles, in young (aged 18-34) and older adults (aged 65-82) during postural assessment on a fixed and sway-referenced surface at age-equivalent levels of sway. We performed correlations between muscle activity and proprioceptive acuity, which was assessed using an active contralateral matching task. Despite successfully inducing similar levels of sway in the two age groups, older adults still showed higher muscle co-contraction. A stepwise regression analysis showed that proprioceptive acuity measured using variable error was the best predictor of muscle co-contraction in older adults. However, despite suggestions from previous research, proprioceptive error and muscle co-contraction were negatively correlated in older adults, suggesting that better proprioceptive acuity predicts more co-contraction. Overall, these results suggest that although muscle co-contraction may be an age-specific strategy used by older adults, it is not to compensate for age-related proprioceptive deficits. PMID:26905952

  18. Normal Visual Acuity and Electrophysiological Contrast Gain in Adults with High-Functioning Autism Spectrum Disorder

    PubMed Central

    Tebartz van Elst, Ludger; Bach, Michael; Blessing, Julia; Riedel, Andreas; Bubl, Emanuel

    2015-01-01

    A common neurodevelopmental disorder, autism spectrum disorder (ASD), is defined by specific patterns in social perception, social competence, communication, highly circumscribed interests, and a strong subjective need for behavioral routines. Furthermore, distinctive features of visual perception, such as markedly reduced eye contact and a tendency to focus more on small, visual items than on holistic perception, have long been recognized as typical ASD characteristics. Recent debate in the scientific community discusses whether the physiology of low-level visual perception might explain such higher visual abnormalities. While reports of this enhanced, “eagle-like” visual acuity contained methodological errors and could not be substantiated, several authors have reported alterations in even earlier stages of visual processing, such as contrast perception and motion perception at the occipital cortex level. Therefore, in this project, we have investigated the electrophysiology of very early visual processing by analyzing the pattern electroretinogram-based contrast gain, the background noise amplitude, and the psychophysical visual acuities of participants with high-functioning ASD and controls with equal education. Based on earlier findings, we hypothesized that alterations in early vision would be present in ASD participants. This study included 33 individuals with ASD (11 female) and 33 control individuals (12 female). The groups were matched in terms of age, gender, and education level. We found no evidence of altered electrophysiological retinal contrast processing or psychophysical measured visual acuities. There appears to be no evidence for abnormalities in retinal visual processing in ASD patients, at least with respect to contrast detection. PMID:26379525

  19. Generalized ray tracing method for the calculation of the peripheral refraction induced by an ophthalmic lens

    NASA Astrophysics Data System (ADS)

    Rojo, Pilar; Royo, Santiago; Caum, Jesus; Ramírez, Jorge; Madariaga, Ines

    2015-02-01

    Peripheral refraction, the refractive error present outside the main direction of gaze, has lately attracted interest due to its alleged relationship with the progression of myopia. The ray tracing procedures involved in its calculation need to follow an approach different from those used in conventional ophthalmic lens design, where refractive errors are compensated only in the main direction of gaze. We present a methodology for the evaluation of the peripheral refractive error in ophthalmic lenses, adapting the conventional generalized ray tracing approach to the requirements of the evaluation of peripheral refraction. The nodal point of the eye and a retinal conjugate surface will be used to evaluate the three-dimensional distribution of refractive error around the fovea. The proposed approach enables us to calculate the three-dimensional peripheral refraction induced by any ophthalmic lens at any direction of gaze and to personalize the lens design to the requirements of the user. The complete evaluation process for a given user prescribed with a -5.76D ophthalmic lens for foveal vision is detailed, and comparative results obtained when the geometry of the lens is modified and when the central refractive error is over- or undercorrected. The methodology is also applied for an emmetropic eye to show its application for refractive errors other than myopia.

  20. Lumbar tactile acuity is near identical between sides in healthy pain-free participants.

    PubMed

    Wand, Benedict Martin; Catley, Mark Jon; Luomajoki, Hannu Antero; O'Sullivan, Kieran James; Di Pietro, Flavia; O'Connell, Neil Edward; Moseley, G Lorimer

    2014-10-01

    A growing body of literature suggests that alterations in brain structure and function are a feature of chronic back pain. Tactile acuity is considered a clinical signature of primary somatosensory representation and offers a simple measure of cortical reorganisation. Clinical interpretation of test scores from an individual patient is hampered by variance in published normative values and less than ideal inter-rater reliability. These problems might be mitigated in people with unilateral back pain by using the patient as their own control and comparing tactile acuity at the painful site to performance at the corresponding position on the non-painful side. The first step in exploring this approach is to quantify the normal side-to-side difference in healthy populations. We pooled data from three previous studies that measured lumbar tactile acuity bilaterally in healthy controls using similar protocols. We calculated the mean and variance of the absolute error between sides, the standard error of measurement and the reliable change index (RCI). The mean difference between sides was 3.2 mm (±5.2) when assessed vertically and 1.9 mm (±3.2) when assessed horizontally. The standard error of measurement was 4.2 mm when assessed vertically and 2.7 mm when assessed horizontally. The RCI suggests that differences of greater than 13 mm when assessed horizontally and 17 mm when assessed vertically equate to 95% confidence that a difference truly exists. Several assumptions related to the application of this approach need to be investigated further.

  1. Negative refraction and superconductivity

    NASA Astrophysics Data System (ADS)

    Amariti, Antonio; Forcella, Davide; Mariotti, Alberto; Siani, Massimo

    2011-10-01

    We discuss exotic properties of charged hydrodynamical systems, in the broken superconducting phase, probed by electromagnetic waves. Motivated by general arguments from hydrodynamics, we observe that negative refraction, namely the propagation in opposite directions of the phase velocities and of the energy flux, is expected for low enough frequencies. We corroborate this general idea by analyzing a holographic superconductor in the AdS/CFT correspondence, where the response functions can be explicitly computed. We study the dual gravitational theory both in the probe and in the backreacted case. We find that, while in the first case the refractive index is positive at every frequency, in the second case there is negative refraction at low enough frequencies. This is in agreement with hydrodynamic considerations.

  2. Refraction corrections for surveying

    NASA Technical Reports Server (NTRS)

    Lear, W. M.

    1979-01-01

    Optical measurements of range and elevation angle are distorted by the earth's atmosphere. High precision refraction correction equations are presented which are ideally suited for surveying because their inputs are optically measured range and optically measured elevation angle. The outputs are true straight line range and true geometric elevation angle. The 'short distances' used in surveying allow the calculations of true range and true elevation angle to be quickly made using a programmable pocket calculator. Topics covered include the spherical form of Snell's Law; ray path equations; and integrating the equations. Short-, medium-, and long-range refraction corrections are presented in tables.

  3. Instruments for predicting visual acuity. A clinical comparison.

    PubMed

    Spurny, R C; Zaldivar, R; Belcher, C D; Simmons, R J

    1986-02-01

    A series of 54 eyes in 50 patients had preoperative predictions of postoperative visual acuity, using both a white-light interferometer (Lotmar Visometer) and a Snellen chart projector (Guyton-Minkowski Potential Acuity Meter). The predicted vision by each instrument was compared with the actual postoperative vision. Forty eyes in 36 of these patients, 25 with concurrent eye disease, had cataract extraction with intraocular lens implantation. Fifteen eyes in 15 patients, 11 with concurrent eye disease, had neodymium-YAG laser posterior capsulotomy. The Visometer gave more accurate predictions than the Potential Acuity Meter in cataract patients with open angle glaucoma, even with glaucomatous visual field loss, and in patients with a visual acuity of less than 20/400 due to advanced cataract formation.

  4. Software for teaching refraction of light with the semicircle

    NASA Astrophysics Data System (ADS)

    Mihas, Pavlos

    2016-11-01

    Software is presented for teaching elementary optics using a transparent semicircle. We demonstrate the use of the semicircle to investigate Snell’s lawand students can are presented with the difficulties involved in experiments. An Excel spreadsheet can show to students that small errors in positioning of the semicircle can result in a non-constant index of refraction. Students can study the effect of changing some of the parameters of placement of a semicircle on the accuracy of the experimental results. They can see from the analysis of data that much better results are obtained by doing regression analysis rather than by just taking the average value of the index of refraction. Measuring the critical angle also gives a method of calculating the index of refraction. Another way to measure the index of refraction is the use of the semicircle as a lens and from its focal length we can deduce the index of refraction.

  5. 49 CFR 242.117 - Vision and hearing acuity.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... required in 29 CFR 1910.95(h) (OSHA); (2) As required in § 227.111 of this chapter; or (3) Conducted using... 49 Transportation 4 2013-10-01 2013-10-01 false Vision and hearing acuity. 242.117 Section 242.117... Requirements § 242.117 Vision and hearing acuity. (a) Each railroad shall adopt and comply with a program...

  6. 49 CFR 242.117 - Vision and hearing acuity.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... required in 29 CFR 1910.95(h) (OSHA); (2) As required in § 227.111 of this chapter; or (3) Conducted using... 49 Transportation 4 2012-10-01 2012-10-01 false Vision and hearing acuity. 242.117 Section 242.117... Requirements § 242.117 Vision and hearing acuity. (a) Each railroad shall adopt and comply with a program...

  7. 49 CFR 242.117 - Vision and hearing acuity.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... required in 29 CFR 1910.95(h) (OSHA); (2) As required in § 227.111 of this chapter; or (3) Conducted using... 49 Transportation 4 2014-10-01 2014-10-01 false Vision and hearing acuity. 242.117 Section 242.117... Requirements § 242.117 Vision and hearing acuity. (a) Each railroad shall adopt and comply with a program...

  8. [Decrease of hearing acuity from use of portable headphones].

    PubMed

    Kawada, T; Koyama, H; Suzuki, S

    1990-01-01

    The association between headphone use and hearing acuity was studied among 155 medical students aged 22-29 years. Hearing levels were measured and subjects were classified into three groups: A: n = 14), off-line or portable headphone users (group B: n = 16), and the control group. Past or present headphone use frequency for group A and B is two or more times per week, with an average duration of 30-120 minutes per use. No significant differences between mean hearing acuity of the three groups were found by one-way analysis of variance. After standardization of the average hearing acuity of the control group to 0 dB, group A or B levels were plotted for each of the octave band frequencies. The mean hearing acuity at 4,000 Hz of group B showed a tendency of being lower than that of the control group. Further, percentages of group B members whose hearing acuity decreased 15, 25, 30 dB or more were significantly larger than those of the control. These results suggest that more than 10% of the young generation is at risk for damaged hearing acuity from use of portable headphones.

  9. Refraction corrections for surveying

    NASA Technical Reports Server (NTRS)

    Lear, W. M.

    1980-01-01

    Optical measurements of range and elevation angles are distorted by refraction of Earth's atmosphere. Theoretical discussion of effect, along with equations for determining exact range and elevation corrections, is presented in report. Potentially useful in optical site surveying and related applications, analysis is easily programmed on pocket calculator. Input to equation is measured range and measured elevation; output is true range and true elevation.

  10. Conceptualization of Light Refraction

    ERIC Educational Resources Information Center

    Sokolowski, Andrzej

    2013-01-01

    There have been a number of papers dealing quantitatively with light refraction. Yet the conceptualization of the phenomenon that sets the foundation for a more rigorous math analysis is minimized. The purpose of this paper is to fill that gap. (Contains 3 figures.)

  11. Comparison of Manual Refraction Versus Autorefraction in 60 Diabetic Retinopathy Patients

    PubMed Central

    Shirzadi, Keyvan; Shahraki, Kourosh; Yahaghi, Emad; Makateb, Ali; Khosravifard, Keivan

    2016-01-01

    Aim: The purpose of the study was to evaluate the comparison of manual refraction versus autorefraction in diabetic retinopathy patients. Material and Methods: The study was conducted at the Be’sat Army Hospital from 2013-2015. In the present study differences between two common refractometry methods (manual refractometry and Auto refractometry) in diagnosis and follow up of retinopathy in patients affected with diabetes is investigated. Results: Our results showed that there is a significant difference in visual acuity score of patients between manual and auto refractometry. Despite this fact, spherical equivalent scores of two methods of refractometry did not show a significant statistical difference in the patients. Conclusion: Although use of manual refraction is comparable with autorefraction in evaluating spherical equivalent scores in diabetic patients affected with retinopathy, but in the case of visual acuity results from these two methods are not comparable. PMID:27703289

  12. Errors in long distance kinematic GPS

    NASA Technical Reports Server (NTRS)

    Colombo, Oscar L.

    1991-01-01

    An attempt is made to quantify the contribution of tropospheric refraction, GPS ephemerides errors, and unresolved ambiguities to the overall error in the use of differential GPS to estimate aircraft position over very long distances. The extent to which such errors can be filtered out when estimating a trajectory, and how efficiently this may be done, are addressed.

  13. Comparison Between Radar and Automatic Weather Station Refractivity Variability

    NASA Astrophysics Data System (ADS)

    Hallali, Ruben; Dalaudier, Francis; Parent du Chatelet, Jacques

    2016-08-01

    Weather radars measure changes in the refractive index of air in the atmospheric boundary layer. The technique uses the phase of signals from ground targets located around the radar to provide information on atmospheric refractivity related to meteorological quantities such as temperature, pressure and humidity. The approach has been successfully implemented during several field campaigns using operational S-band radars in Canada, UK, USA and France. In order to better characterize the origins of errors, a recent study has simulated temporal variations of refractivity based on Automatic Weather Station (AWS) measurements. This reveals a stronger variability of the refractivity during the summer and in the afternoon when the refractivity is the most sensitive to humidity, probably because of turbulence close to the ground. This raises the possibility of retrieving information on the turbulent state of the atmosphere from the variability in radar refractivity. An analysis based on a 1-year dataset from the operational C-band radar at Trappes (near Paris, France) and AWS refractivity variability measurements was used to measure those temporal and spatial variabilities. Particularly during summer, a negative bias increasing with range is observed between radar and AWS estimations, and is well explained by a model based on Taylor's hypotheses. The results demonstrate the possibility of establishing, depending on season, a quantitative and qualitative link between radar and AWS refractivity variability that reflects low-level coherent turbulent structures.

  14. Effects of horizontal refractivity gradients on the accuracy of laser ranging to satellites

    NASA Technical Reports Server (NTRS)

    Gardner, C. S.

    1976-01-01

    Numerous formulas have been developed to partially correct laser ranging data for the effects of atmospheric refraction. All the formulas assume the atmospheric refractivity profile is spherically symmetric. The effects of horizontal refractivity gradients are investigated by ray tracing through spherically symmetric and three-dimensional refractivity profiles. The profiles are constructed from radiosonde data. The results indicate that the horizontal gradients introduce an rms error of approximately 3 cm when the satellite is near 10 deg elevation. The error decreases to a few millimeters near zenith.

  15. Perfect imaging with positive refraction

    NASA Astrophysics Data System (ADS)

    Leonhardt, Ulf; Tyc, Tomáš; Danner, Aaron

    2010-10-01

    We present several refractive index profiles for perfect imaging with positive refraction other than Maxwell's fish eye. Numerical simulations show that these profiles may transfer images with, in principle, unlimited resolution. Such profiles could overcome the fundamental limitations of perfect imaging with negative refraction and find practical applications in nanolithography.

  16. Color improves “visual” acuity via sound

    PubMed Central

    Levy-Tzedek, Shelly; Riemer, Dar; Amedi, Amir

    2014-01-01

    Visual-to-auditory sensory substitution devices (SSDs) convey visual information via sound, with the primary goal of making visual information accessible to blind and visually impaired individuals. We developed the EyeMusic SSD, which transforms shape, location, and color information into musical notes. We tested the “visual” acuity of 23 individuals (13 blind and 10 blindfolded sighted) on the Snellen tumbling-E test, with the EyeMusic. Participants were asked to determine the orientation of the letter “E.” The test was repeated twice: in one test, the letter “E” was drawn with a single color (white), and in the other test, with two colors (red and white). In the latter case, the vertical line in the letter, when upright, was drawn in red, with the three horizontal lines drawn in white. We found no significant differences in performance between the blind and the sighted groups. We found a significant effect of the added color on the “visual” acuity. The highest acuity participants reached in the monochromatic test was 20/800, whereas with the added color, acuity doubled to 20/400. We conclude that color improves “visual” acuity via sound. PMID:25426015

  17. Bandwidth of the contrast sensitivity function as an index of spatial vision with application to refraction.

    PubMed

    Jiang, B C; Scialfa, C T; Tyrrell, R A; Garvey, P M; Leibowitz, H W

    1990-04-01

    The contrast sensitivity function (CSF), although containing more information than traditional measures of acuity, has found difficulty gaining clinical acceptance. The hesitancy of clinicians to adopt the CSF stems, in part, from the fact that it is not as readily interpreted as is acuity. In order to facilitate such interpretation, five indices of spatial vision which are derivable from the CSF were examined in a sample of 287 persons aged 5 to 85 years. All indices were found to be both age-sensitive and strongly related to each other, but bandwidth of the CSF was chosen as a practical index for clinical settings. In a second study, acuity and CSF bandwidth were measured under 0 to +/- 1 D optical blur. It was found that the correction providing best acuity also maximized CSF bandwidth, and that bandwidth was more sensitive to optical blur than was acuity. Results support the assertion that CSF bandwidth is a readily interpreted index of spatial vision that can be measured efficiently within the context of clinical refraction. PMID:2342788

  18. Functional Fatigue Decreases 3-Dimensional Multijoint Position Reproduction Acuity in the Overhead-Throwing Athlete.

    PubMed

    Tripp, Brady L; Boswell, Lanny; Gansneder, Bruce M; Shultz, Sandra J

    2004-12-01

    OBJECTIVE: To determine the effects of functional fatigue on active multijoint position reproduction in overhead-throwing athletes. DESIGN AND SETTING: A standard, repeated-measures, randomized-ordered, counterbalanced, 2-period (crossover) design was used. During the first test session, we randomly assigned subjects to either the nonfatigue or fatigue condition. Subjects underwent pretest measurements and then either a functional fatigue protocol or rest period, followed by posttest measurements. After a recovery period, subjects crossed over to the opposing condition for the second testing session. SUBJECTS: Thirteen overhead-throwing athletes competing in National Collegiate Athletic Association Division I or club baseball, with no history of upper extremity or central nervous system disorders, volunteered for this study. MEASUREMENTS: We measured active multijoint position reproduction accuracy in 3 dimensions using an electromagnetic tracking device. We noted each subject's ability to reproduce 3 positions corresponding with distinct moments of his throwing motion. A variable error score was calculated to compare the locations of the reproduced points with reference to the target point. RESULTS: A significant difference occurred between the pretest and posttest error scores in the fatigue condition. Comparisons between positions indicated that more errors were seen in the arm-cocked position than in the follow-through position under both fatigue and nonfatigue conditions. CONCLUSIONS: Functional fatigue decreased joint position sense acuity in overhead-throwing athletes. Our findings using this novel testing measurement method are in agreement with past research, with one exception. The trend toward higher error scores in the arm-cocked position would appear to contradict findings that sensorimotor system acuity increases toward end ranges of motion.

  19. Alcohol and marijuana effects on static visual acuity.

    PubMed

    Adams, A J; Brown, B; Flom, M C; Jones, R T; Jampolsky, A

    1975-11-01

    Static visual acuity was measured at two contrast levels (12 and 49%) in ten subjects in a double blind experiment involving five drug conditions of alcohol and marijuana (0.5 ml and 1.0 ml/kg body weight of 95% ethanol, 8 and 15 mg delta-9-tetrahydrocannabinol (THC), and a placebo). We found no statistically significant change in static visual acuity for any of the dose levels at any of the measurement time up to six hours following drug ingestion; this is sharply contrasted with the marked decrements in acuity which were found in the same subjects under the same drug conditions when the targets were in motion and required corrdinated eye movements for their resolution.

  20. The Effect of Zeaxanthin on the Visual Acuity of Zebrafish

    PubMed Central

    Saidi, Eric A.; Davey, Pinakin Gunvant; Cameron, D. Joshua

    2015-01-01

    Oral supplementation of carotenoids such as zeaxanthin or lutein which naturally occur in human retina have been shown to improve vision and prevent progression of damage to advanced AMD in some studies. The zebrafish eye shares many physiological similarities with the human eye and is increasingly being used as model for vision research. We hypothesized that injection of zeaxanthin into the zebrafish eye would improve the visual acuity of the zebrafish over time. Visual acuity, calculated in cycles per degree, was measured in adult zebrafish to establish a consistent baseline using the optokinetic response. Zeaxanthin dissolved into phosphate buffered saline (PBS) or PBS only was injected into the anterior chamber of the right and left eyes of the Zebrafish. Visual acuities were measured at 1 week and 3, 8 and 12 weeks post-injection to compare to baseline values. Repeated measures ANOVA was used to compare visual acuities between fish injected with PBS and zeaxanthin. A significant improvement in visual acuity, 14% better than before the injection (baseline levels), was observed one week after injection with zeaxanthin (p = 0.04). This improvement peaked at more than 30% for some fish a few weeks after the injection and improvement in vision persisted at 3 weeks after injection (p = 0.006). The enhanced visual function was not significantly better than baseline at 8 weeks (p = 0.19) and returned to baseline levels 12 weeks after the initial injection (p = 0.50). Zeaxanthin can improve visual acuity in zebrafish eyes. Further studies are required to develop a better understanding of the role zeaxanthin and other carotenoids play during normal visual function. PMID:26267864

  1. Gradient Refractive Index Optics IOL: Theoretical Background and Clinical Results

    PubMed Central

    Malyugin, Boris; Morozova, Tatiana; Cherednik, Valentin

    2014-01-01

    Purpose: To present the theoretical optical background and clinical results of a new multifocal intraocular lens (MIOL) concept–gradient refractive index optics (Gradiol). Patients and Methods: Original mathematical modeling software was used to calculate optimal construction of the MIOL optic constructed from two polymer materials with different refractive indices. Gradiol lenses were manufactured from hydrophobic acrylic utilizing original step-by-step polymerization technology with the final power difference of of 3.5 D between optic components. Non-comparative prospective clinical study included 26 patients (29 eyes) who were candidates for MIOL implantation. All surgeries were performed at the S. Fyodorov Eye Microsurgery Complex State Institution, Moscow, Russia. After implantation of the Gradiol lenses, the postoperative evaluations included distance (best corrected visual acuity (BCVA)) and near visual acuity (NVA), contrast sensitivity (CS), and amplitude of pseudoaccommodation. Subjective patient's satisfaction was assessed using a questionnaire (VF-14). Results: The mean age of the patients was 62.5 ± 5.7 years (range 27-82 years). All surgical procedures were uneventful. At 6 months postoperatively, the mean uncorrected distance VA was 0.73 ± 0.18, mean uncorrected near VA was 0.57 ± 0.19, mean corrected distance VA was 0.89 ± 0.15, mean corrected near VA was 0.84 ± 0.07, and amplitude of pseudoaccommodation was 4.75 ± 0.5 D. Eighty-six percent of patients were spectacle independent for daily activities and reading. Optical disturbances that were functionally significant were reported by 10.7% of patients postoperatively. Conclusion: The clinical outcomes of this study confirmed the theoretical calculations of constructing MIOL optics from materials with different refractive indices. PMID:24669143

  2. Human Time-Frequency Acuity Beats the Fourier Uncertainty Principle

    NASA Astrophysics Data System (ADS)

    Oppenheim, Jacob N.; Magnasco, Marcelo O.

    2013-01-01

    The time-frequency uncertainty principle states that the product of the temporal and frequency extents of a signal cannot be smaller than 1/(4π). We study human ability to simultaneously judge the frequency and the timing of a sound. Our subjects often exceeded the uncertainty limit, sometimes by more than tenfold, mostly through remarkable timing acuity. Our results establish a lower bound for the nonlinearity and complexity of the algorithms employed by our brains in parsing transient sounds, rule out simple “linear filter” models of early auditory processing, and highlight timing acuity as a central feature in auditory object processing.

  3. Visual acuity and pupillary reactions after peribulbar anaesthesia.

    PubMed Central

    Talks, S J; Chong, N H; Gibson, J M; Francis, I R

    1994-01-01

    The effect of peribulbar anaesthesia on optic nerve function in 20 patients, before and after cataract surgery, was measured. All the patients had decreased visual acuity. Five (25%) had no perception of light. Seventeen (85%) developed a relative afferent pupil defect (RAPD). No patients saw the operating instruments. Seven (35%) had improved visual acuity immediately postoperatively. Patients should be warned that they may lose vision completely on being given a peribulbar anaesthetic; however their vision will improve, but not necessarily immediately, postoperatively. Examination for an RAPD is a good method of providing reassurance that the operating instruments will not be seen. PMID:8110698

  4. Infant visual acuity as a function of viewing distance.

    PubMed

    Salapatek, P; Bechtold, A G; Bushnell, E W

    1976-09-01

    Dynamic retinoscopy has suggested that near vision may be more acute than far vision during early infancy. To test this, acuity thresholds were determined by presenting square wave gratings in a preference paradigm to 1- and 2-month-old human infants at 4 viewing distances. Gratings were paired with unpatterned fields; direction of first fixation was the dependent measure. Infants exhibited the same acuity at each of the distances at which gratings were presented. The results were interpreted as compatible with the fact that considerable optical defocusing does not seriously affect a visual system, such as the infant's, that is sensitive only to low spatial frequencies.

  5. Human time-frequency acuity beats the Fourier uncertainty principle.

    PubMed

    Oppenheim, Jacob N; Magnasco, Marcelo O

    2013-01-25

    The time-frequency uncertainty principle states that the product of the temporal and frequency extents of a signal cannot be smaller than 1/(4 π). We study human ability to simultaneously judge the frequency and the timing of a sound. Our subjects often exceeded the uncertainty limit, sometimes by more than tenfold, mostly through remarkable timing acuity. Our results establish a lower bound for the nonlinearity and complexity of the algorithms employed by our brains in parsing transient sounds, rule out simple "linear filter" models of early auditory processing, and highlight timing acuity as a central feature in auditory object processing.

  6. Peripheral Refraction with and without Contact Lens Correction

    PubMed Central

    Shen, Jie; Clark, Christopher A.; Soni, P. Sarita; Thibos, Larry N.

    2011-01-01

    Purpose Peripheral refractive error degrades the quality of retinal images and has been hypothesized to be a stimulus for the development of refractive error. The purpose of this study was to investigate the changes in refractive error across the horizontal visual field produced by contact lenses (CLs) and to quantify the effect of CLs on peripheral image blur. Methods A commercial Shack-Hartmann aberrometer measured ocular wavefront aberrations in 5° steps across the central 60° of visual field along the horizontal meridian before and after CLs correction. Wavefront refractions for peripheral lines-of-sight were based on the full elliptical pupil encountered in peripheral measurements. Curvature of field is the change in peripheral spherical equivalent relative to the eye’s optical axis. Results Hyperopic curvature of field in the naked eye increases with increasing amounts central myopic refractive error as predicted by Atchison (2006). For an eccentricity of E degrees, field curvature is approximately E percent of foveal refractive error. Rigid gas permeable (RGP) lenses changed field curvature in the myopic direction twice as much as soft contact lenses (SCLs). Both of these effects varied with CLs power. For all lens powers, SCL cut the degree of hyperopic field curvature in half whereas RGP lenses nearly eliminated field curvature. The benefit of reduced field curvature was partially offset by increased oblique astigmatism. The net reduction of retinal blur due to CLs is approximately constant across the visual field. Conclusions Both SCL and RGP lenses reduced the degree of hyperopic field curvature present in myopic eyes, with RGP lenses having greater effect. The tradeoff between field curvature and off-axis astigmatism with RGP lenses may limit their effectiveness for control of myopia progression. These results suggest that axial growth mechanisms that depend on retinal image quality will be affected more by RGP than by SCL lenses. PMID:20601913

  7. High precision refraction measurements by solar imaging during occultation: results from SOFIE.

    PubMed

    Gordley, Larry; Burton, John; Marshall, Benjamin T; McHugh, Martin; Deaver, Lance; Nelsen, Joel; Russell, James M; Bailey, Scott

    2009-09-01

    A new method for measuring atmospheric refraction angles is presented, with in-orbit measurements demonstrating a precision of +/-0.02 arcsec (+/-0.1 microrad). Key advantages of the method are the following: (1) Simultaneous observation of two celestial points during occultation (i.e., top and bottom edges of the solar image) eliminates error from instrument attitude uncertainty. (2) The refraction angle is primarily a normalized difference measurement, causing only scale error, not absolute error. (3) A large number of detector pixels are used in the edge location by fitting to a known edge shape. The resulting refraction angle measurements allow temperature sounding up to the lower mesosphere. PMID:19724322

  8. Urban aerosol refractive index prediction by partial molar refraction approach

    SciTech Connect

    Stelson, A.W. )

    1990-11-01

    The ambient aerosol of the polluted troposphere is a complex mixture of water, electrolytes, ionic solids, metal oxides and glasses, and carbonaceous material. Prediction of the refractive indexes of these inhomogeneous mixtures can be a formidable task. Contained within this paper is the necessary parameterization to estimate the mean real aerosol refractive index based on aerosol chemical composition and the partial molar refraction approach. This approach assumes all chemical constituents are homogeneously distributed throughout the aerosol phase. Consistency of the data is discussed, and this approach is verified by prediction of refractive indexes of NaOH-Si-O{sub 2}-H{sub 2}O mixtures. Finally, aerosol chemical composition data from the Los Angeles Basin are used to predict mean real aerosol refractive indexes. These values are compared to urban aerosol refractive indexes calculated via other techniques (light scattering).

  9. Development of Proprioceptive Acuity in Typically Developing Children: Normative Data on Forearm Position Sense.

    PubMed

    Holst-Wolf, Jessica M; Yeh, I-Ling; Konczak, Jürgen

    2016-01-01

    This study mapped the development of proprioception in healthy, typically developing children by objectively measuring forearm position sense acuity. We assessed position sense acuity in a cross-sectional sample of 308 children (5-17 years old; M/F = 127/181) and a reference group of 26 healthy adults (18-25 years old; M/F = 12/14) using a body-scalable bimanual manipulandum that allowed forearm flexion/extension in the horizontal plane. The non-dominant forearm was passively displaced to one of three target positions. Then participants actively matched the target limb position with their dominant forearm. Each of three positions was matched five times. Position error (PE), calculated as the mean difference between the angular positions of the matching and reference arms, measured position sense bias or systematic error. The respective standard deviation of the differences between the match and reference arm angular positions (SDPdiff) indicated position sense precision or random error. The main results are as follows: First, systematic error, measured by PE, did not change significantly from early childhood to late adolescence (Median PE at 90° target: -2.85° in early childhood; -2.28° in adolescence; and 1.30° in adults). Second, response variability as measured by SDPdiff significantly decreased with age (Median SDPdiff at 90° target: 9.66° in early childhood; 5.30° in late adolescence; and 3.97° in adults). The data of this large cross-sectional sample of children document that proprioceptive development in typically developing children is characterized as an age-related improvement in precision, not as a development or change in bias. In other words, it is the reliability of the perceptual response that improves between early childhood and adulthood. This study provides normative data against which position sense acuity in pediatric patient populations can be compared. The underlying neurophysiological processes that could explain the observed

  10. Development of Proprioceptive Acuity in Typically Developing Children: Normative Data on Forearm Position Sense

    PubMed Central

    Holst-Wolf, Jessica M.; Yeh, I-Ling; Konczak, Jürgen

    2016-01-01

    This study mapped the development of proprioception in healthy, typically developing children by objectively measuring forearm position sense acuity. We assessed position sense acuity in a cross-sectional sample of 308 children (5–17 years old; M/F = 127/181) and a reference group of 26 healthy adults (18–25 years old; M/F = 12/14) using a body-scalable bimanual manipulandum that allowed forearm flexion/extension in the horizontal plane. The non-dominant forearm was passively displaced to one of three target positions. Then participants actively matched the target limb position with their dominant forearm. Each of three positions was matched five times. Position error (PE), calculated as the mean difference between the angular positions of the matching and reference arms, measured position sense bias or systematic error. The respective standard deviation of the differences between the match and reference arm angular positions (SDPdiff) indicated position sense precision or random error. The main results are as follows: First, systematic error, measured by PE, did not change significantly from early childhood to late adolescence (Median PE at 90° target: −2.85° in early childhood; −2.28° in adolescence; and 1.30° in adults). Second, response variability as measured by SDPdiff significantly decreased with age (Median SDPdiff at 90° target: 9.66° in early childhood; 5.30° in late adolescence; and 3.97° in adults). The data of this large cross-sectional sample of children document that proprioceptive development in typically developing children is characterized as an age-related improvement in precision, not as a development or change in bias. In other words, it is the reliability of the perceptual response that improves between early childhood and adulthood. This study provides normative data against which position sense acuity in pediatric patient populations can be compared. The underlying neurophysiological processes that could explain the observed

  11. Development of Proprioceptive Acuity in Typically Developing Children: Normative Data on Forearm Position Sense

    PubMed Central

    Holst-Wolf, Jessica M.; Yeh, I-Ling; Konczak, Jürgen

    2016-01-01

    This study mapped the development of proprioception in healthy, typically developing children by objectively measuring forearm position sense acuity. We assessed position sense acuity in a cross-sectional sample of 308 children (5–17 years old; M/F = 127/181) and a reference group of 26 healthy adults (18–25 years old; M/F = 12/14) using a body-scalable bimanual manipulandum that allowed forearm flexion/extension in the horizontal plane. The non-dominant forearm was passively displaced to one of three target positions. Then participants actively matched the target limb position with their dominant forearm. Each of three positions was matched five times. Position error (PE), calculated as the mean difference between the angular positions of the matching and reference arms, measured position sense bias or systematic error. The respective standard deviation of the differences between the match and reference arm angular positions (SDPdiff) indicated position sense precision or random error. The main results are as follows: First, systematic error, measured by PE, did not change significantly from early childhood to late adolescence (Median PE at 90° target: −2.85° in early childhood; −2.28° in adolescence; and 1.30° in adults). Second, response variability as measured by SDPdiff significantly decreased with age (Median SDPdiff at 90° target: 9.66° in early childhood; 5.30° in late adolescence; and 3.97° in adults). The data of this large cross-sectional sample of children document that proprioceptive development in typically developing children is characterized as an age-related improvement in precision, not as a development or change in bias. In other words, it is the reliability of the perceptual response that improves between early childhood and adulthood. This study provides normative data against which position sense acuity in pediatric patient populations can be compared. The underlying neurophysiological processes that could explain the observed

  12. Wrist proprioceptive acuity: A comprehensive robot-aided assessment.

    PubMed

    Cappello, Leonardo; Contu, Sara; Konczak, Juergen; Masia, Lorenzo

    2015-08-01

    Proprioception is the sense of the body awareness. Proprioceptive deficits represent frequent consequences of several neurological conditions like stroke, Parkinson's disease and others. The assessment of such somatosensory function is crucial, although the available clinical tests are not sensitive enough. The human wrist is a crucial joint for many activities of daily living and to address the lack of its characterization in terms of proprioceptive acuity the authors in previous studies proposed a novel method that combined the use of a 3-DoF robot and a threshold haunting paradigm. Further experiments were performed to characterize the proprioceptive acuity of the dominant wrist for adduction, extension, pronation and supination by using a 2-alternative-forced-choice test. The acuity thresholds obtained from six subjects (mean values ± standard deviation of 1.65±0.39 for extension, 1.13±0.34 for adduction, 1.90±0.58 for pronation and 1.70±0.30 for supination) were finally combined with the ones harvested in the previous studies for flexion and abduction in order to build the first comprehensive database of human wrist proprioceptive acuity.

  13. Degraded Time-Frequency Acuity to Time-Reversed Notes

    PubMed Central

    Oppenheim, Jacob N.; Isakov, Pavel; Magnasco, Marcelo O.

    2013-01-01

    Time-reversal symmetry breaking is a key feature of many classes of natural sounds, originating in the physics of sound production. While attention has been paid to the response of the auditory system to “natural stimuli,” very few psychophysical tests have been performed. We conduct psychophysical measurements of time-frequency acuity for stylized representations of “natural”-like notes (sharp attack, long decay) and the time-reversed versions of these notes (long attack, sharp decay). Our results demonstrate significantly greater precision, arising from enhanced temporal acuity, for such sounds over their time-reversed versions, without a corresponding decrease in frequency acuity. These data inveigh against models of auditory processing that include tradeoffs between temporal and frequency acuity, at least in the range of notes tested and suggest the existence of statistical priors for notes with a sharp-attack and a long-decay. We are additionally able to calculate a minimal theoretical bound on the sophistication of the nonlinearities in auditory processing. We find that among the best studied classes of nonlinear time-frequency representations, only matching pursuit, spectral derivatives, and reassigned spectrograms are able to satisfy this criterion. PMID:23799012

  14. Dynamic Visual Acuity of Varsity Women Volleyball and Basketball Players

    ERIC Educational Resources Information Center

    Morris, G. S. Don; Kreighbaum, Ellen

    1977-01-01

    Comparison of the dynamic visual acuity (DVA) scores of high-ability and low-ability female basketball players, and between these two groups and a group of female volleyball players, resulted in the conclusion that there were no differences in the mean DVA scores between any of the groups. (MB)

  15. A Comparison of Patched HOTV Visual Acuity and Photoscreening

    ERIC Educational Resources Information Center

    Leman, Rachel; Clausen, Michelle M.; Bates, Janice; Stark, Lee; Arnold, Koni K.; Arnold, Robert W.

    2006-01-01

    Early detection of significant vision problems in children is a high priority for pediatricians and school nurses. Routine vision screening is a necessary part of that detection and has traditionally involved acuity charts. However, photoscreening in which "red eye" is elicited to show whether each eye is focusing may outperform routine acuity…

  16. On Using Vernier Acuity to Assess Magnocellular Sensitivity

    ERIC Educational Resources Information Center

    Skottun, Bernt C.; Skoyles, John R.

