Biomedical subjects

Joris E Coppens

Publications and source records attributed to Joris E Coppens.

11 recordsLinked to original sources

PubMed2006

Simulating the straylight effects of cataracts.

PURPOSE: To study the additional straylight falling on the retina (retinal straylight) caused by cataract and find commercially available filters to simulate the cataract straylight effects. SETTING: Research laboratory. METHODS: The retinal straylight addition of cataract was derived from straylight parameter data in the literature. The scattering characteristics of cataract-simulating filters were measured using a scatterometer. RESULTS: The straylight addition due to cataract follows a power law as a function of angle with power of -2.12 and straylight parameter log values of up to 1.6 for relatively mild cataract cases. Of the commercial filters that were tested, the Tiffen Black Pro Mist (BPM) filters resembled the straylight characteristics of cataracts fairly well. The filters had a limited effect on visual acuity and contrast sensitivity, which was also found for early cataracts. The BPM 2 followed a power law as a function of angle with power of approximately -2.21 and straylight log values of 1.12. CONCLUSIONS: The BPM 2 filter is a good early-cataract-simulating filter. Stacking such filters is a good way to increase the cataract density. A drawback is that the BPM 2 filter has a transmission of 66% so stacking filters reduces the overall transmission significantly.

Cataract↗

PubMed2006

Compensation comparison method for assessment of retinal straylight.

PURPOSE: Presently, no instrument or method exists that is generally accepted for routine clinical assessment of (functional) retinal straylight. Yet retinal straylight is the cause of major patient complaints, such as hindrance from glare and loss of contrast. It results from disturbances in the optical media that increase light-scattering over angles of 1 degrees to 90 degrees . Its assessment would help to decide whether to perform surgery for (early) cataract and would help in the evaluation of corneal or vitreal turbidity. METHODS: The psychophysical technique of the "direct compensation" method was adapted to make it suitable for routine clinical assessment. In the new approach, called "compensation comparison, " the central test field is subdivided into two half fields: one with and one without counterphase compensation light. The subject's task is a forced-choice comparison between the two half fields, to decide which half flickers more strongly. A theoretical form for the respective psychometric function was defined and experimentally verified in a laboratory experiment involving seven subjects, with and without artificially increased light scattering. The method was applied in a separate multicenter study. Its reliability was additionally tested with a commercial implement (C-Quant; Oculus Optikgeräte, Wetzlar-Dutenhofen, Germany). RESULTS: A repeated-measures SD of 0.07 log units was achieved, to be compared with differences in the young normal population of 0.4 log units and an increase with healthy aging by 0.5 log units at 80 years and by 1.0 or more log units with (early) cataract or corneal disturbances. Reliability was further found to be high when using the commercial version of the METHOD CONCLUSIONS: The compensation comparison method for measuring retinal straylight is suited for clinical use to diagnose patients with complaints caused by large angle light scattering in the eye such as early cataract.

Adult↗

PubMed2005

Wavelength dependence of intraocular straylight.

Wavelength dependence of retinal straylight has been a mystery since Stiles in 1929 [Stiles,W.S., 1929. The scattering theory of the effect of glare on the brightness difference threshold. Proc. R. Soc. Lond. (Biol.) 105, 131-41.] supposed it to have the strong Rayleigh type lambda(-4) dependence, typical for small particle light scattering, but which was never found. Using the accurate 'compensation comparison' approach, retinal straylight was measured from 625 to 457 nm. Subjects with a large variety of ocular pigmentation were included. Straylight was found to depend strongly on pigmentation of the eye, in addition to age. Young and well-pigmented eyes (young negroids) show nearly perfect lambda(-4) dependence. With less pigmentation (blue-eyed Caucasians), a red dominated component is added, negating the lambda(-4) dependence.

Adult↗

PubMed2005

Biometry of phakic intraocular lens using Scheimpflug photography.

PURPOSE: To examine lateral and axial positioning of phakic intraocular lenses (IOLs) with iris fixation in the anterior chamber and to examine short-term stability of the IOL position. SETTING: The Netherlands Opthalmic Research Institute, Amsterdam, the Netherlands. METHODS: Thirty patients participated in the study. Thirty-one eyes were implanted with the 204 type myopia IOL, 14 eyes with the 206 myopia IOL, and 8 eyes with the 203 hyperopia IOL. Scheimpflug slitlamp photographs were made through the optical axis along 4 meridians of the eyes. Ray tracing was used to obtain the lateral and axial position of the IOLs. RESULTS: Centration of the IOL with respect to the pupil's center and the tilt angle of the IOL with respect to the optical axis of the eye were measured. Standard deviation of decentration was 0.21 mm vertically and 0.16 mm horizontally. Standard deviation of tilt was 1.30 degrees vertically and 0.90 degrees horizontally. Tilt and decentration are proportional to each other. Vaulting, the distance between the crystalline lens and the IOL, was constant over a period of 24 months, ranging from 0.2 to 0.8 mm, depending primarily on the radius of curvature of the crystalline lens. A geometric model for this dependence was formulated. CONCLUSION: Phakic IOLs with iris fixation can be positioned in the eye with submillimeter precision. Axial position of iris-fixated phakic IOLs over time is excellent. Axial position and vaulting can be predicted when the radius of curvature of the crystalline lens is known. The IOL behaves as if mounted slightly above a sphere-the anterior surface of the crystalline lens.

