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Factors limiting the postnatal development of visual acuity in the monkey.

A major factor underlying the prolonged postnatal improvement of visual acuity in primates is an increase in the sampling limit imposed by the photoreceptor mosaic, which may be as much as 5-fold. Further factors operating peripheral to neurons of the lateral geniculate nucleus, which might include changes in neural connectivity, appear to contribute at most 1.5 octaves, between 3 weeks and 6 months of age. Neural factors at the geniculo-cortical synapse may add another half-octave between 10 weeks and 1 yr. Factors operating after the level of the striate cortex (changes in spatial degradation, attention, motivation, etc.) contribute up to another octave or more to the increase in behavioural acuity between birth and about 11 weeks of age. The foveal image is substantially undersampled in young animals and therefore aliasing could occur over a wide range of spatial frequencies.

Animals↗

Intraocular pressure, retinal vascular, and visual acuity changes during 48 hours of 10 degrees head-down tilt.

Intraocular pressures, retinal vascular diameters, and visual acuities of nine men (ages 19-29), were repeatedly measured while the subjects were tilted 10 degrees head-down for 48 h and while they were seated before (baseline), and after the tilt. An immediate increase in intraocular pressure, measured by pneumatonometer (4.7 +/- 0.6 mm Hg, p less than 0.001) was recorded when subjects assumed the head-down position, and diurnal variations in intraocular pressures were observed for the 48 h. The initial and final head-down intraocular pressures were not significantly different (18.9 +/- 1.2 mm Hg vs. 17.9 +/- 1.4 mm Hg, respectively). However, when subjects resumed the sitting position, intraocular pressures fell below the initial sitting values (14.2 +/- 0.9 pre vs. 11.2 +/- 0.5 post, p less than 0.04). Computer image analysis of the retinal vasculature detected a 6% and 2% reduction in the caliber of arteries and veins, respectively, as compared with sitting baseline values. No changes in visual acuity were documented during the 48 h of head-down tilt. Our data suggest that the choroidal blood reservoir increases in volume over 48 h at continuous head-down position with a compensatory decrease in aqueous volume. These findings may explain intraocular pressure changes noted in astronauts during previous space missions and in studies associated with change in body position.

Adult↗

The evolution of the broken ring visual acuity test figure.

The evolution of the broken ring visual acuity figure is described, with particular reference to the contributions of Snellen and Landolt. Reference is also made to its recent application in a study of visual performance, where an angular version of the figure is generated on a television screen.

Humans↗

[Relationships between fusion and visual acuity (author's transl)].

The physiological importance of fusion is discussed with special reference to the relationship between fusion and visual acuity. Refraction, horizontal movement, and quantitative and qualitative components of fusion were studied in binocular and amblyopic subjects. In finger-counting tests at two to three meters or visual acuity of 0.1 in one eye and adequate or normal vision in the other, fusion values were within the normal range in 21 of the 180 subjects examined. In cases of eccentric fixation the parafoveal "center" of the retina is capable of triggering binocular vision.

Adolescent↗

The comparative development of movement hyperacuity and visual acuity in children.

Oscillatory movement displacement thresholds (OMDT) have been suggested as a test of neural integrity of the visual system, detecting deficit even in the presence of normal resolution. Both OMDT and visual resolution were measured in 153 normal children between the ages of 2.2 and 13 yr (mean = 6.2 +/- 2.8 yr). OMDT were obtained using a computer-generated vertical bar stimulus oscillating at 4 Hz. Visual acuity was determined using a Polymetric Vision Assessment technique (PVA) where a single letter optotype is presented at increasing viewing distance to determine threshold. OMDT is a hyperacuity at all ages, exhibiting improving thresholds up to around 8 yr of age when results are typical of adults. PVA thresholds improve less markedly over the range measured, appearing mature by 6-7 yr. Correlation between OMDT hyperacuity and visual acuity is poor, illustrating the complexity of the relationship between hyperacuity and resolution functions.

Adolescent↗

Visual acuity and highway accidents.

An analysis of binocularly obtained visual acuity test scores of 13,786 automobile drivers was made in terms of the number of accidents reported by each driver during a 12 month period. For each of eight different age categories the drivers were classified as having poor acuity if their scores were below the lower quartile, and as having good acuity if their scores were above the median. The percent of drivers with poor acuity who reported three or more accidents was approximately double the percent of drivers with good acuity who reported three or more accidents. The proportion with poor acuity who reported two accidents was approximately 50% greater than the proportion for those with good acuity. These differences were statistically significant and prevailed at all age levels above 19 years. The differences in proportions reporting one accident and no accident for the poor and good acuity categories were not significant.

Accidents, Traffic↗

Decreased visual acuity associated with cystoid macular edema in neovascular age-related macular degeneration.

