Biomedical subjects
Richard V Abadi
Publications and source records attributed to Richard V Abadi.
Ocular motor outcomes after bilateral and unilateral infantile cataracts.
We wished to study how the severity and duration of early onset visual deprivation affects eye alignment and ocular stability. Thirty-three patients (aged 1 week to 12.8 years) with infantile cataracts (16 bilateral, 17 unilateral) were examined for periods up to 61 months. Twenty-three patients were considered to have cataracts, which were a major obstacle to vision (major form deprivation), 9 of whom underwent surgery within 8 weeks of birth (mean and SD=5.2+/-2.3 weeks) and 10 after 8 weeks (mean and SD=33.9+/-29.7 months). Eye alignment and fixation stability was measured using infrared recording systems and video. Visual acuity was assessed using forced-choice preferential looking techniques in the neonates and infants and with optotypes in the children. Fifteen of the 23 (65%) patients who experienced major form deprivation exhibited a nystagmus, of which 11 (73%) were manifest latent nystagmus (MLN). Nineteen of the 23 (85%) had strabismus. Of the nine patients who underwent early surgery (< or =8 weeks), two displayed a preoperative nystagmus whilst between 10 and 39 months post-operatively 8 (89%) exhibited a nystagmus. Of the group of 10 patients with minor cataracts only 2 (1 late surgery, 1 no surgery) had nystagmus and 2 strabismus. We conclude that following optimal post-operative management of infantile cataracts a sustained nystagmus--typically an MLN--is the most likely ocular motor outcome, even when the period of deprivation is as short as 3 weeks.
The effect of central and peripheral field stimulation on the rise time and gain of human optokinetic nystagmus.
We wished to examine the spatial (gain) and temporal (rise time) properties of human optokinetic nystagmus (OKN) as a function of stimulus velocity and field location. Stimuli were either M-scaled random dots or vertical stripes that moved at velocities between 20-80 deg s(-1). Three field conditions were examined: full field; a 20 deg central field; and a 12.5 deg central-field mask. OKN gain was found to be significantly affected by stimulus velocity and stimulus location, with the higher stimulus velocities and the 12.5 deg central-field mask giving lower gains. Steady-state gains for all three field conditions were not found to be affected by prior adaptation to stationary or moving stimuli. The 63% rise time was found to be significantly affected by the stimulus velocity, whereas this was not the case for the 90% rise time. Neither rise time was found to be significantly affected by the field location. These results indicate that, although the effectiveness (gain) of peripheral retina is lower than that of the central retina during optokinetic stimulation, the peripheral retina has access to common mechanisms responsible for the fast component of OKN.
Characterisation of congenital nystagmus waveforms in terms of periodic orbits.
Because the oscillatory eye movements of congenital nystagmus vary from cycle to cycle, there is no clear relationship between the waveform produced and the underlying abnormality of the ocular motor system. We consider the durations of successive cycles of nystagmus which could be (1) completely determined by the lengths of the previous cycles, (2) completely independent of the lengths of the previous cycles or (3) a mixture of the two. The behaviour of a deterministic system can be characterised in terms of a collection of (unstable) oscillations, referred to as periodic orbits, which make up the system. By using a recently developed technique for identifying periodic orbits in noisy data, we find evidence for periodic orbits in nystagmus waveforms, eliminating the possibility that each cycle is independent of the previous cycles. The technique also enables us to identify the waveforms which correspond to the deterministic behaviour of the ocular motor system. These waveforms pose a challenge to our understanding of the ocular motor system because none of the current extensions to models of the normal behaviour of the ocular motor system can explain the range of identified waveforms.
A new framework for investigating both normal and abnormal eye movements.
Any comprehensive framework for understanding eye movements has to include both normal and abnormal eye movement behaviour. One approach which is applicable to the entire range of oculomotor behaviour is provided by the techniques of nonlinear dynamics. The stability of models of the oculomotor system can be analysed in terms of the characteristics of their fixed points and periodic orbits, and the method of delays can be used to recover such parameters from measurements of eye position. Within this framework, quantitative comparisons can be made between the predictions of different models, and both normal and clinical eye movement recordings.
Mechanisms underlying nystagmus.
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