Biomedical subjects

Richard Held

Publications and source records attributed to Richard Held.

7 recordsLinked to original sources

PubMed2005

The association of wavefront aberration and accommodative lag in myopes.

Accommodative lags, induced by a target at 33 cm (distance-induced condition) and by a -3.0 D lens (lens-induced condition), and wavefront aberrations were measured in 27 young myopic eyes. The accommodative lags and Strehl ratios derived from the wavefront aberrations in myopes were compared with those from 57 emmetropes. Accommodation was measured using a Canon R-1 autorefractor, while aberrations were measured using a psychophysical ray-tracing technique. In accord with previous results, larger accommodative lags were found for the myopes than the emmetropes in both the lens-induced and distance-induced conditions. The mean Strehl ratio was smaller in the myopes (0.079) than the emmetropes (0.091); this difference approached significance (p = 0.055). In addition, for myopes the accommodative lag was significantly correlated with the Strehl ratio in the lens-induced condition (r = -0.45, p < 0.02) and approached significance in the distance-induced condition (r = -0.35, p = 0.07). No significant correlations were found for emmetropes. Possible reasons to account for these results are discussed.

Accommodation, Ocular↗

PubMed2005

Accommodation, accommodative convergence, and response AC/A ratios before and at the onset of myopia in children.

PURPOSE: The purpose of this study was to investigate accommodation, accommodative convergence, and AC/A ratios before and at the onset of myopia in children. METHODS: Refractive error, accommodation, and phorias were measured annually over a period of 3 years in 80 6- to 18-year-old children (mean age at first visit = 11.1 years), including 26 who acquired myopia of at least -0.50 D and 54 who remained emmetropic (-0.25 to + 0.75 D). Refraction was measured by noncycloplegic distance retinoscopy. Concomitant measures of accommodation and phorias were taken for letter targets at 4.0 m and 0.33 m using the Canon R-1 open field-of-view autorefractor with an attached motorized Risley prism and Maddox rod. The accommodation and phoria measurements were used to calculate response AC/A ratios. RESULTS: Compared with children who remained emmetropic, those who became myopic had elevated response AC/A ratios at 1 and 2 years before the onset of myopia, in addition to at onset and 1 year later (t's = -2.97 to -4.04, p < 0.01 at all times). The significantly higher AC/A ratios in the children who became myopic are a result of significantly reduced accommodation. Accommodative convergence was significantly greater in myopes only at onset. CONCLUSIONS: These findings suggest that the abnormal oculomotor factors found before the onset of myopia may contribute to myopigenesis by producing hyperopic retinal defocus when a child is engaged in near-viewing tasks.

Accommodation, Ocular↗

PubMed2005

Myopia progression is specified by a double exponential growth function.

PURPOSE: The purpose of this study was to demonstrate how well a modified Gompertz double exponential growth function delineates the diverse courses of myopia progression found in individual eyes. The function is: R = Re + Rc(0.07295)(a(x - t0)) where the spherical equivalent refractive error at a given age R equals the initial refractive error (Re) plus the overall refractive change (Rc) times a double exponential function with the base (0.07295) representing the proportion of Rc that occurs when maximum acceleration is reached, a is a curvature coefficient, t0 is the age of onset and x is age. METHODS: This function was fit to longitudinal refractive data (spherical equivalents) for both eyes of 36 myopic children. The fits were required to meet a stringent set of criteria, including fitting transitions in and out of myopia progression and having no systematic errors or arbitrary constants. RESULTS: Correlation between values on the refractive function and corresponding data of individual eyes is high (mean r = 0.973 +/- 0.020), the sum of squares between the data and function is low, and all other criteria are met. The rates of refractive change and acceleration were derivable from this function. It has been shown that, if peak acceleration rate is used as a criterion for the onset of myopia progression, then myopization onset starts a year earlier (mean = 8.93 years) than when a -0.50-D onset criterion is used (mean = 9.93 years), and it usually starts before the spherical equivalent reaches zero (mean R = +0.09 D). Age of onset is highly correlated with the duration of myopia progression (r = 0.693), which in turn is correlated with the amount of myopia achieved (r = 0.443). CONCLUSIONS: We demonstrate that the double exponential function delineates the dynamics of myopia progression onset, offset, and the derivatives that describe the mechanisms underlying the growth process that causes myopia and have explained the advantages of this function. The function can be used to more accurately portray the course of individual subject's myopic progression.