OBJECTIVE: To determine the prevalence and visual significance of cystoid macular edema (CME) in eyes with subfoveal neovascular age-related macular degeneration using optical coherence tomography (OCT). MATERIALS AND METHODS: The medical records of 61 consecutive patients initially seen with nondisciform subfoveal neovascular age-related macular degeneration were retrospectively reviewed. All patients underwent fluorescein angiography and OCT imaging. Eyes with intraretinal hyporeflective spaces in the macula in the OCT images were considered to have CME. RESULTS: Twenty-eight (46%) of 61 eyes demonstrated CME on the OCT images. The presence of CME and increased foveal thickness correlated with decreased visual acuity, but not with the duration of symptoms. Twenty-six (93%) of 28 eyes with CME contained classic choroidal neovascularization, whereas 16 (48%) of 33 eyes without CME contained classic choroidal neovascularization. CONCLUSIONS: Cystoid macular edema is a common finding in patients with choroidal neovascularization associated with age-related macular degeneration. The presence of CME and foveal thickening is associated with worse visual acuity in these patients. Cystoid macular edema is more common with choroidal neovascularization containing classic component. The OCT is a useful test to detect the presence of CME in these patients since CME may be difficult to identify on fluorescein angiogram.

Aged↗

Improvement in best corrected visual acuity in amblyopic adult eyes after laser in situ keratomileusis.

PURPOSE: To evaluate improvement in best spectacle-corrected visual acuity (BSCVA) after laser in situ keratomileusis (LASIK) in adult patients with amblyopia. SETTING: Refractive Eye Surgery Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. METHODS: The charts of consecutive patients with a diagnosis of amblyopia at the time of refractive evaluation who had LASIK were reviewed retrospectively. The preoperative and postoperative uncorrected visual acuity (UCVA) and BSCVA were analyzed. RESULTS: Twenty-one eyes of 19 patients were identified as having amblyopia and LASIK surgery. Eight patients (42.1%) were diagnosed with amblyopia only, 6 patients (31.6%) had anisometropic amblyopia, 4 patients (21.1%) had strabismic amblyopia, and 1 patient (5.2%) had anisometropic and strabismic amblyopia. Eleven eyes (52.4%) had myopic astigmatism, 7 eyes (33.3%) were hyperopic, and 3 eyes (14.3%) had mixed astigmatism. Seven eyes (33.3 %) experienced more than a 1-line improvement in postoperative UCVA compared with the preoperative BSCVA. Nine eyes (42.8%) experienced more than a 1-line improvement in postoperative BSCVA compared with the preoperative BSCVA. The BSCVA was unchanged in 11 eyes (52.4%) and was worse by 2 lines in 1 eye (4.8%). CONCLUSION: After LASIK, the postoperative BSCVA was better than preoperatively in 42.8% of eyes with a history of amblyopia and the postoperative UCVA was better than the preoperative BSCVA in 33.3%.

Adult↗

[Refraction and visual acuity after laser coagulation treatment for retinopathy of prematurity in stage 3+].

PURPOSE: Correlations between myopia < or =-4.0 D, birth weight, gestation age at birth, extension of laser photocoagulation and mild posterior pole changes were assessed in eyes of 1-year-old children who underwent laser treatment for stage 3+ retinopathy of prematurity (ROP). In addition the relationship between best-corrected visual acuity (VA) and mild posterior pole alterations was evaluated at 3 years of age. PATIENTS AND METHODS: Patients who underwent argon or diode laser photocoagulation between 1996 and 2000 for ROP 3+ disease were analyzed in this retrospective study. Cycloplegic refraction was determined in 72 eyes of 1-year old patients ( n=39). At 3 years of age cycloplegic refraction was measured in 36 eyes of 19 patients, and visual acuity was determined in 25 eyes of 13 children. RESULTS: Myopia of < or =-4.0 D significantly correlated only with mild posterior pole changes (i.e. clinically significant dragging of the temporal vessels of the retina or macular heterotopia, p=0.001). The correlation was significant between a VA reduction to <0.8 and mild posterior pole alterations ( p=0.014). CONCLUSIONS: The prevalence of myopia < or =-4,0 D and visual acuity <0.8 appears to be increased even with mild posterior pole changes. Birth weight does not seem to be significant factor in the prevalence of myopia < or =-4.0 D following laser coagulation of stage 3 threshold ROP.

Child, Preschool↗

Use of forced preferential looking for measurement of visual acuity in a population of neurologically impaired children.

The forced preferential looking (FPL) technique has been used clinically, to assess visual acuity in infants for the past decade. It is generally accepted that the effectiveness of the procedure extends to the upper limit of 10 months of age. The authors discuss clinical observations on the viability of FPL as an effective technique in the measurement of visual acuity in an older population of neurologically impaired children.

Age Factors↗

Visual acuity in esotropic cats following occlusion of the non-deviating eye.