    2010-01-01

    A recent study [Keri, S., & Benedek, G. (2009). Visual pathway deficit in female fragile x premutation carriers: A potential endophenotype. "Brain and Cognition", 69, 291-295] has found Vernier acuity deficiencies together with contrast sensitivity defects consistent with a magnocellular deficit in female fragile x premutation carriers. This may…

  17. The Approximate Number System Acuity Redefined: A Diffusion Model Approach

    PubMed Central

    Park, Joonkoo; Starns, Jeffrey J.

    2015-01-01

    While all humans are capable of non-verbally representing numerical quantity using so-called the approximate number system (ANS), there exist considerable individual differences in its acuity. For example, in a non-symbolic number comparison task, some people find it easy to discriminate brief presentations of 14 dots from 16 dots while others do not. Quantifying individual ANS acuity from such a task has become an essential practice in the field, as individual differences in such a primitive number sense is thought to provide insights into individual differences in learned symbolic math abilities. However, the dominant method of characterizing ANS acuity—computing the Weber fraction (w)—only utilizes the accuracy data while ignoring response times (RT). Here, we offer a novel approach of quantifying ANS acuity by using the diffusion model, which accounts both accuracy and RT distributions. Specifically, the drift rate in the diffusion model, which indexes the quality of the stimulus information, is used to capture the precision of the internal quantity representation. Analysis of behavioral data shows that w is contaminated by speed-accuracy tradeoff, making it problematic as a measure of ANS acuity, while drift rate provides a measure more independent from speed-accuracy criterion settings. Furthermore, drift rate is a better predictor of symbolic math ability than w, suggesting a practical utility of the measure. These findings demonstrate critical limitations of the use of w and suggest clear advantages of using drift rate as a measure of primitive numerical competence. PMID:26733929

  18. Acuity systems dialogue and patient classification system essentials.

    PubMed

    Harper, Kelle; McCully, Crystal

    2007-01-01

    Obtaining resources for quality patient care is a major responsibility of nurse leaders and requires accurate information in the political world of budgeting. Patient classification systems (PCS) assist nurse managers in controlling cost and improving patient care while appropriately using financial resources. This paper communicates acuity systems development, background, flaws, and components while discussing a few tools currently available. It also disseminates the development of a new acuity tool, the Patient Classification System. The PCS tool, developed in a small rural hospital, uses 5 broad concepts: (1) medications, (2) complicated procedures, (3) education, (4) psychosocial issues, and (5) complicated intravenous medications. These concepts embrace a 4-tiered scale that differentiates significant patient characteristics and assists in staffing measures for equality in patient staffing and improving quality of care and performance. Data obtained through use of the PCS can be used by nurse leaders to effectively and objectively lobby for appropriate patient care resources. Two questionnaires distributed to registered nurses on a medical-surgical unit evaluated the nurses' opinion of the 5 concepts and the importance for establishing patient acuity for in-patient care. Interrater reliability among nurses was 87% with the author's acuity tool. PMID:17909428

  19. An investigation of some sensory and refractive visual factors in dyslexia.

    PubMed

    Evans, B J; Drasdo, N; Richards, I L

    1994-07-01

    The role of visual factors in dyslexia has been a long-standing source of controversy. Recent research has suggested that there may be a deficit of the transient visual subsystem in dyslexia. The evidence for this hypothesis comes principally from investigations of spatial and temporal contrast sensitivity and visual persistence. This evidence is reviewed and it is noted that previous work has never applied two of these purported "tests of transient function" to the same subject group. The hypothesised transient system deficit in dyslexia was investigated in a study comparing 43 control with 39 dyslexic children who were matched for age, sex, and intelligence. Comprehensive psychometric and optometric data were obtained, including visual acuities and refractive errors. The spatial contrast sensitivity function was determined in such a way as to investigate further the findings of Lovegrove, Martin, Bowling, Blackwood, Badcock and Paxton [(1982) Neuropsychology, 20, 309-315] and Martin and Lovegrove [(1984) Neuropsychologia, 22, 73-77]. It might be expected, from the work of Merigan and Maunsell [(1990) Neuroscience, 5, 347-352], that a better test of magno-cellular function would be to investigate the modulation threshold for a virtually uniform field that was flickering sinusoidally at 10 Hz. This temporal contrast sensitivity was studied in a similar way to Brannan and Williams [(1988) Clinical Vision Sciences, 3, 137-142]. A non-verbal simulated reading visual search task was used to investigate the effect of any visual deficits on a test that was, in its low-level visual requirements, similar to reading. The following factors were found to be significantly associated with dyslexia: reduced visual acuity, impaired flicker detection at 10 Hz, reduced low spatial frequency contrast sensitivity, and slightly slower performance at a simulated reading visual search task. The two alleged "tests of transient function" were only weakly correlated with one another (r = 0

  20. Refractive status of medical students of mymensingh medical college.

    PubMed

    Akhanda, A H; Quayum, M A; Siddiqui, N I; Hossain, M M

    2010-10-01

    This study is done to find out the refractive status of medical students of Mymensingh Medical College (MMC), Mymensingh, Bangladesh. They are of the age of 17-19 years. This is a nonrandom purposive cross sectional study done at late part of the November 2008. Visual acuity estimation, automated refraction, streak retinoscopy, fundoscopy using +78D volk lens were done according to the need of the cases. Out of 175 students 53.14% are emmetropic and 46.86% are ametropic, ametropia is nearly equal in both sexes (male 51.22%, female 48.78%). About all students are of highest academic attainment (GPA 5). About one quarter of the ametropic students (21.61%) are not using spectacles. Simple myopia (81.70%) and myopic astigmatism (18.30%) are the types of ametropia. Out of 67 simple myopic students 56 are of bilateral involvement and 11 are of unilateral involvement. There is similarity in the distribution of sex & refractive status in between general population & medical students of Bangladesh. Myopia and myopic astigmatism are prevalent among medical students. PMID:20956887

  1. Colored Flag by Double Refraction.

    ERIC Educational Resources Information Center

    Reid, Bill

    1994-01-01

    Describes various demonstrations that illustrate double refraction and rotation of the plane of polarization in stressed, transparent plastics, with the consequent production of colored designs. (ZWH)

  2. Dynamic Visual Acuity: a Functionally Relevant Research Tool

    NASA Technical Reports Server (NTRS)

    Peters, Brian T.; Brady, Rachel A.; Miller, Chris A.; Mulavara, Ajitkumar P.; Wood, Scott J.; Cohen, Helen S.; Bloomberg, Jacob J.

    2010-01-01

    Coordinated movements between the eyes and head are required to maintain a stable retinal image during head and body motion. The vestibulo-ocular reflex (VOR) plays a significant role in this gaze control system that functions well for most daily activities. However, certain environmental conditions or interruptions in normal VOR function can lead to inadequate ocular compensation, resulting in oscillopsia, or blurred vision. It is therefore possible to use acuity to determine when the environmental conditions, VOR function, or the combination of the two is not conductive for maintaining clear vision. Over several years we have designed and tested several tests of dynamic visual acuity (DVA). Early tests used the difference between standing and walking acuity to assess decrements in the gaze stabilization system after spaceflight. Supporting ground-based studies measured the responses from patients with bilateral vestibular dysfunction and explored the effects of visual target viewing distance and gait cycle events on walking acuity. Results from these studies show that DVA is affected by spaceflight, is degraded in patients with vestibular dysfunction, changes with target distance, and is not consistent across the gait cycle. We have recently expanded our research to include studies in which seated subjects are translated or rotated passively. Preliminary results from this work indicate that gaze stabilization ability may differ between similar active and passive conditions, may change with age, and can be affected by the location of the visual target with respect to the axis of motion. Use of DVA as a diagnostic tool is becoming more popular but the functional nature of the acuity outcome measure also makes it ideal for identifying conditions that could lead to degraded vision. By doing so, steps can be taken to alter the problematic environments to improve the man-machine interface and optimize performance.

  3. Directional acuity of whole-body perturbations during standing balance.

    PubMed

    Puntkattalee, M Jane; Whitmire, Clarissa J; Macklin, Alix S; Stanley, Garrett B; Ting, Lena H

    2016-07-01

    The ability to perceive the direction of whole-body motion during standing may be critical to maintaining balance and preventing a fall. Our first goal was to quantify kinesthetic perception of whole-body motion by estimating directional acuity thresholds of support-surface perturbations during standing. The directional acuity threshold to lateral deviations in backward support-surface motion in healthy, young adults was quantified as 9.5±2.4° using the psychometric method (n=25 subjects). However, inherent limitations in the psychometric method, such as a large number of required trials and the predetermined stimulus set, may preclude wider use of this method in clinical populations. Our second goal was to validate an adaptive algorithm known as parameter estimation by sequential testing (PEST) as an alternative threshold estimation technique to minimize the required trial count without predetermined knowledge of the relevant stimulus space. The directional acuity threshold was estimated at 11.7±3.8° from the PEST method (n=11 of 25 subjects, psychometric threshold=10.1±3.1°) using only one-third the number of trials compared to the psychometric method. Furthermore, PEST estimates of the direction acuity threshold were highly correlated with the psychometric estimates across subjects (r=0.93) suggesting that both methods provide comparable estimates of the perceptual threshold. Computational modeling of both techniques revealed similar variance in the estimated thresholds across simulations of about 1°. Our results suggest that the PEST algorithm can be used to more quickly quantify whole-body directional acuity during standing in individuals with balance impairments. PMID:27477713

  4. Refractive index determination in axially symmetric oprtically inhomogeneous media

    NASA Astrophysics Data System (ADS)

    Ionescu-Pallas, Nicholas; Vlad, Valentin I.; Bociort, Florian

    The focussing method from transversally light, put forward by Dietrich Marcuse in view of determining the refractive index profile (RIP) in optical fibers and fiber performs, is revised. A more rigorous derivation of the Marcuse formula is given, establishing the conditions of its validity and a simplified version is initially proposed, able to avoid the systematic errors in the processing of light intensity data.

  5. Perfect imaging without refraction?

    NASA Astrophysics Data System (ADS)

    Blaikie, R. J.

    2011-12-01

    Recent work suggesting that ‘perfect’ far-field imaging is possible using Maxwell's fish-eye lens (Leonhardt 2009 New J. Phys. 11 093040) has raised a number of questions and controversies about the nature of imaging and field localization in inhomogeneous media. In this brief paper we present analogous results for a purely reflector-based imaging system—an elliptical cavity. With a source at one focus of the ellipse we show that sub-wavelength field localization can be achieved at the other focus when an active ‘drain’ is present there, but not without it. Does this show that far-field ‘perfect’ imaging is possible even without refraction (negative or positive)? Unfortunately not, giving further evidence that these are solely drain-induced effects.

  6. Visual and Refractive Outcomes of a Toric Presbyopia-Correcting Intraocular Lens

    PubMed Central

    Epitropoulos, Alice T.

    2016-01-01

    Purpose. To evaluate outcomes in astigmatic patients implanted with the Trulign (Bausch + Lomb) toric presbyopia-correcting intraocular lens (IOL) during cataract surgery in a clinical practice setting. Methods. Retrospective study in 40 eyes (31 patients) that underwent cataract extraction and IOL implantation in a procedure using intraoperative wavefront aberrometry guidance (ORA system). Endpoints included uncorrected visual acuity (VA), reduction in refractive cylinder, accuracy to target, axis orientation, and safety. Results. At postoperative month 1, refractive cylinder was ≤0.50 D in 97.5% of eyes (≤1.00 D in 100%), uncorrected distance VA was 20/25 or better in 95%, uncorrected intermediate VA was 20/25 or better in 95%, and uncorrected near VA was 20/40 (J3 equivalent) or better in 92.5%. Manifest refraction spherical equivalent was within 1.00 D of target in 95% of eyes and within 0.50 D in 82.5%. Lens rotation was <5° and best-corrected VA was 20/25 or better in all eyes. Conclusion. The IOL effectively reduced refractive cylinder and provided excellent uncorrected distance and intermediate vision and functional near vision. Refractive predictability and rotational stability were exceptional. Implantation of this toric presbyopia-correcting IOL using ORA intraoperative aberrometry provides excellent refractive and visual outcomes in a standard of care setting. PMID:26885382

  7. GRAVSAT/GEOPAUSE refraction study

    NASA Technical Reports Server (NTRS)

    Llewellyn, S. K.

    1977-01-01

    A ground station network tracked a high altitude spacecraft which in turn tracked a low orbiting satellite. Orbit data are relayed back to the ground stations. A refraction study was performed on this configuration to compute ionospheric and tropospheric refraction effects along the satellite and ground links.

  8. Refractive cylinder outcomes after calculating toric intraocular lens cylinder power using total corneal refractive power

    PubMed Central

    Davison, James A; Potvin, Richard

    2015-01-01

    Purpose To determine whether the total corneal refractive power (TCRP) value, which is based on measurement of both anterior and posterior corneal astigmatism, is effective for toric intraocular lens (IOL) calculation with AcrySof® Toric IOLs. Patients and methods A consecutive series of cataract surgery cases with AcrySof toric IOL implantation was studied retrospectively. The IOLMaster® was used for calculation of IOL sphere, the Pentacam® TCRP 3.0 mm apex/ring value was used as the keratometry input to the AcrySof Toric IOL Calculator and the VERION™ Digital Marker for surgical orientation. The keratometry readings from the VERION reference unit were recorded but not used in the actual calculation. Vector differences between expected and actual residual refractive cylinder were calculated and compared to simulated vector errors using the collected VERION keratometry data. Results In total, 83 eyes of 56 patients were analyzed. Residual refractive cylinder was 0.25 D or lower in 58% of eyes and 0.5 D or lower in 80% of eyes. The TCRP-based calculation resulted in a statistically significantly lower vector error (P<0.01) and significantly more eyes with a vector error ≤0.5 D relative to the VERION-based calculation (P=0.02). The TCRP and VERION keratometry readings suggested a different IOL toric power in 53/83 eyes. In these 53 eyes the TCRP vector error was lower in 28 cases, the VERION error was lower in five cases, and the error was equal in 20 cases. When the anterior cornea had with-the-rule astigmatism, the VERION was more likely to suggest a higher toric power and when the anterior cornea had against-the-rule astigmatism, the VERION was less likely to suggest a higher toric power. Conclusion Using the TCRP keratometry measurement in the AcrySof toric calculator may improve overall postoperative refractive results. Consideration of measured posterior corneal astigmatism, rather than a population-averaged value, appears advantageous. PMID:26316693

  9. THE VISUAL ACUITY AND INTENSITY DISCRIMINATION OF DROSOPHILA

    PubMed Central

    Hecht, Selig; Wald, George

    1934-01-01

    Drosophila possesses an inherited reflex response to a moving visual pattern which can be used to measure its capacity for intensity discrimination and its visual acuity at different illuminations. It is found that these two properties of vision run approximately parallel courses as functions of the prevailing intensity. Visual acuity varies with the logarithm of the intensity in much the same sigmoid way as in man, the bee, and the fiddler crab. The resolving power is very poor at low illuminations and increases at high illuminations. The maximum visual acuity is 0.0018, which is 1/1000 of the maximum of the human eye and 1/10 that of the bee. The intensity discrimination of Drosophila is also extremely poor, even at its best. At low illuminations for two intensities to be recognized as different, the higher must be nearly 100 times the lower. This ratio decreases as the intensity increases, and reaches a minimum of 2.5 which is maintained at the highest intensities. The minimum value of ΔI/I for Drosophila is 1.5, which is to be compared with 0.25 for the bee and 0.006 for man. An explanation of the variation of visual acuity with illumination is given in terms of the variation in number of elements functional in the retinal mosaic at different intensities, this being dependent on the general statistical distribution of thresholds in the ommatidial population. Visual acuity is thus determined by the integral form of this distribution and corresponds to the total number of elements functional. The idea that intensity discrimination is determined by the differential form of this distribution—that is, that it depends on the rate of entrance of functional elements with intensity—is shown to be untenable in the light of the correspondence of the two visual functions. It is suggested that, like visual acuity, intensity discrimination may also have to be considered as a function of the total number of elements active at a given intensity. PMID:19872798

  10. Assessment of imaging with extended depth-of-field by means of the light sword lens in terms of visual acuity scale

    PubMed Central

    Kakarenko, Karol; Ducin, Izabela; Grabowiecki, Krzysztof; Jaroszewicz, Zbigniew; Kolodziejczyk, Andrzej; Mira-Agudelo, Alejandro; Petelczyc, Krzysztof; Składowska, Aleksandra; Sypek, Maciej

    2015-01-01

    We present outcomes of an imaging experiment using the refractive light sword lens (LSL) as a contact lens in an optical system that serves as a simplified model of the presbyopic eye. The results show that the LSL produces significant improvements in visual acuity of the simplified presbyopic eye model over a wide range of defocus. Therefore, this element can be an interesting alternative for the multifocal contact and intraocular lenses currently used in ophthalmology. The second part of the article discusses possible modifications of the LSL profile in order to render it more suitable for fabrication and ophthalmological applications. PMID:26137376

  11. Assessment of imaging with extended depth-of-field by means of the light sword lens in terms of visual acuity scale.

    PubMed

    Kakarenko, Karol; Ducin, Izabela; Grabowiecki, Krzysztof; Jaroszewicz, Zbigniew; Kolodziejczyk, Andrzej; Mira-Agudelo, Alejandro; Petelczyc, Krzysztof; Składowska, Aleksandra; Sypek, Maciej

    2015-05-01

    We present outcomes of an imaging experiment using the refractive light sword lens (LSL) as a contact lens in an optical system that serves as a simplified model of the presbyopic eye. The results show that the LSL produces significant improvements in visual acuity of the simplified presbyopic eye model over a wide range of defocus. Therefore, this element can be an interesting alternative for the multifocal contact and intraocular lenses currently used in ophthalmology. The second part of the article discusses possible modifications of the LSL profile in order to render it more suitable for fabrication and ophthalmological applications.

  12. Higher-order aberrations and best-corrected visual acuity in Native American children with a high prevalence of astigmatism

    PubMed Central

    Miller, Joseph M.; Harvey, Erin M.; Schwiegerling, Jim

    2016-01-01

    Purpose To determine whether higher-order aberrations (HOAs) in children from a highly astigmatic population differ from population norms and whether HOAs are associated with astigmatism and reduced best-corrected visual acuity. Methods Subjects were 218 Tohono O’odham Native American children 5–9 years of age. Noncycloplegic HOA measurements were obtained with a handheld Shack-Hartmann sensor (SHS). Signed (z06s to z14s) and unsigned (z06u to z14u) wavefront aberration Zernike coefficients Z(3,−3) to Z(4,4) were rescaled for a 4 mm diameter pupil and compared to adult population norms. Cycloplegic refraction and best-corrected logMAR letter visual acuity (BCVA) were also measured. Regression analyses assessed the contribution of astigmatism (J0) and HOAs to BCVA. Results The mean root-mean-square (RMS) HOA of 0.191 ± 0.072 μm was significantly greater than population norms (0.100 ± 0.044 μm. All unsigned HOA coefficients (z06u to z14u) and all signed coefficients except z09s, z10s, and z11s were significantly larger than population norms. Decreased BCVA was associated with astigmatism (J0) and spherical aberration (z12u) but not RMS coma, with the effect of J0 about 4 times as great as z12u. Conclusions Tohono O’odham children show elevated HOAs compared to population norms. Astigmatism and unsigned spherical aberration are associated with decreased acuity, but the effects of spherical aberration are minimal and not clinically significant. PMID:26239206

  13. Assessment of Visual Acuity in Relation to Central Nervous System Activation in Children with Mental Retardation.

    ERIC Educational Resources Information Center

    Jacobsen, Karl; Grottland, Havar; Flaten, Magne Arve

    2001-01-01

    Assessment of visual acuity, using Teller Acuity Cards, was combined with observations of behavioral state to indicate central nervous system activation in 24 individuals with mental retardation. Results indicate that forced-choice preferential-looking technique can be used to test visual acuity in this population unless the participant is drowsy.…

  14. [Relation between hearing acuity and individual diurnal rhythm of body temperature].

    PubMed

    Karnicki, C

    1989-01-01

    The author examined the circadian rhythm of body temperature and acuity of hearing in two groups each of 15 persons. The highest acuity of hearing was discovered in the night when the body temperature was the lowest. The lowest acuity of hearing was in the day with the highest body temperature.

  15. Evaluation of visual acuity with Gen 3 night vision goggles

    NASA Technical Reports Server (NTRS)

    Bradley, Arthur; Kaiser, Mary K.

    1994-01-01

    Using laboratory simulations, visual performance was measured at luminance and night vision imaging system (NVIS) radiance levels typically encountered in the natural nocturnal environment. Comparisons were made between visual performance with unaided vision and that observed with subjects using image intensification. An Amplified Night Vision Imaging System (ANVIS6) binocular image intensifier was used. Light levels available in the experiments (using video display technology and filters) were matched to those of reflecting objects illuminated by representative night-sky conditions (e.g., full moon, starlight). Results show that as expected, the precipitous decline in foveal acuity experienced with decreasing mesopic luminance levels is effectively shifted to much lower light levels by use of an image intensification system. The benefits of intensification are most pronounced foveally, but still observable at 20 deg eccentricity. Binocularity provides a small improvement in visual acuity under both intensified and unintensified conditions.

  16. Hypoxia impairs visual acuity in snapper (Pagrus auratus).

    PubMed

    Robinson, Esme; Jerrett, Alistair; Black, Suzanne; Davison, William

    2013-07-01

    We investigated the effect of environmental hypoxia on vision in snapper (Pagrus auratus). Juvenile snapper inhabit estuarine environments where oxygen conditions fluctuate on a seasonal basis. Optomotor experiments demonstrated that visual acuity is impaired by environmental hypoxia, but not until levels approach the critical oxygen tension (P crit) of this species (around 25% air-saturated seawater). In 100, 80, and 60% air-saturated seawater, a positive optomotor response was present at a minimum separable angle (M SA) of 1°. In 40% air-saturated seawater, vision was partially impaired with positive responses at M SAs of 2° and above. However, in 25% air-saturated seawater, visual acuity was seriously impaired, with positive responses only present at M SAs of 6° and above. Snapper were found to possess a choroid rete, facilitating the maintenance of high ocular oxygen partial pressures (PO2) during normoxia and moderate hypoxia (PO2, between 269 and 290 mmHg). However, at 40 and 25% water oxygen saturation, ocular PO2 was reduced to below 175 mmHg, which is perhaps linked to impairment of visual acuity in these conditions. The ability to preserve visual function during moderate hypoxia is beneficial for the maintenance of a visual lifestyle in the fluctuating oxygen environments of estuaries.

  17. Effects of horizontal acceleration on human visual acuity and stereopsis.

    PubMed

    Horng, Chi-Ting; Hsieh, Yih-Shou; Tsai, Ming-Ling; Chang, Wei-Kang; Yang, Tzu-Hung; Yauan, Chien-Han; Wang, Chih-Hung; Kuo, Wu-Hsien; Wu, Yi-Chang

    2015-01-01

    The effect of horizontal acceleration on human visual acuity and stereopsis is demonstrated in this study. Twenty participants (mean age 22.6 years) were enrolled in the experiment. Acceleration from two different directions was performed at the Taiwan High-Speed Rail Laboratory. Gx and Gy (< and >0.1 g) were produced on an accelerating platform where the subjects stood. The visual acuity and stereopsis of the right eye were measured before and during the acceleration. Acceleration <0.1 g in the X- or Y-axis did not affect dynamic vision and stereopsis. Vision decreased (mean from 0.02 logMAR to 0.25 logMAR) and stereopsis declined significantly (mean from 40 s to 60.2 s of arc) when Gx > 0.1 g. Visual acuity worsened (mean from 0.02 logMAR to 0.19 logMAR) and poor stereopsis was noted (mean from 40 s to 50.2 s of arc) when Gy > 0.1 g. The effect of acceleration from the X-axis on the visual system was higher than that from the Y-axis. During acceleration, most subjects complained of ocular strain when reading. To our knowledge, this study is the first to report the exact levels of visual function loss during Gx and Gy. PMID:25607601

  18. Effects of horizontal acceleration on human visual acuity and stereopsis.

    PubMed

    Horng, Chi-Ting; Hsieh, Yih-Shou; Tsai, Ming-Ling; Chang, Wei-Kang; Yang, Tzu-Hung; Yauan, Chien-Han; Wang, Chih-Hung; Kuo, Wu-Hsien; Wu, Yi-Chang

    2015-01-19

    The effect of horizontal acceleration on human visual acuity and stereopsis is demonstrated in this study. Twenty participants (mean age 22.6 years) were enrolled in the experiment. Acceleration from two different directions was performed at the Taiwan High-Speed Rail Laboratory. Gx and Gy (< and >0.1 g) were produced on an accelerating platform where the subjects stood. The visual acuity and stereopsis of the right eye were measured before and during the acceleration. Acceleration <0.1 g in the X- or Y-axis did not affect dynamic vision and stereopsis. Vision decreased (mean from 0.02 logMAR to 0.25 logMAR) and stereopsis declined significantly (mean from 40 s to 60.2 s of arc) when Gx > 0.1 g. Visual acuity worsened (mean from 0.02 logMAR to 0.19 logMAR) and poor stereopsis was noted (mean from 40 s to 50.2 s of arc) when Gy > 0.1 g. The effect of acceleration from the X-axis on the visual system was higher than that from the Y-axis. During acceleration, most subjects complained of ocular strain when reading. To our knowledge, this study is the first to report the exact levels of visual function loss during Gx and Gy.

  19. Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis

    PubMed Central

    Horng, Chi-Ting; Hsieh, Yih-Shou; Tsai, Ming-Ling; Chang, Wei-Kang; Yang, Tzu-Hung; Yauan, Chien-Han; Wang, Chih-Hung; Kuo, Wu-Hsien; Wu, Yi-Chang

    2015-01-01

    The effect of horizontal acceleration on human visual acuity and stereopsis is demonstrated in this study. Twenty participants (mean age 22.6 years) were enrolled in the experiment. Acceleration from two different directions was performed at the Taiwan High-Speed Rail Laboratory. Gx and Gy (< and >0.1 g) were produced on an accelerating platform where the subjects stood. The visual acuity and stereopsis of the right eye were measured before and during the acceleration. Acceleration <0.1 g in the X- or Y-axis did not affect dynamic vision and stereopsis. Vision decreased (mean from 0.02 logMAR to 0.25 logMAR) and stereopsis declined significantly (mean from 40 s to 60.2 s of arc) when Gx > 0.1 g. Visual acuity worsened (mean from 0.02 logMAR to 0.19 logMAR) and poor stereopsis was noted (mean from 40 s to 50.2 s of arc) when Gy > 0.1 g. The effect of acceleration from the X-axis on the visual system was higher than that from the Y-axis. During acceleration, most subjects complained of ocular strain when reading. To our knowledge, this study is the first to report the exact levels of visual function loss during Gx and Gy. PMID:25607601

  20. Alloplastic implants for the correction of refractive errors.

    PubMed

    Binder, P S; Zavala, E Y; Deg, J K; Baumgartner, S D

    1984-07-01

    Convex-shaped, hydrophilic lenticles of various water content were implanted into microkeratome-dissected corneal pockets in a baboon model. Freshly trephined, cryolathed, and factory-lathed hydrogels were evaluated for periods exceeding 15 months, documenting clinical response, corneal curvature shifts, and morphologic features. Previously implanted hydrogels were subsequently removed, documenting the reversibility of the procedure while allowing the corneas to return to their preoperative condition. Various alloplastic materials were then reimplanted into the same intrastromal pockets. Medium and high water content lenses produced good results without affecting the recipient cornea, whereas thick or low water content materials extruded or produced severe anterior segment inflammation. The use of medium and high water content, convex-shaped lenticles for the correction of aphakia is possible using current techniques.

  1. Refractive lens exchange in modern practice: when and when not to do it?

    PubMed

    Alió, Jorge L; Grzybowski, Andrzej; Romaniuk, Dorota

    2014-01-01

    Cataract surgery due to advances in small incision surgery evolved from a procedure concerned with the primary focus on the safe removal of cataractous lens to a procedure focused on the best possible postoperative refractive result. As the outcomes of cataract surgery became better, the use of lens surgery as a refractive modality in patients without cataracts has increased in interest and in popularity. Removal of the crystalline lens for refractive purposes or refractive lens exchange (RLE) presents several advantages over corneal refractive surgery. Patients with high degrees of myopia, hyperopia and astigmatism are still not good candidates for laser surgery. Moreover, presbyopia can currently only be corrected with monovision or reading spectacles. RLE supplemented with multifocal or accommodating intraocular lenses (IOLs) in combination with corneal astigmatic procedures might address all refractive errors including presbyopia, and eliminate the future need for cataract surgery.

  2. Measuring cylindrically symmetric refractive-index profiles: a method.

    PubMed

    Gregoris, D; Iizuka, K

    1983-02-01

    This paper describes a new nondestructive method to measure cylindrically symmetric refractive-index profiles of transparent cylinders. The technique is based on the measurement of the axial displacement of rays that are refracted within the cylinder. Three different types of index profile were experimentally determined. Profile errors of better than one part in 10(3) were achieved using very modest equipment. The effects of certain experimental parameters on the profile accuracy are noted. The technique may be applied to the characterization of optical fiber preforms and graded-index rod lenses. PMID:18195804

  3. Acoustical Imaging with Negative Refraction

    NASA Astrophysics Data System (ADS)

    Gan, W. S.

    It is well known that the resolution limit of acoustical images is limited by diffraction to λ/2 where λ is the sound wavelength. Negative refraction proposed by Veselago in 1968 shows possibility of defeating the diffraction limit. His work is for electromagnetic waves. Recently it has been shown experimentally that negative refraction can be achieved for both electromagnetic waves and sound waves by using photonic crystals and phononic crystals respectively. John Pendry proposed the concept of `perfect lens' using negative refraction for electromagnetic waves. In this paper, we propose a `perfect lens' for sound waves and an acoustical imaging system incorporating the `perfect lens' is also outlined

  4. Charles Bonnet syndrome and visual acuity--the involvement of dynamic or acute sensory deprivation.

    PubMed

    Shiraishi, Yasuko; Terao, Takeshi; Ibi, Kenji; Nakamura, Jun; Tawara, Akihiko

    2004-12-01

    A 61-year-old patient suffered from Charles Bonnet syndrome (CBS) while his visual acuity declined, whereas CBS subsided after he became blind. These findings suggest that reduction of visual acuity (dynamic or acute impairment) has a greater impact on the onset of CBS than low visual acuity (static or chronic impairment) per se in some patients. They may also explain why patients with low visual acuity do not always suffer from CBS. Although further studies are required, the present case highlights the importance of the differentiation between lowering and low visual acuity in the etiology of CBS.

  5. Quality of vision in refractive and cataract surgery, indirect measurers: review article.

    PubMed

    Parede, Taís Renata Ribeira; Torricelli, André Augusto Miranda; Mukai, Adriana; Vieira Netto, Marcelo; Bechara, Samir Jacob

    2013-01-01

    Visual acuity is the measurement of an individual's ability to recognize details of an object in a space. Visual function measurements in clinical ophthalmology are limited by factors such as maximum contrast and so it might not adequately reflect the real vision conditions at that moment as well as the subjective aspects of the world perception by the patient. The objective of a successful vision-restoring surgery lies not only in gaining visual acuity lines, but also in vision quality. Therefore, refractive and cataract surgeries have the responsibility of achieving quality results. It is difficult to define quality of vision by a single parameter, and the main functional-vision tests are: contrast sensitivity, disability glare, intraocular stray light and aberrometry. In the current review the different components of the visual function are explained and the several available methods to assess the vision quality are described.

  6. The development of the refractive state in the newborn Thomson gazelle.

    PubMed

    Ofri, R; Millodot, S; Tadmor, Y; Matalon, E; Kass, P H; Horowitz, I H; Millodot, M

    2004-10-01

    Changes in refractive error during the first 3 months of life were studied retinoscopically in six Thomson gazelles ( Gazella thomsoni). Animals were hand-raised to allow repeat testing over time without chemical restraint. Refraction results were correlated with ultrasound measurements of intraocular dimensions, and with values in adult gazelles. Gazelles are born hyperopic with a mean refractive error of 3.44+/-0.31 D. By day 50, the animals are virtually emmetropic (0.13+/-0.21 D) and remain so in adulthood (0.03+/-0.09 D). The refractive error is highly correlated with the axial length ( r(2)=0.96) and with the vitreous chamber depth ( r(2)=0.83), but not with anterior chamber depth. Significant with-the-rule astigmatism was recorded ( P<0.001). PMID:15309483

  7. Simultaneous determination of refractive index and size of spherical dielectric particles from light scattering data.

    PubMed

    Chylek, P; Ramaswamy, V; Ashkin, A; Dziedzic, J M

    1983-08-01

    The diameter and refractive index of micrometer sized spherical dielectric particles are simultaneously deduced using the wavelength dependence of backscattering data from optically levitated particles. The accuracy of the results is set by experimental errors in the determination of the wavelength of backscatter resonance peaks and the ratio of slopes of specified peaks. At present the refractive index and diameter can be deduced with relative errors of 5 x 10(-5). This represents the most accurate determination of absolute size and refractive index yet made by light scattering. A reduction of these errors by an order of magnitude is possible. We assume a priori knowledge of diameter and refractive index with accuracy of 10(-1) and 5 x 10(-3), respectively.

  8. [Efficiency of interlamellar refractive tunnel keratoplasty in myopia and astigmatism correction].

    PubMed

    Shusterov, Y

    2014-10-01

    Correction of high degree myopia, anisometropia and astigmatism continues to remain one of actual problems of ophthalmology. The purpose of the present work - the analysis of results of application of refractive interlamellar tunnel keratoplasty variants. We develop 6 updatings tunnel keratoplasty. In total in clinic 310 operations from which in 158 cases as a transfer material used a donor cornea, in 63 cases - brephocornea (a fruit cornea) and in 89 cases - hydrogel synthetic implant, modified in low-temperature to gas-discharge plasma are spent. From the specified number of operative interventions, on 86 eyes of operation tunnel keratoplasty have been spent at those patients by whom earlier it has been given up in carrying out eximerlaser corrections, in connection with presence of a "thin", "flat" and "convex" cornea. Maximum refractive effect fell first two weeks after operation. Definitive stabilisation of a refraction occurred on 2-3 month, thus regress of the reached effect made an order of 10-12 %. It is reached refractive effect from 5,5 to 20,0 D. Undercorrection in some cases made to 3,5 D, that spoke very high myopia (more than 20,0 D) degrees. It has been noticed, that refractive effect of operations with ecsplants was above (on the average on 10 %), than at use of a donor cornea, at identical cross-section section of used transfer materials. It spoke that the synthetic material, unlike a donor cornea, kept the form. At all patients substantial increase of visual acuities has been received, and in 75 % it was equal or exceeded visual acuity before operation with the greatest possible correction. Thus, clinical approbation has proved, that the variants of tunnel keratoplasty, are effective ways of high myopia, anisometropia and astigmatism correction. Updating in gaseous plasma is represented in the perspective way of improvement of biocompatibility of synthetic materials.

  9. Refraction characteristics of phononic crystals

    NASA Astrophysics Data System (ADS)

    Nemat-Nasser, Sia

    2015-08-01

    Some of the most interesting refraction properties of phononic crystals are revealed by examining the anti-plane shear waves in doubly periodic elastic composites with unit cells containing rectangular and/or elliptical multi-inclusions. The corresponding band structure, group velocity, and energy-flux vector are calculated using a powerful mixed variational method that accurately and efficiently yields all the field quantities over multiple frequency pass-bands. The background matrix and the inclusions can be anisotropic, each having distinct elastic moduli and mass densities. Equifrequency contours and energy-flux vectors are readily calculated as functions of the wave-vector components. By superimposing the energy-flux vectors on equifrequency contours in the plane of the wave-vector components, and supplementing this with a three-dimensional graph of the corresponding frequency surface, a wealth of information is extracted essentially at a glance. This way it is shown that a composite with even a simple square unit cell containing a central circular inclusion can display negative or positive energy and phase velocity refractions, or simply performs a harmonic vibration (standing wave), depending on the frequency and the wave-vector. Moreover, that the same composite when interfaced with a suitable homogeneous solid can display: (1) negative refraction with negative phase velocity refraction; (2) negative refraction with positive phase velocity refraction; (3) positive refraction with negative phase velocity refraction; (4) positive refraction with positive phase velocity refraction; or even (5) complete reflection with no energy transmission, depending on the frequency, and direction and the wavelength of the plane-wave that is incident from the homogeneous solid to the interface. For elliptical and rectangular inclusion geometries, analytical expressions are given for the key calculation quantities. Expressions for displacement, velocity, linear momentum

  10. Nonlinear refraction in vitreous humor.

    PubMed

    Rockwell, B A; Roach, W P; Rogers, M E; Mayo, M W; Toth, C A; Cain, C P; Noojin, G D

    1993-11-01

    We extend the application of the z-scan technique to determine the nonlinear refractive index (n(2)) for human and rabbit vitreous humor, water, and physiological saline. In these measurements there were nonlinear contributions to the measured signal from the aqueous samples and the quartz cell that held the sample. Measurements were made with 60-ps pulses at 532 nm. To our knowledge, this is the first measurement of the nonlinear refractive properties of biological material. PMID:19829406

  11. Ionic control of ocular growth and refractive change

    PubMed Central

    Crewther, Sheila G.; Liang, Helena; Junghans, Barbara M.; Crewther, David P.