Biometry↗

PubMed2005

The ciliary corona: physical model and simulation of the fine needles radiating from point light sources.

PURPOSE: Most people see, around bright lights against dark backgrounds, a radiating pattern of numerous fine, slightly colored needles of light-the so called ciliary corona. The purpose of this study was to try to explain this phenomenon. METHODS: Recently, it has been shown that light-scattering in the eye, measured psychophysically and on human donor lenses, can be explained assuming the presence of specific distributions of small particles in the eye. Light entering the eye is diffracted by these particles. Each such particle causes a circular diffraction pattern on the retina of tens of degrees, much like the well-known Airy pattern. The optics of combining many such diffraction patterns was modeled and the resultant pattern simulated graphically. The simulations were compared with observations on the ciliary corona, as seen by the natural eye. RESULTS: The diffraction discs originating from all the particles coherently superimposed on the retina. Because of phase differences this resulted in breaking the Airy-like discs into a fine spotted pattern when monochromatic light was used. For white (polychromatic) light, the spots line up to form the very fine-line pattern seen in the ciliary corona. Details such as the width and color of the needles follow from the theoretical treatment and were demonstrated by simulations. CONCLUSIONS: The details of the ciliary corona can be understood on the basis of polychromatic light-scattering by the particles predicted to be present in human eye lenses on the basis of light-scattering studies of donor lenses.

Adult↗

PubMed2004

A new source of variance in visual acuity.

In an ocularly healthy population, decimal visual acuities range from 1 to 3. We wondered how this spread can be understood. Using a maximum likelihood adaptive procedure, "visual acuity" was measured in a healthy population with four stimulus sets: unblurred Landolt Cs and Cs blurred with a Gaussian of width sigma = 2.12', 4.24' and 8.48'. A simple model based on scale invariance of the visual system was applied. This model was tested by predicting the outcomes of the 2.12' measurements based on the other measurements. The minimum angle of resolution (MAR) values found are closely proportional to "equivalent blur" of the stimulus defined as the convolution of a value for intrinsic blur of the eye and added blur. The proportionality factor is different between individuals and is an important source for the spread in acuities found in a healthy population. The differences between the proportionality factors are interpreted as differences in the (neuronal) judgment capability between individuals. The total standard deviation of log(MAR) found in our study was 0.11. This value can be subdivided in 0.06 for the (neuronal) judgment capability, 0.08 for the intrinsic retinal blur and a measurement accuracy of 0.04.

Adolescent↗

PubMed2003

Stray light of spectacle lenses compared with stray light in the eye.

Stray light in spectacle lenses may affect the overall vision. It may also affect the measurement of ocular stray light, contrast sensitivity, or glare sensitivity. This article describes common stray light characteristics for glass and plastic spectacle lenses and compares this to the stray light characteristics of the eye, which are well known from the literature. Stray light is described by the skirts of the point-spread function (PSF), which were measured for angles from 4 degrees to 30 degrees. The PSF of spectacle lenses appears to follow the equation PSF = a(10). (theta/10)b, with a(10) and b representing fitting parameters and theta representing the stray light angle. The slope b is on average -2, which similar to that of the eye. For clean spectacle lenses, the PSF is usually at least an order of magnitude lower than that of the eye, whereas "as worn" (uncleaned) spectacle lenses may approach the PSF of the eye. To reach the PSF of the eye, the spectacle lens needs to be contaminated by as much as one or two fingerprints. The article also shows that plastic spectacle lenses degrade much faster than glass spectacle lenses when looking at the amount of stray light.

Eye↗

PubMed2002

Morphometry of dermal collagen orientation by Fourier analysis is superior to multi-observer assessment.