The present study examined the possibility that strabismic amblyopia may be explained in terms of binocular competition. This was done by measuring visual acuity in strabismic kittens whose deviating eye was placed at an advantage over the other. Four groups of kittens were studied: Normal/Normal (N/N); Lid-sutured/Normal (LS/N); Strabismic/Normal (S/N); Strabismic/Lid-sutured (S/LS). In conditions 2-4 kittens underwent lateral rectus section and/or unilateral lid suture around the time of natural eye opening. Visual acuity measurements were made using the jumping stand technique and the following results were obtained: all S/N kittens showed an acuity deficit in the strabismic eye; each S/LS kitten had a better acuity in the deviating eye than any S/N kitten; the acuity of the LS/S kittens was slightly below that of the N/N kittens or the normal eye of the LS/N kittens. These data suggest that binocular competition can account for essentially all of the strabismic amblyopia observed in kittens.

Animals↗

Xenon arc and argon laser photocoagulation in the treatment of diabetic disc neovascularization. Part 1. Effect on disc vessels, visual fields, and visual acuity.

Xenon arc and argon laser photocoagulation are equally effective in producing regression of disc neovascularization and maintaining visual acuity. Xenon has more destructive effects on the visual field and electroretinogram, but is more comfortable because retrobulbar anaesthesia is used and more convenient to the patient because fewer treatment sessions are needed.

Adult↗

Effects of chronic atropinization on visual acuity in kittens.

Atropine was instilled daily from the time of eye-opening until 14 weeks of age into either one or both eyes of developing kittens. Following a 4 week recovery period, grating visual acuity was determined using behavioral techniques under both monocular and binocular viewing conditions. The monocularly treated kittens behaviorally demonstrated an amblyopia in the treated eye and an absence of binocular summation. In contrast, the binocularly treated kittens appeared to show normal visual acuity in both eyes and their performance improved during binocular viewing conditions. Single-unit recordings in striate cortex indicated that binocular atropinization did not alter cortical binocularity, however, monocular atropinization resulted in a decrease in the proportion of binocularly excited neurons and a shift in ocular dominance to the untreated eye.

Amblyopia↗

Nerve growth factor preserves behavioral visual acuity in monocularly deprived kittens.

Recent electrophysiological and anatomical experiments in rats and cats have shown that treatment with the neurotrophic factor-nerve growth factor (NGF)-prevents the effects of monocular deprivation (MD) at the level of visual cortex and lateral geniculate nucleus. We tested whether NGF treatment was effective in preventing MD effects on visual behavior of monocularly deprived kittens. Behavioral visual acuity was measured in kittens that had been monocularly deprived and treated intraventricularly with NGF for 2 weeks during the critical postnatal period. The detrimental effects of MD on behavioral visual acuity were found to be largely prevented by NGF treatment.

Animals↗

Mesopic visual acuity requirements for driving licenses in the European Union-Research Report.

In this study different methods for determining the mesopic visual acuity in candidates for driving licenses group 2 are presented (Royal Decree, 1998, European norms). Results of normal subjects are compared. Depending on the method used, visual acuity obtained under mesopic conditions, with an illuminance of 1 lux, showed a mean ranging from 0.5 to 0.65, which is clearly above the legal norm of 0.2. A comparative study of the three published official norms demonstrates that the stringent norms of 1966 do not match those of 1988 and 1998, resulting in a wider margin of acceptability, to the advantage of the candidate.

Adult↗

[Measuring the breath of fusion in reduced monocular and binocular visual acuity (author's transl)].

The range of fusion was measured with the synoptophore with different objects in 100 students. The visual acuity of the tested persons was reduced monocularly and binocularly by fogging occluders. The range of fusion decreases more strongly in the case of monocularly reduced vision than in the case of binocularly reduced vision to the same degree. Therefore it is not the absolute value of the reduced vision which is responsible for the decrease in the range of fusion but rather the difference between the visual acuity of both eyes. This result is important for the therapy with fogging occluders, prism foils and penalisation methods.

Adult↗

Reliability of visual acuity measures of amblyopic eyes.

Ten amblyopes had their visual acuity measured once a week for 6 weeks using a Snellen chart (whole chart and single line) and a newly developed E chart was designed specifically for testing the acuity of amblyopes. For each test at each trial, the subject's acuity responses were graphically plotted and were fitted by a least-squares straight line to the central-most data. The reliability (repeatability) of the 50% threshold acuity was compared for the 3 acuity tests. The new E chart was the most reliable and the Snellen single-line test was the least reliable. These results have complications for quantifying acuity improvement during and following amblyopia therapy. The slope of the fitted acuity line may have value in assessing the prognosis for treatment.

Adolescent↗

Preschool visual acuity screening tests.

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.

Amblyopia↗