    2006-01-01

    The physiological mechanisms underlying the abnormal vitreal and ocular growth and myopic refractive errors induced under conditions of visual form deprivation in many animal species, including humans, are unknown. This study demonstrates, using energy dispersive x-ray microanalysis, a systematic pattern of changes in the elemental distribution of K, Na, and Cl across the entire retina in experimental form deprivation myopia and in the 5 days required for refractive normalization after occluder removal. In our report we link the ionic environment associated with physiological activity of the retina under a translucent occluder to refractive change and describe large but reversible environmentally driven increases in potassium, sodium, and chloride abundances in the neural retina. Our results are consistent with the notion of ionically driven fluid movements as the vector underlying the myopic increase in ocular size. New treatments for myopia, which currently affects nearly half of the human population, may result. PMID:17023537

  12. Negative refraction in molybdenum disulfide.

    PubMed

    Wang, Wenhui; Cui, Xudong; Yang, Erchan; Fan, Quanping; Xiang, Bin

    2015-08-24

    Recently, negative refractions have been demonstrated in uniaxial crystals with no necessary of negative permittivity and permeability. However, the small anisotropy parameterγin the uniaxial crystals limits the negative refraction occurrence only in a small range of the incident light angle, retarding its practical applications. In this paper, we report negative refraction induced by a pronounced anisotropic behavior in the bulk MoS(2). Using the first-principles, the dielectric function and refractive index calculations confirm a uniaxial trait of MoS(2) with a calculated anisotropy parameterγlarger than 2.5 in the entire range of visible wavelength. The critical incident angle to trigger a negative refraction in the bulk MoS(2) is calculated up to 90°. The finite-difference time-domain simulations prove that the incident light with a density of 59.5% can be negatively refracted in a MoS(2) slab with a thickness of 0.1 µm. Our results open up a new pathway for MoS(2)-like materials to a novel field of optical integration.

  13. Associations of Anisometropia with Unilateral Amblyopia, Interocular Acuity Difference and Stereoacuity in Preschoolers

    PubMed Central

    Ying, Gui-shuang; Huang, Jiayan; Maguire, Maureen; Quinn, Graham; Kulp, Marjean Taylor; Ciner, Elise; Cyert, Lynn; Orel-Bixler, Deborah

    2012-01-01

    Purpose To evaluate the relation of anisometropia with unilateral amblyopia, interocular acuity difference (IAD) and stereoacuity, among Head Start preschoolers, using both clinical notation and vector notation analyses. Design Multicenter, cross-sectional study. Participants 3- to 5-year-old participants in the Vision In Preschoolers (VIP) Study (N=4040). Methods Secondary analysis of VIP data from participants who had comprehensive eye examinations including monocular visual acuity (VA) testing, stereoacuity testing, and cycloplegic refraction. VA was retested with full cycloplegic correction when retest criteria were met. Unilateral amblyopia was defined as IAD ≥2 lines in logarithm of the Minimum Angle of Resolution (logMAR). Anisometropia was defined as ≥0.25 D (diopter) difference in spherical equivalent (SE) or in cylinder power, and also two approaches using power vector notation. The percentage with unilateral amblyopia, mean IAD, and mean stereoacuity were compared between anisometropic and isometropic children. Main Outcomes Measures The percentage with unilateral amblyopia, mean IAD, and mean stereoacuity. Results Compared with isometropic children, anisometropic children had a higher percentage of unilateral amblyopia (8% vs. 2%), larger mean IAD (0.07 vs. 0.05 logMAR) and worse mean stereoacuity (145 vs.117 arc sec) (all p<0.0001). Larger amounts of anisometropia were associated with higher percentages of unilateral amblyopia, larger IAD, and worse stereoacuity (trend p<0.001). Percentage of unilateral amblyopia was significantly increased with spherical equivalent (SE) anisometropia >0.5 D, cylindrical anisometropia >0.25 D, the vertical/horizontal meridian (J0) or oblique meridian (J45) >0.125 D, or vector dioptric distance (VDD) >0.35 D (all p<0.001). VDD had higher ability in detecting unilateral amblyopia than cylinder, SE, J0 and J45 (p<0.001). Conclusions The presence of and amount of anisometropia were associated with the presence of

  14. Dynamic visual acuity testing for screening patients with vestibular impairments.

    PubMed

    Peters, Brian T; Mulavara, Ajitkumar P; Cohen, Helen S; Sangi-Haghpeykar, Haleh; Bloomberg, Jacob J

    2012-01-01

    Dynamic visual acuity (DVA) may be a useful indicator of the function of the vestibulo-ocular reflex (VOR) but most DVA tests involve active head motion in the yaw plane. During gait the passive, vertical VOR may be more relevant and passive testing would be less likely to elicit compensatory strategies. The goal of this study was to determine if testing dynamic visual acuity during passive vertical motion of the subject would differentiate normal subjects from patients with known vestibular disorders. Subjects, normals and patients who had been diagnosed with either unilateral vestibular weaknesses or were post-acoustic neuroma resections, sat in a chair that could oscillate vertically with the head either free or constrained with a cervical orthosis. They viewed a computer screen 2 m away that showed Landholt C optotypes in one of 8 spatial configurations and which ranged in size from 0.4 to 1.0 logMAR. They were tested while the chair was stationary and while it was moving. Scores were worse for both groups during the dynamic condition compared to the static condition. In the dynamic condition patients' scores were significantly worse than normals' scores. Younger and older age groups differed slightly but significantly; the sample size was too small to examine age differences by decade. The data suggest that many well-compensated patients have dynamic visual acuity that is as good as age-matched normals. Results of ROC analyses were only moderate, indicating that the differences between patients and normals were not strong enough, under the conditions tested, for this test to be useful for screening people to determine if they have vestibular disorders. Modifications of the test paradigm may make it more useful for screening potential patients.

  15. Dynamic visual acuity testing for screening patients with vestibular impairments.

    PubMed

    Peters, Brian T; Mulavara, Ajitkumar P; Cohen, Helen S; Sangi-Haghpeykar, Haleh; Bloomberg, Jacob J

    2012-01-01

    Dynamic visual acuity (DVA) may be a useful indicator of the function of the vestibulo-ocular reflex (VOR) but most DVA tests involve active head motion in the yaw plane. During gait the passive, vertical VOR may be more relevant and passive testing would be less likely to elicit compensatory strategies. The goal of this study was to determine if testing dynamic visual acuity during passive vertical motion of the subject would differentiate normal subjects from patients with known vestibular disorders. Subjects, normals and patients who had been diagnosed with either unilateral vestibular weaknesses or were post-acoustic neuroma resections, sat in a chair that could oscillate vertically with the head either free or constrained with a cervical orthosis. They viewed a computer screen 2 m away that showed Landholt C optotypes in one of 8 spatial configurations and which ranged in size from 0.4 to 1.0 logMAR. They were tested while the chair was stationary and while it was moving. Scores were worse for both groups during the dynamic condition compared to the static condition. In the dynamic condition patients' scores were significantly worse than normals' scores. Younger and older age groups differed slightly but significantly; the sample size was too small to examine age differences by decade. The data suggest that many well-compensated patients have dynamic visual acuity that is as good as age-matched normals. Results of ROC analyses were only moderate, indicating that the differences between patients and normals were not strong enough, under the conditions tested, for this test to be useful for screening people to determine if they have vestibular disorders. Modifications of the test paradigm may make it more useful for screening potential patients. PMID:23000614

  16. Contour interaction for foveal acuity targets at different luminances.

    PubMed

    Bedell, Harold E; Siderov, John; Waugh, Sarah J; Zemanová, Romana; Pluháček, František; Musilová, Lenka

    2013-08-30

    Single-letter visual acuity is impaired by nearby flanking stimuli, a phenomenon known as contour interaction. We showed previously that when foveal acuity is degraded by a reduction of letter contrast, both the magnitude and angular spatial extent of foveal contour interaction remain unchanged. In this study, we asked whether contour interaction also remains unchanged when foveal visual acuity is degraded by a reduction of the target's background luminance. Percent correct letter identification was measured for isolated, near-threshold black Sloan letters and for letters surrounded by 4 flanking bars in 10 normal observers, 5 at Anglia Ruskin University, UK (ARU) and 5 at Palacky University, Czech Republic (PU). A stepwise reduction in the background luminance over 3 log units resulted in an approximately threefold increase in the near-threshold letter size. At each background luminance, black flanking bars with a width equal to 1 letter stroke were presented at separations between approximately 0.45 and 4.5 min arc (ARU) or 0.32 and 3.2 min arc (PU). The results indicate that the angular extent of contour interaction remains unchanged at approximately 4 min arc at all background luminances. On the other hand, the magnitude of contour interaction decreases systematically as luminance is reduced, from approximately a 50% reduction to a 30% reduction in percent correct. The constant angular extent and decreasing magnitude of contour interaction with a reduction of background luminance suggest foveal contour interaction is mediated by luminance-dependent lateral inhibition within a fixed angular region.

  17. Training on spatiotemporal masking improves crowded and uncrowded visual acuity.

    PubMed

    Yehezkel, Oren; Sterkin, Anna; Lev, Maria; Polat, Uri

    2015-01-01

    Spatial crowding impairs conscious visual perception and object recognition in clutter.Short presentation times produce crowding in the normal fovea, in young participants and in uncorrected presbyopes ("aging eye"), measured as reduced visual acuity (VA). On the other hand, perceptual learning improves near VA in healthy young adults, in presbyopia, and in amblyopia. Here we aimed at exploring the effects of perceptual training on crowded VA in uncorrected presbyopes with naturally decreased VA, with two specific objectives: (a) to objectively measure crowded VA, taking advantage of the natural deterioration of near visual acuity from being normal or better than normal (i.e., 20/20 or better) in young participants to naturally decreasing in uncorrected presbyopes; and (b) to explore whether perceptual training previously shown to improve visual functions as complex as reading will affect crowded VA. Visual acuity was measured under crowded and uncrowded conditions by having subjects identify letters presented for short durations ranging from 34 to 116 msec. Training consisted of detecting brief Gabor stimuli under spatial and temporal masking conditions, using the GlassesOff mobile application (GlassesOff, Inc., New York, NY)on iOS devices from a distance of 40 cm. Before training, a robust reduction in crowded VA was found in the fovea of presbyopes. Training resulted in significant improvement of letter identification under both crowded and uncrowded VA conditions for all stimulus durations. After training, the crowded condition threshold reached the level of the uncrowded threshold measured before training. Thus, training enabled the subjects to overcome the effect of reduced VA under the crowded condition. We suggest that more efficient spatial and temporal processing induced by perceptual learning allows one to improve crowded VA, including that found on naturally reduced near VA, and that this effect may transfer to improve complex visual functions, such as

  18. The resilience of natural interceptive actions to refractive blur.

    PubMed

    Mann, David L; Abernethy, Bruce; Farrow, Damian

    2010-06-01

    The impact of refractive visual blur on interceptive skill was examined for a series of highly-demanding striking tasks. Ten skilled cricket batsmen were required to intercept balls projected by either a ball projection-machine (medium-pace only) or cricket bowlers (two velocities; medium-pace and fast-pace) under each of four systematically varied visual conditions. Contact lenses were fitted to simulate increments in refractive blur (habitual, +1.00, +2.00, +3.00D), with changes in interceptive performance evaluated on three concurrent measures of performance relevant to cricket batting (quality of bat-ball contact, forcefulness of bat-swing, and likelihood of dismissal). For the projection-machine condition, results replicate those reported previously (Mann, Ho, De Souza, Watson, & Taylor, 2007) with blur needing to reach +3.00D before any significant decreases in performance were evident, a finding further replicated when facing bowlers of comparable velocity. The influence of blur on interception was found to interact with ball-velocity, with the increased temporal demands of fast-paced trials resulting in decreased performance becoming evident at a lower level of blur (+2.00D). The findings demonstrate that even when presented with a situation replicating highly-demanding performance conditions, substantial degradation of visual clarity is possible before acuity is a limiting factor for interceptive performance. PMID:20430464

  19. Whole-Body Mapping of Spatial Acuity for Pain and Touch

    PubMed Central

    Mancini, Flavia; Bauleo, Armando; Cole, Jonathan; Lui, Fausta; Porro, Carlo A; Haggard, Patrick; Iannetti, Gian Domenico

    2014-01-01

    Objective Tactile spatial acuity is routinely tested in neurology to assess the state of the dorsal column system. In contrast, spatial acuity for pain is not assessed, having never been systematically characterized. More than a century after the initial description of tactile acuity across the body, we provide the first systematic whole-body mapping of spatial acuity for pain. Methods We evaluated the 2-point discrimination thresholds for both nociceptive-selective and tactile stimuli across several skin regions. Thresholds were estimated using pairs of simultaneous stimuli, and also using successive stimuli. Results and interpretation These two approaches produced convergent results. The fingertip was the area of highest spatial acuity, for both pain and touch. On the glabrous skin of the hand, the gradient of spatial acuity for pain followed that observed for touch. On the hairy skin of the upper limb, spatial acuity for pain and touch followed opposite proximal–distal gradients, consistent with the known innervation density of this body territory. Finally, by testing spatial acuity for pain in a rare participant completely lacking Aβ fibers, we demonstrate that spatial acuity for pain does not rely on a functioning system of tactile primary afferents. This study represents the first systematic characterization of spatial acuity for pain across multiple regions of the body surface. Ann Neurol 2014;75:917–924 PMID:24816757

  20. Change in peripheral refraction and curvature of field of the human eye with accommodation

    NASA Astrophysics Data System (ADS)

    Ho, Arthur; Zimmermann, Frederik; Whatham, Andrew; Martinez, Aldo; Delgado, Stephanie; Lazon de la Jara, Percy; Sankaridurg, Padmaja

    2009-02-01

    Recent research showed that the peripheral refractive state is a sufficient stimulus for myopia progression. This finding led to the suggestion that devices that control peripheral refraction may be efficacious in controlling myopia progression. This study aims to understand whether the optical effect of such devices may be affected by near focus. In particular, we seek to understand the influence of accommodation on peripheral refraction and curvature of field of the eye. Refraction was measured in twenty young subjects using an autorefractor at 0° (i.e. along visual axis), and 20°, 30° and 40° field angles both nasal and temporal to the visual axis. All measurements were conducted at 2.5 m, 40 cm and 30 cm viewing distances. Refractive errors were corrected using a soft contact lens during all measurements. As field angle increased, refraction became less hyperopic. Peripheral refraction also became less hyperopic at nearer viewing distances (i.e. with increasing accommodation). Astigmatism (J180) increased with field angle as well as with accommodation. Adopting a third-order aberration theory approach, the position of the Petzval surface relative to the retinal surface was estimated by considering the relative peripheral refractive error (RPRE) and J180 terms of peripheral refraction. Results for the estimated dioptric position of the Petzval surface relative to the retina showed substantial asymmetry. While temporal field tended to agree with theoretical predictions, nasal response departed dramatically from the model eye predictions. With increasing accommodation, peripheral refraction becomes less hyperopic while the Petzval surface showed asymmetry in its change in position. The change in the optical components (i.e. cornea and/or lens as opposed to retinal shape or position) is implicated as at least one of the contributors of this shift in peripheral refraction during accommodation.

  1. Errors, error detection, error correction and hippocampal-region damage: data and theories.

    PubMed

    MacKay, Donald G; Johnson, Laura W

    2013-11-01

    This review and perspective article outlines 15 observational constraints on theories of errors, error detection, and error correction, and their relation to hippocampal-region (HR) damage. The core observations come from 10 studies with H.M., an amnesic with cerebellar and HR damage but virtually no neocortical damage. Three studies examined the detection of errors planted in visual scenes (e.g., a bird flying in a fish bowl in a school classroom) and sentences (e.g., I helped themselves to the birthday cake). In all three experiments, H.M. detected reliably fewer errors than carefully matched memory-normal controls. Other studies examined the detection and correction of self-produced errors, with controls for comprehension of the instructions, impaired visual acuity, temporal factors, motoric slowing, forgetting, excessive memory load, lack of motivation, and deficits in visual scanning or attention. In these studies, H.M. corrected reliably fewer errors than memory-normal and cerebellar controls, and his uncorrected errors in speech, object naming, and reading aloud exhibited two consistent features: omission and anomaly. For example, in sentence production tasks, H.M. omitted one or more words in uncorrected encoding errors that rendered his sentences anomalous (incoherent, incomplete, or ungrammatical) reliably more often than controls. Besides explaining these core findings, the theoretical principles discussed here explain H.M.'s retrograde amnesia for once familiar episodic and semantic information; his anterograde amnesia for novel information; his deficits in visual cognition, sentence comprehension, sentence production, sentence reading, and object naming; and effects of aging on his ability to read isolated low frequency words aloud. These theoretical principles also explain a wide range of other data on error detection and correction and generate new predictions for future test.

  2. Errors, error detection, error correction and hippocampal-region damage: data and theories.

    PubMed

    MacKay, Donald G; Johnson, Laura W

    2013-11-01

    This review and perspective article outlines 15 observational constraints on theories of errors, error detection, and error correction, and their relation to hippocampal-region (HR) damage. The core observations come from 10 studies with H.M., an amnesic with cerebellar and HR damage but virtually no neocortical damage. Three studies examined the detection of errors planted in visual scenes (e.g., a bird flying in a fish bowl in a school classroom) and sentences (e.g., I helped themselves to the birthday cake). In all three experiments, H.M. detected reliably fewer errors than carefully matched memory-normal controls. Other studies examined the detection and correction of self-produced errors, with controls for comprehension of the instructions, impaired visual acuity, temporal factors, motoric slowing, forgetting, excessive memory load, lack of motivation, and deficits in visual scanning or attention. In these studies, H.M. corrected reliably fewer errors than memory-normal and cerebellar controls, and his uncorrected errors in speech, object naming, and reading aloud exhibited two consistent features: omission and anomaly. For example, in sentence production tasks, H.M. omitted one or more words in uncorrected encoding errors that rendered his sentences anomalous (incoherent, incomplete, or ungrammatical) reliably more often than controls. Besides explaining these core findings, the theoretical principles discussed here explain H.M.'s retrograde amnesia for once familiar episodic and semantic information; his anterograde amnesia for novel information; his deficits in visual cognition, sentence comprehension, sentence production, sentence reading, and object naming; and effects of aging on his ability to read isolated low frequency words aloud. These theoretical principles also explain a wide range of other data on error detection and correction and generate new predictions for future test. PMID:23999403

  3. Evaluation of vernier acuity near healed retinal laser lesions

    NASA Astrophysics Data System (ADS)

    Schmeisser, Elmar T.

    1997-05-01

    Seven Cynomolgus fasciculata who had graded laser lesions placed in own eye 6 years previously were evaluated for their vernier acuity by electrophysiologic recording techniques. In these experiments, 95 percent contrast vernier acuity targets were presented at high luminance levels to anesthetized primates. Visual evoked potentials were recorded by conventional means form scalp electrodes through hospital grade amplifiers. All animal testing was performed under IACUC approved protocols. The single q-switched pulses form a neodymium-YAG laser had produced lesions of 4 types: no visible change, minimal visible lesions, 'white dot' lesions and 'red dot' lesions in the eye at the time of placement. Single exposures had been made in four locations: 5 degrees superior, inferior and temporal to the fovea, and one foveally. Vernier recording proved somewhat successful in smaller animals with less than contained retinal hemorrhage lesions in the fovea. Initial analyses demonstrated a significant decrease of the pattern response signal/noise in the experimental eye overall, and an apparent relative loss of vernier signal in some lesioned eyes. Animals with the more severe lesions have somewhat degraded small patten responses and no recordable vernier response. Apparent lesser losses produced less effect.

  4. Developing a staffing matrix using CMI as acuity indicator.

    PubMed

    Romito, Diane

    2006-01-01

    Adequate staffing levels on an acute rehabilitation unit may not be maintained because staffing needs fluctuate according to the needs of patient groupings. Acuity regulations from some state agencies and the Joint Commission on Accreditation of Healthcare Organizations require that staffing address patient acuity needs. Proposed ratio laws either require concrete patient-to-nurse ratios or neglect to consider acute rehabilitation. Neither have practical working tools to support their proposals. The questions of what to measure and how to translate this into effective nursing staffing remain unanswered. At the same time, nursing dissatisfaction grows with increased workloads, overtime, and perceptions of ineffectiveness. This article describes one effort to define and use a working tool for staffing acute rehabilitation units. The study used case mix index as an indicator of nursing time, integrated into a shift staffing matrix. Early results have shown it to be effective, quick, flexible, and efficient. Using this tool, quality patient outcomes within national length of stay benchmarks were maintained and staff satisfaction on this unit improved.

  5. Characterizing conical refraction optical tweezers.

    PubMed

    McDonald, C; McDougall, C; Rafailov, E; McGloin, D

    2014-12-01

    Conical refraction occurs when a beam of light travels through an appropriately cut biaxial crystal. By focusing the conically refracted beam through a high numerical aperture microscope objective, conical refraction optical tweezers can be created, allowing for particle manipulation in both Raman spots, and in the Lloyd/Poggendorff rings. We present a thorough quantification of the trapping properties of such a beam, focusing on the trap stiffness, and how this varies with trap power and trapped particle location. We show that the lower Raman spot can be thought of as a single-beam optical gradient force trap, while radiation pressure dominates in the upper Raman spot, leading to optical levitation rather than trapping. Particles in the Lloyd/Poggendorff rings experience a lower trap stiffness than particles in the lower Raman spot, but benefit from rotational control. PMID:25490654

  6. Refraction of coastal ocean waves

    NASA Technical Reports Server (NTRS)

    Shuchman, R. A.; Kasischke, E. S.

    1981-01-01

    Refraction of gravity waves in the coastal area off Cape Hatteras, NC as documented by synthetic aperture radar (SAR) imagery from Seasat orbit 974 (collected on September 3, 1978) is discussed. An analysis of optical Fourier transforms (OFTs) from more than 70 geographical positions yields estimates of wavelength and wave direction for each position. In addition, independent estimates of the same two quantities are calculated using two simple theoretical wave-refraction models. The OFT results are then compared with the theoretical results. A statistical analysis shows a significant degree of linear correlation between the data sets. This is considered to indicate that the Seasat SAR produces imagery whose clarity is sufficient to show the refraction of gravity waves in shallow water.

  7. [Refraction after Implantation of Multifocal and Presbyopia-Correcting Intraocular Lenses].

    PubMed

    Kretz, F T A; Linz, K; Mueller, M; Gerl, M; Koss, M J; Gerl, R H; Auffarth, G U

    2015-08-01

    Nowadays, further developments in the field of intraocular lenses offer a higher level of spectacle independence for our patients. As light gets scattered on different focal points a wider range of defocus is created. This greater defocus area makes it more difficult for us to determine the objective or subjective refraction. This contribution is concerned with the difficulties of measuring visual acuity in different intraocular lens designs and different measurement distances. Measuring refraction after implantation of a multifocal intraocular lens is a complex procedure and the experience of the examiner plays a crucial role. Retinoscopy, keratometry and the defocus curve are reliable methods for testing, while the auto refractometer, bichromatic testing and the cross-cylinder have limitations.

  8. [Incidence of intra-individual lateral differences in interference fringe acuity and entoptic functions and their prognostic value with reference to lateral differences in optotypic acuity].

    PubMed

    Mörsch, C; Höh, H R

    1996-08-01

    No adequate research results are available on the frequency and medical significance of intraindividual side differences in the entoptic functions and interference fringe acuity. We have collected data on these topics from examinations of 312 people with no eye defects; the subjects in this group were aged between 6 and 85 years and were divided into ten age-groups of approximately the same size. We were trying to find out to what extent a real side difference in the distant or near visual acuity can be deduced from an intraindividual side difference in the entoptic function test and/or laser interferometry as in healthy people. To allow grading of macular chagrin patches for the first time we defined the "microsymptoms of macular chagrin" patches. Moreover, we described the changes in interference fringe acuity and in entoptic function with advancing age. By using already established research approaches, we have evaluated the following parameters of examination: distant visual acuity with optotypes, near visual acuity (Nieden), entoptic functions (vessel figure of Purkinje and macular chagrin patches), laser interferometry (Retinometer) and ophthalmological findings. We found that of macular chagrin varied in appearance with the age of the patient. Patients with no eye defects seldom have an intraindividual side difference in the distant or near visual acuity, and any present is only marginal. This is why there seems to be too narrow a correlation with the results of the laser interferometry and of the entoptic function test. The negative predictive value is between 89% and 95%. This means that patients who have no side difference in interference fringe acuity or in the entoptic function test also have no intraindividual side difference in distant visual acuity with optotypes or near visual acuity (Nieden). This is the medical significance of our results in respect to more marked side differences such as are found in patients with eye defects. The predictive

  9. The Optics of Refractive Substructure

    NASA Astrophysics Data System (ADS)

    Johnson, Michael D.; Narayan, Ramesh

    2016-08-01

    Newly recognized effects of refractive scattering in the ionized interstellar medium have broad implications for very long baseline interferometry (VLBI) at extreme angular resolutions. Building upon work by Blandford & Narayan, we present a simplified, geometrical optics framework, which enables rapid, semi-analytic estimates of refractive scattering effects. We show that these estimates exactly reproduce previous results based on a more rigorous statistical formulation. We then derive new expressions for the scattering-induced fluctuations of VLBI observables such as closure phase, and we demonstrate how to calculate the fluctuations for arbitrary quantities of interest using a Monte Carlo technique.

  10. The Relationship between OCT-measured Central Retinal Thickness and Visual Acuity in Diabetic Macular Edema

    PubMed Central

    2008-01-01

    Objective To compare optical coherence tomography (OCT)-measured retinal thickness and visual acuity in eyes with diabetic macular edema (DME) both before and after macular laser photocoagulation. Design Cross-sectional and longitudinal study. Participants 210 subjects (251 eyes) with DME enrolled in a randomized clinical trial of laser techniques. Methods Retinal thickness was measured with OCT and visual acuity was measured with the electronic-ETDRS procedure. Main Outcome Measures OCT-measured center point thickness and visual acuity Results The correlation coefficients for visual acuity versus OCT center point thickness were 0.52 at baseline and 0.49, 0.36, and 0.38 at 3.5, 8, and 12 months post-laser photocoagulation. The slope of the best fit line to the baseline data was approximately 4.4 letters (95% C.I.: 3.5, 5.3) better visual acuity for every 100 microns decrease in center point thickness at baseline with no important difference at follow-up visits. Approximately one-third of the variation in visual acuity could be predicted by a linear regression model that incorporated OCT center point thickness, age, hemoglobin A1C, and severity of fluorescein leakage in the center and inner subfields. The correlation between change in visual acuity and change in OCT center point thickening 3.5 months after laser treatment was 0.44 with no important difference at the other follow-up times. A subset of eyes showed paradoxical improvements in visual acuity with increased center point thickening (7–17% at the three time points) or paradoxical worsening of visual acuity with a decrease in center point thickening (18%–26% at the three time points). Conclusions There is modest correlation between OCT-measured center point thickness and visual acuity, and modest correlation of changes in retinal thickening and visual acuity following focal laser treatment for DME. However, a wide range of visual acuity may be observed for a given degree of retinal edema and paradoxical

  11. Barriers to Use of Refractive Services in Mozambique

    PubMed Central

    Thompson, Stephen; Naidoo, Kovin; Gonzalez-Alvarez, Carmen; Harris, Geoff; Chinanayi, Farai; Loughman, James

    2015-01-01

    ABSTRACT Purpose Uncorrected refractive error remains a leading cause of visual impairment (VI) across the globe with Mozambique being no exception. The establishment of an optometry profession in Mozambique that is integrated into the public health system denotes significant progress with refractive services becoming available to the population. As the foundations of a comprehensive refractive service have now been established, this article seeks to understand what barriers may limit their uptake by the general population and inform decision making on improved service delivery. Methods A community-based cross-sectional study using two-stage cluster sampling was conducted. Participants with VI were asked to identify barriers that were reflective of their experiences and perceptions of accessing refractive services. A total of 4601 participants were enumerated from 76 clusters in Nampula, Mozambique. Results A total of 1087 visually impaired participants were identified (884 with near and 203 with distance impairment). Cost was the most frequently cited barrier, identified by more than one in every two participants (53%). Other barriers identified included lack of felt need (20%), distance to travel (15%), and lack of awareness (13%). In general, no significant influence of sex or type of VI on barrier selection was found. Location had a significant impact on the selection of several barriers. Pearson χ2 analysis indicated that participants from rural areas were found to feel disadvantaged regarding the distance to services (p ≤ 0.001) and adequacy of hospital services (p = 0.001). Conclusions For a comprehensive public sector refractive service to be successful in Mozambique, those planning its implementation must consider cost and affordability. A clear strategy for overcoming lack of felt need will also be needed, possibly in the form of improved advocacy and health promotion. The delivery of refractive services in more remote rural areas merits careful and

  12. Error Analysis

    NASA Astrophysics Data System (ADS)

    Scherer, Philipp O. J.

    Input data as well as the results of elementary operations have to be represented by machine numbers, the subset of real numbers which is used by the arithmetic unit of today's computers. Generally this generates rounding errors. This kind of numerical error can be avoided in principle by using arbitrary precision arithmetics or symbolic algebra programs. But this is unpractical in many cases due to the increase in computing time and memory requirements. Results from more complex operations like square roots or trigonometric functions can have even larger errors since series expansions have to be truncated and iterations accumulate the errors of the individual steps. In addition, the precision of input data from an experiment is limited. In this chapter we study the influence of numerical errors on the uncertainties of the calculated results and the stability of simple algorithms.

  13. Collective enhancement of numerical acuity by meritocratic leadership in fish

    PubMed Central

    Bisazza, Angelo; Butterworth, Brian; Piffer, Laura; Bahrami, Bahador; Petrazzini, Maria Elena Miletto; Agrillo, Christian

    2014-01-01

    It has been known for more than a century that interacting people can generally achieve more accurate decisions than single individuals. Here we show that interacting guppy fish (Poecilia reticulata) achieve a superior level of numerosity discrimination well beyond the average ability of the isolated individual fish. This enhancement of numerical acuity was observed in dyadic interactions when (Experiment 1) the dyad chose which larger shoal of guppies to join and when (Experiment 2) the dyad chose the higher or the lower numerosity among two decision options after having learned the task individually. Dyadic accuracy and that of the more competent member of each dyad matched closely, supporting the hypothesis that meritocratic leadership arises spontaneously between dyadically interacting fish, rather than the ‘many wrongs' principle that has been used to explain group superiority in many species. PMID:24691116

  14. Photovoltaic restoration of sight with high visual acuity.

    PubMed

    Lorach, Henri; Goetz, Georges; Smith, Richard; Lei, Xin; Mandel, Yossi; Kamins, Theodore; Mathieson, Keith; Huie, Philip; Harris, James; Sher, Alexander; Palanker, Daniel

    2015-05-01

    Patients with retinal degeneration lose sight due to the gradual demise of photoreceptors. Electrical stimulation of surviving retinal neurons provides an alternative route for the delivery of visual information. We demonstrate that subretinal implants with 70-μm-wide photovoltaic pixels provide highly localized stimulation of retinal neurons in rats. The electrical receptive fields recorded in retinal ganglion cells were similar in size to the natural visual receptive fields. Similarly to normal vision, the retinal response to prosthetic stimulation exhibited flicker fusion at high frequencies, adaptation to static images and nonlinear spatial summation. In rats with retinal degeneration, these photovoltaic arrays elicited retinal responses with a spatial resolution of 64 ± 11 μm, corresponding to half of the normal visual acuity in healthy rats. The ease of implantation of these wireless and modular arrays, combined with their high resolution, opens the door to the functional restoration of sight in patients blinded by retinal degeneration.

  15. Sensitivity of The Dynamic Visual Acuity Test To Sensorimotor Change

    NASA Technical Reports Server (NTRS)

    Cohen, Helen; Bloomberg, Jacob; Elizalde, Elizabeth; Fregia, Melody

    1999-01-01

    Post-flight astronauts, acutely post-vestibular nerve section patients, and patients with severe chronic bilateral vestibular deficits have oscillopsia caused by reduced vestibulocular reflex gains and decreased postural stability. Therefore, as previous work has shown, a test of dynamic visual acuity (DVA), in which the subject must read numbers from a computer screen while standing still or walking in place provides a composite measure of sensorimotor integration. This measure may be useful for determining the level of recovery, post-flight, post-operatively, or after vestibular rehabilitation. To determine the sensitivity of DVA to change in impaired populations we have tested patients with acoustic neuromas before and during the first post-operative week after resection of the tumors, and with bilaterally labyrinthine deficient subjects before and after six weeks of balance rehabilitation therapy.

  16. Collective enhancement of numerical acuity by meritocratic leadership in fish.

    PubMed

    Bisazza, Angelo; Butterworth, Brian; Piffer, Laura; Bahrami, Bahador; Miletto Petrazzini, Maria Elena; Agrillo, Christian

    2014-01-01

    It has been known for more than a century that interacting people can generally achieve more accurate decisions than single individuals. Here we show that interacting guppy fish (Poecilia reticulata) achieve a superior level of numerosity discrimination well beyond the average ability of the isolated individual fish. This enhancement of numerical acuity was observed in dyadic interactions when (Experiment 1) the dyad chose which larger shoal of guppies to join and when (Experiment 2) the dyad chose the higher or the lower numerosity among two decision options after having learned the task individually. Dyadic accuracy and that of the more competent member of each dyad matched closely, supporting the hypothesis that meritocratic leadership arises spontaneously between dyadically interacting fish, rather than the 'many wrongs' principle that has been used to explain group superiority in many species. PMID:24691116

  17. Photovoltaic restoration of sight with high visual acuity

    PubMed Central

    Lorach, Henri; Goetz, Georges; Smith, Richard; Lei, Xin; Mandel, Yossi; Kamins, Theodore; Mathieson, Keith; Huie, Philip; Harris, James; Sher, Alexander; Palanker, Daniel

    2015-01-01

    Patients with retinal degeneration lose sight due to gradual demise of photoreceptors. Electrical stimulation of the surviving retinal neurons provides an alternative route for delivery of visual information. We demonstrate that subretinal arrays with 70 μm photovoltaic pixels provide highly localized stimulation, with electrical and visual receptive fields of comparable sizes in rat retinal ganglion cells. Similarly to normal vision, retinal response to prosthetic stimulation exhibits flicker fusion at high frequencies, adaptation to static images and non-linear spatial summation. In rats with retinal degeneration, these photovoltaic arrays provide spatial resolution of 64 ± 11 μm, corresponding to half of the normal visual acuity in pigmented rats. Ease of implantation of these wireless and modular arrays, combined with their high resolution opens the door to functional restoration of sight. PMID:25915832

  18. Recovery of stereo acuity in adults with amblyopia

    PubMed Central

    Astle, Andrew T; McGraw, Paul V; Webb, Ben S

    2011-01-01

    Disruption of visual input to one eye during early development leads to marked functional impairments of vision, commonly referred to as amblyopia. A major consequence of amblyopia is the inability to encode binocular disparity information leading to impaired depth perception or stereo acuity. If amblyopia is treated early in life (before 4 years of age), then recovery of normal stereoscopic function is possible. Treatment is rarely undertaken later in life (adulthood) because declining levels of neural plasticity are thought to limit the effectiveness of standard treatments. Here, the authors show that a learning-based therapy, designed to exploit experience-dependent plastic mechanisms, can be used to recover stereoscopic visual function in adults with amblyopia. These cases challenge the long-held dogma that the critical period for visual development and the window for treating amblyopia are one and the same. PMID:22707543

  19. REFLECTION AND REFRACTION, VOLUME 2.

    ERIC Educational Resources Information Center

    KLAUS, DAVID J.; AND OTHERS

    THIS VOLUME 2 OF A TWO-VOLUME SET PROVIDES AUTOINSTRUCTION IN PHYSICS. THE UNITS COVERED IN THIS VOLUME ARE (1) REFLECTION OF LIGHT, (2) PHOTOMETRY, (3) POLARIZATION, (4) REFRACTION OF LIGHT, (5) SNELL'S LAW, (6) LENSES, FOCUS, AND FOCAL POINTS, (7) IMAGE FORMATION, AND (8) ABERRATIONS, THE EYE, AND MAGNIFICATION. THE INTRODUCTION AND UNITS ON…

  20. Index of Refraction without Geometry

    ERIC Educational Resources Information Center

    Farkas, N.; Henriksen, P. N.; Ramsier, R. D.

    2006-01-01

    This article presents several activities that permit students to determine the index of refraction of transparent solids and liquids using simple equipment without the need for geometrical relationships, special lighting or optical instruments. Graphical analysis of the measured data is shown to be a useful method for determining the index of…

  1. Refractive Index of Sodium Iodide

    SciTech Connect

    Jellison Jr, Gerald Earle; Boatner, Lynn A; Ramey, Joanne Oxendine; Kolopus, James A; Ramey, Lucas A; Singh, David J

    2012-01-01

    The refractive index of sodium iodide, an important scintillator material that is widely used for radiation detection, is based on a single measurement made by Spangenberg at one wavelength using the index-matching liquid immersion method (Z. Kristallogr., 57, 494-534 (1923)). In the present paper, we present new results for the refractive index of sodium iodide as measured by the minimum deviation technique at six wavelengths between 436 nm (n=1.839 0.002) and 633 nm (n=1.786 0.002). These 6 measurements can be fit to a Sellmeier model, resulting in a 2 of 1.02, indicating a good fit to the data. In addition, we report on ellipsometry measurements, which suggest that the near-surface region of the air sensitive NaI crystal seriously degrades, even in a moisture-free environment, resulting in a significantly lower value of the refractive index near the surface. First-principles theoretical calculations of the NaI refractive index that agree with the measured values within 0.025-0.045 are also presented and discussed.

  2. Fiber optic refractive index monitor

    DOEpatents

    Weiss, Jonathan David

    2002-01-01

    A sensor for measuring the change in refractive index of a liquid uses the lowest critical angle of a normal fiber optic to achieve sensitivity when the index of the liquid is significantly less than the index of the fiber core. Another embodiment uses a liquid filled core to ensure that its index is approximately the same as the liquid being measured.