Adolescent↗

PubMed2004

Increased accommodation following adaptation to image blur in myopes.

Prolonged exposure to blurred images produces perceptual adaptation (M. A. Webster, M. A., Georgeson, & S. M. Webster, 2002). The purpose of this study is to test whether in addition to the reported change in perceived blur there is also a change in accommodation. Young adult (aged 18 to 31 years) myopic (n = 23) and emmetropic (n = 17) subjects participated in the study. Myopes were tested with contact lenses and had corrected monocular visual acuity of 20/20 or better. Accommodation was measured binocularly with a PowerRefractor, an eccentric infrared photorefractor. Accommodation for a near target (high-contrast text at 0.33 m) was measured for 2 min before and immediately after 3 min of blur exposure. Blur was induced using 0.2 Bangerter diffusing filters in front of both eyes. In addition, accommodation was measured for a far target (high-contrast letters at 4.0 m) before and after the near measurements, with each subject's initial far readings used as a baseline for calculating the accommodative responses at near. Compared to the pre-adaptation level, myopes showed a significant (p < .01) increase in the near accommodative response after 3 min of blur adaptation, while accommodation to the near target in emmetropes did not change. In a second experiment using monocular viewing, the increase of accommodation found in myopes was shown to occur during the period of blur exposure. The refractive group differences in the accommodative response may be related to differences in the habitual response to image clarity between myopes and emmetropes under normal viewing conditions.

Accommodation, Ocular↗

PubMed2003

Change in corneal shape and corneal wave-front aberrations with accommodation.

This study investigated the change in corneal curvature and corneal wave-front aberrations with accommodation. The corneal curvature of the right eyes of 12 young adults was measured using a corneal topography system, while subjects fixated far (4.0 m) and near (0.2 m) targets with their left eyes. Convergence was controlled. Both the mean corneal radius at the vertex and the shape parameter significantly increased from the far to the near viewing condition. No significant change in root mean square of wave-front aberrations with accommodation was observed for the group, but there was individual variation in the change of wave-front aberration. A significant mean change for the group in both x-axis coma and spherical aberration was found. The change in corneal surface with accommodation suggests an increase in peripheral curvature with flattening at the vertex.

Accommodation, Ocular↗

PubMed2003

Wave-front aberrations in the anterior corneal surface and the whole eye.

In order to investigate the sources of wave-front aberrations in the human eye, we have measured the aberrations of the anterior cornea and the whole eye using a topographic system and a psychophysical wave-front sensor. We have also calculated the aberrations for the internal optics of both eyes of 45 young subjects (aged 9 to 29 years). The mean rms for the anterior cornea was similar to that for the internal optics and thewhole eye when astigmatism was included, but less than that for both the internal optics and the whole eye with astigmatism removed. For eyes with low whole-eye rms values, mean rms for the anterior cornea was greater than that for the whole eye, suggesting that the anterior corneal aberration is partially compensated by the internal optics of the eye to produce the low whole-eye rms. For eyes with larger whole-eye rms values, the rms values for both the anterior cornea and the internal optics were less than that for the whole eye. Thus the aberrations for the two elements tend to be primarily additive. This pattern exists whether or not astigmatism was included in the wave-front aberration rms. For individual Zernike terms, astigmatism and spherical aberration in the anterior cornea were partially compensated by internal optics, while some other Zernike terms showed addition between the anterior cornea and internal optics. Individual eyes show different combinations of compensation and addition across different Zernike terms. Our data suggest that the reported loss of internal compensation for anterior corneal aberrations in elderly eyes with large whole-eye aberrations [J. Opt. Soc. Am. A 19, 137 (2002)] may also occur in young eyes.

Adolescent↗

PubMed2002

Wavefront aberrations in eyes of emmetropic and moderately myopic school children and young adults.

Wavefront aberrations were measured using a psychophysical ray-tracing technique in both eyes of 316 emmetropic and moderately myopic school children and young adults. Myopic subjects were found to have greater mean root mean square (RMS) value of wavefront aberrations than emmetropic subjects. Emmetropic adults had the smallest mean RMS, which remained smaller than the values for myopic adults and children and for emmetropic children both when second order Zernike aberrations (astigmatism) and third order Zernike aberrations were removed. Twenty percent of myopic adults had RMS values greater than values for all of the emmetropic adults, with significantly greater values for Zernike aberrations from second to seventh orders. High amounts of wavefront aberrations, which degrade the retinal image, may play a role in the development of myopia.

Adolescent↗