In human dermis, collagen bundle architecture appears randomly organized, whereas in pathological conditions, such as scar tissue and connective tissue disorders, collagen bundle architecture is arranged in a more parallel fashion. Histological examination by one or two observers using polarized light is the most common method to determine collagen orientation. The hypothesis on which this study is based is that an objective image analysis technique, Fourier analysis, would improve the reliability (are the measurements reproducible?) and the accuracy (does the method measure what it is supposed to measure?) of collagen orientation assessment, compared with observer ratings. Fourier analysis was applied to 271 images of scar tissue and normal skin that were acquired by confocal laser-scanning microscopy. Observers rated the same areas using polarized light as well as the confocal microscopy images. Computer images consisting of different types of ellipses were generated with a fixed orientation. Observers and Fourier analysis evaluated the images to evaluate accuracy. The inter-observer reliability was acceptable when at least three observers rated polarized light images (r > 0.69), whereas two observers were sufficient for rating confocal microscopy images (r > 0.71). Fourier analysis correlated better with observer ratings of confocal microscopy images (r = 0.69) than with polarized light microscopy images (r = 0.42). Fourier analysis was more accurate than four observers for the evaluation of the 'true' orientation for almost all types of computer-generated images. For the first time it is shown that Fourier image analysis is suitable for the morphometry of dermal collagen orientation and leads to a superior measurement of collagen orientation compared with subjective histological evaluation by several experts. If an evaluation is performed by conventional light microscopy, at least three observers are required to attain an acceptable inter-observer reliability.

Adult↗

PubMed2002

Derivation of lenticular transmittance from fluorophotometry.

PURPOSE: To derive transmittance spectra for the human lens using the ratio between posterior and anterior autofluorescence of the lens as measured by fluorophotometry. METHODS: Transmittance spectra of the lens can be described with a one-parameter model to a high degree of accuracy. The parameter m of this model defines the differences between lens transmittance spectra of individuals. In fluorophotometry literature another parameter related to lens transmittance, T, has been defined as the square root of the ratio between posterior and anterior lenticular autofluorescence. T can be predicted from parameter m, given the spectra of the excitation light, of the fluorescence emitted by the lens and of the detecting device are known, and assuming that the anterior and posterior fluorescence efficiencies of the lens are equal. When this relation is inverted, parameter m can be derived from T, giving the complete transmittance spectrum on the basis of T. RESULTS: A transformation curve was calculated to determine T from m and vice versa. The light transmittance spectrum of the lens was calculated as a function of T. The validity of this approach was evaluated using an independent method for assessment of lenticular transmittance. This method consisted of making color slitlamp slides, grading the observed color of these slides with the LOCS III NC grading system, and transforming these grades into the model parameter m using published transformation curves. CONCLUSIONS: The total transmittance spectrum can be calculated reliably from a fluorophotometric scan of the human lens.

Aged↗

PubMedDate not supplied

Reliability of the compensation comparison stray-light measurement method.

The compensation comparison (CC) method is a psychophysical technique to measure retinal stray light. It uses a two alternative forced choice (2AFC) measurement paradigm. The 25 binary (0 and 1) responses resulting from the 2AFC test are analyzed using maximum likelihood estimates. The likelihood function is used to give two quantities: the most likely stray-light level of the eye under investigation, and the accuracy of this estimate [called expected standard deviation (ESD)]. The CC method is used in 2422 subjects of the GLARE study. Each eye is tested twice to allow analysis of measurement repeatability. Furthermore, the large amount of responses is used to evaluate the shape of the psychometric function, for which a mathematical model is used. The shape of the psychometric function found by averaging the 0 and 1 responses fit well to the model function. Data sorted according to ESD show differences in the shape of the psychometric function between good and bad observers. These different shapes for the psychometric function are used to reanalyze the data, but the stray-light results remain virtually identical. ESD proves to be an efficient tool to detect unreliable measurements. In clinical practice, ESD may be used to decide whether to repeat a measurement.

Europe↗

PubMedDate not supplied

Reliability of the compensation comparison method for measuring retinal stray light studied using Monte-Carlo simulations.

Recently the psychophysical compensation comparison method was developed for routine measurement of retinal stray light. The subject's responses to a series of two-alternative-forced-choice trials are analyzed using a maximum-likelihood (ML) approach assuming some fixed shape for the psychometric function (PF). This study evaluates the reliability of the method using Monte-Carlo simulations. Various sampling strategies were investigated, including the two-phase sampling strategy that is used in a commercially available instrument. Results are given for the effective dynamic range and measurement accuracy. The effect of a mismatch of the shape of the PF of an observer and the fixed shape used in the ML analysis was analyzed. Main outcomes are that the two-phase sampling scheme gives good precision (Standard deviation = 0.07 logarithmic units on average) for estimation of the stray light value. Bias is virtually zero. Furthermore, a reliability index was derived from the responses and found to be effective.

Computer Simulation↗