  3. Reliability of acuities determined with the sweep visual evoked potential (sVEP).

    PubMed

    Ridder, William H; Tong, Anna; Floresca, Theresa

    2012-04-01

    sVEPs are generally used to rapidly obtain visual acuity. Several studies have determined the reliability of acuity measurements with psychophysical techniques. The aim of this study was to determine the intersession and intrasession variabilities of sVEP measurements. Twenty-four normal, adult subjects took part in this project. Stimulus production and data analyses were done using an Enfant 4010. Standard VEP recording techniques were employed. Data were collected on two separate days (at least 1 week apart). At each visit, two complete sets of sVEP data were collected and averaged. A logMAR acuity chart was also used to determine the acuity at each visit. Paired t tests, 95% confidence intervals, intraclass correlation coefficients, and coefficients of repeatability were used to determine whether there was a difference in the intrasession and intersession acuities. The mean acuity difference and coefficient of repeatability were +0.01 and 0.191 for visit 1 and -0.019 and 0.186 for visit 2, respectively. The mean acuity difference and coefficient of repeatability across visits were +0.008 and 0.176 for the first acuity and-0.02 and 0.170 for the second acuity, respectively. Paired t tests did not find a significant difference between any set of data or the average for visits one and two (all P values > 0.05). The intraclass correlation coefficients comparing the average sVEP data and the logMAR data for visits 1 and 2 were 0.71 and 0.88, respectively. The coefficients of repeatability for the averaged sVEP acuity and the logMAR acuity for the two visits were 0.11 and 0.07, respectively. The repeatability of the sVEP acuity estimate in a large population of adults is similar to that of previous published reports on infants and is nearly as high as that of logMAR acuity chart data. The repeatability is the same for single best estimates of acuity and averaged estimates of acuity across visits. PMID:22262233

  4. Effects of refractive index mismatch in optical CT imaging of polymer gel dosimeters

    SciTech Connect

    Manjappa, Rakesh; Makki S, Sharath; Kanhirodan, Rajan; Kumar, Rajesh

    2015-02-15

    Purpose: Proposing an image reconstruction technique, algebraic reconstruction technique-refraction correction (ART-rc). The proposed method takes care of refractive index mismatches present in gel dosimeter scanner at the boundary, and also corrects for the interior ray refraction. Polymer gel dosimeters with high dose regions have higher refractive index and optical density compared to the background medium, these changes in refractive index at high dose results in interior ray bending. Methods: The inclusion of the effects of refraction is an important step in reconstruction of optical density in gel dosimeters. The proposed ray tracing algorithm models the interior multiple refraction at the inhomogeneities. Jacob’s ray tracing algorithm has been modified to calculate the pathlengths of the ray that traverses through the higher dose regions. The algorithm computes the length of the ray in each pixel along its path and is used as the weight matrix. Algebraic reconstruction technique and pixel based reconstruction algorithms are used for solving the reconstruction problem. The proposed method is tested with numerical phantoms for various noise levels. The experimental dosimetric results are also presented. Results: The results show that the proposed scheme ART-rc is able to reconstruct optical density inside the dosimeter better than the results obtained using filtered backprojection and conventional algebraic reconstruction approaches. The quantitative improvement using ART-rc is evaluated using gamma-index. The refraction errors due to regions of different refractive indices are discussed. The effects of modeling of interior refraction in the dose region are presented. Conclusions: The errors propagated due to multiple refraction effects have been modeled and the improvements in reconstruction using proposed model is presented. The refractive index of the dosimeter has a mismatch with the surrounding medium (for dry air or water scanning). The algorithm

  5. Scanning laser retinoscopy: a new technique for evaluating optical properties of the cornea after refractive surgery

    NASA Astrophysics Data System (ADS)

    Van de Velde, Frans J.; Tassignon, Marie J.; Trau, Rene

    1997-12-01

    We present a new technique, scanning laser retinoscopy, to spatially resolve in two dimensions the optical aberrations and refractive power of the ocular media. For this purpose, the Maxwellian view of a confocal scanning laser ophthalmoscope (SLO) is configured to scan simultaneously the posterior and the anterior segment of the eye at different levels of prefocussing. This set-up allows retinal imaging and psychophysics through different optical zones of the cornea and lens. In addition, the size of the anatomical pupil can be dynamically controlled by adjusting the colinear infrared and visible light intensities of the illuminating system. In retinoscopic images we can see a part of the retina superimposed by distinctive patterns of shadows in the pupillary area. The variable patterns of shadows in the retinoscopic images change with the level of prefocussing of the SLO. The patterns are the result of local variations in refraction or wavefront aberrations within the lens and cornea. In cases of excimer laser refractive surgery, for example, scanning laser retinoscopy is able to distinguish between a treated central area, transition zone and peripheral cornea. As a corollary, we can document differences between excimer laser delivery systems and also correlate the retinoscopic images with the subjective complaints of refractive surgery patients. These include monocular diplopia, glare, loss of contrast sensitivity besides reduced visual acuity.

  6. Evidence for subwavelength imaging with positive refraction

    NASA Astrophysics Data System (ADS)

    Gui Ma, Yun; Sahebdivan, Sahar; Ong, C. K.; Tyc, Tomáš; Leonhardt, Ulf

    2011-03-01

    The resolution of lenses is normally limited by the wave nature of light. Imaging with perfect resolution was believed to rely on negative refraction, but here we present experimental evidence for subwavelength imaging with positive refraction.

  7. Refractive-index measurements by moire deflectometry.

    PubMed

    Karny, Z; Kafri, O

    1982-09-15

    A novel method for measuring refractive index of gases and liquids is presented based on moire deflectometry. We demonstrate this technique by measuring the refractive index of diluted sucrose solutions and of air at atmospheric pressure.

  8. Radar error statistics for the space shuttle

    NASA Technical Reports Server (NTRS)

    Lear, W. M.

    1979-01-01

    Radar error statistics of C-band and S-band that are recommended for use with the groundtracking programs to process space shuttle tracking data are presented. The statistics are divided into two parts: bias error statistics, using the subscript B, and high frequency error statistics, using the subscript q. Bias errors may be slowly varying to constant. High frequency random errors (noise) are rapidly varying and may or may not be correlated from sample to sample. Bias errors were mainly due to hardware defects and to errors in correction for atmospheric refraction effects. High frequency noise was mainly due to hardware and due to atmospheric scintillation. Three types of atmospheric scintillation were identified: horizontal, vertical, and line of sight. This was the first time that horizontal and line of sight scintillations were identified.

  9. 49 CFR 240.121 - Criteria for vision and hearing acuity data.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Criteria for vision and hearing acuity data. 240... ENGINEERS Component Elements of the Certification Process § 240.121 Criteria for vision and hearing acuity... paragraph (e) of this section, a person's vision and hearing shall meet or exceed the standards...

  10. 49 CFR 240.121 - Criteria for vision and hearing acuity data.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Criteria for vision and hearing acuity data. 240... ENGINEERS Component Elements of the Certification Process § 240.121 Criteria for vision and hearing acuity... paragraph (e) of this section, a person's vision and hearing shall meet or exceed the standards...

  11. 49 CFR 240.207 - Procedures for making the determination on vision and hearing acuity.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Procedures for making the determination on vision and hearing acuity. 240.207 Section 240.207 Transportation Other Regulations Relating to... making the determination on vision and hearing acuity. (a) Each railroad, prior to initially...

  12. 49 CFR 240.121 - Criteria for vision and hearing acuity data.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Criteria for vision and hearing acuity data. 240... ENGINEERS Component Elements of the Certification Process § 240.121 Criteria for vision and hearing acuity... paragraph (e) of this section, a person's vision and hearing shall meet or exceed the standards...

  13. 49 CFR 240.207 - Procedures for making the determination on vision and hearing acuity.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Procedures for making the determination on vision and hearing acuity. 240.207 Section 240.207 Transportation Other Regulations Relating to... making the determination on vision and hearing acuity. (a) Each railroad, prior to initially...

  14. 49 CFR 240.121 - Criteria for vision and hearing acuity data.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Criteria for vision and hearing acuity data. 240... ENGINEERS Component Elements of the Certification Process § 240.121 Criteria for vision and hearing acuity... paragraph (e) of this section, a person's vision and hearing shall meet or exceed the standards...

  15. 49 CFR 240.207 - Procedures for making the determination on vision and hearing acuity.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Procedures for making the determination on vision and hearing acuity. 240.207 Section 240.207 Transportation Other Regulations Relating to... making the determination on vision and hearing acuity. (a) Each railroad, prior to initially...

  16. 49 CFR 240.207 - Procedures for making the determination on vision and hearing acuity.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Procedures for making the determination on vision and hearing acuity. 240.207 Section 240.207 Transportation Other Regulations Relating to... making the determination on vision and hearing acuity. (a) Each railroad, prior to initially...

  17. 49 CFR 240.121 - Criteria for vision and hearing acuity data.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Criteria for vision and hearing acuity data. 240... ENGINEERS Component Elements of the Certification Process § 240.121 Criteria for vision and hearing acuity... paragraph (e) of this section, a person's vision and hearing shall meet or exceed the standards...

  18. 49 CFR 240.207 - Procedures for making the determination on vision and hearing acuity.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Procedures for making the determination on vision and hearing acuity. 240.207 Section 240.207 Transportation Other Regulations Relating to... making the determination on vision and hearing acuity. (a) Each railroad, prior to initially...

  19. Current Depression, Lifetime History of Depression, and Visual Acuity in Hispanic Adults.

    ERIC Educational Resources Information Center

    Lee, David J.; Gomez-Marin, Orlando; Lam, Byron L.

    2000-01-01

    A study examined associations between bilateral visual acuity and depression among 391 Cuban Americans, 1,514 Mexican Americans, and 527 Puerto Ricans. Among Mexicans, depression was higher for those with moderate and greater impairment. Among Cubans, depression was higher for those with a distance visual acuity worse than 20/50. (Contains…

  20. Tactile Spatial Acuity in Childhood: Effects of Age and Fingertip Size

    PubMed Central

    Peters, Ryan M.; Goldreich, Daniel

    2013-01-01

    Tactile acuity is known to decline with age in adults, possibly as the result of receptor loss, but less is understood about how tactile acuity changes during childhood. Previous research from our laboratory has shown that fingertip size influences tactile spatial acuity in young adults: those with larger fingers tend to have poorer acuity, possibly because mechanoreceptors are more sparsely distributed in larger fingers. We hypothesized that a similar relationship would hold among children. If so, children’s tactile spatial acuity might be expected to worsen as their fingertips grow. However, concomitant CNS maturation might result in more efficient perceptual processing, counteracting the effect of fingertip growth on tactile acuity. To investigate, we conducted a cross-sectional study, testing 116 participants ranging in age from 6 to 16 years on a precision-controlled tactile grating orientation task. We measured each participant's grating orientation threshold on the dominant index finger, along with physical properties of the fingertip: surface area, volume, sweat pore spacing, and temperature. We found that, as in adults, children with larger fingertips (at a given age) had significantly poorer acuity, yet paradoxically acuity did not worsen significantly with age. We propose that finger growth during development results in a gradual decline in innervation density as receptive fields reposition to cover an expanding skin surface. At the same time, central maturation presumably enhances perceptual processing. PMID:24454612

  1. Acuity of the Approximate Number System and Preschoolers' Quantitative Development

    ERIC Educational Resources Information Center

    van Marle, Kristy; Chu, Felicia W.; Li, Yaoran; Geary, David C.

    2014-01-01

    The study assessed the relations among acuity of the inherent approximate number system (ANS), performance on measures of symbolic quantitative knowledge, and mathematics achievement for a sample of 138 (64 boys) preschoolers. The Weber fraction (a measure of ANS acuity) and associated task accuracy were significantly correlated with mathematics…

  2. Comparison of Dynamic Visual Acuity between Water Polo Players and Sedentary Students

    ERIC Educational Resources Information Center

    Quevedo-Junyent, Lluisa; Aznar-Casanova, Jose Antonio; Merindano-Encina, Dolores; Cardona, Genis; Sole-Forto, Joan

    2011-01-01

    In this study, we examined differences in dynamic visual acuity between elite and subelite water polo players and sedentary students. To measure dynamic visual acuity binocularly, we asked participants to indicate the orientation of a broken ring, similar to the Landolt C, which increased in size as it moved across a computer screen. Two different…

  3. Medication Errors

    MedlinePlus

    ... to reduce the risk of medication errors to industry and others at FDA. Additionally, DMEPA prospectively reviews ... List of Abbreviations Regulations and Guidances Guidance for Industry: Safety Considerations for Product Design to Minimize Medication ...

  4. Medication Errors

    MedlinePlus

    Medicines cure infectious diseases, prevent problems from chronic diseases, and ease pain. But medicines can also cause harmful reactions if not used ... You can help prevent errors by Knowing your medicines. Keep a list of the names of your ...

  5. Night vision in barn owls: visual acuity and contrast sensitivity under dark adaptation.

    PubMed

    Orlowski, Julius; Harmening, Wolf; Wagner, Hermann

    2012-12-06

    Barn owls are effective nocturnal predators. We tested their visual performance at low light levels and determined visual acuity and contrast sensitivity of three barn owls by their behavior at stimulus luminances ranging from photopic to fully scotopic levels (23.5 to 1.5 × 10⁻⁶). Contrast sensitivity and visual acuity decreased only slightly from photopic to scotopic conditions. Peak grating acuity was at mesopic (4 × 10⁻² cd/m²) conditions. Barn owls retained a quarter of their maximal acuity when luminance decreased by 5.5 log units. We argue that the visual system of barn owls is designed to yield as much visual acuity under low light conditions as possible, thereby sacrificing resolution at photopic conditions.

  6. [Temporal integration in diseased eyes. III. Fixation movements in visual acuity testing].

    PubMed

    Kono, M; Yamade, S

    1992-03-01

    The fixation movements which occur during visual acuity testing were observed in order to clarify the mechanism behind the critical duration in visual acuity testing, which we found in a previous study to be significantly longer in central serous retinopathy and macular edema. Photoelectric oculography (p-EOG) was used to record horizontal eye movement in this study. In normal eyes the frequency and amplitude of the microsaccades were smaller while the acuity target was shown than when it was not shown. This phenomenon was also observed in eyes with macular edema. These results suggest that microsaccades play no positive role in the reading of visual acuity targets, and that they bear little relation to the phenomenon of critical duration in visual acuity testing. PMID:1580224

  7. The Eye Phone Study: reliability and accuracy of assessing Snellen visual acuity using smartphone technology

    PubMed Central

    Perera, C; Chakrabarti, R; Islam, F M A; Crowston, J

    2015-01-01

    Purpose Smartphone-based Snellen visual acuity charts has become popularized; however, their accuracy has not been established. This study aimed to evaluate the equivalence of a smartphone-based visual acuity chart with a standard 6-m Snellen visual acuity (6SVA) chart. Methods First, a review of available Snellen chart applications on iPhone was performed to determine the most accurate application based on optotype size. Subsequently, a prospective comparative study was performed by measuring conventional 6SVA and then iPhone visual acuity using the ‘Snellen' application on an Apple iPhone 4. Results Eleven applications were identified, with accuracy of optotype size ranging from 4.4–39.9%. Eighty-eight patients from general medical and surgical wards in a tertiary hospital took part in the second part of the study. The mean difference in logMAR visual acuity between the two charts was 0.02 logMAR (95% limit of agreement −0.332, 0.372 logMAR). The largest mean difference in logMAR acuity was noted in the subgroup of patients with 6SVA worse than 6/18 (n=5), who had a mean difference of two Snellen visual acuity lines between the charts (0.276 logMAR). Conclusion We did not identify a Snellen visual acuity app at the time of study, which could predict a patients standard Snellen visual acuity within one line. There was considerable variability in the optotype accuracy of apps. Further validation is required for assessment of acuity in patients with severe vision impairment. PMID:25931170

  8. Development of Pocket Vision Screener and its effectiveness at screening visual acuity deficits

    PubMed Central

    Raja, Monica; Ramamurthy, Dharani; Srinivasan, Krithica; Varadharajan, L. Srinivasa

    2014-01-01

    Aim: The aim was to construct a visual acuity chart and find its effectiveness at screening visual acuity deficits. Materials and Methods: Two phases were involved in this study. Construction of the screener: Ten Sloan letters (C, D, H, K, N, O, R, S, V, and Z) were selected and the letters were constructed and reduced to 0.2 logMAR acuity size (6.92 mm) for viewing at 3 m. The screener contains three lines with seven letters in each. Few combinations of the seven letter sequences were chosen based on the row legibility scores. Three seven letter combinations close to the median of all combinations were selected, such that maximum difficulty score difference between the lines are <1%. Finding the effectiveness of the screener: 100 literate subjects with unaided visual acuity better than or equal to 6/60 were recruited for the study. Unaided visual acuity was tested using both the newly constructed Pocket Vision Screener and a logMAR visual acuity chart and the time taken to measure the visual acuity using both the charts was noted. Results: The mean age of the subjects was 43 ± 17 years. Subjects were classified as normal or deficient based on the logMAR visual acuity measurement. The screener was found to have 81% sensitivity, 94% specificity. The positive and negative predictive values were found to be 91% and 87%, respectively. A significant difference (P < 0.001) was found in the time taken to record visual acuity using both the charts. Conclusion: The Pocket Vision Screener can be used as a quick and accurate tool to screen subjects for visual acuity deficits, being highly sensitive, specific, and cost-effective. PMID:25579360

  9. Electro-refractive photonic device

    SciTech Connect

    Zortman, William A.; Watts, Michael R.

    2015-06-09

    The various technologies presented herein relate to phase shifting light to facilitate any of light switching, modulation, amplification, etc. Structures are presented where a second layer is juxtaposed between a first layer and a third layer with respective doping facilitating formation of p-n junctions at the interface between the first layer and the second layer, and between the second layer and the third layer. Application of a bias causes a carrier concentration change to occur at the p-n junctions which causes a shift in the effective refractive index per incremental change in an applied bias voltage. The effective refractive index enhancement can occur in both reverse bias and forward bias. The structure can be incorporated into a waveguide, an optical resonator, a vertical junction device, a horizontal junction device, a Mach-Zehnder interferometer, a tuneable optical filter, etc.

  10. The Reality of Negative Refraction

    NASA Astrophysics Data System (ADS)

    Smith, David

    2004-03-01

    Negative refraction, a phenomenon first hypothesized by Victor Veselago in 1968 to occur in materials whose permittivity and permeability are simultaneously negative, has now been confirmed in several independent studies. These experiments demonstrate that it is indeed possible to design and fabricate an artificial material - now known as a "metamaterial" - having an index-of-refraction that is negative over some finite band of frequencies. The positive confirmations of the phenomenon of negative refraction represent an important first step. As applications are considered that take advantage of negative index materials, the ability to meet the needed specifications is the next step, since the viability of applications is ultimately tied to the quality, reproducibility and cost of the underlying materials. Some of the more striking or exotic wave propagation behavior predicted to occur in negative index materials, such as reflectionless compact lenses, near-field refocusing, "perfect" lensing, phase compensation and novel wave-guiding phenomena - place challenging demands on the material parameters. In this talk, I will discuss our efforts to fabricate and characterize negative index metamaterials, and how the current material limitations impact a variety of proposed applications.

  11. Evaluation of contrast acuity and defocus curve in bifocal and monofocal intraocular lenses.

    PubMed

    Knorz, M C; Claessens, D; Schaefer, R C; Seiberth, V; Liesenhoff, H

    1993-07-01

    We compared visual quality of the following intraocular lenses in a prospective study: monofocal, True Vista bifocal, 3M diffractive bifocal, and Nordan aspheric VariFocal silicone. Four to six months postoperatively we measured distance acuity, Snellen near acuity (Lighthouse chart), reading acuity (Nieden chart), and contrast acuity at far and near focus (Regan charts: 96%, 50%, 25%, 11% contrast) with different pupil sizes. A defocus curve was obtained by spectacle defocus (+1 diopter [D] to -5 D). Eleven patients had True Vista in one eye and monofocal in the fellow. Contrast acuity at far focus decreased with decreasing contrast and increasing pupil size. This decrease was more pronounced with the True Vista than with the monofocal lenses. These differences were significant, with a 4.5 mm pupil at lower contrast (25%, P = .02; 11%, P = .01). Depth of focus was 4.5 D (+1.0 D to -2.0 D) with True Vista lenses and 2.5 D (+1.0 D to -1.5 D) with monofocal lenses. Corrected distance acuity was 20/22 with True Vista, 20/25 with 3M, and 20/20 with VariFocal. Distance corrected Snellen near acuity was 20/39 with True Vista, 20/34 with 3M, and 20/57 with VariFocal. Distance corrected reading acuity was 20/29 with True Vista, 20/23 with 3M, and 20/44 with VariFocal (P = .005). Contrast acuity at far focus was best with the VariFocal IOL, followed by True Vista and 3M. At near focus it was best with 3M, followed by True Vista and VariFocal. Contrast acuity at near focus was lower than at far focus. Average acuity differences were as follows: VariFocal 0.43, P = .01; True Vista 0.19, P = .05; 3M 0.04, P = .3. Depth of focus was 4.5 D (+1.0 D to -3.5 D) with True Vista and 3M and was 3 D (+1.0 D to -2.0 D) with VariFocal. Each design offers unique features. VariFocal is best at distance, but near vision is not sufficient. The 3M lens is best at near vision but distance contrast acuity is somewhat reduced. The True Vista lens provides a good compromise as distance contrast

  12. Laser refractive tomography of phase objects

    SciTech Connect

    Raskovskaya, I L

    2013-06-30

    The principles are outlined of laser refractive tomography - a method for reconstructing the values of the refractive index in the cross sections of phase objects, which involves the use of three-dimensional refractive images (3D refractograms) of structured laser radiation. A simulation algorithm is realised and examples are provided of characteristic 3D refractograms obtained by solving the direct problem of refraction of structured radiation. A method was developed for reconstructing the values of refractive index under conditions of strong refraction, which is based on the visualisation of ray trajectories inside an optically inhomogeneous medium. A classification is made of possible approaches to the solution of the inverse problem of refraction based on the visualisation of ray trajectories. Examples are given of cross section reconstruction and quantitative diagnostics of phase objects. (laser imaging)

  13. Refraction near the horizon-an empirical approach. Part 1: terrestrial refraction of the dip.

    PubMed

    Tschudin, Marcel E

    2016-04-20

    This study aims at providing improved closed-form refraction estimates for observations near the horizon. In this first part, over 1800 previously published direct measurements of the horizon's depression (dip) over the sea are reanalyzed using a nonconventional robust procedure for coping with numerous real, large, and asymmetric outliers from abnormal dips. The derived 1-parameter function agrees with those proposed in modern almanacs and for land surveying. It is found that the dips of warmer and colder sea surfaces vs. air are best described with two different functions. The two proposed 3-parameter functions, also using temperature difference between air and sea and wind speed, reduce the estimated error of the 1-parameter function by ∼⅓ and the number of outliers by ∼⅔.

  14. Airborne gravimetry, altimetry, and GPS navigation errors

    NASA Technical Reports Server (NTRS)

    Colombo, Oscar L.

    1992-01-01

    Proper interpretation of airborne gravimetry and altimetry requires good knowledge of aircraft trajectory. Recent advances in precise navigation with differential GPS have made it possible to measure gravity from the air with accuracies of a few milligals, and to obtain altimeter profiles of terrain or sea surface correct to one decimeter. These developments are opening otherwise inaccessible regions to detailed geophysical mapping. Navigation with GPS presents some problems that grow worse with increasing distance from a fixed receiver: the effect of errors in tropospheric refraction correction, GPS ephemerides, and the coordinates of the fixed receivers. Ionospheric refraction and orbit error complicate ambiguity resolution. Optimal navigation should treat all error sources as unknowns, together with the instantaneous vehicle position. To do so, fast and reliable numerical techniques are needed: efficient and stable Kalman filter-smoother algorithms, together with data compression and, sometimes, the use of simplified dynamics.

  15. Refractive index and birefringence of 2H silicon carbide

    NASA Technical Reports Server (NTRS)

    Powell, J. A.

    1972-01-01

    The refractive indices of 2H SiC were measured over the wavelength range 435.8 to 650.9 nm by the method of minimum deviation. At the wavelength lambda = 546.1 nm, the ordinary index n sub 0 was 2.6480 and the extraordinary index n sub e was 2.7237. The estimated error (standard deviation) in the measured values is 0.0006 for n sub 0 and 0.0009 for n sub e. The experimental data were curve fitted to the Cauchy equation for the index of refraction as a function of wavelength. The birefringence of 2H SiC was found to vary from 0.0719 at lambda = 650.9 nm to 0.0846 at lambda = 435.8 nm.

  16. Objective evaluation of the visual acuity in human eyes

    NASA Astrophysics Data System (ADS)

    Rosales, M. A.; López-Olazagasti, E.; Ramírez-Zavaleta, G.; Varillas, G.; Tepichín, E.

    2009-08-01

    Traditionally, the quality of the human vision is evaluated by a subjective test in which the examiner asks the patient to read a series of characters of different sizes, located at a certain distance of the patient. Typically, we need to ensure a subtended angle of vision of 5 minutes, which implies an object of 8.8 mm high located at 6 meters (normal or 20/20 visual acuity). These characters constitute what is known as the Snellen chart, universally used to evaluate the spatial resolution of the human eyes. The mentioned process of identification of characters is carried out by means of the eye - brain system, giving an evaluation of the subjective visual performance. In this work we consider the eye as an isolated image-forming system, and show that it is possible to isolate the function of the eye from that of the brain in this process. By knowing the impulse response of the eye´s system we can obtain, in advance, the image of the Snellen chart simultaneously. From this information, we obtain the objective performance of the eye as the optical system under test. This type of results might help to detect anomalous situations of the human vision, like the so called "cerebral myopia".

  17. Are there rapid feedback effects on Approximate Number System acuity?

    PubMed

    Lindskog, Marcus; Winman, Anders; Juslin, Peter

    2013-01-01

    Humans are believed to be equipped with an Approximate Number System (ANS) that supports non-symbolic representations of numerical magnitude. Correlations between individual measures of the precision of the ANS and mathematical ability have raised the question of whether the precision can be improved by feedback training. A study (DeWind and Brannon, 2012) reported improvement in discrimination precision occurring within 600-700 trials of feedback, suggesting ANS malleability with rapidly improving acuity in response to feedback. We tried to replicate the rapid improvement in a control group design, while controlling for the use of perceptual cues. The results indicate no learning effects, but a minor constant advantage for the feedback group. The measures of motivation suggest that feedback has a positive effect on motivation and that the difference in discrimination is due to the greater motivation of participants with feedback. These results suggest that at least for adults the number sense may not respond to feedback in the short-term. PMID:23781191

  18. Effect of vestibular rehabilitation on passive dynamic visual acuity.

    PubMed

    Scherer, Matthew; Migliaccio, Americo A; Schubert, Michael C

    2008-01-01

    While active dynamic visual acuity (DVA) has been shown to improve with gaze stabilization exercises, we sought to determine whether DVA during passive head impulses (pDVA) would also improve following a rehabilitation course of vestibular physical therapy (VPT) in patients with unilateral and bilateral vestibular hypofunction. VPT consisted of gaze and gait stabilization exercises done as a home exercise program. Scleral search coil was used to characterize the angular vestibulo-ocular reflex (aVOR) during pDVA before and after VPT. Mean duration of VPT was 66 +/- 24 days, over a total of 5 +/- 1.4 outpatient visits. Two of three subjects showed improvements in pDVA with a mean reduction of 43% (LogMAR 0.58 to 0.398 and 0.92 to 0.40). Our data suggest improvements in pDVA may be due in part to improvements in aVOR velocity and acceleration gains or reduced latency of the aVOR. Each subject demonstrated a reduction in the ratio of compensatory saccades to head impulses after VPT. Preliminary data suggest that active gaze stability exercises may contribute to improvements in pDVA in some individuals.

  19. Dynamic Visual Acuity Associated With Eye Movements And Pupillary Responses

    NASA Astrophysics Data System (ADS)

    Suaste, Ernesto; García, Nadia; Rodríguez, Dolores; Zúñiga, Arturo

    2004-09-01

    Objectively was evaluate dynamic visual acuity (DVA), using moving optotypes, while monitoring eye movements and pupillary responses. Under controlled conditions of luminance and contrast the viewers were asked to look carefully at a moving alphabetic letter. The letter was moved in the horizontal plane at a determined speed by a sinusoidal frequency generator. The initial frequency was gradually incremented until the viewer reported was not able to distinguish the object. Objective measures of DVA were obtained using video-oculography (VOG) in which, pupillary images and eye movements were analyzed by image processing. We found that when a large dilatation of the pupil is presented coincided with a pause eye movement (0.1s). It was when the viewer leaves to see clearly the letter of Snellen. The changes of pupil diameter of the five viewers were found averages to nasal trajectory from 3.58 mm (0 Hz) to 3.85 mm (1Hz), and to temporal trajectory from 3.54 mm (0 Hz) to 3.96 mm (1 Hz). Also, the bandwidth since 0.6 to 1.2 Hz, of the viewers due to the response at the stimulus (letter of Snellen) with 20° of amplitude, was obtained.

  20. A portable device for the assessment of dynamic visual acuity.

    PubMed

    Al-Awar Smither, Janan; Kennedy, Robert S

    2010-03-01

    Dynamic visual acuity (DVA) thresholds are among the few visual functions predictive of automobile crashes. DVA is also sensitive to alcohol and aging. However, measuring DVA is awkward because there is no standardized, efficient, flexible apparatus for DVA assessment. In this project, we developed a prototype of an automated, portable DVA system using a low-energy laser, and we compared this laser DVA with the traditional device in two within-subjects, repeated measures designs. The two studies included 48 participants (22 males and 26 females with an average age of 18.33 years). The most important findings were that: (1) retest reliabilities of the two DVA devices were comparable and higher with the laser; (2) average correlations between the two devices were r=0.62 (p<0.01) and r=0.65 (p<0.01) for the two designs respectively; and (3) after correction for reliability attenuation these improved to r=0.92 and r=0.78. These findings indicate that a flexible DVA laser device can be developed to measure the same construct as the more traditional bulky DVA device.

  1. Effect of pupil size on dynamic visual acuity.

    PubMed

    Ueda, Tetsuo; Nawa, Yoshiaki; Okamoto, Masahiro; Hara, Yoshiaki

    2007-02-01

    This study was conducted to assess the effect of pupil size on dynamic visual acuity (DVA). 60 young healthy men (M = 28.1 yr., SD = 3.9) with normal vision were divided into three age-matched groups by pupil size: dilated (n=20), unchanged (n=20), and constricted (n=20). DVA was measured binocularly with freehead viewing before and at 30 min. after each drop was instilled. Each of the three groups got a different amount. The sizes of the constricted, unchanged, and dilated pupils were 2.8 mm (SD = 0.5), 4.1 mm (SD = 0.3), and 7.8 mm (SD = 0.5), respectively. The pupil size x DVA interaction was significant (F(2,114)= 6.07). DVA in the constricted pupil decreased, but that in the dilated pupil increased (paired t test). DVA in the unchanged pupil did not change significantly (paired t test). Pupil size is possibly one of the factors which may affect DVA measurement.

  2. Malingering or simulation in ophthalmology-visual acuity

    PubMed Central

    Incesu, Ali Ihsan; Sobacı, Güngör

    2011-01-01

    Simulation can be defined as malingering, or sometimes functional visual loss (FVL). It manifests as either simulating an ophthalmic disease (positive simulation), or denial of ophthalmic disease (negative simulation). Conscious behavior and compensation or indemnity claims are prominent features of simulation. Since some authors suggest that this is a manifestation of underlying psychopathology, even conversion is included in this context. In today's world, every ophthalmologist can face with simulation of ophthalmic disease or disorder. In case of simulation suspect, the physician's responsibility is to prove the simulation considering the disease/disorder first, and simulation as an exclusion. In simulation examinations, the physician should be firm and smart to select appropriate test(s) to convince not only the subject, but also the judge in case of indemnity or compensation trials. Almost all ophthalmic sensory and motor functions including visual acuity, visual field, color vision and night vision can be the subject of simulation. Examiner must be skillful in selecting the most appropriate test. Apart from those in the literature, we included all kinds of simulation in ophthalmology. In addition, simulation examination techniques, such as, use of OCT (optical coherence tomography), frequency doubling perimetry (FDP), and modified polarization tests were also included. In this review, we made a thorough literature search, and added our experiences to give the readers up-to-date information on malingering or simulation in ophthalmology. PMID:22553721

  3. From innervation density to tactile acuity: 1. Spatial representation.

    PubMed

    Brown, Paul B; Koerber, H Richard; Millecchia, Ronald

    2004-06-11

    We tested the hypothesis that the population receptive field representation (a superposition of the excitatory receptive field areas of cells responding to a tactile stimulus) provides spatial information sufficient to mediate one measure of static tactile acuity. In psychophysical tests, two-point discrimination thresholds on the hindlimbs of adult cats varied as a function of stimulus location and orientation, as they do in humans. A statistical model of the excitatory low threshold mechanoreceptive fields of spinocervical, postsynaptic dorsal column and spinothalamic tract neurons was used to simulate the population receptive field representations in this neural population of the one- and two-point stimuli used in the psychophysical experiments. The simulated and observed thresholds were highly correlated. Simulated and observed thresholds' relations to physiological and anatomical variables such as stimulus location and orientation, receptive field size and shape, map scale, and innervation density were strikingly similar. Simulated and observed threshold variations with receptive field size and map scale obeyed simple relationships predicted by the signal detection model, and were statistically indistinguishable from each other. The population receptive field representation therefore contains information sufficient for this discrimination. PMID:15140641

  4. Insects groom their antennae to enhance olfactory acuity

    PubMed Central

    Böröczky, Katalin; Wada-Katsumata, Ayako; Batchelor, Dale; Zhukovskaya, Marianna; Schal, Coby

    2013-01-01

    Grooming, a common behavior in animals, serves the important function of removing foreign materials from body surfaces. When antennal grooming was prevented in the American cockroach, Periplaneta americana, field emission gun scanning electron microscopy images revealed that an unstructured substance accumulated on nongroomed antennae, covering sensillar pores, but not on groomed antennae of the same individuals. Gas chromatography analysis of antennal extracts showed that over a 24-h period nongroomed antennae accumulated three to four times more cuticular hydrocarbons than groomed antennae. Moreover, nongroomed antennae accumulated significantly more environmental contaminants from surfaces (stearic acid) and from air (geranyl acetate) than groomed antennae. We hypothesized that the accumulation of excess native cuticular hydrocarbons on the antennae would impair olfactory reception. Electroantennogram experiments and single-sensillum recordings supported this hypothesis: antennae that were prevented from being groomed were significantly less responsive than groomed antennae to the sex pheromone component periplanone-B, as well as to the general odorants geranyl acetate and hexanol. We therefore conclude that antennal grooming removes excess native cuticular lipids and foreign chemicals that physically and/or chemically interfere with olfaction, and thus maintains the olfactory acuity of the antennae. Similar experimental manipulations of the German cockroach (Blattella germanica), carpenter ant (Camponotus pennsylvanicus), and the housefly (Musca domestica), which use different modes of antennal grooming, support the hypothesis that antennal grooming serves a similar function in a wide range of insect taxa. PMID:23382193

  5. Effect of vestibular rehabilitation on passive dynamic visual acuity

    PubMed Central

    Scherer, Matthew; Migliaccio, Americo A.; Schubert, Michael C.

    2010-01-01

    While active dynamic visual acuity (DVA) has been shown to improve with gaze stabilization exercises, we sought to determine whether DVA during passive head impulses (pDVA) would also improve following a rehabilitation course of vestibular physical therapy (VPT) in patients with unilateral and bilateral vestibular hypofunction. VPT consisted of gaze and gait stabilization exercises done as a home exercise program. Scleral search coil was used to characterize the angular vestibulo-ocular reflex (aVOR) during pDVA before and after VPT. Mean duration of VPT was 66 ± 24 days, over a total of 5 ± 1.4 outpatient visits. Two of three subjects showed improvements in pDVA with a mean reduction of 43% (LogMAR 0.58 to 0.398 and 0.92 to 0.40). Our data suggest improvements in pDVA may be due in part to improvements in aVOR velocity and acceleration gains or reduced latency of the aVOR. Each subject demonstrated a reduction in the ratio of compensatory saccades to head impulses after VPT. Preliminary data suggest that active gaze stability exercises may contribute to improvements in pDVA in some individuals. PMID:19126985

  6. Cognitive aging and hearing acuity: modeling spoken language comprehension

    PubMed Central

    Wingfield, Arthur; Amichetti, Nicole M.; Lash, Amanda

    2015-01-01

    The comprehension of spoken language has been characterized by a number of “local” theories that have focused on specific aspects of the task: models of word recognition, models of selective attention, accounts of thematic role assignment at the sentence level, and so forth. The ease of language understanding (ELU) model (Rönnberg et al., 2013) stands as one of the few attempts to offer a fully encompassing framework for language understanding. In this paper we discuss interactions between perceptual, linguistic, and cognitive factors in spoken language understanding. Central to our presentation is an examination of aspects of the ELU model that apply especially to spoken language comprehension in adult aging, where speed of processing, working memory capacity, and hearing acuity are often compromised. We discuss, in relation to the ELU model, conceptions of working memory and its capacity limitations, the use of linguistic context to aid in speech recognition and the importance of inhibitory control, and language comprehension at the sentence level. Throughout this paper we offer a constructive look at the ELU model; where it is strong and where there are gaps to be filled. PMID:26124724

  7. ANS acuity and mathematics ability in preschoolers from low-income homes: contributions of inhibitory control.

    PubMed

    Fuhs, Mary Wagner; McNeil, Nicole M

    2013-01-01

    Recent findings by Libertus, Feigenson, and Halberda (2011) suggest that there is an association between the acuity of young children's approximate number system (ANS) and their mathematics ability before exposure to instruction in formal schooling. The present study examined the generalizability and validity of these findings in a sample of preschoolers from low-income homes. Children attending Head Start (N = 103) completed measures to assess ANS acuity, mathematics ability, receptive vocabulary, and inhibitory control. Results showed only a weak association between ANS acuity and mathematics ability that was reduced to non-significance when controlling for a direct measure of receptive vocabulary. Results also revealed that inhibitory control plays an important role in the relation between ANS acuity and mathematics ability. Specifically, ANS acuity accounted for significant variance in mathematics ability over and above receptive vocabulary, but only for ANS acuity trials in which surface area conflicted with numerosity. Moreover, this association became non-significant when controlling for inhibitory control. These results suggest that early mathematical experiences prior to formal schooling may influence the strength of the association between ANS acuity and mathematics ability and that inhibitory control may drive that association in young children.

  8. Refraction corrected calibration for aquatic locomotion research: application of Snell's law improves spatial accuracy.

    PubMed

    Henrion, Sebastian; Spoor, Cees W; Pieters, Remco P M; Müller, Ulrike K; van Leeuwen, Johan L

    2015-07-07

    Images of underwater objects are distorted by refraction at the water-glass-air interfaces and these distortions can lead to substantial errors when reconstructing the objects' position and shape. So far, aquatic locomotion studies have minimized refraction in their experimental setups and used the direct linear transform algorithm (DLT) to reconstruct position information, which does not model refraction explicitly. Here we present a refraction corrected ray-tracing algorithm (RCRT) that reconstructs position information using Snell's law. We validated this reconstruction by calculating 3D reconstruction error-the difference between actual and reconstructed position of a marker. We found that reconstruction error is small (typically less than 1%). Compared with the DLT algorithm, the RCRT has overall lower reconstruction errors, especially outside the calibration volume, and errors are essentially insensitive to camera position and orientation and the number and position of the calibration points. To demonstrate the effectiveness of the RCRT, we tracked an anatomical marker on a seahorse recorded with four cameras to reconstruct the swimming trajectory for six different camera configurations. The RCRT algorithm is accurate and robust and it allows cameras to be oriented at large angles of incidence and facilitates the development of accurate tracking algorithms to quantify aquatic manoeuvers.

  9. Refraction corrected calibration for aquatic locomotion research: application of Snell's law improves spatial accuracy.

    PubMed

    Henrion, Sebastian; Spoor, Cees W; Pieters, Remco P M; Müller, Ulrike K; van Leeuwen, Johan L

    2015-08-01

    Images of underwater objects are distorted by refraction at the water-glass-air interfaces and these distortions can lead to substantial errors when reconstructing the objects' position and shape. So far, aquatic locomotion studies have minimized refraction in their experimental setups and used the direct linear transform algorithm (DLT) to reconstruct position information, which does not model refraction explicitly. Here we present a refraction corrected ray-tracing algorithm (RCRT) that reconstructs position information using Snell's law. We validated this reconstruction by calculating 3D reconstruction error-the difference between actual and reconstructed position of a marker. We found that reconstruction error is small (typically less than 1%). Compared with the DLT algorithm, the RCRT has overall lower reconstruction errors, especially outside the calibration volume, and errors are essentially insensitive to camera position and orientation and the number and position of the calibration points. To demonstrate the effectiveness of the RCRT, we tracked an anatomical marker on a seahorse recorded with four cameras to reconstruct the swimming trajectory for six different camera configurations. The RCRT algorithm is accurate and robust and it allows cameras to be oriented at large angles of incidence and facilitates the development of accurate tracking algorithms to quantify aquatic manoeuvers. PMID:26151159

  10. Corneal stromal wound healing in refractive surgery: the role of myofibroblasts.

    PubMed

    Jester, J V; Petroll, W M; Cavanagh, H D

    1999-05-01

    While laser and incisional refractive surgery offer the promise to correct visual refractive errors permanently and predictably, variability and complications continue to hinder wide-spread acceptance. To explain variations, recent studies have focused on the role of corneal wound healing in modulating refractive outcomes. As our understanding of the corneal response to refractive surgery broadens, it has become apparent that the response of one cell, the corneal stromal keratocyte, plays a pivotal role in defining the results of refractive surgery. Studies reviewed herein demonstrate that injury-induced activation and transformation of keratocytes to myofibroblasts control the deposition and organization of extracellular matrix in corneal wounds. Myofibroblasts establish an interconnected meshwork of cells and extracellular matrix that deposits new matrix and contracts wounds using a novel and unexpected "shoe-string-like" mechanism. Transformation of keratocytes to myofibroblasts is induced in culture by transforming growth factor beta (TGFbeta) and blocked in vivo by antibodies to TGFbeta. Overall, myofibroblast appearance in corneal wounds is associated with wound contraction and regression following incisional keratotomy and the development of "haze" or increased scattered light following laser photorefractive keratectomy (PRK). By contrast, absence of myofibroblasts is associated with continued widening of wound gape and progressive corneal flattening after incisional procedures. Based on these studies, we have arrived at the inescapable conclusion that a better understanding of the cellular and molecular biology of this one cell is required if refractive surgery is ever to achieve predictable and safe refractive results. PMID:10192516

  11. Sporadic Visual Acuity Loss in the Comparison of Age-Related Macular Degeneration Treatments Trials (CATT)

    PubMed Central

    Kim, Benjamin J.; Ying, Gui-Shuang; Huang, Jiayan; Levy, Nicole E.; Maguire, Maureen G.

    2014-01-01

    Purpose To evaluate transient, large visual acuity (VA) decreases, termed sporadic vision loss, during anti-vascular endothelial growth factor treatment for neovascular age-related macular degeneration (AMD). Design Cohort within a randomized clinical trial. Methods Setting Comparison of AMD Treatments Trials (CATT). Study Population 1185 CATT patients. Main Outcome Measures incidence of sporadic vision loss and odds ratio (OR) for association with patient and ocular factors. Sporadic vision loss was a decline of ≥ 15 letters from the previous visit, followed by a return at the next visit to no more than 5 letters worse than the visit before the VA loss. Results There were 143 sporadic vision loss events in 122/1185 (10.3%) patients. Mean VA at two years for those with and without sporadic vision loss was 58.5 (~20/63) and 68.4 (~20/40) letters, respectively (P < 0.001). Among patients treated pro re nata, no injection was given for 27.6% (27/98) of sporadic vision loss events. Multivariate analysis demonstrated that baseline predictors for sporadic vision loss included worse baseline VA (OR 2.92, 95%CI:1.65–5.17 for ≤ 20/200 compared with ≥ 20/40), scar (OR 2.21, 95%CI:1.22–4.01), intraretinal foveal fluid on optical coherence tomography (OR 1.80, 95%CI:1.11–2.91), and medical history of anxiety (OR 1.90, 95%CI:1.12–3.24) and syncope (OR 2.75, 95%CI:1.45–5.22). Refraction decreased the likelihood of sporadic vision loss (OR 0.62, 95%CI:0.42–0.91). Conclusions Approximately 10% of CATT patients had sporadic vision loss. Baseline predictors included AMD-related factors and factors independent of AMD. These data are relevant for clinicians in practice and those involved in clinical trials. PMID:24727261

  12. Exact relativistic expressions for wave refraction in a generally moving fluid.

    PubMed

    Cavalleri, G; Tonni, E; Barbero, F

    2013-04-01

    The law for the refraction of a wave when the two fluids and the interface are moving with relativistic velocities is given in an exact form, at the same time correcting a first order error in a previous paper [Cavalleri and Tonni, Phys. Rev. E 57, 3478 (1998)]. The treatment is then extended to a generally moving fluid with variable refractive index, ready to be applied to the refraction of acoustic, electromagnetic, or magnetohydrodynamic waves in the atmosphere of rapidly rotating stars. In the particular case of a gas cloud receding because of the universe expansion, our result can be applied to predict observable micro- and mesolensings. The first order approximation of our exact result for the deviation due to refraction of the light coming from a further quasar has a relativistic dependence equal to the one obtained by Einsteins' linearized theory of gravitation. PMID:23679540

  13. Exact relativistic expressions for wave refraction in a generally moving fluid.

    PubMed

    Cavalleri, G; Tonni, E; Barbero, F

    2013-04-01

    The law for the refraction of a wave when the two fluids and the interface are moving with relativistic velocities is given in an exact form, at the same time correcting a first order error in a previous paper [Cavalleri and Tonni, Phys. Rev. E 57, 3478 (1998)]. The treatment is then extended to a generally moving fluid with variable refractive index, ready to be applied to the refraction of acoustic, electromagnetic, or magnetohydrodynamic waves in the atmosphere of rapidly rotating stars. In the particular case of a gas cloud receding because of the universe expansion, our result can be applied to predict observable micro- and mesolensings. The first order approximation of our exact result for the deviation due to refraction of the light coming from a further quasar has a relativistic dependence equal to the one obtained by Einsteins' linearized theory of gravitation.

  14. Dynamic visual acuity during passive head thrusts in canal planes.

    PubMed

    Schubert, Michael C; Migliaccio, Americo A; Della Santina, Charles C

    2006-12-01

    We sought to determine whether the dynamic visual acuity (DVA) test, which has been used to measure the function of the two horizontal semicircular canals (SCCs), could be adapted to measure the individual function of all six SCCs using transient, rapid, unpredictable head rotation stimuli (head thrusts) in the direction of maximum sensitivity of each SCC. We examined head-thrust DVA (htDVA) performance in 19 healthy control subjects, five patients before and six patients after plugging of one superior SCC for treatment of superior canal dehiscence, and two subjects with unilateral vestibular deafferentation (UVD) by vestibular neurectomy. We compared htDVA results for each SCC to vestibulo-ocular reflex gains measured using 3-D scleral coil recordings during a passive head-thrust-test paradigm. Individuals with normal vestibular function had similar htDVA scores for each of the six directions (canals) tested (mean 0.058 +/- 0.050 LogMAR). Individuals tested after surgical plugging of one superior SCC were similar to normal for all SCCs except the plugged SCC, which had significantly worse htDVA scores (mean 0.270 +/- 0.08 LogMAR). Individuals with UVD had significantly worse htDVA scores for head rotations maximally exciting any of the ipsilesional SCC (mean 0.317 +/- 0.129 LogMAR) and scores similar to normal subjects for contralesional rotations (0.063 +/- 0.051 LogMAR). These findings suggest that the htDVA test, which does not require scleral coil placement, magnetic field coils, or expensive oculography equipment, can provide a useful quantitative measure of individual SCC function.

  15. Visual acuity in the archerfish: behavior, anatomy, and neurophysiology.

    PubMed

    Ben-Simon, Avi; Ben-Shahar, Ohad; Vasserman, Genadiy; Ben-Tov, Mor; Segev, Ronen

    2012-11-28

    Archerfish are known for their remarkable behavior of shooting water jets at prey hanging on vegetation above water. Motivated by the fish's capacity to knock down small prey as high as two meters above water level, we studied the role of the retina in facilitating their excellent visual acuity. First, we show behaviorally that archerfish (Toxotes jaculatrix) can detect visual structures with a minimum angle of resolution in the range of 0.075°-0.15°. Then, combining eye movement measurements with a ray tracing method, we show that the image of a target on the retina coincides with the area centralis at the ventro-temporal retina. Moving down to retinal neural circuits, we then examine the ratio by which retinal ganglion cells multiplex visual information from the photoreceptors. Measuring the anatomical densities of both cell types in the area centralis, we found photoreceptor spacing to be 5.8 μm, which supports a minimum angle of resolution as low as 0.073°. Similarly, the average spacing of the ganglion cells was 5.7 μm. Based on electrophysiological measurements we found the smallest receptive fields of ganglion cells in that area to be in the range of 8-16 μm, which translates to an angular width of 0.1°-0.2°. These findings indicate that retinal ganglion cells in the area centralis stream information to the brain at a comparable resolution with which it is sampled by the photoreceptors. Thus, the archerfish can be used as an animal model for studying how visual details are streamed to the brain by retinal output.

  16. The Effects of Age, Refractive Status, and Luminance on Pupil Size

    PubMed Central

    Guillon, Michel; Dumbleton, Kathryn; Theodoratos, Panagiotis; Gobbe, Marine; Wooley, C. Benjamin; Moody, Kurt

    2016-01-01

    ABSTRACT Purpose Pupil size is critical for optimal performance of presbyopic contact lenses. Although the effect of luminance is well known, little information is available regarding other contributing factors such as aging and refractive status. Methods The cohort population comprised 304 patients (127 male, 177 female) aged 18 to 78 years. Pupils were photographed at three controlled luminance levels 250, 50, and 2.5 cd/m2 using an infra-red macro video camera. Measurements of pupil diameter were conducted after transforming pixel values to linear values in millimeters. Results Luminance was the most influential factor with pupil diameter increasing with decreased luminance (p < 0.001, all comparisons). Age was also found to be a significant factor with a smaller diameter in the older groups, but overall the difference was only significant between the pre-presbyopes and the established presbyopes (p = 0.017). Pupil diameter decreased significantly with increasing age, the effect being most marked at low luminance (<0.001). The smallest pupil diameters were measured for hyperopes and the largest for myopes and although refractive error was not a significant factor alone, there was a significant interaction between luminance and refractive error with the greatest differences in pupil diameter between myopes and emmetropes at low luminance (p < 0.001). Pupil diameter changes modeled by multilinear regression (p < 0.001) identified age, luminance, best sphere refraction, and refractive error as significant factors accounting for just over 70% of the average variation in pupil diameter. Conclusions Both age and refractive status were found to affect pupil size with larger pupils measured for younger patients and myopes. Designs for multifocal contact lens corrections should take both age and refractive status into consideration; a faster progression from distance to near corrections across the optical zone of the lens is expected to be required for established

  17. Nonlinear refraction in aqueous colloidal gold

    NASA Astrophysics Data System (ADS)

    Mehendale, S. C.; Mishra, S. R.; Bindra, K. S.; Laghate, M.; Dhami, T. S.; Rustagi, K. C.

    1997-02-01

    Nonlinear refraction in aqueous colloidal gold at 527 nm was studied using the z-scan technique. While a z-scan with a 35 ns laser showed a large negative lensing, a z-scan with a 4 ps laser showed no measurable refraction. The observed nonlinear refraction is shown to be of thermal origin resulting from energy transfer from gold particles to the water molecules.

  18. Comparison of horizontal and vertical dynamic visual acuity in patients with vestibular dysfunction and nonvestibular dizziness.

    PubMed

    Roberts, Richard A; Gans, Richard E

    2007-03-01

    Blurred vision with head movement is a common symptom reported by patients with vestibular dysfunction affecting the vestibulo-ocular reflex (VOR). Impaired VOR can be measured by comparing visual acuity in which there is no head movement to visual acuity obtained with head movement. A previous study demonstrated that dynamic visual acuity (DVA) testing using vertical head movement revealed deficits in impaired VOR. There is evidence that horizontal head movement is more sensitive to impaired VOR. The objective of this investigation was to compare horizontal and vertical DVA in participants with normal vestibular function (NVF), impaired vestibular function (IVF), and participants with nonvestibular dizziness (NVD). Participants performed the visual acuity task in a baseline condition with no movement and also in two dynamic conditions, horizontal head movement and vertical head movement. Horizontal DVA was twice as sensitive to impaired VOR than vertical DVA. Results suggest that horizontal volitional head movement should be incorporated into tasks measuring functional deficits of impaired VOR.

  19. Accommodative Lag and Juvenile-Onset Myopia Progression in Children Wearing Refractive Correction

    PubMed Central

    Berntsen, David A.; Sinnott, Loraine T.; Mutti, Donald O.; Zadnik, Karla

    2011-01-01

    The relationship between accommodative lag and annual myopia progression was investigated using linear models in 592 myopic children wearing a full refractive correction in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error (CLEERE) Study. The mean (± SD) age and spherical equivalent refractive error at baseline were 10.4 ± 1.8 years and −2.13 ± 1.24 D, respectively. The mean annual progression of myopia was −0.45 ± 0.32 D, and the mean accommodative lag (for a 4-D Badal stimulus) was 1.59 ± 0.63 D. Neither lag at the beginning nor at the end of a yearly progression interval was associated with annual myopia progression (all p ≥ 0.12). These data suggest that foveal hyperopic retinal blur during near viewing may not drive juvenile-onset myopia progression. PMID:21342658

  20. Estimating index of refraction for material identification in comparison to existing temperature emissivity separation algorithms

    NASA Astrophysics Data System (ADS)

    Martin, Jacob A.; Gross, Kevin C.

    2016-05-01

    As off-nadir viewing platforms become increasingly prevalent in remote sensing, material identification techniques must be robust to changing viewing geometries. Current identification strategies generally rely on estimating reflectivity or emissivity, both of which vary with viewing angle. Presented here is a technique, leveraging polarimetric and hyperspectral imaging (P-HSI), to estimate index of refraction which is invariant to viewing geometry. Results from a quartz window show that index of refraction can be retrieved to within 0.08 rms error from 875-1250 cm-1 for an amorphous material. Results from a silicon carbide (SiC) wafer, which has much sharper features than quartz glass, show the index of refraction can be retrieved to within 0.07 rms error. The results from each of these datasets show an improvement when compared with a maximum smoothness TES algorithm.

  1. Centration axis in refractive surgery.

    PubMed

    Arba Mosquera, Samuel; Verma, Shwetabh; McAlinden, Colm

    2015-01-01

    The human eye is an asymmetric optical system and the real cornea is not a rotationally symmetrical volume. Each optical element in the eye has its own optical and neural axes. Defining the optimum center for laser ablation is difficult with many available approaches. We explain the various centration approaches (based on these reference axes) in refractive surgery and review their clinical outcomes. The line-of-sight (LOS) (the line joining the entrance pupil center with the fixation point) is often the recommended reference axis for representing wavefront aberrations of the whole eye (derived from the definition of chief ray in geometrical optics); however pupil centration can be unstable and change with the pupil size. The corneal vertex (CV) represents a stable preferable morphologic reference which is the best approximate for alignment to the visual axis. However, the corneal light reflex can be considered as non-constant, but dependent on the direction of gaze of the eye with respect to the light source. A compromise between the pupil and CV centered ablations is seen in the form of an asymmetric offset where the manifest refraction is referenced to the CV while the higher order aberrations are referenced to the pupil center. There is a need for a flexible choice of centration in excimer laser systems to design customized and non-customized treatments optimally. PMID:26605360

  2. Refractive index of plant cell walls

    NASA Technical Reports Server (NTRS)

    Gausman, H. W.; Allen, W. A.; Escobar, D. E.

    1974-01-01

    Air was replaced with media of higher refractive indices by vacuum infiltration in leaves of cucumber, blackeye pea, tomato, and string bean plants, and reflectance of noninfiltrated and infiltrated leaves was spectrophotometrically measured. Infiltrated leaves reflected less light than noninfiltrated leaves over the 500-2500-nm wavelength interval because cell wall-air interfaces were partly eliminated. Minimal reflectance should occur when the average refractive index of plant cell walls was matched by the infiltrating fluid. Although refractive indices that resulted in minimal reflectance differed among the four plant genera, an average value of 1.425 approximates the refractive index of plant cell walls for the four plant genera.

  3. Refractive index of rigid contact lens materials.

    PubMed

    Tranoudis, I; Efron, N

    1998-01-01

    A simple hand-held refractometer was used to measure the refractive index of 27 rigid gas permeable contact lens materials. As a general rule, lenses with refractive indices lower than 1.458 are made from fluorosilicone acrylates; lenses with refractive indices in the range of 1.458 to 1.469 are made from either fluorosilicone acrylates or silicone acrylates; and lenses with refractive indices greater than 1.469 are made from silicone acrylates. It is demonstrated how refractometry can be used by contact lens practitioners for the identification and verification of rigid contact lenses.

  4. Statistical Analysis of Refractivity in UAE

    NASA Astrophysics Data System (ADS)

    Al-Ansari, Kifah; Al-Mal, Abdulhadi Abu; Kamel, Rami

    2007-07-01

    This paper presents the results of the refractivity statistics in the UAE (United Arab Emirates) for a period of 14 years (1990-2003). Six sites have been considered using meteorological surface data (Abu Dhabi, Dubai, Sharjah, Al-Ain, Ras Al-Kaimah, and Al-Fujairah). Upper air (radiosonde) data were available at one site only, Abu Dhabi airport, which has been considered for the refractivity gradient statistics. Monthly and yearly averages are obtained for the two parameters, refractivity and refractivity gradient. Cumulative distributions are also provided.

  5. Grating Visual Acuity Results in the Early Treatment for Retinopathy of Prematurity Study

    PubMed Central

    2015-01-01

    Objective To compare grating (resolution) visual acuity at 6 years of age in eyes that received early treatment (ET) for high-risk prethreshold retinopathy of prematurity (ROP) versus eyes that were managed conventionally (CM). Methods In a randomized clinical trial, infants with bilateral, high-risk prethreshold ROP (N=317) had one eye treated early at high-risk prethreshold disease and the other eye managed conventionally, and treated if ROP progressed to threshold severity. For asymmetric cases (N=84), the high-risk prethreshold eye was randomized to either ET or CM. Main Outcome Measures Grating visual acuity measured at 6 years of age by masked testers using Teller acuity cards. Results Monocular grating acuity results were obtained from 317 (86%) of 370 surviving children. Analysis of grating acuity results for all subjects with high-risk prethreshold ROP showed no statistically significant overall benefit for early treatment (18.1% vs 22.8% unfavorable outcome, P=0.08). When the 6-year grating acuity results were analyzed according to a clinical algorithm (high-risk Type 1 and high-risk Type 2 prethreshold ROP), a benefit was seen in Type 1 eyes (16.4% vs 25.2%, P=0.004) that were treated early, but not in Type 2 eyes (21.3% vs 15.9%, P=0.29). Conclusion Early treatment for eyes with Type 1 ROP improved grating acuity outcomes but early treatment for eyes with Type 2 ROP did not. Application to Clinical Medicine Type I eyes should be treated early; however, based on acuity results at age 6 years, Type 2 eyes should be cautiously monitored for progression to Type 1 ROP. Trial Registration NCT00027222 PMID:21746974

  6. EN FACE SPECTRAL-DOMAIN OPTICAL COHERENCE TOMOGRAPHY OUTER RETINAL ANALYSIS AND RELATION TO VISUAL ACUITY

    PubMed Central

    Kiernan, Daniel F.; Zelkha, Ruth; Hariprasad, Seenu M.; Lim, Jennifer I.; Blair, Michael P.; Mieler, William F.

    2013-01-01

    Purpose To describe a method of en face visualization and quantification of the photoreceptor inner segment/outer segment junction area, using spectral-domain optical coherence tomography, and association with visual acuity. Methods Case series of 74 eyes in 53 patients. Central 1-mm and 400-mm en face areas were analyzed with a computer algorithm. Results The presence or absence of inner segment/outer segment junction was visible on both spectral-domain optical coherence tomography en face and retinal cross sections. Thirty eyes (40.6%) had no retinal pathology and an average logMAR visual acuity of 0.116. Twenty-five eyes (33.8%) had intraretinal edema, with visual acuity of 0.494. Nineteen eyes had nonneovascular age-related macular degeneration (dry age-related macular degeneration, 25.6%), with visual acuity of 0.392. In all eyes, central 1-mm and 400-µm en face areas were 58.3 ± 25.0% and 56.4 ± 26.0%, which showed significant correlation with visual acuity (Pearson correlation, r = −0.66 and −0.56, both P < 0.001). This correlation was greater than correlation of visual acuity with central subfield thickness (r = 0.39, P < 0.001), macular volume (r = 0.36, P = 0.002), and average macular thickness (r = 0.37, P = 0.001). However, no variables were significantly correlated with dry age-related macular degeneration eyes. Conclusion Central en face inner segment/outer segment junction areas are significantly correlated with visual acuity in most eyes. This may correlate better with visual acuity than other spectral-domain optical coherence tomography values, as a reflection of photoreceptor integrity. Dry age-related macular degeneration may disrupt the plane used to formulate the en face display. Advancements in spectral-domain optical coherence tomography may provide routine en face visualization analysis. PMID:22466459

  7. Visual Acuity Testing: Feedback Affects Neither Outcome nor Reproducibility, but Leaves Participants Happier

    PubMed Central

    Bach, Michael; Schäfer, Kerstin

    2016-01-01

    Assessment of visual acuity is a well standardized procedure at least for expert opinions and clinical trials. It is often recommended not giving patients feedback on the correctness of their responses. As this viewpoint has not been quantitatively examined so far, we quantitatively assessed possible effects of feedback on visual acuity testing. In 40 normal participants we presented Landolt Cs in 8 orientations using the automated Freiburg Acuity Test (FrACT, acuity threshold was measured with an adaptive staircase procedure. In an ABCDDCBA scheme, trial-by-trial feedback was provided in 2 x 4 conditions: (A) no feedback, (B) acoustic signals indicating correctness, (C)visual indication of correct orientation, and (D) a combination of (B) and (C). After each run the participants judged comfort. Main outcome measures were absolute visual acuity (logMAR), its test-retest agreement (limits of agreement) and participants’ comfort estimates on a 5-step symmetric Likert scale. Feedback influenced acuity outcome significantly (p = 0.02), but with a tiny effect size: 0.02 logMAR poorer acuity for (D) compared to (A), even weaker effects for (B) and (C). Test-retest agreement was high (limits of agreement: ± 1.0 lines) and did not depend on feedback (p>0.5). The comfort ranking clearly differed, by 2 steps on the Likert scale: the condition (A)–no feedback–was on average “slightly uncomfortable”, the other three conditions were “slightly comfortable” (p<0.0001). Feedback affected neither reproducibility nor the acuity outcome to any relevant extent. The participants, however, reported markedly greater comfort with any kind of feedback. We conclude that systematic feedback (as implemented in FrACT) offers nothing but advantages for routine use. PMID:26824693

  8. Visual Acuity Testing: Feedback Affects Neither Outcome nor Reproducibility, but Leaves Participants Happier.

    PubMed

    Bach, Michael; Schäfer, Kerstin

    2016-01-01

    Assessment of visual acuity is a well standardized procedure at least for expert opinions and clinical trials. It is often recommended not giving patients feedback on the correctness of their responses. As this viewpoint has not been quantitatively examined so far, we quantitatively assessed possible effects of feedback on visual acuity testing. In 40 normal participants we presented Landolt Cs in 8 orientations using the automated Freiburg Acuity Test (FrACT, acuity threshold was measured with an adaptive staircase procedure. In an ABCDDCBA scheme, trial-by-trial feedback was provided in 2 x 4 conditions: (A) no feedback, (B) acoustic signals indicating correctness, (C)visual indication of correct orientation, and (D) a combination of (B) and (C). After each run the participants judged comfort. Main outcome measures were absolute visual acuity (logMAR), its test-retest agreement (limits of agreement) and participants' comfort estimates on a 5-step symmetric Likert scale. Feedback influenced acuity outcome significantly (p = 0.02), but with a tiny effect size: 0.02 logMAR poorer acuity for (D) compared to (A), even weaker effects for (B) and (C). Test-retest agreement was high (limits of agreement: ± 1.0 lines) and did not depend on feedback (p>0.5). The comfort ranking clearly differed, by 2 steps on the Likert scale: the condition (A)-no feedback-was on average "slightly uncomfortable", the other three conditions were "slightly comfortable" (p<0.0001). Feedback affected neither reproducibility nor the acuity outcome to any relevant extent. The participants, however, reported markedly greater comfort with any kind of feedback. We conclude that systematic feedback (as implemented in FrACT) offers nothing but advantages for routine use.

  9. Effect of Visual Acuity on the Surgical Outcomes of Secondary Sensory Strabismus

    PubMed Central

    Erkan Turan, Kadriye; Taylan Şekeroğlu, Hande; Şener, Emin Cumhur; Sanaç, Ali Şefik

    2015-01-01

    Objectives: To investigate the outcomes of secondary sensory strabismus surgery and to discuss the effect of visual acuity on success. Materials and Methods: The medical records of patients with sensory strabismus who underwent recession-resection on the eye with vision loss were reviewed. Only patients with visual acuity of ≤0.2 in the operated eye were enrolled. Data including age at surgery, visual acuity, etiology of vision loss, preoperative and postoperative deviations, follow-up duration, and surgical outcomes were recorded. Success was defined as a final deviation of ≤10 prism diopters (PD). To evaluate the effect of visual acuity on postoperative success, patients were grouped as follows according to the visual acuity of the operated eye: group 1, visual acuity <0.05; group 2, 0.05-0.1; and group 3, 0.125-0.2. Results: Ten females and 14 males met the inclusion criteria. The mean age at surgery was 21 years (range, 6 to 56 years). The mean preoperative deviation angle was 52.7 PD (range, 20 to 80 PD). Age at surgery, preoperative deviation and follow-up time were similar in patients with esotropia (n=7) and exotropia (n=17) (p>0.05 for all). The success rate was 62.5% at short-term and 42.1% at long-term follow-up. There was no statistically significant difference in short-term success rate among visual acuity subgroups (p=0.331), whereas the difference was statistically significant at long-term follow-up (p=0.002). The long-term success rate was higher in group 3 compared to groups 1 and 2. Conclusion: Better visual acuity seems to be a potential predictor for higher long-term success after strabismus surgery in patients with sensory strabismus. PMID:27800244

  10. Plasticity of Binocularity and Visual Acuity Are Differentially Limited by Nogo Receptor

    PubMed Central

    Stephany, Céleste-Élise; Chan, Leanne L.H.; Parivash, Sherveen N.; Dorton, Hilary M.; Piechowicz, Mariel

    2014-01-01

    The closure of developmental critical periods consolidates neural circuitry but also limits recovery from early abnormal sensory experience. Degrading vision by one eye throughout a critical period both perturbs ocular dominance (OD) in primary visual cortex and impairs visual acuity permanently. Yet understanding how binocularity and visual acuity interrelate has proven elusive. Here we demonstrate the plasticity of binocularity and acuity are separable and differentially regulated by the neuronal nogo receptor 1 (NgR1). Mice lacking NgR1 display developmental OD plasticity as adults and their visual acuity spontaneously improves after prolonged monocular deprivation. Restricting deletion of NgR1 to either cortical interneurons or a subclass of parvalbumin (PV)-positive interneurons alters intralaminar synaptic connectivity in visual cortex and prevents closure of the critical period for OD plasticity. However, loss of NgR1 in PV neurons does not rescue deficits in acuity induced by chronic visual deprivation. Thus, NgR1 functions with PV interneurons to limit plasticity of binocularity, but its expression is required more extensively within brain circuitry to limit improvement of visual acuity following chronic deprivation. PMID:25164659

  11. Preliminary analysis of non-dominant proprioceptive acuity and interlimb asymmetry in the human wrist.

    PubMed

    Contu, Sara; Cappello, Leonardo; Konczak, Jurgen; Masia, Lorenzo

    2015-08-01

    Proprioception provides information about limb configuration which are essential for planning and controlling its posture and movement. Asymmetries in the way dominant and non-dominant limbs exploit proprioceptive information have been previously evaluated, with contradictory results due to the difference in the employed methodology. A measure of proprioceptive acuity that does not reflect the influence of one limb on the other consists in the evaluation of the psychophysical threshold. This metric, evaluated separately for each limb and involving only passive movements, reflects a reliable measure of proprioceptive acuity. The aim of this work is to first evaluate the proprioceptive acuity of the non-dominant wrist joint in flexion/extension and adduction/abduction and to compare these results to the acuity of the dominant wrist. Data were collected during a unidirectional 2-alternative-forcedchoice test performed by six right-handed subjects. We found acuity of 1.31°, 1.26°, 1.33° and 1.63° respectively for abduction, adduction, extension and flexion of the non-dominant wrist. Acuity of the dominant wrist was assessed for five of the subjects for abduction and flexion and resulted lower (mean values were respectively 1.64° and 2.14°). The preliminary results suggest a leading role of the non-dominant wrist in the processing of the proprioceptive feedback.

  12. Nurse-patient assignment models considering patient acuity metrics and nurses' perceived workload.

    PubMed

    Sir, Mustafa Y; Dundar, Bayram; Barker Steege, Linsey M; Pasupathy, Kalyan S

    2015-06-01

    Patient classification systems (PCSs) are commonly used in nursing units to assess how many nursing care hours are needed to care for patients. These systems then provide staffing and nurse-patient assignment recommendations for a given patient census based on these acuity scores. Our hypothesis is that such systems do not accurately capture workload and we conduct an experiment to test this hypothesis. Specifically, we conducted a survey study to capture nurses' perception of workload in an inpatient unit. Forty five nurses from oncology and surgery units completed the survey and rated the impact of patient acuity indicators on their perceived workload using a six-point Likert scale. These ratings were used to calculate a workload score for an individual nurse given a set of patient acuity indicators. The approach offers optimization models (prescriptive analytics), which use patient acuity indicators from a commercial PCS as well as a survey-based nurse workload score. The models assign patients to nurses in a balanced manner by distributing acuity scores from the PCS and survey-based perceived workload. Numerical results suggest that the proposed nurse-patient assignment models achieve a balanced assignment and lower overall survey-based perceived workload compared to the assignment based solely on acuity scores from the PCS. This results in an improvement of perceived workload that is upwards of five percent.

  13. Crowding and visual acuity measured in adults using paediatric test letters, pictures and symbols.

    PubMed

    Lalor, Sarah J H; Formankiewicz, Monika A; Waugh, Sarah J

    2016-04-01

    Crowding refers to the degradation of visual acuity for target optotypes with, versus without, surrounding features. Crowding is important clinically, however the effect of target-flanker spacing on acuity for symbols and pictures, compared to letters, has not been investigated. Five adults with corrected-to-normal vision had visual acuity measured for modified single target versions of Kay Pictures, Lea Symbols, HOTV and Cambridge Crowding Cards, tests. Single optotypes were presented in isolation and with surrounding features placed 0-5 stroke-widths away. Visual acuity measured with Kay Picture optotypes is 0.13-0.19logMAR better than for other test optotypes and varies significantly across picture. The magnitude of crowding is strongest when the surrounding features abut, or are placed 1 stroke-width away from the target optotype. The slope of the psychometric function is steeper in the region just beyond maximum crowding. Crowding is strongest and the psychometric function steepest, with the Cambridge Crowding Cards arrangement, than when any single optotype is surrounded by a box. Estimates of crowding extent are less variable across test when expressed in units of stroke-width, than optotype-width. Crowding for single target presentations of letters, symbols and pictures used in paediatric visual acuity tests can be maximised and made more sensitive to change in visual acuity, by careful selection of optotype, by surrounding the target with similar flankers, and by using a closer target-flanker separation than half an optotype-width.

  14. Effects of molting on the visual acuity of the blue crab, Callinectes sapidus.

    PubMed

    Baldwin, Jamie; Johnsen, Sönke

    2011-09-15

    In crustaceans with compound eyes, the corneal lens of each facet is part of the exoskeleton and thus shed during molting. Here we used an optomotor assay to evaluate the impact of molting on visual acuity (as measured by the minimum resolvable angle, α(min)) in the female blue crab, Callinectes sapidus. We found that visual acuity decreases substantially in the days prior to molting and is gradually recovered after molting. Four days prior to molting, α(min) was 1.8 deg (N=5), a value approximating the best possible acuity in this species. In the 24 h before ecdysis occurred, α(min) increased to 15.0 deg (N=12), corresponding to an eightfold drop in visual acuity. Within 6 days after molting, α(min) returned to the pre-molting value. Micrographs of C. sapidus eyes showed that a gap between the corneal lens and the crystalline cone first appeared approximately 5 days prior to shedding and increased in width as the process progressed. This separation was likely responsible for the loss of visual acuity observed in behavioral tests. In blue crabs, mating is limited to the period of the female's pubertal molt, and a reduction in acuity during this time may have an effect on the sensory cues used in female mate choice. The results described here may be broadly applicable to all arthropods that molt and have particular importance for crustaceans that molt multiple times in their lifetime or have mating cycles that are paired with molting.

  15. The refractive index of krypton for lambda in the closed interval 168-288 nm

    NASA Technical Reports Server (NTRS)

    Smith, P. L.; Parkinson, W. H.; Huber, M. C. E.

    1975-01-01

    The index of refraction of krypton has been measured at 27 wavelengths between and including 168 and 288 nm. The probable error of each measurement is plus or minus 0.1%. Our results are compared with other measurements. Our data are about 3.8% smaller than those of Abjean et al.

  16. Interferometric analysis of the ablation profile in refractive surgery

    NASA Astrophysics Data System (ADS)

    Rodríguez-Rodríguez, M. I.; López-Olazagasti, E.; Rosales, M. A.; Ramírez-Zavaleta, G.; Cantú, R.; Tepichín, E.

    2008-08-01

    In ophthalmology, the laser excimer corneal surface ablation used to correct the refractive eye defects, such as myopia, astigmatism and hyperopia and, more recently, presbyopia is known as refractive surgery. Typically, the characterization of the corresponding technique, as well as the laser accuracy, is performed by analyzing standard ablation profiles made on PMMA (polymethylmethacrylate) plates. A drawback of this technique is that those plates do not necessarily represent the dimensions of the cornea during the ablation. On the other hand, due to the time varying process of the eye aberrations, the direct eye refractometric measurements can produce some errors. We report in this work the interferometric analysis of the ablation profile obtained with refractive surgery, applied directly on a contact lens. In this case, the resultant ablation profile might be closer to the real profile as well as time invariant. We use, as a reference, a similar contact lens without ablation. The preliminary results of the characterization of the corresponding ablation profile are also presented.

  17. Refraction Correction in 3D Transcranial Ultrasound Imaging

    PubMed Central

    Lindsey, Brooks D.; Smith, Stephen W.

    2014-01-01

    We present the first correction of refraction in three-dimensional (3D) ultrasound imaging using an iterative approach that traces propagation paths through a two-layer planar tissue model, applying Snell’s law in 3D. This approach is applied to real-time 3D transcranial ultrasound imaging by precomputing delays offline for several skull thicknesses, allowing the user to switch between three sets of delays for phased array imaging at the push of a button. Simulations indicate that refraction correction may be expected to increase sensitivity, reduce beam steering errors, and partially restore lost spatial resolution, with the greatest improvements occurring at the largest steering angles. Distorted images of cylindrical lesions were created by imaging through an acrylic plate in a tissue-mimicking phantom. As a result of correcting for refraction, lesions were restored to 93.6% of their original diameter in the lateral direction and 98.1% of their original shape along the long axis of the cylinders. In imaging two healthy volunteers, the mean brightness increased by 8.3% and showed no spatial dependency. PMID:24275538

  18. The BHVI-EyeMapper: Peripheral Refraction and Aberration Profiles

    PubMed Central

    Fedtke, Cathleen; Ehrmann, Klaus; Falk, Darrin; Bakaraju, Ravi C.; Holden, Brien A.

    2014-01-01

    ABSTRACT Purpose The aim of this article was to present the optical design of a new instrument (BHVI-EyeMapper, EM), which is dedicated to rapid peripheral wavefront measurements across the visual field for distance and near, and to compare the peripheral refraction and higher-order aberration profiles obtained in myopic eyes with and without accommodation. Methods Central and peripheral refractive errors (M, J180, and J45) and higher-order aberrations (C[3, 1], C[3, 3], and C[4, 0]) were measured in 26 myopic participants (mean [±SD] age, 20.9 [±2.0] years; mean [±SD] spherical equivalent, −3.00 [±0.90] diopters [D]) corrected for distance. Measurements were performed along the horizontal visual field with (−2.00 to −5.00 D) and without (+1.00 D fogging) accommodation. Changes as a function of accommodation were compared using tilt and curvature coefficients of peripheral refraction and aberration profiles. Results As accommodation increased, the relative peripheral refraction profiles of M and J180 became significantly (p < 0.05) more negative and the profile of M became significantly (p < 0.05) more asymmetric. No significant differences were found for the J45 profiles (p > 0.05). The peripheral aberration profiles of C[3, 1], C[3, 3], and C[4, 0] became significantly (p < 0.05) less asymmetric as accommodation increased, but no differences were found in the curvature. Conclusions The current study showed that significant changes in peripheral refraction and higher-order aberration profiles occurred during accommodation in myopic eyes. With its extended measurement capabilities, that is, permitting rapid peripheral refraction and higher-order aberration measurements up to visual field angles of ±50 degrees for distance and near (up to −5.00 D), the EM is a new advanced instrument that may provide additional insights in the ongoing quest to understand and monitor myopia development. PMID:25105690

  19. Determining the refractive index of a {lambda}/4 thin film on a thick substrate from a transmittance measurement

    SciTech Connect

    Chow, R.; Loomis, G.E.; Biltoft, P.

    1993-06-01

    The refractive index is a key optical constant required by optical thin film designers. The coater-designer team must constantly verify the refractive indices of the non-absorbing optical thin films since the refractive index of a deposited material can vary by switching coating systems or operators as well as expected changes during the course of a coating run. A transmittance measurement on a spectrophotometer is an easy and accurate (usually to within {+-}0.5% spread) method of determining the refractive index. In one technique, the refractive index is obtained from visually curve-fitting a calculated (using a thin film design program and selecting the refractive index) transmittance spectrum to the measured transmittance spectrum. There are two other techniques which are discussed in this report: A quick, approximate method vs. the exact derivation. What the authors have not been able to find in the literature is the exact transmittance dependence as a function of the refractive indices (layers) through which the light passes and which accounts for the substrate back reflections. There are undocumented approximation methods as well as one in the literature by Cheremukhin and Rozhnox. Otherwise, most texts either derive the transmittances through optical multilayers or just the effect of back reflections on the transmittance for thick substrates. Without correcting for substrate back reflections, the derived refractive indices from the measured transmittances are in error by as much as 10%. In this work, the authors have utilized both an exact and an approximate method of determining the refractive index of the film. It is found that both the exact and approximate methods of determining the refractive index of thin optical coatings are within the measurement errors of commercially available spectrophotometers.

  20. Refraction data survey: 2nd generation correlation of myopia.

    PubMed

    Greene, Peter R; Medina, Antonio

    2016-10-01

    The objective herein is to provide refraction data, myopia progression rate, prevalence, and 1st and 2nd generation correlations, relevant to whether myopia is random or inherited. First- and second-generation ocular refraction data are assembled from N = 34 families, average of 2.8 children per family. From this group, data are available from N = 165 subjects. Inter-generation regressions are performed on all the data sets, including correlation coefficient r, and myopia prevalence [%]. Prevalence of myopia is [M] = 38.5 %. Prevalence of high myopes with |R| >6 D is [M-] = 20.5 %. Average refraction is  = -1.84 D ± 3.22 (N = 165). For the high myopes, |R| >6 D, prevalence for the parents is [M-] = 25 %, for the 2nd generation [M-] = 16.5 %. Average myopia level for the high myopes, both generations, is  = -7.52 D ± 1.31 D (N = 33). Regression parameters are calculated for all the data sets, yielding correlation coefficients in the range r = 0.48-0.72 for some groups of myopes and high myopes, fathers to daughters, and mothers to sons. Also of interest, some categories show essentially no correlation, -0.20 < r < 0.20, indicating that the refractive errors occur randomly. Time series results show myopia diopter rates = -0.50 D/year.

  1. Measuring Variable Refractive Indices Using Digital Photos

    ERIC Educational Resources Information Center

    Lombardi, S.; Monroy, G.; Testa, I.; Sassi, E.

    2010-01-01

    A new procedure for performing quantitative measurements in teaching optics is presented. Application of the procedure to accurately measure the rate of change of the variable refractive index of a water-denatured alcohol mixture is described. The procedure can also be usefully exploited for measuring the constant refractive index of distilled…

  2. Retinal Image Simulation of Subjective Refraction Techniques.

    PubMed

    Perches, Sara; Collados, M Victoria; Ares, Jorge

    2016-01-01

    Refraction techniques make it possible to determine the most appropriate sphero-cylindrical lens prescription to achieve the best possible visual quality. Among these techniques, subjective refraction (i.e., patient's response-guided refraction) is the most commonly used approach. In this context, this paper's main goal is to present a simulation software that implements in a virtual manner various subjective-refraction techniques--including Jackson's Cross-Cylinder test (JCC)--relying all on the observation of computer-generated retinal images. This software has also been used to evaluate visual quality when the JCC test is performed in multifocal-contact-lens wearers. The results reveal this software's usefulness to simulate the retinal image quality that a particular visual compensation provides. Moreover, it can help to gain a deeper insight and to improve existing refraction techniques and it can be used for simulated training.

  3. Refraction in electrically thin inhomogeneous media.

    PubMed

    Ruphuy, Miguel; Ramahi, Omar M

    2016-04-01

    This work presents a new formulation for refraction from flat electrically thin lenses and reflectors comprised of inhomogeneous material. Inhomogeneous electrically thin flat lenses and reflectors cannot make use of the Snell law since this classical formulation works solely at interfaces of planar homogeneous media. The refraction of a perpendicularly incident plane wave at a planar interface is physically explained through the phase advance of the rays within the medium. The Huygens principle is then used to construct the refracted wavefront. The formulation is validated using numerical full wave simulation for several examples where the refractive angle is predicted with good accuracy. Furthermore, the formulation gives a physical insight of the phenomenon of refraction from electrically thin inhomogeneous media.

  4. Retinal Image Simulation of Subjective Refraction Techniques

    PubMed Central

    Perches, Sara; Collados, M. Victoria; Ares, Jorge

    2016-01-01

    Refraction techniques make it possible to determine the most appropriate sphero-cylindrical lens prescription to achieve the best possible visual quality. Among these techniques, subjective refraction (i.e., patient’s response-guided refraction) is the most commonly used approach. In this context, this paper’s main goal is to present a simulation software that implements in a virtual manner various subjective-refraction techniques—including Jackson’s Cross-Cylinder test (JCC)—relying all on the observation of computer-generated retinal images. This software has also been used to evaluate visual quality when the JCC test is performed in multifocal-contact-lens wearers. The results reveal this software’s usefulness to simulate the retinal image quality that a particular visual compensation provides. Moreover, it can help to gain a deeper insight and to improve existing refraction techniques and it can be used for simulated training. PMID:26938648

  5. Analysis of changes in crystalline lens thickness and its refractive power after laser in situ keratomileusis

    PubMed Central

    Wang, Liang; Guo, Hai-Ke; Zeng, Jing; Jin, Hai-Ying

    2012-01-01

    AIM To evaluate changes in the anterior chamber depth (ACD), crystalline lens thickness (LT) and its refractive power after laser in situ keratomileusis (LASIK). METHODS In all cases, the preoperative and postoperative central ACD which were measured with Pentacam, Orbscan, IOL-Master and A-scan ultrasonography, central corneal true net power which was measured with the Pentacam, Orbscan and IOL-Master, axial length (AL) which was measured with IOL-Master and LT which was measured with the A-scan ultrasonography were compared using the paired sample t test. Ocular refractive errors and lens refractive power at corneal plane were calculated and their correlations were also evaluated before and after LASIK. RESULTS At 1 week after LASIK, LT and crystalline lens refractive power at corneal plane (Dlens) which were associated with the IOL-Master and Pentacam increased significantly (P≤0.005), ACD decreased significantly (P≤0.001), but no significant increase was observed in the Dlens which was associated with the Orbscan (P=0.261). Significant correlations between the changes in the ocular refractive errors and Dlens which were associated with the Pentacam were observed at 1 week and 6 months after LASIK (P=0.028; P=0.001). CONCLUSION LT increased significantly after LASIK, and this might partially lead to ACD decrease, Dlens increase and a small quantity of myopic regression. PMID:22553764

  6. A double dissociation of the acuity and crowding limits to letter identification, and the promise of improved visual screening

    PubMed Central

    Song, Shuang; Levi, Dennis M.; Pelli, Denis G.

    2014-01-01

    Here, we systematically explore the size and spacing requirements for identifying a letter among other letters. We measure acuity for flanked and unflanked letters, centrally and peripherally, in normals and amblyopes. We find that acuity, overlap masking, and crowding each demand a minimum size or spacing for readable text. Just measuring flanked and unflanked acuity is enough for our proposed model to predict the observer's threshold size and spacing for letters at any eccentricity. We also find that amblyopia in adults retains the character of the childhood condition that caused it. Amblyopia is a developmental neural deficit that can occur as a result of either strabismus or anisometropia in childhood. Peripheral viewing during childhood due to strabismus results in amblyopia that is crowding limited, like peripheral vision. Optical blur of one eye during childhood due to anisometropia without strabismus results in amblyopia that is acuity limited, like blurred vision. Furthermore, we find that the spacing:acuity ratio of flanked and unflanked acuity can distinguish strabismic amblyopia from purely anisometropic amblyopia in nearly perfect agreement with lack of stereopsis. A scatter diagram of threshold spacing versus acuity, one point per patient, for several diagnostic groups, reveals the diagnostic power of flanked acuity testing. These results and two demonstrations indicate that the sensitivity of visual screening tests can be improved by using flankers that are more tightly spaced and letter like. Finally, in concert with Strappini, Pelli, Di Pace, and Martelli (submitted), we jointly report a double dissociation between acuity and crowding. Two clinical conditions—anisometropic amblyopia and apperceptive agnosia—each selectively impair either acuity A or the spacing:acuity ratio S/A, not both. Furthermore, when we specifically estimate crowding, we find a double dissociation between acuity and crowding. Models of human object recognition will need

  7. A double dissociation of the acuity and crowding limits to letter identification, and the promise of improved visual screening.

    PubMed

    Song, Shuang; Levi, Dennis M; Pelli, Denis G

    2014-05-05

    Here, we systematically explore the size and spacing requirements for identifying a letter among other letters. We measure acuity for flanked and unflanked letters, centrally and peripherally, in normals and amblyopes. We find that acuity, overlap masking, and crowding each demand a minimum size or spacing for readable text. Just measuring flanked and unflanked acuity is enough for our proposed model to predict the observer's threshold size and spacing for letters at any eccentricity. We also find that amblyopia in adults retains the character of the childhood condition that caused it. Amblyopia is a developmental neural deficit that can occur as a result of either strabismus or anisometropia in childhood. Peripheral viewing during childhood due to strabismus results in amblyopia that is crowding limited, like peripheral vision. Optical blur of one eye during childhood due to anisometropia without strabismus results in amblyopia that is acuity limited, like blurred vision. Furthermore, we find that the spacing:acuity ratio of flanked and unflanked acuity can distinguish strabismic amblyopia from purely anisometropic amblyopia in nearly perfect agreement with lack of stereopsis. A scatter diagram of threshold spacing versus acuity, one point per patient, for several diagnostic groups, reveals the diagnostic power of flanked acuity testing. These results and two demonstrations indicate that the sensitivity of visual screening tests can be improved by using flankers that are more tightly spaced and letter like. Finally, in concert with Strappini, Pelli, Di Pace, and Martelli (submitted), we jointly report a double dissociation between acuity and crowding. Two clinical conditions-anisometropic amblyopia and apperceptive agnosia-each selectively impair either acuity A or the spacing:acuity ratio S/A, not both. Furthermore, when we specifically estimate crowding, we find a double dissociation between acuity and crowding. Models of human object recognition will need to

  8. Visual Acuity Using Head-fixed Displays During Passive Self and Surround Motion

    NASA Technical Reports Server (NTRS)

    Wood, Scott J.; Black, F. Owen; Stallings, Valerie; Peters, Brian

    2007-01-01

    The ability to read head-fixed displays on various motion platforms requires the suppression of vestibulo-ocular reflexes. This study examined dynamic visual acuity while viewing a head-fixed display during different self and surround rotation conditions. Twelve healthy subjects were asked to report the orientation of Landolt C optotypes presented on a micro-display fixed to a rotating chair at 50 cm distance. Acuity thresholds were determined by the lowest size at which the subjects correctly identified 3 of 5 optotype orientations at peak velocity. Visual acuity was compared across four different conditions, each tested at 0.05 and 0.4 Hz (peak amplitude of 57 deg/s). The four conditions included: subject rotated in semi-darkness (i.e., limited to background illumination of the display), subject stationary while visual scene rotated, subject rotated around a stationary visual background, and both subject and visual scene rotated together. Visual acuity performance was greatest when the subject rotated around a stationary visual background; i.e., when both vestibular and visual inputs provided concordant information about the motion. Visual acuity performance was most reduced when the subject and visual scene rotated together; i.e., when the visual scene provided discordant information about the motion. Ranges of 4-5 logMAR step sizes across the conditions indicated the acuity task was sufficient to discriminate visual performance levels. The background visual scene can influence the ability to read head-fixed displays during passive motion disturbances. Dynamic visual acuity using head-fixed displays can provide an operationally relevant screening tool for visual performance during exposure to novel acceleration environments.

  9. Effect of Target Location on Dynamic Visual Acuity During Passive Horizontal Rotation

    NASA Technical Reports Server (NTRS)

    Appelbaum, Meghan; DeDios, Yiri; Kulecz, Walter; Peters, Brian; Wood, Scott

    2010-01-01

    The vestibulo-ocular reflex (VOR) generates eye rotation to compensate for potential retinal slip in the specific plane of head movement. Dynamic visual acuity (DVA) has been utilized as a functional measure of the VOR. The purpose of this study was to examine changes in accuracy and reaction time when performing a DVA task with targets offset from the plane of rotation, e.g. offset vertically during horizontal rotation. Visual acuity was measured in 12 healthy subjects as they moved a hand-held joystick to indicate the orientation of a computer-generated Landolt C "as quickly and accurately as possible." Acuity thresholds were established with optotypes presented centrally on a wall-mounted LCD screen at 1.3 m distance, first without motion (static condition) and then while oscillating at 0.8 Hz (DVA, peak velocity 60 deg/s). The effect of target location was then measured during horizontal rotation with the optotypes randomly presented in one of nine different locations on the screen (offset up to 10 deg). The optotype size (logMar 0, 0.2 or 0.4, corresponding to Snellen range 20/20 to 20/50) and presentation duration (150, 300 and 450 ms) were counter-balanced across five trials, each utilizing horizontal rotation at 0.8 Hz. Dynamic acuity was reduced relative to static acuity in 7 of 12 subjects by one step size. During the random target trials, both accuracy and reaction time improved proportional to optotype size. Accuracy and reaction time also improved between 150 ms and 300 ms presentation durations. The main finding was that both accuracy and reaction time varied as a function of target location, with greater performance decrements when acquiring vertical targets. We conclude that dynamic visual acuity varies with target location, with acuity optimized for targets in the plane of motion. Both reaction time and accuracy are functionally relevant DVA parameters of VOR function.

  10. Visual acuity and its predictors after surgery for bilateral cataracts in children.

    PubMed

    Bonaparte, L A; Trivedi, R H; Ramakrishnan, V; Wilson, M E

    2016-09-01

    PurposeThe objective of this study was to investigate preoperative factors associated with postoperative visual acuity outcomes and to develop a model to predict visual acuity prognosis.MethodsA retrospective study was conducted by reviewing clinical charts of pediatric patients who underwent bilateral cataract surgery by a single surgeon (MEW) at the Storm Eye Institute. A multiple logistic regression model was constructed to predict the odds of poor postoperative visual acuity, that is, worse than 20/40, based on age at surgery, gender, primary intraocular lens (IOL) placement, ethnicity, and preoperative nystagmus.ResultsA sample size of 157 children (314 eyes) was investigated with median duration of follow-up of 6.4 years. A total of 78% of children with bilateral cataract had postoperative visual acuity of 20/40 or better. The presence of preoperative nystagmus was highly correlated with poor postoperative visual acuity (OR=6.0; 95% CLs, 2.5-14.1; P-value<0.0001). Children of age <1 year at time of cataract extraction (OR=3.2; 95% CLs, 1.4-7.6; P-value=0.0073), male gender (OR=2.3; 95% CLs, 1.1-4.5; P-value=0.02), the absence of primary IOL placement (OR=3.0; 95% CLs, 1.05-8.4; P-value=0.04), and non-Caucasian ethnicity (OR=2.0; 95% CLs, 1.02-4.03; P-value 0.0447) were associated with poor visual acuity postoperatively.ConclusionsSatisfactory visual outcomes occurred in 78% of children operated on for bilateral cataracts. Preoperative nystagmus, age <1 year at time of cataract extraction, absence of primary IOL placement, male gender, and non-Caucasian ethnicity, were all factors associated with poor postoperative visual acuity. PMID:27472217

  11. Determination of myopes' visual acuity using stimuli with different contrast

    NASA Astrophysics Data System (ADS)

    Ikaunieks, G.; Caure, E.; Kassaliete, E.; Meskovska, Z.

    2012-10-01

    The influence of different contrast stimuli on the myopes’ visual acuity (VA) was studied using positive (35.7), negative (-0.97) and low contrast (-0.11) Landolt optotypes. Test subjects were 13 myopes with corrected eyesight and 8 emmetropes, all of them being 20-22 years old. For VA determination the FrACT computer program was employed. In the tests it was found that for emmetropes the positive and negative contrast VA values do not differ significantly, while for myopes the respective values are better with positive than with negative contrast stimuli. These differences were the same in the measurements taken with spectacles or contact lenses. Our results also show that the retinal straylight created by clean spectacles or soft contact lenses is similar in both cases. Dažu autoru pētījumi rāda, ka miopijas gadījumā redzes asums ir labāks ar pozitīva Vēbera kontrasta stimuliem (balts stimuls uz melna fona) nekā negatīva kontrasta stimuliem (melns stimuls uz balta fona). Šis fenomens tiek saistītas ar neirālām izmaiņām ON un OFF ceļos un miopiskās acīs. Citi pētījumi rāda, ka arī acī izkliedētās gaismas ietekmē labāks redzes asums ir ar pozitīviem kontrasta stimuliem nekā negatīva. Miopijas gadījumā papildus gaismas izkliedi rada briļļu lēcas vai kontaktlēcas. Mēs savā pētījumā vēlējāmies noskaidrot, cik lielā mērā labāks redzes asums ar pozitīva kontrasta stimuliem miopiskās acīs ir saistāms ar optiskās korekcijas radīto gaismas izkliedi. Pētījumā piedalījās 21 dalībnieks - 8 emetropi un 13 miopi ar sfērisko refrakcijas lielumu no -1.25 līdz -6,25 D. Dalībnieku vecums bija no 20 līdz 22 gadi. Izmantojot FrACT datorprogrammu, tika noteiks monokulārais redzes asums VA ar Landolta gredzeniem pie pozitīva, negatīva un zema kontrasta fotopiskos apstākļos. Vēbera kontrasti stimuliem attiecīgi bija 35.7, -0.97 un -0.11. Miopiem mērījumi tika veikti gan ar brillēm, gan

  12. Moment expansion for ionospheric range error

    NASA Technical Reports Server (NTRS)

    Mallinckrodt, A.; Reich, R.; Parker, H.; Berbert, J.

    1972-01-01

    On a plane earth, the ionospheric or tropospheric range error depends only on the total refractivity content or zeroth moment of the refracting layer and the elevation angle. On a spherical earth, however, the dependence is more complex; so for more accurate results it has been necessary to resort to complex ray-tracing calculations. A simple, high-accuracy alternative to the ray-tracing calculation is presented. By appropriate expansion of the angular dependence in the ray-tracing integral in a power series in height, an expression is obtained for the range error in terms of a simple function of elevation angle, E, at the expansion height and of the mth moment of the refractivity, N, distribution about the expansion height. The rapidity of convergence is heavily dependent on the choice of expansion height. For expansion heights in the neighborhood of the centroid of the layer (300-490 km), the expansion to N = 2 (three terms) gives results accurate to about 0.4% at E = 10 deg. As an analytic tool, the expansion affords some insight on the influence of layer shape on range errors in special problems.

  13. The Flex Track: Flexible Partitioning between Low- and High-Acuity Areas of an Emergency Department

    PubMed Central

    Laker, Lauren F.; Froehle, Craig M.; Lindsell, Christopher J.; Ward, Michael J.

    2014-01-01

    Study Objective EDs with both low- and high-acuity treatment areas often have fixed allocation of resources, regardless of demand. We demonstrate the utility of discrete-event simulation to evaluate flexible partitioning between low- and high-acuity ED areas to identify the best operational strategy for subsequent implementation. Methods A discrete-event simulation was used to model patient flow through a 50-bed, urban, teaching ED that handles 85,000 patient visits annually. The ED has historically allocated ten beds to a Fast Track for low-acuity patients. We estimated the effect of a Flex Track policy, which involved switching up to five of these Fast Track beds to serving both low- and high-acuity patients, on patient waiting times. When the high-acuity beds were not at capacity, low-acuity patients were given priority access to flexible beds. Otherwise, high-acuity patients were given priority access to flexible beds. Wait times were estimated for patients by disposition and emergency severity index (ESI) score. Results A Flex Track policy using three flexible beds produced the lowest mean patient waiting of 30.9 (95% CI 30.6–31.2) minutes. The typical Fast Track approach of rigidly separating high- and low–acuity beds produced a mean patient wait time of 40.6 (95% CI 40.2–50.0) minutes, 31% higher than the three-bed Flex Track. A completely flexible ED, where all beds can accommodate any patient, produced mean wait times of 35.1 (95% CI 34.8–35.4) minutes. The results from the three-bed Flex Track scenario were robust, performing well across a range of scenarios involving higher and lower patient volumes and care durations. Conclusion Using discrete-event simulation, we have shown that adding some flexibility into bed allocation between low- and high-acuity can provide substantial reductions in overall patient waiting and a more efficient ED. PMID:24954578

  14. Dot Display Affects Approximate Number System Acuity and Relationships with Mathematical Achievement and Inhibitory Control

    PubMed Central

    Norris, Jade Eloise; Castronovo, Julie

    2016-01-01

    Much research has investigated the relationship between the Approximate Number System (ANS) and mathematical achievement, with continued debate surrounding the existence of such a link. The use of different stimulus displays may account for discrepancies in the findings. Indeed, closer scrutiny of the literature suggests that studies supporting a link between ANS acuity and mathematical achievement in adults have mostly measured the ANS using spatially intermixed displays (e.g. of blue and yellow dots), whereas those failing to replicate a link have primarily used spatially separated dot displays. The current study directly compared ANS acuity when using intermixed or separate dots, investigating how such methodological variation mediated the relationship between ANS acuity and mathematical achievement. ANS acuity was poorer and less reliable when measured with intermixed displays, with performance during both conditions related to inhibitory control. Crucially, mathematical achievement was significantly related to ANS accuracy difference (accuracy on congruent trials minus accuracy on incongruent trials) when measured with intermixed displays, but not with separate displays. The findings indicate that methodological variation affects ANS acuity outcomes, as well as the apparent relationship between the ANS and mathematical achievement. Moreover, the current study highlights the problem of low reliabilities of ANS measures. Further research is required to construct ANS measures with improved reliability, and to understand which processes may be responsible for the increased likelihood of finding a correlation between the ANS and mathematical achievement when using intermixed displays. PMID:27195749

  15. Dynamic Visual Acuity and Landing Sickness in Crewmembers Returning from Long-Duration Spaceflight

    NASA Technical Reports Server (NTRS)

    Rosenberg, M. J. F.; Peters, B. T.; Reschke, M. F.

    2016-01-01

    Long-term exposure to microgravity causes sensorimotor adaptations that result in functional deficits upon returning to a gravitational environment. At landing the vestibular system and the central nervous system, responsible for coordinating head and eye movements, are adapted to microgravity and must re-adapt to the gravitational environment. This re-adaptation causes decrements in gaze control and dynamic visual acuity, with astronauts reporting oscillopsia and blurred vision. Dynamic visual acuity (DVA) is assessed using an oscillating chair (Figure 1) developed in the Neuroscience Laboratory at JSC. This chair is lightweight and easily portable for quick deployment in the field. The base of the chair is spring-loaded and allows for manual oscillation of the subject. Using a metronome, the chair is vertically oscillated +/- 2 cm at 2 Hz by an operator, to simulate walking. While the subject is being oscillated, they are asked to discern the direction of Landolt-C optotypes of varying sizes presented on a screen 1 m from the subject and record their direction using a gamepad. The visual acuity thresholds are determined using an algorithm that alters the size of the optotype based on the previous responses of the subject using a forced-choice best parameter estimation that is able to rapidly converge on the threshold value. Visual acuity thresholds are determined both for static (seated) and dynamic (oscillating) conditions. Dynamic visual acuity is defined as the difference between the dynamic and static conditions.

  16. Error and adjustment of reflecting prisms

    NASA Astrophysics Data System (ADS)

    Mao, Wenwei

    1997-12-01

    A manufacturing error in the orientation of the working planes of a reflecting prism, such as an angle error or an edge error, will cause the optical axis to deviate and the image to lean. So does an adjustment (position error) of a reflecting prism. A universal method to be used to calculate the optical axis deviation and the image lean caused by the manufacturing error of a reflecting prism is presented. It is suited to all types of reflecting prisms. A means to offset the position error against the manufacturing error of a reflecting prism and the changes of image orientation is discussed. For the calculation to be feasible, a surface named the 'separating surface' is introduced just in front of the real exit face of a real prism. It is the image of the entrance face formed by all reflecting surfaces of the real prism. It can be used to separate the image orientation change caused by the error of the prism's reflecting surfaces from the image orientation change caused by the error of the prism's refracting surface. Based on ray tracing, a set of simple and explicit formulas of the optical axis deviation and the image lean for a general optical wedge is derived.

  17. Negative Refraction experiments in Photonic Crystal prisms

    NASA Astrophysics Data System (ADS)

    Vodo, Plarenta; Parimi, Patanjali. V.; Lu, Wentao. T.; di Gennaro, Emiliano; Sridhar, Srinivas

    2004-03-01

    We have experimentally demonstrated negative refraction in metallic photonic crystal (PC) prisms [1]. The refracted fields in the parallel plate waveguide (PPW) are measured by an automated dipole antenna, which scans the desired area, while the free space (FS) measurements, performed in a anechoic chamber, are measured by a rectangular X-band horn that swings in an arc in far field area. Both TE and TM excitation modes are used in FS experiments. Numerical calculations of the band structure and equi-frequency surface simulations are used to determine frequency regions of negative refraction of the triangular lattice PC. Angle of refraction determined by theoretical simulations and experimental results, are in exceptional good agreement, yielding the negative refraction index. FS and PPW refraction experimental results agree remarkably with simulations. 1. "Negative Refraction and Left-handed electromagnetism in Microwave Photonic Crystals", P.V Parimi, W.T Lu, P.Vodo J. Sokoloff and S.Sridhar, cond-mat/0306109 (2003)

  18. J. B. Biot and Refraction Calculations

    NASA Astrophysics Data System (ADS)

    Young, A. T.

    2000-12-01

    The Auer-Standish (AJ 119, 2472, 2000) algorithm, recommended in the revised Explanatory Supplement for calculating refraction in an arbitrary model atmosphere, was derived and used by J. B. Biot (Conn. des Tems pour l'An 1839) a century and a half earlier, using Newton's (wrong) emission theory, and the clumsy notation of Laplace's Mécanique Céleste, which Biot had proof-read. Newton, Laplace, and Biot all describe refraction in terms of the trajectories of ``luminous molecules'' attracted by a central force exerted by the atmosphere; this explains why Laplace considered refraction a topic in celestial mechanics. Fortunately for these authors, the only optics required is Snel's law of refraction, which was discovered before Newton's birth, and which Newton's corpuscular optics was rigged to reproduce. Thus Biot's ``derivation'' of the refractive invariant nr sin z by Laplace's method is a circular and unnecessary argument. While Auer & Standish were reinventing Biot's method, the historian D. T. Whiteside (Centaurus 24, 288, 1980) noticed the mathematical similarity of the refraction theories of Newton and Biot to modern ones, and rashly concluded that ``working astronomers still find computational advantage in maintaining the fiction of a Newtonian emission theory'' --- which is absurd nonsense! Despite being an emissionist, Biot understood atmospheric refraction much better than most astronomers do today: he knew why refraction is almost independent of atmospheric structure, except within a few degrees of the horizon, and that refraction at the horizon depends mostly on the local temperature gradient. His work --- together with that of Lord Rayleigh, who derived his eponymous scattering law from the elastic-solid theory of the luminiferous \\ae ther --- reminds us that a theory's correct results do not make it true. This work was supported by NSF grant ATM-9714357.

  19. Formation of bulk refractive index structures

    DOEpatents

    Potter, Jr., Barrett George; Potter, Kelly Simmons; Wheeler, David R.; Jamison, Gregory M.

    2003-07-15

    A method of making a stacked three-dimensional refractive index structure in photosensitive materials using photo-patterning where first determined is the wavelength at which a photosensitive material film exhibits a change in refractive index upon exposure to optical radiation, a portion of the surfaces of the photosensitive material film is optically irradiated, the film is marked to produce a registry mark. Multiple films are produced and aligned using the registry marks to form a stacked three-dimensional refractive index structure.

  20. The refraction in the atmospheric surface layer

    NASA Astrophysics Data System (ADS)

    Golitsyn, G. S.

    1982-12-01

    An analytical theory of refraction for the atmospheric layer is developed in which the vertical profiles of the refraction are calculated based on the theory of Monin and Obukhov (1954). A similarity parameter is found for the refraction in such conditions. These results are used to clarify the idea of Moroz (1976) that the nearness of the horizon as recorded by the automatic stations on the surface of Venus can be explained by the decrease in the temperature at the very surface of the planet. In addition, several other optical phenomena which occur near the surface of the earth are examined.

  1. Topography and raytracing analysis of patients with excellent visual acuity 3 months after excimer laser photorefractive keratectomy for myopia.

    PubMed

    Maguire, L J; Zabel, R W; Parker, P; Lindstrom, R L

    1991-01-01

    We performed topography and raytracing analysis 3 months after surgery on five consecutive eyes of five patients, which had excimer laser photorefractive keratectomy for myopia. Three of the five eyes had uncorrected postoperative visual acuity of 20/20 or better. Two eyes had an uncorrected vision of 20/40. In three of five eyes, the area of excimer ablation was centered within 1.0 mm of the optical axis. Three other eyes showed decentration that ranged from 1.1 to 1.5 mm. The range of surface power seen within 2 mm of the central keratoscope ring was as follows: patient CK = 37.50 to 39.50 diopters; patient CA = 40.50 D to 44.80 D; patient CW = 37.90 D to 42.20 D; patient AC = 35.50 D to 39.00 D; patient DT = 34.50 D to 41.40 D. Topography patterns differed from eye to eye. A raytracing program modeled refraction of 20/80 and 20/20 "E" of 100%, 50%, 25%, 12.5% and 6.25% contrast through all measured points on the central 10 keratoscope rings of the five postoperative corneas. The five computer-derived images were ranked subjectively according to the observed degree of image degradation by three observers. Two eyes showed discernible 20/20 E's even at the 12.5% contrast level. Little to no ghost image was seen. Two eyes showed degraded but discernible 20/20 letters at higher levels of contrast only. These eyes showed moderate ghost images that were most apparent in the high-contrast 20/80 letters. One eye showed poor resolution of the 100% contrast 20/20 letter and moderately severe ghost images.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:2043557

  2. Acquisition of the Cardinal Principle Coincides with Improvement in Approximate Number System Acuity in Preschoolers

    PubMed Central

    Shusterman, Anna; Slusser, Emily; Halberda, Justin; Odic, Darko

    2016-01-01

    Human mathematical abilities comprise both learned, symbolic representations of number and unlearned, non-symbolic evolutionarily primitive cognitive systems for representing quantities. However, the mechanisms by which our symbolic (verbal) number system becomes integrated with the non-symbolic (non-verbal) representations of approximate magnitude (supported by the Approximate Number System, or ANS) are not well understood. To explore this connection, forty-six children participated in a 6-month longitudinal study assessing verbal number knowledge and non-verbal numerical acuity. Cross-sectional analyses revealed a strong relationship between verbal number knowledge and ANS acuity. Longitudinal analyses suggested that increases in ANS acuity were most strongly related to the acquisition of the cardinal principle, but not to other milestones of verbal number acquisition. These findings suggest that experience with culture and language is intimately linked to changes in the properties of a core cognitive system. PMID:27078257

  3. The role of numeracy and approximate number system acuity in predicting value and probability distortion.

    PubMed

    Patalano, Andrea L; Saltiel, Jason R; Machlin, Laura; Barth, Hilary

    2015-12-01

    It is well documented that individuals distort outcome values and probabilities when making choices from descriptions, and there is evidence of systematic individual differences in distortion. In the present study, we investigated the relationship between individual differences in such distortions and two measures of numerical competence, numeracy and approximate number system (ANS) acuity. Participants indicated certainty equivalents for a series of simple monetary gambles, and data were used to estimate individual-level value and probability distortion, using a cumulative prospect theory framework. We found moderately strong negative correlations between numeracy and value and probability distortion, but only weak and non-statistically reliable correlations between ANS acuity and distortions. We conclude that low numeracy contributes to number distortion in decision making, but that approximate number system acuity might not underlie this relationship.

  4. EDUCATION ENHANCES THE ACUITY OF THE NON-VERBAL APPROXIMATE NUMBER SYSTEM

    PubMed Central

    Piazza, Manuela; Pica, Pierre; Izard, Véronique; Spelke, Elizabeth; Dehaene, Stanislas

    2015-01-01

    All humans share a universal, evolutionarily ancient approximate number system (ANS) that estimates and combines the number of objects in sets with ratio-limited precision. Inter-individual variability in the acuity of the ANS correlates with mathematical achievement, but the causes of this correlation have never been established. We acquired psychophysical measures of ANS acuity in child and adult members of an indigene group in the Amazon, the Mundurucu, who have a very restricted numerical lexicon and highly variable access to mathematical education. By comparing Mundurucu subjects with or without access to schooling, we demonstrate that education significantly enhances the acuity with which sets of concrete objects are estimated. These results speak in favor of an important effect of culture and education on basic number perception. We hypothesize that symbolic and non-symbolic numerical thinking mutually enhance one another over the course of mathematics instruction. PMID:23625879

  5. Comparison of dynamic visual acuity between water polo players and sedentary students.

    PubMed

    Quevedo-Junyent, Lluïsa; Aznar-Casanova, José Antonio; Merindano-Encina, Dolores; Cardona, Genís; Solé-Fortó, Joan

    2011-12-01

    In this study, we examined differences in dynamic visual acuity between elite and subelite water polo players and sedentary students. To measure dynamic visual acuity binocularly, we asked participants to indicate the orientation of a broken ring, similar to the Landolt C, which increased in size as it moved across a computer screen. Two different speeds, three possible trajectories, and two different levels of contrast were evaluated. There were statistically significant differences between elite players and sedentary students for each combination of speed, contrast, and trajectory. Elite players achieved better dynamic visual acuity scores, and results also improved for some combinations of speed, contrast, and trajectory. Comparison between elite and subelite groups failed to reveal any

  6. Acquisition of the Cardinal Principle Coincides with Improvement in Approximate Number System Acuity in Preschoolers.

    PubMed

    Shusterman, Anna; Slusser, Emily; Halberda, Justin; Odic, Darko

    2016-01-01

    Human mathematical abilities comprise both learned, symbolic representations of number and unlearned, non-symbolic evolutionarily primitive cognitive systems for representing quantities. However, the mechanisms by which our symbolic (verbal) number system becomes integrated with the non-symbolic (non-verbal) representations of approximate magnitude (supported by the Approximate Number System, or ANS) are not well understood. To explore this connection, forty-six children participated in a 6-month longitudinal study assessing verbal number knowledge and non-verbal numerical acuity. Cross-sectional analyses revealed a strong relationship between verbal number knowledge and ANS acuity. Longitudinal analyses suggested that increases in ANS acuity were most strongly related to the acquisition of the cardinal principle, but not to other milestones of verbal number acquisition. These findings suggest that experience with culture and language is intimately linked to changes in the properties of a core cognitive system. PMID:27078257

  7. [Temporal integration in diseased eyes. I. Exposure duration in visual acuity testing].

    PubMed

    Kono, M; Yamade, S; Hukami, K

    1991-02-01

    Critical duration in visual acuity testing can be viewed as an expression of temporal integration in the human visual system. We examined this phenomenon in 13 eyes with central serous retinopathy (CSR) and 6 eyes with macular edema, by measuring visual acuity at several limited exposure times. The results were then compared with those for 17 normal eyes. The acuity target was a single Landolt ring projected upon a small square screen. The size, direction, and exposure time of the target were computer controlled. The mean critical durations of the CSR and macular edema groups were 1.78 sec. and 2.69 sec. respectively. These values were significantly (p less than 0.01) longer than the mean critical duration of the normal control group (0.62 sec.). Although the mechanism behind the longer critical duration in diseased eyes remains poorly understood, we believe this method provides a possible approach to the study of diseased visual conditions. PMID:2053529

  8. Dark adaptation and the acuity/luminance response in senile macular degeneration (SMD).

    PubMed

    Brown, B; Kitchin, J L

    1983-08-01

    Patients with senile macular degeneration (SMD) often complain of problems with adaptation and have best acuity under a restricted range of lighting conditions. We investigated dark adaptation and acuity over a wide range of luminances in eight SMD patients and six age-matched controls. Some patients showed evidence of altered dark adaptation, with a much longer time required to reach asymptotic sensitivity levels than shown by normals; others had difficulty with spatial resolution at different light levels. There was good correlation between symptoms and test findings; all but one patient who reported difficulties with adaptation demonstrated either retarded adaptation, aberrant acuity/luminance response, or both. These data provide evidence that the processes which adjust the sensitivity of the retina and the spatial summation properties of the retina are disrupted in SMD.

  9. Negative refraction in one-dimensional photonic crystals

    NASA Astrophysics Data System (ADS)

    Lugo, J. E.; Doti, Rafael; Faubert, J.

    2012-10-01

    Photonic crystals are artificial structures that have periodic dielectric components with different refractive indices. Under certain conditions, they abnormally refract the light, a phenomenon called negative refraction. Here, we discuss recent theoretical and simulation results that showed that negative refraction could be present near the low frequency edge of at least the second, fourth and sixth bandgaps of a lossless one-dimensional photonic crystals (1DPC) structure. That is, negative refraction is a multiband phenomenon. We also discuss the negative refraction correctness condition that gives the angular region where negative refraction occurs. We compare two current negative refraction theoretical models with recent experimental results. In order to succeed, an output refraction correction is utilized. The correction uses Snell's law and an effective refractive index based on two effective dielectric constants. We found good agreement between experiment and both theoretical models in the negative refraction zone.

  10. Graded changes in balancing behavior as a function of visual acuity.

    PubMed

    Schmid, M; Casabianca, L; Bottaro, A; Schieppati, M

    2008-06-01

    In a dynamic postural task, visual information plays a fundamental role in the selection of the balancing strategy. While standing on a platform oscillating in the antero-posterior direction, subjects almost fix their head in space when vision is allowed and oscillate with the platform with eyes closed. We investigated two competing hypotheses regarding the relationship between visual acuity and balance control strategy. One hypothesis refers to the existence of a threshold value of visual acuity as a turning point between the eyes-open and eyes-closed strategy. The other assumes that the change from eyes-open to eyes-closed behavior is continuous and parallels the progressive worsening of visual acuity. Ten subjects balanced on the mobile platform wearing an examination frame and a facemask occluding peripheral vision. Seven different test lenses were used in different trials to modify visual acuity, from a visus value of 10/10 to severely blurred vision. Head stabilization in space progressively worsened with the decrease in visual acuity and turned toward the eyes-closed behavior when vision was blurred. The increase in head oscillation as a function of visual acuity was best fitted by a logarithmic function. In five of the subjects, additional trials were performed without facemask, to add peripheral vision to each visual acuity level, and with black lenses to allow peripheral vision alone. Addition of peripheral vision gave a significant contribution to head stabilization. With peripheral vision alone, head stabilization was intermediate between the eyes-closed and 10/10 visus value condition. We conclude that, in order to stabilize the head in space, visual information of the environment must be definite and worsening of central vision leads to a graded modification of the 'head fixed in space' behavior. Thus, the more conservative hypothesis of two different fundamental balancing strategies is not supported. Instead, the body exhibits a continuous mode of

  11. Posterior staphyloma in oculocutaneous albinism: another possible cause of reduced visual acuity.

    PubMed

    Lee, Susan; Schimmenti, Lisa A; King, Richard A; Brilliant, Murray; Anderson, Jennifer L; Schoonveld, Cheri; Summers, C Gail

    2015-12-01

    Posterior staphyloma is typically associated with myopic degeneration and has not been recognized as a cause of reduced visual acuity in albinism. We report 3 cases of posterior staphyloma, each with oculocutaneous albinism (OCA) defined by phenotype and genotype. Two cases are biological sisters with OCA type 2; one was myopic and the other was hyperopic. The third case involves a man with OCA associated with Hermansky-Pudlak syndrome (HPS-5). Staphyloma may be another cause of reduced visual acuity in albinism, particularly with increasing age. It may occur in association with myopia or hyperopia. PMID:26691042

  12. Refractive index measurement using comparative interferometry

    NASA Astrophysics Data System (ADS)

    Bojan, Mihaela; Apostol, D.; Damian, V.; Logofatu, P. C.; Garoi, F.; Iordache, Iuliana

    2007-05-01

    The refractive index of a material medium is an important optical parameter since it exhibits the optical properties of the material. The adulteration problem is increasing day by day and hence simple, automatic and accurate measurement of the refractive index of materials is of great importance these days. For solid thin films materials Abeles method was reconsidered. Quick, measurements of refractive index using simple techniques and refractometers can help controlling adulteration of liquids of common use to a greater extent. Very simple interferometric set-up using Fizeau fringe patterns compares the fringe pitch as obtained in a cell with two levels: one down level with the unknown refractive index liquids and the upper level with gas air. A CCD matrix and a PC can handle the data and produce the results up to for digits.

  13. Isaac Newton and the astronomical refraction.

    PubMed

    Lehn, Waldemar H

    2008-12-01

    In a short interval toward the end of 1694, Isaac Newton developed two mathematical models for the theory of the astronomical refraction and calculated two refraction tables, but did not publish his theory. Much effort has been expended, starting with Biot in 1836, in the attempt to identify the methods and equations that Newton used. In contrast to previous work, a closed form solution is identified for the refraction integral that reproduces the table for his first model (in which density decays linearly with elevation). The parameters of his second model, which includes the exponential variation of pressure in an isothermal atmosphere, have also been identified by reproducing his results. The implication is clear that in each case Newton had derived exactly the correct equations for the astronomical refraction; furthermore, he was the first to do so.

  14. The refractive index of relic gravitons

    NASA Astrophysics Data System (ADS)

    Giovannini, Massimo

    2016-06-01

    The dynamical evolution of the refractive index of the tensor modes of the geometry produces a specific class of power spectra characterized by a blue (i.e. slightly increasing) slope which is directly determined by the competition of the slow-roll parameter and of the rate of variation of the refractive index. Throughout the conventional stages of the inflationary and post-inflationary evolution, the microwave background anisotropies measurements, the pulsar timing limits and the big-bang nucleosynthesis constraints set stringent bounds on the refractive index and on its rate of variation. Within the physically allowed region of the parameter space the cosmic background of relic gravitons leads to a potentially large signal for the ground-based detectors (in their advanced version) and for the proposed space-borne interferometers. Conversely, the lack of direct detection of the signal will set a qualitatively new bound on the dynamical variation of the refractive index.

  15. Nonlinear negative refraction by difference frequency generation

    NASA Astrophysics Data System (ADS)

    Cao, Jianjun; Shen, Dongyi; Feng, Yaming; Wan, Wenjie

    2016-05-01

    Negative refraction has attracted much interest for its promising capability in imaging applications. Such an effect can be implemented by negative index meta-materials, however, which are usually accompanied by high loss and demanding fabrication processes. Recently, alternative nonlinear approaches like phase conjugation and four wave mixing have shown advantages of low-loss and easy-to-implement, but associated problems like narrow accepting angles can still halt their practical applications. Here, we demonstrate theoretically and experimentally a scheme to realize negative refraction by nonlinear difference frequency generation with wide tunability, where a thin Beta barium borate slice serves as a negative refraction layer bending the input signal beam to the idler beam at a negative angle. Furthermore, we realize optical focusing effect using such nonlinear negative refraction, which may enable many potential applications in imaging science.

  16. Influence of refractive correction on ocular dominance

    NASA Astrophysics Data System (ADS)

    Nakayama, Nanami; Kawamorita, Takushi; Uozato, Hiroshi

    2010-07-01

    We investigated the effects of refractive correction and refractive defocus on the assessment of sensory ocular dominance. In 25 healthy subjects (4 males and 21 females) aged between 20 and 31 years, a quantitative measurement of sensory ocular dominance was performed with refractive correction and the addition of a positive lens on the dominant eye. Sensory ocular dominance was measured with a chart using binocular rivalry targets. The reversal point changed after the addition of a +1.00 D lens on the dominant eye in all subjects. However, sighting ocular dominance and stereopsis did not change after the addition of a positive lens on the dominant eye ( P > 0:05, Wilcoxon test). These results suggest that refractive correction affects sensory ocular dominance, indicating the possible development of a new type of occlusion for amblyopia in the future.

  17. REFractions: The Representing Equivalent Fractions Game

    ERIC Educational Resources Information Center

    Tucker, Stephen I.

    2014-01-01

    Stephen Tucker presents a fractions game that addresses a range of fraction concepts including equivalence and computation. The REFractions game also improves students' fluency with representing, comparing and adding fractions.

  18. Does negative refraction make a perfect lens?

    NASA Astrophysics Data System (ADS)

    Ramm, A. G.

    2008-10-01

    A discussion of a question, studied earlier by Veselago in 1967 and by Pendry in 2000, is given. The question is: can a slab of the material with negative refraction make a perfect lens? Pendry's conclusion was: yes, it can. Our conclusion is: no, in practice it cannot, because of the fluctuations of the refraction coefficient of the slab. Resolution ability of linear isoplanatic optical instruments is discussed.

  19. Two Color Interferometry with Nonlinear Refractive Properties

    NASA Technical Reports Server (NTRS)

    Vikram, Chandra S.; Witherow, William K.

    2002-01-01

    Using nonlinear refractive properties of salt-water solution at two wavelengths, numerical analysis has been performed to extract temperature and concentration from virtual interferometric fringe data. The theoretical study, using a commercially available equation solving tool, starts with critical fringe counting needs and the role of nonlinear refractive properties in such measurements. Finally, methodology of the analysis, developed codes, and fringe counting accuracy needs are described in detail.

  20. Refractive index measurement by prism autocollimation

    NASA Astrophysics Data System (ADS)

    Cheng, Chao-Chia

    2014-03-01

    An autocollimation-based method for measuring the refractive indices of solid or liquids using a Littrow prism is presented. Measurement accuracy is enhanced by use of a telescope. In solids, the refractive index is accurate to three decimal places. Similar accuracy is obtained in liquids by correcting for the wedge angle of the liquid container window. The proposed prismatic method confers high accuracy, compactness, and automation. It is suitable for index measurement applications in undergraduate laboratories.

  1. Indices of refraction for the HITRAN compilation

    NASA Technical Reports Server (NTRS)

    Massie, S. T.

    1994-01-01

    Indices of refraction of sulfuric acid solutions, water, and ice, which will become part of the HITRAN database, are discussed. Representative calculations are presented for the sulfate aerosol, to illustrate the broadband spectral features of i.r. aerosol extinction spectra. Values of the sulfuric acid mass density are used in an application of the Lorentz-Lorenz equation, which is used to estimate the sensitivity of extinction coefficients to temperature dependent refractive indices.

  2. An update on the development of a line-focus refractive concentrator array

    NASA Technical Reports Server (NTRS)

    Piszczor, Michael F.; Oneill, Mark J.; Fraas, Lewis M.

    1994-01-01

    Concentrator arrays offer a number of generic benefits for space (i.e. high array efficiency, protection from space radiation effects, minimized plasma interactions, etc.). The line-focus refractive concept, however, also offers two very important advantages: (1) relaxation of precise array tracking requirements to only a single axis and (2) low-cost mass production of the lens material. The linear refractive concentrator can be designed to provide an essentially flat response over a wide range of longitudinal errors for satellites having only single-axis tracking capability. New panel designs emphasize light weight, high stiffness, storability, and ease of manufacturing and assembly. This paper addresses the current status of the concentrator program with special emphasis on the design implications, and flexibility, of using a linear refractive concentrator lens as well as details recent fabrication of prototype hardware.

  3. Methods to retrieve the complex refractive index of aquatic suspended particles: going beyond simple shapes

    NASA Astrophysics Data System (ADS)

    Sánchez, Albert-Miquel; Piera, Jaume

    2016-07-01

    The scattering properties of aquatic suspended particles have many optical applications. Several data inversion methods have been proposed to estimate important features of particles, such as their size distribution or their refractive index. Most of the proposed methods are based on the Lorenz-Mie theory to solve Maxwell's equations, where particles are considered homogeneous spheres. A generalization that allows consideration of more complex-shaped particles is the T-matrix method. Although this approach imposes some geometrical restrictions (particles must be rotationally symmetrical) it is applicable to many life forms of phytoplankton. In this paper, three different scenarios are considered in order to compare the performance of several inversion methods for retrieving refractive indices. The error associated with each method is discussed and analyzed. The results suggest that inverse methods using the T-matrix approach are useful to accurately retrieve the refractive indices of particles with complex shapes, such as for many phytoplankton organisms.

  4. The 2012 Charles Prentice medal lecture: wavefront measurement of refractive state.

    PubMed

    Thibos, Larry N

    2013-09-01

    Modern efforts to define and measure the refractive state of aberrated eyes have led to new insights about the nature of refractive error, the quality of the retinal image, the interplay of the crystalline lens, and the eye's pupil during accommodation. Our change in mind-set engendered by wavefront concepts has the power to alter our way of thinking about many clinical issues that are fundamentally optical in nature, such as dynamic changes in optical quality of eyes caused by tear film deterioration, outcome assessment of refractive therapies, and myopia progression. The aim of this lecture is to help make advances in these areas of optometric science broadly accessible to educators, clinicians, and patients by explaining in simple terms the underlying optical concepts of wavefront aberrometry. PMID:23958715

  5. Exact wavefront surface refracted by a smooth arbitrary surface considering a plane wavefront incident

    NASA Astrophysics Data System (ADS)

    Avendaño-Alejo, Maximino M.

    2015-08-01

    We study the formation of wavefronts produced by smooth arbitrary surfaces with symmetry of revolution considering a plane wavefront propagating parallel to the optical axis and impinging on the refracting surface. The wavefronts are obtained by using the Malus-Dupin theorem and they represent the monochromatic aberrations which can be called image errors, furthermore their shapes could be modified by changing the parameters of the lens in such a way that if a caustic surface is vanished the optical system produces a perfect image, on the other hand for a caustic possessing a large area it could be applied to design non-imaging optical systems. The shape of the wavefront depends only on the indices of refraction and geometrical properties of the refracting surface such as the first derivative and their parameters associated. This analytic formula has potential applications in the microscopy field, illumination or corrector plates.

  6. The effects of atmospheric refraction on the accuracy of laser ranging systems

    NASA Technical Reports Server (NTRS)

    Zanter, D. L.; Gardner, C. S.; Rao, N. N.

    1976-01-01

    Correction formulas derived by Saastamoinen and Marini, and the ray traces through the refractivity profiles all assume a spherically symmetric refractivity profile. The errors introduced by this assumption were investigated by ray tracing through three-dimensional profiles. The results of this investigation indicate that the difference between ray traces through the spherically symmetric and three-dimensional profiles is approximately three centimeters at 10 deg and decreases to less than one half of a centimeter at 80 deg. If the accuracy desired in future laser ranging systems is less than a few centimeters, Saastamoinen and Marini's formulas must be altered to account for the fact that the refractivity profile is not spherically symmetric.

  7. ON THE SOURCE OF ASTROMETRIC ANOMALOUS REFRACTION

    SciTech Connect

    Taylor, M. Suzanne; McGraw, John T.; Zimmer, Peter C.; Pier, Jeffrey R.

    2013-03-15

    More than a century ago, astronomers using transit telescopes to determine precise stellar positions were hampered by an unexplained periodic shifting of the stars they were observing. With the advent of CCD transit telescopes in the past three decades, this unexplained motion, termed 'anomalous refraction' by these early astronomers, is again being observed. Anomalous refraction is described as a low-frequency, large angular scale ({approx}2 Degree-Sign ) motion of the entire image plane with respect to the celestial coordinate system as observed and defined by astrometric catalogs. These motions, of typically several tenths of an arcsecond amplitude with timescales on the order of 10 minutes, are ubiquitous to ground-based drift-scan astrometric measurements regardless of location or telescopes used and have been attributed to the effect of tilting of equal-density layers of the atmosphere. The cause of this tilting has often been attributed to atmospheric gravity waves, but this cause has never been confirmed. Although theoretical models of atmospheric refraction show that atmospheric gravity waves are a plausible cause of anomalous refraction, an observational campaign specifically directed at defining this relationship provides clear evidence that anomalous refraction is not consistent with the passage of atmospheric gravity waves. The source of anomalous refraction is found to be meter-scale, slowly evolving quasi-coherent dynamical structures in the boundary layer below 60 m above ground level.

  8. [Diagnostic Errors in Medicine].

    PubMed

    Buser, Claudia; Bankova, Andriyana

    2015-12-01

    The recognition of diagnostic errors in everyday practice can help improve patient safety. The most common diagnostic errors are the cognitive errors, followed by system-related errors and no fault errors. The cognitive errors often result from mental shortcuts, known as heuristics. The rate of cognitive errors can be reduced by a better understanding of heuristics and the use of checklists. The autopsy as a retrospective quality assessment of clinical diagnosis has a crucial role in learning from diagnostic errors. Diagnostic errors occur more often in primary care in comparison to hospital settings. On the other hand, the inpatient errors are more severe than the outpatient errors.

  9. [Diagnostic Errors in Medicine].

    PubMed

    Buser, Claudia; Bankova, Andriyana

    2015-12-01

    The recognition of diagnostic errors in everyday practice can help improve patient safety. The most common diagnostic errors are the cognitive errors, followed by system-related errors and no fault errors. The cognitive errors often result from mental shortcuts, known as heuristics. The rate of cognitive errors can be reduced by a better understanding of heuristics and the use of checklists. The autopsy as a retrospective quality assessment of clinical diagnosis has a crucial role in learning from diagnostic errors. Diagnostic errors occur more often in primary care in comparison to hospital settings. On the other hand, the inpatient errors are more severe than the outpatient errors. PMID:26649954

  10. Electromagnetic waves: Negative refraction by photonic crystals

    NASA Astrophysics Data System (ADS)

    Ozbay, Ekmel

    2004-03-01

    Recently left-handed materials (LHM) attracted great attention since these materials exhibit negative effective index, which is due to simultaneously negative permeability and permittivity. Pendry proposed that negative effective index in left-handed materials can be used for constructing a perfect lens, which is not limited by diffraction(J. B. Pendry, Negative refraction makes a perfect lens, Phys. Rev. Lett. vol. 85, 3966 (2000)). Negative refraction is also achievable in a dielectric photonic crystal (PC) that has a periodically modulated positive permittivity and a permeability of unity. Luo et al. has studied negative refraction and subwavelength imaging in photonic crystals(C. Luo, S. G. Johnson, J. D. Joannopoulos, J. B. Pendry, Subwavelength Imaging in Photonic Crystals Phys. Rev. B 68, 045115 (2003)). In this presentation, we report our experimental and theoretical investigation of negative refraction and subwavelength focusing of electromagnetic waves in a 2D PC. Our structure consists of a square array of dielectric rods in air. Transmission measurements are performed for experimentally verifying the predicted negative refraction behavior in our structure. Negative index of refraction determined from the experiment is -1.94 which is very close to the theoretical value of -2.06. Negative refraction is observed for the incidence angles of > 20°(Ertugrul Cubukcu, Koray Aydin, Ekmel Ozbay, S. Foteinopolou, and Costas Soukoulis, Negative Refraction by Photonic Crystals, Nature, vol. 423, 604 (2003)). Since we know the optimum frequency for a broad angle negative refraction, we can use our crystal to test the superlensing effect that was predicted for negative refractive materials. Scanning transmission measurement technique is used to measure the spatial power distribution of the focused electromagnetic waves that radiate from a point source. Full width at half maximum of the focused beam is measured to be 0.21λ, which is in good agreement with the finite

  11. Refractive and Aberration Outcomes after Customized Photorefractive Keratectomy in Comparison with Customized Femtosecond Laser

    PubMed Central

    Sajjadi, Valleh; Ghoreishi, Mohammad; Jafarzadehpour, Ebrahim

    2015-01-01

    To compare the refractive and visual outcomes and higher order aberrations in patients with low to moderate myopia who underwent customized photorefractive keratectomy (PRK) or femtosecond laser in situ keratomileusis (Femto-LASIK) this research performed. This study includes data of 120 consecutive eyes of 60 patients with myopia between -3.00 D and -7.00 D with or without astigmatism in two surgery groups: PRK and Femto-LASIK. Refractive, visual, and aberration outcomes of the two methods of surgery were compared after 6 months of follow-up. After six months of follow-up, sphere and cylinder were found significantly decreased and there was no statistically significant difference between the two groups. The mean of uncorrected distance visual acuity in LogMar format for the PRK and Femto-LASIK groups was -0.03±0.07 and -0.01±0.08, respectively, which was not significantly different between the two groups. Higher orders and spherical aberrations increased in both groups significantly, while total aberrations decreased in both groups. After surgery, no differences were observed between the two groups in the amount of aberrations. In conclusion, Both PRK and Femto-LASIK are effective and safe in correcting myopia. In this study PRK induced more spherical and higher order aberrations than Femto-LASIK. PMID:27800501

  12. Impacting patient outcomes through design: acuity adaptable care/universal room design.

    PubMed

    Brown, Katherine Kay; Gallant, Dennis

    2006-01-01

    To succeed in today's challenging healthcare environment, hospitals must examine their impact on customers--patients and families--staff and physicians. By using competitive facility design and incorporating evidence-based concepts such as the acuity adaptable care delivery model and the universal room, the hospital will realize an impact on patient satisfaction that will enhance market share, on physician satisfaction that will foster loyalty, and on staff satisfaction that will decrease turnover. At the same time, clinical outcomes such as a reduction in mortality and complications and efficiencies such as a reduction in length of stay and minimization of hospital costs through the elimination of transfers can be gained. The results achieved are dependent on the principles used in designing the patient room that should focus on maximizing patient safety and improving healing. This article will review key design elements that support the success of an acuity adaptable unit such as the use of a private room with zones dedicated to patients, families, and staff, healing environment, technology, and decentralized nursing stations that support the success of the acuity adaptable unit. Outcomes of institutions currently utilizing the acuity adaptable concept will be reviewed.

  13. The role of white light interferometry in predicting visual acuity following posterior capsulotomy.

    PubMed

    Hanna, I T; Sigurdsson, H; Baines, P S; Roxburgh, S T

    1989-01-01

    White light interferometry was performed on 21 eyes of 19 patients presenting for posterior capsulotomy following uncomplicated extracapsular cataract surgery. The white light interferometer was able to predict post-operative visual acuity to within one Snellen line in 56 per cent of eyes and to within two Snellen lines in 76 per cent of eyes.

  14. Interferometer assessment of potential visual acuity before YAG capsulotomy: relative performance of three instruments.

    PubMed

    Strong, N

    1992-01-01

    The accuracy of white light and laser interferometers in predicting visual acuity after YAG laser capsulotomy was compared. 42 eyes of 41 patients were tested with both a Haag-Streit (Lotmar) white light interferometer and a Rodenstock laser interferometer, and 14 were also tested with a Site white light machine. The laser interferometer predicted a final visual acuity to within one line of that actually achieved in 93%, and to within two lines in 98%, whereas for the Haag-Streit these figures were 64% and 81%, and for the Site 77% and 92%. In patients with poor initial visual acuity, the difference in the relative performance of the two instruments was increased further. When interferometry was repeated after capsulotomy, the values obtained with all instruments agreed closely with Snellen acuity. This difference in predictive accuracy shows that capsular thickening causes a greater degree of optical degradation of the image produced by a white light interferometer than occurs when a laser interferometer is employed.

  15. A Close Eye on the Eagle-Eyed Visual Acuity Hypothesis of Autism

    ERIC Educational Resources Information Center

    Bolte, Sven; Schlitt, Sabine; Gapp, Volker; Hainz, Daniela; Schirman, Shella; Poustka, Fritz; Weber, Bernhard; Freitag, Christine; Ciaramidaro, Angela; Walter, Henrik

    2012-01-01

    Autism spectrum disorders (ASD) have been associated with sensory hypersensitivity. A recent study reported visual acuity (VA) in ASD in the region reported for birds of prey. The validity of the results was subsequently doubted. This study examined VA in 34 individuals with ASD, 16 with schizophrenia (SCH), and 26 typically developing (TYP).…

  16. Short-term visual deprivation, tactile acuity, and haptic solid shape discrimination.

    PubMed

    Crabtree, Charles E; Norman, J Farley

    2014-01-01

    Previous psychophysical studies have reported conflicting results concerning the effects of short-term visual deprivation upon tactile acuity. Some studies have found that 45 to 90 minutes of total light deprivation produce significant improvements in participants' tactile acuity as measured with a grating orientation discrimination task. In contrast, a single 2011 study found no such improvement while attempting to replicate these earlier findings. A primary goal of the current experiment was to resolve this discrepancy in the literature by evaluating the effects of a 90-minute period of total light deprivation upon tactile grating orientation discrimination. We also evaluated the potential effect of short-term deprivation upon haptic 3-D shape discrimination using a set of naturally-shaped solid objects. According to previous research, short-term deprivation enhances performance in a tactile 2-D shape discrimination task - perhaps a similar improvement also occurs for haptic 3-D shape discrimination. The results of the current investigation demonstrate that not only does short-term visual deprivation not enhance tactile acuity, it additionally has no effect upon haptic 3-D shape discrimination. While visual deprivation had no effect in our study, there was a significant effect of experience and learning for the grating orientation task - the participants' tactile acuity improved over time, independent of whether they had, or had not, experienced visual deprivation.

  17. The Effects of Drift and Displacement Motion on Dynamic Visual Acuity

    ERIC Educational Resources Information Center

    Aznar-Casanova, J. Antonio; Quevedo, Lluisa; Sinnett, Scott

    2005-01-01

    Dynamic Visual Acuity (DVA) can be measured from two types of equivalently considered movement referred to as drifting-motion and displacement-motion. Displacement motion can be best described as the horizontal displacement of a stimulus, thus implying pursuit eye movements, and involves moving the stimulus from the fixation point of gaze towards…

  18. Binocular Coordination, Acuity, and Locomotion: Interacting with Objects in the Environment.

    ERIC Educational Resources Information Center

    Knowlton, Marie; Lee, Inkyung

    1995-01-01

    This article addresses issues of orientation and mobility for students with visual impairments, including the perception of motion, visual mechanisms of binocular coordination, perception of impending collision, and body movement to avoid collision. Emphasis is on the role of binocular coordination ability and acuity. These concepts were evaluated…

  19. Binocular Visual Acuity of Children: Demographic and Socioeconomic Characteristics - United States.

    ERIC Educational Resources Information Center

    National Center for Health Statistics (DHEW/PHS), Hyattsville, MD.

    Reported were estimates of the uncorrected binocular visual acuity levels of distance and near for children aged 6 to 11 years in the noninstitutional population of the United States in relation to their demographic and socioeconomic background. A sample of 7,119 children participated in the Health Examination Survey program of 1963-65. Findings…

  20. Effects of Spatial Position and Density on Visual Acuity. Umea Psychological Reports No. 153.

    ERIC Educational Resources Information Center

    Brannstrom, Lauritz

    Visual acuity as a function of target position and density was measured in a letter recognition task. A homogeneous pattern of equally-spaced elements was tachistoscopically exposed, where the target was never located at the boundaries of the pattern. The target was marked with a spatial cue to control attentional processes. With such a spatial…

  1. Is Theta Burst Stimulation Applied to Visual Cortex Able to Modulate Peripheral Visual Acuity?

    PubMed Central

    Brückner, Sabrina; Kammer, Thomas

    2014-01-01

    Repetitive transcranial magnetic stimulation is usually applied to visual cortex to explore the effects on cortical excitability. Most researchers therefore concentrate on changes of phosphene threshold, rarely on consequences for visual performance. Thus, we investigated peripheral visual acuity in the four quadrants of the visual field using Landolt C optotypes before and after repetitive stimulation of the visual cortex. We applied continuous and intermittend theta burst stimulation with various stimulation intensities (60%, 80%, 100%, 120% of individual phosphene threshold) as well as monophasic and biphasic 1 Hz stimulation, respectively. As an important result, no serious adverse effects were observed. In particular, no seizure was induced, even with theta burst stimulation applied with 120% of individual phosphene threshold. In only one case stimulation was ceased because the subject reported intolerable pain. Baseline visual acuity decreased over sessions, indicating a continuous training effect. Unexpectedly, none of the applied transcranial magnetic stimulation protocols had an effect on performance: no change in visual acuity was found in any of the four quadrants of the visual field. Binocular viewing as well as the use of peripheral instead of foveal presentation of the stimuli might have contributed to this result. Furthermore, intraindividual variability could have masked the TMS- induced effects on visual acuity. PMID:24914682

  2. Teachers' Knowledge of the Relationship of Auditory Acuity and Hearing Impairment to Reading.

    ERIC Educational Resources Information Center

    Marshall, Evelyn Myrtle

    Teacher's knowledge of the relationship of auditory acuity and hearing impairment to reading was evaluated with 60 teachers and specialists (regular classroom primary and upper elementary teachers, reading teachers, teachers of the learning disabled, teachers of the hearing impaired, and speech and language pathologists). Ss were administered a…

  3. Evaluation of vestibular and dynamic visual acuity in adults with congenital deafness.

    PubMed

    Nakajima, Yukinori; Kaga, Kimitaka; Takekoshi, Hideki; Sakuraba, Keisyoku

    2012-10-01

    This study compared vestibular and dynamic visual acuity in 19 adult athletes with deafness participating in Deaflympics to those of 25 young adults with normal hearing. Balance capability was evaluated using a one-leg standing test with eyes open and stabilometry. Caloric tests and vestibular evoked myogenic potential tests were conducted to test vestibular function. Visual function was evaluated using a dynamic visual acuity test. No significant difference was found between results of the one-leg standing test with eyes open and stabilometry with eyes open. Athletes with deafness performed better than normal hearing young adults with eyes closed. The caloric test indicated hypofunction of the lateral semicircular canal function in 5 of the 19 athletes with deafness. Balance-function tests showed normal results for both groups. The results for athletes with deafness on visual acuity were better than those of controls. Young Deaflympics athletes with deafness can adjust their balance function as well as or better than normal hearing young adults using dynamic visual acuity.

  4. Visual Vestibular Interaction in the Dynamic Visual Acuity Test during Voluntary Head Rotation

    NASA Technical Reports Server (NTRS)

    Lee, Moo Hoon; Durnford, Simon; Crowley, John; Rupert, Angus

    1996-01-01

    Although intact vestibular function is essential in maintaining spatial orientation, no good screening tests of vestibular function are available to the aviation community. High frequency voluntary head rotation was selected as a vestibular stimulus to isolate the vestibulo-ocular reflex (VOR) from visual influence. A dynamic visual acuity test that incorporates voluntary head rotation was evaluated as a potential vestibular function screening tool. Twenty-seven normal subjects performed voluntary sinusoidal head rotation at frequencies from 0.7-4.0 Hz under three different visual conditions: visually-enhanced VOR, normal VOR, and visually suppressed VOR. Standardized Baily-Lovie chart letters were presented on a computer monitor in front of the subject, who then was asked to read the letters while rotating his head horizontally. The electro-oculogram and dynamic visual acuity score were recorded and analyzed. There were no significant differences in gain or phase shift among three visual conditions in the frequency range of 2.8 to 4.0 Hz. The dynamic visual acuity score shifted less than 0.3 logMAR at frequencies under 2.0 Hz. The dynamic visual acuity test at frequencies a round 2.0 Hz can be recommended for evaluating vestibular function.

  5. Visual acuity with the ITT Night Vision Aid for patients with night blindness.

    PubMed

    Hoover, K L

    1983-09-01

    The Night Vision Aid is a photomultiplier device developed by International Telephone and Telegraph Co. (ITT) and the Retinitis Pigmentosa Foundation as a mobility aid for those with night blindness. The purpose of this study was to measure visual acuity with and without the Night Vision Aid at a variety of light levels to determine how much visual assistance it provided over a wide range of illuminations. Ten normal subjects and five patients with retinitis pigmentosa (RP) used the aid at nine luminance levels ranging from 10(-6) to 10(2) ml. With the device, visual acuity improved at light levels below 0.1 ml and target visibility was extended about 3 log units further into low luminance. At light levels above 0.1 mL, unassisted visual acuity was better in all normal and most RP subjects. The best visual acuity attained with the Night Vision Aid was 6/15 (20/50). Graphs and dark adaptation curves illustrate our findings.

  6. Acuity-adaptable patient room improves length of stay and cost of patients undergoing renal transplant: a pilot study.

    PubMed

    Bonuel, Nena; Degracia, Alma; Cesario, Sandra

    2013-01-01

    The acuity-adaptable patient room concept is an emerging care model where patient is cared for in the same room from admission through discharge regardless of the patient level of acuity. After implementation of the care cluster strategy to support the implementation of an acuity-adaptable patient room, a descriptive study was conducted looking at so whether there will be a decreased length of stay and cost on patient cared for in the acuity-adaptable patient room compared to patients cared for in a transitional care process. Result of the study showed decreased length of stay of kidney transplant patients from 9.6 (11.0) days (before acuity-adaptable patient room) to 4.1 (1.3) days (acuity-adaptable patient room). Not only that the acuity-adaptable patient room improves patient outcome and cost but with the nursing competency preparation to support the implementation of the acuity-adaptable patient room, a hybrid nurse was created who possessed both critical care and medical-surgical skills. This can be a potential trend in the professional nurse model to address the health care challenges we face today in terms of nursing shortage, abbreviated plan of care, and facility operation efficiency. PMID:23470704

  7. Acuity-adaptable patient room improves length of stay and cost of patients undergoing renal transplant: a pilot study.

    PubMed

    Bonuel, Nena; Degracia, Alma; Cesario, Sandra

    2013-01-01

    The acuity-adaptable patient room concept is an emerging care model where patient is cared for in the same room from admission through discharge regardless of the patient level of acuity. After implementation of the care cluster strategy to support the implementation of an acuity-adaptable patient room, a descriptive study was conducted looking at so whether there will be a decreased length of stay and cost on patient cared for in the acuity-adaptable patient room compared to patients cared for in a transitional care process. Result of the study showed decreased length of stay of kidney transplant patients from 9.6 (11.0) days (before acuity-adaptable patient room) to 4.1 (1.3) days (acuity-adaptable patient room). Not only that the acuity-adaptable patient room improves patient outcome and cost but with the nursing competency preparation to support the implementation of the acuity-adaptable patient room, a hybrid nurse was created who possessed both critical care and medical-surgical skills. This can be a potential trend in the professional nurse model to address the health care challenges we face today in terms of nursing shortage, abbreviated plan of care, and facility operation efficiency.

  8. Lingual tactile acuity and food texture preferences among children and their mothers

    PubMed Central

    Lukasewycz, Laura D.; Mennella, Julie A.

    2012-01-01

    Despite anecdotal reports of children being more sensitive to texture than adults, and of texture being one of the main drivers of food aversions, there is a paucity of scientific knowledge on the influence of texture perception on food choice in children. The primary goals of this study were to assess the use of a modified letter-identification task to study lingual tactile acuity, one aspect of oral sensitivity, in children and to examine age-related differences in sensitivity. The secondary goal was to explore whether lingual tactile acuity and age relate to various measures of food choice and preference. To this end, children 7–10 years old (31 girls, 21 boys) and their mothers were tested using identical procedures. To assess lingual tactile acuity, children and mothers were asked to use the tips of their tongues to identify raised alphabetical letters of varying size (2.5–8.0 mm) on Teflon strips. To relate lingual tactile acuity to food texture preferences, a forced-choice questionnaire assessed preferences for foods similar in flavor but different in texture (e.g., smooth versus crunchy peanut butter). Children were able to complete the lingual acuity task as well as their mothers and took less time to assess each letter stimulus (p < 0.001); however, there were no age-related differences in lingual acuity (p = 0.14). Age, but not lingual acuity, related to food texture preferences: mothers preferred harder foods (p < 0.001) and those containing more particles (p < 0.04) than did children, although children‘s preferences became more adult-like with increasing age. The availability of a rapid, child-friendly method for assessing oral sensitivity opens up new possibilities of examining differences in oral tactile perceptions across the life span. That food preferences changed with age and were not related to oral sensitivity underscores the fact that factors such as experience, culture and family food practices have a significant impact on children

  9. Physics of negative refractive index materials

    NASA Astrophysics Data System (ADS)

    Ramakrishna, S. Anantha

    2005-02-01

    In the past few years, new developments in structured electromagnetic materials have given rise to negative refractive index materials which have both negative dielectric permittivity and negative magnetic permeability in some frequency ranges. The idea of a negative refractive index opens up new conceptual frontiers in photonics. One much-debated example is the concept of a perfect lens that enables imaging with sub-wavelength image resolution. Here we review the fundamental concepts and ideas of negative refractive index materials. First we present the ideas of structured materials or meta-materials that enable the design of new materials with a negative dielectric permittivity, negative magnetic permeability and negative refractive index. We discuss how a variety of resonance phenomena can be utilized to obtain these materials in various frequency ranges over the electromagnetic spectrum. The choice of the wave-vector in negative refractive index materials and the issues of dispersion, causality and energy transport are analysed. Various issues of wave propagation including nonlinear effects and surface modes in negative refractive materials (NRMs) are discussed. In the latter part of the review, we discuss the concept of a perfect lens consisting of a slab of a NRM. This perfect lens can image the far-field radiative components as well as the near-field evanescent components, and is not subject to the traditional diffraction limit. Different aspects of this lens such as the surface modes acting as the mechanism for the imaging of the evanescent waves, the limitations imposed by dissipation and dispersion in the negative refractive media, the generalization of this lens to optically complementary media and the possibility of magnification of the near-field images are discussed. Recent experimental developments verifying these ideas are briefly covered.

  10. Anomalous refraction, diffraction, and imaging in metamaterials

    NASA Astrophysics Data System (ADS)

    Paul, Thomas; Rockstuhl, Carsten; Menzel, Christoph; Lederer, Falk

    2009-03-01

    In the past several years, optical metamaterials (MMs) have attracted a considerable deal of interest because it may be anticipated that their properties can be shaped to an unprecedented extent relieving optics from some of its natural limitations. An inevitable first step toward this goal is the evaluation of the optical properties of specifically designed MMs. To date, apart from identifying chiral properties of very specific configurations, this is primarily done in retrieving an effective refractive index—mostly—only for normal incidence. On this basis suggestions for a perfect lens, exploiting this negative refractive index have been put forward by taking advantage of geometrical optics arguments. We show that this approach is pointless for realistic MMs. Instead we prove that the dispersion relation of normal modes in these MMs provides all the required information. Most of the relevant optical parameters, such as refraction and diffraction coefficients, can be derived from this relation. Imaging properties follow straightforwardly from that data. This general approach holds for any optical material, in particular, for all MMs in question. As an example, we apply it to the fishnet structure: one of the most prominent and best studied design approaches to date. We show that both refraction and diffraction properties are strongly spatially and temporally dispersive and they can even change sign. In detail, we study the effect of these peculiarities on imaging and refraction of finite beams. In particular, we discuss both the effect of the specific dispersion relation and the losses on the imaging properties. All our physical predictions are backed by rigorous numerical calculations and the agreement is almost perfect. Ultimately the main conclusion to be drawn is that a negative index of refraction is by no means a sufficient criterion to achieve negative refraction and/or perfect imaging.

  11. Assembly and alignment of infrared refractive system

    NASA Astrophysics Data System (ADS)

    Yang, Lin; Lin, Jian-chun; Wang, Ya-jing; Chen, Fan-sheng

    2013-09-01

    Optical systems for scientific instrumentation frequently include lens or mirrors with critical mechanical requirements. Position issues of those components are inextricably bound to the efficiency of the instrument. The position referring to the lens system mainly means spacer and rotation of all elements concerned. Instrument could not be completed without the accuracy assembly even the previous design was top one. The alignment of infrared optical system always is a tough thing due to the IR material being opaque to visible light which hardly effect on the imaging ability of the system. In this paper a large-aperture IR refractive system was described in details and the alignment of this system was presented. The brief work describes the assembly and integration of the camera barrel in lab. First of all, all the mechanical elements must be manufactured with high accuracy requirements to meet alignment tolerances and minimum errors mostly could be ignored. The rotations relative to the optical axis were hardy restricted by the space between barrel and cells. The lens vertex displacements were determined through high accuracy titanium alloy spacer. So the actual shape data of the optical lenses were obtained by coordinate measuring machining (CMM) to calculate the real space between lenses after alignment1 done. All the measured results were critical for instruction of the practical assemble. Based on the properties and tolerances of the system, the camera barrel includes sets of six lenses with their respective supports and cells which are composed of two parts: the flied lens group and the relay lenses group. The first one was aligned by the geometry centering used CMM. And the relay lenses were integrated one by one after centered individually with a classical centering instrument. Then the two separate components were assembled under the monitor of the CMM with micron precision. Three parameters on the opti-mechanical elements which include decenter, tilt and

  12. A novel dual-axis optoelectronic level with refraction principle

    NASA Astrophysics Data System (ADS)

    Torng, Jingsyan; Wang, Chih-Hsiung; Huang, Zih-Nan; Fan, Kuang-Chao

    2013-03-01

    Levels are fundamental metrological tools for machine leveling and angle measurements. Current levels are all based on the pendulum principle and bubble vial principle. The former is precise but complicated, while the latter is not precise enough. This paper presents a novel, simple and precise optoelectronic level. It is based on the principle of light refraction in the transparent and viscous fluid. The fluid surface is always in leveling condition regardless whether the ground is level or not. Measuring the refraction angle with precise dual-axis autocollimator can directly reflect the inclined angle of the level. A leakage prevention design is also proposed to allow the level to be placed in any pose. Calibrated by an angular interferometer, the error of the dual-axis optoelectronic level is better than ±0.7 arcsec in the measuring range of ±100 arcsec, and better than ±0.4 arcsec for the range of ±30 arcsec, for both axes. Without the need of a pendulum mechanism, this is a simpler design for precision level.

  13. Visual acuity and blood lipids in term infants fed human milk or formulae.

    PubMed

    Innis, S M; Akrabawi, S S; Diersen-Schade, D A; Dobson, M V; Guy, D G

    1997-01-01

    This multicenter, parallel group study determined plasma phospholipid and red blood cell (RBC) phosphatidylcholine and phosphatidylethanolamine fatty acids, plasma cholesterol, apo A-1 and B, growth and visual acuity (using the acuity card procedure) in term infants fed from birth to 90 d of age with formula containing palm-olein, high oleic sunflower, coconut and soy oil (22.2% 16:0, 36.2% 18:1, 18% 18:2n-6, 1.9% 18:3n-3) (n = 59) or coconut and soy oil (10.3% 16:0 18:6% 18:1, 34.2% 18:2n-6, 4.7% 18:3n-3) (n = 57) or breast-fed (n = 56) with no formula supplementation. Different centers in North America were included to overcome potential bias due to differences in n-6 or n-3 fatty acids at birth or in breast-fed infants that might occur in a single-site study. Plasma and RBC phospholipid docosahexaenoic acid (DHA, 22:6n-3) and arachidonic acid (AA, 20:4n-6), cholesterol and apo B were significantly lower in the formula- than breast-fed infants. There were no differences in looking acuity or growth among the breast-fed and formula-fed infants. No significant relations were found between DHA and looking acuity, or AA and growth within or among any of the infant groups. This study provides no evidence to suggest the formula provided inadequate n-6 or n-3 fatty acids for growth and looking acuity for the first 3 mon after birth. PMID:9075195

  14. Visual discrimination learning in the water maze: a novel test for visual acuity.

    PubMed

    Robinson, L; Bridge, H; Riedel, G

    2001-02-15

    Learning about space, the environment and specific objects comprising three-dimensional arrangements requires processing of visual information. As learning and memory experiments in mammals rely heavily on normal processing of visual cues, drug-induced disruption of acquisition learning or memory formation necessitates the important control for visual acuity. A popular task used frequently for rats is the Morris water maze. However, previously used visual tasks in the water maze only control for gross visual disturbances. Here we describe a new training procedure enabling visual acuity to be tested in the water maze. Animals were trained to discriminate between two cue cards containing a pattern of vertical black and white stripes. Cards were presented in two adjacent quadrants separated by a barrier with the escape platform located in front of the smaller stripes (1 cm wide). Once 80% correct responses were attained, the wider cue card (normally 5 cm wide stripes) was randomly changed to gratings of 1,2,3,4,5, and 10 cm width. Animals learned the discrimination with acuity of 1.5 c/deg. A detailed analysis of the swim patterns further suggests that, independent of the grating used, animals make a choice immediately after release and swim along the walls towards the cue. In a further acuity test taken a few weeks later when animals were given saline infusions, performance was better than in the first test suggesting an effect of learning. This novel test may prove useful in determining subtle drug-induced deficits in visual acuity that may contribute to disruption of spatial performance in the water maze.

  15. Reduction in Dynamic Visual Acuity Reveals Gaze Control Changes Following Spaceflight

    NASA Technical Reports Server (NTRS)

    Peters, Brian T.; Brady, Rachel A.; Miller, Chris; Lawrence, Emily L.; Mulavara Ajitkumar P.; Bloomberg, Jacob J.

    2010-01-01

    INTRODUCTION: Exposure to microgravity causes adaptive changes in eye-head coordination that can lead to altered gaze control. This could affect postflight visual acuity during head and body motion. The goal of this study was to characterize changes in dynamic visual acuity after long-duration spaceflight. METHODS: Dynamic Visual Acuity (DVA) data from 14 astro/cosmonauts were collected after long-duration (6 months) spaceflight. The difference in acuity between seated and walking conditions provided a metric of change in the subjects ability to maintain gaze fixation during self-motion. In each condition, a psychophysical threshold detection algorithm was used to display Landolt ring optotypes at a size that was near each subject s acuity threshold. Verbal responses regarding the orientation of the gap were recorded as the optotypes appeared sequentially on a computer display 4 meters away. During the walking trials, subjects walked at 6.4 km/h on a motorized treadmill. RESULTS: A decrement in mean postflight DVA was found, with mean values returning to baseline within 1 week. The population mean showed a consistent improvement in DVA performance, but it was accompanied by high variability. A closer examination of the individual subject s recovery curves revealed that many did not follow a pattern of continuous improvement with each passing day. When adjusted on the basis of previous long-duration flight experience, the population mean shows a "bounce" in the re-adaptation curve. CONCLUSION: Gaze control during self-motion is altered following long-duration spaceflight and changes in postflight DVA performance indicate that vestibular re-adaptation may be more complex than a gradual return to normal.

  16. A Systematic Investigation of Accuracy and Response Time Based Measures Used to Index ANS Acuity

    PubMed Central

    Dietrich, Julia Felicitas; Huber, Stefan; Klein, Elise; Willmes, Klaus; Pixner, Silvia; Moeller, Korbinian

    2016-01-01

    The approximate number system (ANS) was proposed to be a building block for later mathematical abilities. Several measures have been used interchangeably to assess ANS acuity. Some of these measures were based on accuracy data, whereas others relied on response time (RT) data or combined accuracy and RT data. Previous studies challenged the view that all these measures can be used interchangeably, because low correlations between some of the measures had been observed. These low correlations might be due to poor reliability of some of the measures, since the majority of these measures are mathematically related. Here we systematically investigated the relationship between common ANS measures while avoiding the potential confound of poor reliability. Our first experiment revealed high correlations between all accuracy based measures supporting the assumption that all of them can be used interchangeably. In contrast, not all RT based measures were highly correlated. Additionally, our results revealed a speed-accuracy trade-off. Thus, accuracy and RT based measures provided conflicting conclusions regarding ANS acuity. Therefore, we investigated in two further experiments which type of measure (accuracy or RT) is more informative about the underlying ANS acuity, depending on participants’ preferences for accuracy or speed. To this end, we manipulated participants’ preferences for accuracy or speed both explicitly using different task instructions and implicitly varying presentation duration. Accuracy based measures were more informative about the underlying ANS acuity than RT based measures. Moreover, the influence of the underlying representations on accuracy data was more pronounced when participants preferred accuracy over speed after the accuracy instruction as well as for long or unlimited presentation durations. Implications regarding the diffusion model as a theoretical framework of dot comparison as well as regarding the relationship between ANS acuity and

  17. A Systematic Investigation of Accuracy and Response Time Based Measures Used to Index ANS Acuity.

    PubMed

    Dietrich, Julia Felicitas; Huber, Stefan; Klein, Elise; Willmes, Klaus; Pixner, Silvia; Moeller, Korbinian

    2016-01-01

    The approximate number system (ANS) was proposed to be a building block for later mathematical abilities. Several measures have been used interchangeably to assess ANS acuity. Some of these measures were based on accuracy data, whereas others relied on response time (RT) data or combined accuracy and RT data. Previous studies challenged the view that all these measures can be used interchangeably, because low correlations between some of the measures had been observed. These low correlations might be due to poor reliability of some of the measures, since the majority of these measures are mathematically related. Here we systematically investigated the relationship between common ANS measures while avoiding the potential confound of poor reliability. Our first experiment revealed high correlations between all accuracy based measures supporting the assumption that all of them can be used interchangeably. In contrast, not all RT based measures were highly correlated. Additionally, our results revealed a speed-accuracy trade-off. Thus, accuracy and RT based measures provided conflicting conclusions regarding ANS acuity. Therefore, we investigated in two further experiments which type of measure (accuracy or RT) is more informative about the underlying ANS acuity, depending on participants' preferences for accuracy or speed. To this end, we manipulated participants' preferences for accuracy or speed both explicitly using different task instructions and implicitly varying presentation duration. Accuracy based measures were more informative about the underlying ANS acuity than RT based measures. Moreover, the influence of the underlying representations on accuracy data was more pronounced when participants preferred accuracy over speed after the accuracy instruction as well as for long or unlimited presentation durations. Implications regarding the diffusion model as a theoretical framework of dot comparison as well as regarding the relationship between ANS acuity and

  18. Foveal photoreceptor explanation of short-term visual acuity recovery associated with laser-induced foveal damage

    NASA Astrophysics Data System (ADS)

    Langus, Amir; Zwick, Harry; Stuck, Bruce E.; Belkin, Michael

    2003-06-01

    Both human laser accident cases and non-human primate behavioral studies demonstrate the possibility of full visual acuity recovery following foveal laser injury. Current explanations of such recovery require suppositions of complex retinal reorganization dynamics or neural reorganization at higher order visual brain systems. However, recent investigation based on data of retinal photoreceptor and ganglion cell topography and connectivity, suggest that the amount of static inherent plasticity, already exists at the retinal level, may also explain visual acuity recovery in the presence of laser-induced foveal damage. Modeling the off-axis visual acuity while utilizing this data, produces a more gradual fall-off in visual acuity, and supports the notion that visual acuity recovery may reside in the topographical organization of the cones. Moreover, considering the filling-in phenomena, which can conceal the presence of retinal damage from being recognized, together with eye movements, could nullify scotoma, as long as the retinal damage is not too extensive.

  19. The influence of corrected visual acuity on visual attention and incidental learning in patients with multiple sclerosis.

    PubMed

    Davis, Andrew S; Hertza, Jeremy; Williams, Ronald N; Gupta, Ajay S; Ohly, Johann G

    2009-07-01

    Visual disturbance is one of the hallmarks of multiple sclerosis (MS), yet clinical neuropsychologists rarely quantitatively assess visual acuity using standardized and norm-referenced measures. This is a significant oversight because disturbances in visual acuity can have an obvious and profound impact on neuropsychological tests which rely upon visual attention and/or scanning. This study investigated the relationship between corrected visual acuity and a widely used measure of visual attention and incidental learning in a group of 35 patients with MS. Regression analysis indicated that corrected visual acuity accounted for 21.3% of the variance in a Coding subtest. The results suggest neuropsychologists and other health care providers should exercise caution in interpreting visually based tests for patients with MS and should assess visual acuity with standardized and norm-referenced measures. PMID:20183167

  20. Interferometric Methods of Measuring Refractive Indices and Double-Refraction of Fibres.

    ERIC Educational Resources Information Center

    Hamza, A. A.; El-Kader, H. I. Abd

    1986-01-01

    Presents two methods used to measure the refractive indices and double-refraction of fibers. Experiments are described, with one involving the use of Pluta microscope in the double-beam interference technique, the other employing the multiple-beam technique. Immersion liquids are discussed that can be used in the experiments. (TW)

  1. Sun compass error model

    NASA Technical Reports Server (NTRS)

    Blucker, T. J.; Ferry, W. W.

    1971-01-01

    An error model is described for the Apollo 15 sun compass, a contingency navigational device. Field test data are presented along with significant results of the test. The errors reported include a random error resulting from tilt in leveling the sun compass, a random error because of observer sighting inaccuracies, a bias error because of mean tilt in compass leveling, a bias error in the sun compass itself, and a bias error because the device is leveled to the local terrain slope.

  2. Full field imaging based instantaneous hyperspectral absolute refractive index measurement

    SciTech Connect

    Baba, Justin S; Boudreaux, Philip R

    2012-01-01

    Multispectral refractometers typically measure refractive index (RI) at discrete monochromatic wavelengths via a serial process. We report on the demonstration of a white light full field imaging based refractometer capable of instantaneous multispectral measurement of absolute RI of clear liquid/gel samples across the entire visible light spectrum. The broad optical bandwidth refractometer is capable of hyperspectral measurement of RI in the range 1.30 1.70 between 400nm 700nm with a maximum error of 0.0036 units (0.24% of actual) at 414nm for a = 1.50 sample. We present system design and calibration method details as well as results from a system validation sample.

  3. Negative Refraction and Imaging with Quasicrystals

    NASA Astrophysics Data System (ADS)

    Zhang, Xiangdong; Feng, Zhifang; Wang, Yiquan; Li, Zhi-Yuan; Cheng, Bingying; Zhang, Dao-Zhong

    Recently, negative refraction of electromagnetic waves in photonic crystals was demonstrated experimentally and subwavelength images were observed. However, these investigations all focused on the periodic structure. In fact, the negative refraction exists not only in periodic structure, but also in nonperiodic structures such as quasicrystalline arrangement of dielectric. Here, we discuss the negative refraction and imaging based on some transparent quasicrystalline photonic structures. The high-symmetric photonic quasicrystals (PQCs) can exhibit an effective refractive index close to -1 in a certain frequency window. The index shows small spatial dispersion, consistent with the nearly homogeneous geometry of the quasicrystal. Thus, a flat lens based on the 2D PQCs can form a non-near-field image whose position varies with the thickness of the sample and the source distance. At the same time, the focus and image for both polarized waves at the same structure and parameters can also be realized by such a flat lens. In addition, the negative refraction behaviors of acoustic wave in phononic quasicrystal are also discussed.

  4. Refractive Secondary Concentrators for Solar Thermal Applications

    NASA Technical Reports Server (NTRS)

    Wong, Wayne A.; Macosko, Robert P.

    1999-01-01

    The NASA Glenn Research Center is developing technologies that utilize solar energy for various space applications including electrical power conversion, thermal propulsion, and furnaces. Common to all of these applications is the need for highly efficient, solar concentration systems. An effort is underway to develop the innovative single crystal refractive secondary concentrator, which uses refraction and total internal reflection to efficiently concentrate and direct solar energy. The refractive secondary offers very high throughput efficiencies (greater than 90%), and when used in combination with advanced primary concentrators, enables very high concentration ratios (10,0(X) to 1) and very high temperatures (greater than 2000 K). Presented is an overview of the refractive secondary concentrator development effort at the NASA Glenn Research Center, including optical design and analysis techniques, thermal modeling capabilities, crystal materials characterization testing, optical coatings evaluation, and component testing. Also presented is a discussion of potential future activity and technical issues yet to be resolved. Much of the work performed to date has been in support of the NASA Marshall Space Flight Center's Solar Thermal Propulsion Program. The many benefits of a refractive secondary concentrator that enable efficient, high temperature thermal propulsion system designs, apply equally well to other solar applications including furnaces and power generation systems such as solar dynamics, concentrated thermal photovoltaics, and thermionics.

  5. Baseline visual acuity strongly predicts visual acuity gain in patients with diabetic macular edema following anti-vascular endothelial growth factor treatment across trials

    PubMed Central

    Dugel, Pravin U; Hillenkamp, Jost; Sivaprasad, Sobha; Vögeler, Jessica; Mousseau, Marie-Catherine; Wenzel, Andreas; Margaron, Philippe; Hashmonay, Ron; Massin, Pascale

    2016-01-01

    Objective This study was designed to evaluate the correlation of baseline visual acuity (VA) with VA outcome in response to anti-vascular endothelial growth factor (VEGF) in diabetic macular edema using a retrospective analysis of nine clinical trials. The result will help assess the relevance of VA gain comparisons across trials. Methods A correlation analysis was performed between mean baseline VA and VA gain at month 12 for 1,616 diabetic macular edema patients across nine randomized clinical trials (RESOLVE, RISE, RIDE, RESTORE, RETAIN, DRCR.net Protocol I, DA VINCI, VIVID, VISTA) with anti-VEGF treatment regimens ranibizumab 0.5 mg and aflibercept 2 mg. Results The mean baseline VA ranged from 56.9 to 64.8 Early Treatment Diabetic Retinopathy Study (ETDRS) letters. The mean VA gain at month 12 ranged from 6.8 to 13.1 ETDRS letters across trials. There was a strong inverse correlation between mean baseline VA and VA gain at month 12 (r=−0.85). The mean VA at 12 months plateaued at ~70 (68.5–73.0) ETDRS letters (20/40 Snellen VA equivalent) for the anti-VEGF treatment groups from all trials, regardless of dosing regimens and agents. Conclusion Cross-trial comparisons based on changes in best-corrected visual acuity should be done cautiously and only after adjusting for best-corrected visual acuity at baseline. Furthermore, the total VA afforded by treatment appears to be subject to a plateau effect, which warrants further exploration. PMID:27366049

  6. Correlation between visual function and refractive, topographic, pachymetric and aberrometric data in eyes with keratoconus

    PubMed Central

    Bayraktar Bilen, Neslihan; Hepsen, Ibrahim F.; Arce, Carlos G.

    2016-01-01

    AIM To analyze the relationship between two visual functions and refractive, topographic, pachymetric and aberrometric indicators in eyes with keratoconus. METHODS Corrected distance visual acuity (CDVA), and letter contrast sensitivity (CS) were correlated with refraction, corneal topography, pachymetry, and total corneal wavefront data prospectively in 71 eyes with keratoconus. The topographic indices assessed were simulated keratometry for the flattest and steepest meridians (SimK1 and SimK2), posterior steeper K (Ks), elevation value in best-fit sphere (BFS) maps, squared eccentricity (Є2), aspheric asymmetric index (AAI), pachymetry, thickness progression index (TPI), the amount of pachymetric decentralization (APD), and GalileiTM-keratoconus indices. RESULTS The mean CDVA (expressed as logMAR) were 0.25±0.21. The mean CS was 1.25±0.46. The spherical refraction correlated well with CDVA (r=-0.526, P<0.001). From topographic indices, SRI correlated with CS (r=-0.695), and IAI with CS (r=-0.672) (P<0.001 for all). Root mean square (RMS) was 4.3±1.81 µm, spherical aberration (SA) was -0.4±0.67 µm, vertical and horizontal coma were -2.1±1.47 and -0.4±0.72 µm. All wavefront data (except horizontal coma), AAI, Є2 and maximum BFS correlated significantly with the visual function (P≤0.001 for all). CONCLUSION In this study, CS is more affected than CDVA as a visual function. The quantity and quality of vision is significantly correlated with well-known and new topographic indices. There is not a significant correlation between visual function and pachymetric parameters. The significantly correlated indices can be used in staging keratoconus and to follow the outcome of a treatment. PMID:27588266

  7. Unforced errors and error reduction in tennis

    PubMed Central

    Brody, H

    2006-01-01

    Only at the highest level of tennis is the number of winners comparable to the number of unforced errors. As the average player loses many more points due to unforced errors than due to winners by an opponent, if the rate of unforced errors can be reduced, it should lead to an increase in points won. This article shows how players can improve their game by understanding and applying the laws of physics to reduce the number of unforced errors. PMID:16632568

  8. Refraction and interpupillary distance measurements of adult Icelanders with special reference to presbyopes possible use of supermarket standard spectacles.

    PubMed

    Jonasson, F; Thordarson, K

    1987-01-01

    In Iceland refraction is exclusively performed by ophthalmologists who at the same time provide a comprehensive screening for ocular disease. One of the authors travelled three times a year during 1980 through 1984 providing ophthalmic services for rural area in the Eastern Region of Iceland. By the 1st of December 1982 the population 43 years of age and older was 925 persons. This age group is likely to require reading glasses. 751 persons, i.e. 81.2%, had eye examination including visual acuity tests. 730 persons were refracted i.e. 71.9%, and interpupillary distance for near was measured for 555 persons, i.e. 60% of the population. The results were used to estimate the suitability and usefulness of standard supermarket glasses. In 32.1% of the cases, standard reading glasses were found to be unsuitable because of refraction and in 14.2% of the cases, glasses with appropriate interpupillary distance were unavailable in the store. Thus almost half of the examined persons would not have found suitable glasses even if they had been correct in their selection in all instances, which is impossible.

  9. Comparison of Methods for Predicting the Compositional Dependence of the Density and Refractive Index of Organic-Aqueous Aerosols.

    PubMed

    Cai, Chen; Miles, Rachael E H; Cotterell, Michael I; Marsh, Aleksandra; Rovelli, Grazia; Rickards, Andrew M J; Zhang, Yun-Hong; Reid, Jonathan P

    2016-08-25

    Representing the physicochemical properties of aerosol particles of complex composition is of crucial importance for understanding and predicting aerosol thermodynamic, kinetic, and optical properties and processes and for interpreting and comparing analysis methods. Here, we consider the representations of the density and refractive index of aqueous-organic aerosol with a particular focus on the dependence of these properties on relative humidity and water content, including an examination of the properties of solution aerosol droplets existing at supersaturated solute concentrations. Using bulk phase measurements of density and refractive index for typical organic aerosol components, we provide robust approaches for the estimation of these properties for aerosol at any intermediate composition between pure water and pure solute. Approximately 70 compounds are considered, including mono-, di- and tricarboxylic acids, alcohols, diols, nitriles, sulfoxides, amides, ethers, sugars, amino acids, aminium sulfates, and polyols. We conclude that the molar refraction mixing rule should be used to predict the refractive index of the solution using a density treatment that assumes ideal mixing or, preferably, a polynomial dependence on the square root of the mass fraction of solute, depending on the solubility limit of the organic component. Although the uncertainties in the density and refractive index predictions depend on the range of subsaturated compositional data available for each compound, typical errors for estimating the solution density and refractive index are less than ±0.1% and ±0.05%, respectively. Owing to the direct connection between molar refraction and the molecular polarizability, along with the availability of group contribution models for predicting molecular polarizability for organic species, our rigorous testing of the molar refraction mixing rule provides a route to predicting refractive indices for aqueous solutions containing organic molecules

  10. Comparison of Methods for Predicting the Compositional Dependence of the Density and Refractive Index of Organic-Aqueous Aerosols.

    PubMed

    Cai, Chen; Miles, Rachael E H; Cotterell, Michael I; Marsh, Aleksandra; Rovelli, Grazia; Rickards, Andrew M J; Zhang, Yun-Hong; Reid, Jonathan P

    2016-08-25

    Representing the physicochemical properties of aerosol particles of complex composition is of crucial importance for understanding and predicting aerosol thermodynamic, kinetic, and optical properties and processes and for interpreting and comparing analysis methods. Here, we consider the representations of the density and refractive index of aqueous-organic aerosol with a particular focus on the dependence of these properties on relative humidity and water content, including an examination of the properties of solution aerosol droplets existing at supersaturated solute concentrations. Using bulk phase measurements of density and refractive index for typical organic aerosol components, we provide robust approaches for the estimation of these properties for aerosol at any intermediate composition between pure water and pure solute. Approximately 70 compounds are considered, including mono-, di- and tricarboxylic acids, alcohols, diols, nitriles, sulfoxides, amides, ethers, sugars, amino acids, aminium sulfates, and polyols. We conclude that the molar refraction mixing rule should be used to predict the refractive index of the solution using a density treatment that assumes ideal mixing or, preferably, a polynomial dependence on the square root of the mass fraction of solute, depending on the solubility limit of the organic component. Although the uncertainties in the density and refractive index predictions depend on the range of subsaturated compositional data available for each compound, typical errors for estimating the solution density and refractive index are less than ±0.1% and ±0.05%, respectively. Owing to the direct connection between molar refraction and the molecular polarizability, along with the availability of group contribution models for predicting molecular polarizability for organic species, our rigorous testing of the molar refraction mixing rule provides a route to predicting refractive indices for aqueous solutions containing organic molecules

  11. Correction of geometric and refractive image distortions in optical coherence tomography applying Fermat's principle.

    PubMed

    Westphal, Volker; Rollins, Andrew; Radhakrishnan, Sunita; Izatt, Joseph

    2002-05-01

    We describe a methodology for quantitative image correction in OCT which includes procedures for correction of nonlinear axial scanning and non-telecentric scan patterns, as well as a novel approach for refraction correction in layered media based on Fermat's principle. The residual spatial error obtained in layered media with a fan-beam hand-held probe was reduced from several hundred micrometers to near the diffraction and coherence-length limits. PMID:19436373

  12. Study on singular radius and surface boundary constraint in refractive beam shaper design

    SciTech Connect

    Liu, C.; Zhang, Shukui

    2007-10-01

    Abstract: This paper presents analysis on important issues associated with the design of the refractive laser beam shaping system. The concept of â singular radiusâ is introduced along with solutions to minimize its adverse effect on the shaper performance. In addition, the surface boundary constraint is also discussed in details. This study provides useful guidelines against possible general design errors that would degrade the shaper quality or add undesired complication to the system.

  13. Error in radiology.

    PubMed

    Goddard, P; Leslie, A; Jones, A; Wakeley, C; Kabala, J

    2001-10-01

    The level of error in radiology has been tabulated from articles on error and on "double reporting" or "double reading". The level of error varies depending on the radiological investigation, but the range is 2-20% for clinically significant or major error. The greatest reduction in error rates will come from changes in systems.

  14. Adjustable hybrid diffractive/refractive achromatic lens.

    PubMed

    Valley, Pouria; Savidis, Nickolaos; Schwiegerling, Jim; Dodge, Mohammad Reza; Peyman, Gholam; Peyghambarian, N

    2011-04-11

    We demonstrate a variable focal length achromatic lens that consists of a flat liquid crystal diffractive lens and a pressure-controlled fluidic refractive lens. The diffractive lens is composed of a flat binary Fresnel zone structure and a thin liquid crystal layer, producing high efficiency and millisecond switching times while applying a low ac voltage input. The focusing power of the diffractive lens is adjusted by electrically modifying the sub-zones and re-establishing phase wrapping points. The refractive lens includes a fluid chamber with a flat glass surface and an opposing elastic polydimethylsiloxane (PDMS) membrane surface. Inserting fluid volume through a pump system into the clear aperture region alters the membrane curvature and adjusts the refractive lens' focal position. Primary chromatic aberration is remarkably reduced through the coupling of the fluidic and diffractive lenses at selected focal lengths. Potential applications include miniature color imaging systems, medical and ophthalmic devices, or any design that utilizes variable focal length achromats.

  15. Seismic refraction analysis: the path forward

    USGS Publications Warehouse

    Haines, Seth S.; Zelt, Colin; Doll, William

    2012-01-01

    Seismic Refraction Methods: Unleashing the Potential and Understanding the Limitations; Tucson, Arizona, 29 March 2012 A workshop focused on seismic refraction methods took place on 29 May 2012, associated with the 2012 Symposium on the Application of Geophysics to Engineering and Environmental Problems. This workshop was convened to assess the current state of the science and discuss paths forward, with a primary focus on near-surface problems but with an eye on all applications. The agenda included talks on these topics from a number of experts interspersed with discussion and a dedicated discussion period to finish the day. Discussion proved lively at times, and workshop participants delved into many topics central to seismic refraction work.

  16. Interferometric atmospheric refractive-index environmental monitor.

    PubMed

    Ludman, J E; Ludman, J J; Callahan, H; Caulfield, H J; Watt, D; Sampson, J L; Robinson, J; Davis, S; Hunt, A

    1995-06-20

    Long, open-path, outdoor interferometric measurement of the index of refraction as a function of wavelength (spectral refractivity) requires a number of innovations. These include active compensation for vibration and turbulence. The use of electronic compensation produces an electronic signal that is ideal for extracting data. This allows the appropriate interpretation of those data and the systematic and fast scanning of the spectrum by the use of bandwidths that are intermediate between lasers (narrow bandwidth) and white light (broad bandwidth). An Environmental Interferometer that incorporates these features should be extremely valuable in both pollutant detection and pollutant identification. Spectral refractivity measurements complement the information available from spectral absorption instruments (e.g., a Fourier-transform infrared spectrometer). The Environmental Interferometer currently uses an electronic compensating device with a 1-kHz response time, and therefore rapid spectral scans are feasibe so that it is possible to monitor the time evolution of pollutant events.

  17. Refraction of microwave signals by water vapor

    NASA Technical Reports Server (NTRS)

    Goldfinger, A. D.

    1980-01-01

    Tropospheric water vapor causes a refractive path length effect which is typically 5-10% of the 'dry' tropospheric effect and as large as several meters at elevation angles below 5 deg. The vertical water vapor profile is quite variable, and measurements of intensive atmospheric parameters such as temperature and humidity limited to the surface do not adequately predict the refractive effect. It is suggested that a water vapor refraction model that is a function of the amount of precipitable water alone can be successful at low elevation angles. From an extensive study of numerical ray tracings through radiosonde balloon data, such a model has been constructed. The model predicts the effect at all latitudes and elevation angles between 2 and 10 deg to an accuracy of better than 4% (11 cm at 3 deg elevation angle).

  18. Removing singular refractive indices with sculpted surfaces

    PubMed Central

    Horsley, S. A. R.; Hooper, I. R.; Mitchell–Thomas, R. C.; Quevedo–Teruel, O.

    2014-01-01

    The advent of Transformation Optics established the link between geometry and material properties, and has resulted in a degree of control over electromagnetic fields that was previously impossible. For waves confined to a surface it is known that there is a simpler, but related, geometrical equivalence between the surface shape and the refractive index, and here we demonstrate that conventional devices possessing a singularity — that is, the requirement of an infinite refractive index — can be realised for waves confined to an appropriately sculpted surface. In particular, we redesign three singular omnidirectional devices: the Eaton lens, the generalized Maxwell Fish–Eye, and the invisible sphere. Our designs perfectly reproduce the behaviour of these singular devices, and can be achieved with simple isotropic media of low refractive index contrast. PMID:24786649

  19. Fiber optic liquid refractive index sensor

    NASA Astrophysics Data System (ADS)

    Bhardwaj, Vanita; Gangwar, Rahul Kumar; Singh, Vinod Kumar

    2015-08-01

    In this present work we report fabrication of fiber optic liquid refractive index (RI) measurement sensor based on Michelson Interferometer method. This sensor was assembled by using graded index multimode (MM) fiber with core diameter 50 µm and the cladding of fiber was removed by simple chemical method. To perform this experiment a 2×2 3dB coupler is used. The fiber ends are then immersed in solvent and solution to provide reference and refractive index measurements, respectively. This method was successfully used to measure refractive index of Sodium Chloride (NaCl)-Water solution at different concentrations. The fringe contrast sensitivity of device is 92.90 dB/RIU measured in the RI range from 1.34 to 1.42 which is better than Mach-Zehnder Interferometer sensor [1] and Fabry perot based sensor [2]. The fabrication of sensor is simple, low cost and highly sensitive.

  20. Short-Term Stability in Refractive Status Despite Large Fluctuations in Glucose Levels in Diabetes Mellitus Type 1 and 2

    PubMed Central

    Huntjens, Byki; Charman, W. Neil; Workman, Helena; Hosking, Sarah L.; O’Donnell, Clare

    2012-01-01

    Purpose This work investigates how short-term changes in blood glucose concentration affect the refractive components of the diabetic eye in patients with long-term Type 1 and Type 2 diabetes. Methods Blood glucose concentration, refractive error components (mean spherical equivalent MSE, J0, J45), central corneal thickness (CCT), anterior chamber depth (ACD), crystalline lens thickness (LT), axial length (AL) and ocular aberrations were monitored at two-hourly intervals over a 12-hour period in: 20 T1DM patients (mean age ± SD) 38±14 years, baseline HbA1c 8.6±1.9%; 21 T2DM patients (mean age ± SD) 56±11 years, HbA1c 7.5±1.8%; and in 20 control subjects (mean age ± SD) 49±23 years, HbA1c 5.5±0.5%. The refractive and biometric results were compared with the corresponding changes in blood glucose concentration. Results Blood glucose concentration at different times was found to vary significantly within (p<0.0005) and between groups (p<0.0005). However, the refractive error components and ocular aberrations were not found to alter significantly over the day in either the diabetic patients or the control subjects (p>0.05). Minor changes of marginal statistical or optical significance were observed in some biometric parameters. Similarly there were some marginally significant differences between the baseline biometric parameters of well-controlled and poorly-controlled diabetic subjects. Conclusion This work suggests that normal, short-term fluctuations (of up to about 6 mM/l on a timescale of a few hours) in the blood glucose levels of diabetics are not usually associated with acute changes in refractive error or ocular wavefront aberrations. It is therefore possible that factors other than refractive error fluctuations are sometimes responsible for the transient visual problems often reported by diabetic patients. PMID:23285232