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PubMed1987

Refractive errors in children.

Optical correction of refractive errors in infants and young children is indicated when the refractive errors are sufficiently large to cause unilateral or bilateral amblyopia, if they are impairing the child's ability to function normally, or if the child has accommodative strabismus. Screening for refractive errors is important and should be performed as part of the annual physical examination in all verbal children. Screening for significant refractive errors in preverbal children is more difficult; however, the red reflex test of Bruckner is useful for the detection of anisometropic refractive errors. The photorefraction test, which is an adaptation of Bruckner's red reflex test, may prove to be a useful screening device for detecting bilateral as well as unilateral refractive errors. Objective testing as well as subjective testing enables ophthalmologists to prescribe proper optical correction for refractive errors for infants and children of any age.

Adolescent↗

PubMed2006

Evaluation of the epidermal refractive index measured by optical coherence tomography.

BACKGROUND/AIMS: It has recently been proposed that the refractive index (RI) measured by means of optical coherence tomography (OCT) may be a valid measure for hydration of skin. In this pilot study, using OCT in vivo, we aimed to investigate the interday variability of RI measurements and acute changes of RI following the application of a moisturizer. METHODS: Twenty healthy Caucasian volunteers were investigated on their forearms using a commercially available OCT system (SkinDex 300, ISIS optronics GmbH, Mannheim, Germany) fitted with an integrated algorithm for the evaluation of the RI. The interday repeatability of the OCT method was determined performing symmetrical measurements on both forearms on day 1, 5, 9, and 13. In order to investigate the acute effect of a moisturizer on RI, OCT assessments were performed before and 10 min after the application of an aqueous lotion with a lipophilic phase. As a control, the contralateral site was investigated in the same way, except for the use of distilled water instead of the lotion. RESULTS: Assessments of interday variability revealed insignificant (P>0.05) variances between the four measurement times as expressed in very small repeatability coefficients (right arm: 0.039; left arm 0.053) and small coefficients of variance (right arm: 1.02%; left arm: 1.38%). With regard to the RIs measured over time, we could not observe significant (P>0.05) differences between the two symmetrical anatomic sites (mean+/-SD of RI: 1.3893+/-0.0142 (right arm); 1.3875+/-0.0192 (left arm)). The acute effect of the moisturizer was indicated by a significant decrease of the RI 5 min after the application of the lotion (1.399+/-0.01 vs. 1.387+/-0.02; difference between means: 0.012; P=0.033; 95% confidence interval: 0.001-0.0023). However the control site treated with distilled water did not show significant differences between the two measurement times (1.387+/-0.013 vs. 1.391+/-0.023; difference between means: -0.004; P=0.57; 95% confidence interval: -0.019-0.011). CONCLUSIONS: In this pilot study, we have demonstrated that RI evaluation via OCT is a promising technique that may be used for the assessment of skin hydration in vivo. However, the direct comparison of OCT with standard methods, ideally such as nuclear magnetic resonance spectroscopy, is necessary.

Adult↗

PubMed1992

Optic nerve crescents and refractive error.

In this paper we discuss whether the presence of an optic nerve crescent might affect the way in which axial length and corneal curvature interact to determine refractive error. Subjective refraction, keratometry, measurement of body height, axial length of the eye, and stereophotography of the optic nerves were performed on 224 subjects, 8- to 25-years-old. Photographs were examined under magnification; optic nerve crescents, if present, were measured in the horizontal dimension. Those measurements were then corrected for magnification due to the eye and the camera. Logistic regression analysis suggested that male gender and myopic refractive error were most directly associated with the presence of a large crescent, whereas axial length, age, and horizontal keratometry reading were less directly associated with the presence of a crescent. The relation between axial length and refractive error differed among those with large crescents compared to those with small or no crescents. Simple regression showed that, for those with a crescent at least 0.2-mm wide, a 1-mm greater axial length was associated with, on the average, 1.26 D of myopia. For those with smaller or no crescents, a 1-mm greater axial length was associated with only 0.66 D of myopia. This difference was statistically significant at the 0.02 level of confidence.

Adolescent↗

PubMedDate not supplied

Model for predicting the optical performance of the eye in refractive surgery.

BACKGROUND: Predicting the outcome of refractive surgical procedures is one of the chief goals of the refractive surgeon. Besides perfecting the change required to nullify a refractive error, the optical quality of the postsurgical eye should be maximized. METHODS: A model eye useful for predicting the likely effects on the optical performance of the eye as a result of refractive surgical intervention is presented. The model features aspheric ocular interfaces, a gradient refractive index within the lens, and a uni-index cornea. The dimensions of the model parameters are taken from the literature. Baker's method of ray tracing through aspheric surfaces is used to predict the lateral spherical aberration of the eye for specific pupil sizes. The results for various operational conditions such as number of lens layers and corneal shape were calculated. RESULTS: The model predicts that optimal optical imagery is produced when the corneal profile is represented by a flattening ellipse (shape factor = .65 to .85). Ideally, in refractive surgery involving the cornea, the postoperative corneal contour should conform to this flattening ellipse.

Cornea↗

PubMed1983

Comparison of American optical SR-IV refractive data with clinical refractive data on a group of myopic children.

Previous studies involving the American Optical SR-III Subjective Refraction System have indicated that refractive data for adults and for populations of mixed age groups compare favorably with conventional refractive data. However, no data concerning children, as a group, have been available. As a part of a 3-year Myopia Control Study being conducted at the University of Houston, 131 myopes between the ages of 6 and 15 years have been refracted by means of both the redesigned SR-IV Programmed Subjective Refractor and conventional clinical procedures. The results indicated that for the majority of subjects, the refractive data obtained by means of the SR-IV differed by no more than 0.25 D from data obtained by conventional procedures. SR-IV and clinical refractive data were also compared for a group of 30 second year optometry students, and agreement for the two methods was found to compare favorably with agreement of clinical refractive data obtained by two or more examiners.

Child↗

PubMed1999

Very high-frequency ultrasound corneal analysis identifies anatomic correlates of optical complications of lamellar refractive surgery: anatomic diagnosis in lamellar surgery.

OBJECTIVE: To examine the utility of very high-frequency (VHF) ultrasound scanning in determining the anatomic changes and correlates of optical complications in lamellar refractive surgery. STUDY DESIGN: Case series. PARTICIPANTS: Cases analyzed included marked asymmetric astigmatism postautomated lamellar keratoplasty (ALK), image ghosting despite normal videokeratography post-ALK, uncomplicated myopic laser in situ keratomileusis (LASIK), and hyperopic LASIK with regression. METHODS: A prototype VHF ultrasound scanner (50 MHz) was used to obtain sequences of parallel B-scans of the cornea. Digital signal processing techniques were used to measure epithelial, stromal, and flap thickness values in a grid encompassing the central 4 to 5 mm of the cornea, enabling pachymetric mapping of each layer with 2-micron precision. MAIN OUTCOME MEASURE: The appearance of the corneas in VHF ultrasound images and thickness values of individual corneal layers determined from VHF ultrasound data. RESULTS: VHF ultrasound resolved the epithelial, stromal cap, or flap and residual stromal layers 1 year after lamellar surgery. Asymmetric stromal tissue removal was differentiated from stromal cap irregularity. Epithelium acted to compensate for asymmetry of the stromal surface about the visual axis and for localized surface irregularities. Irregularities in the epithelial-stromal interface accounted for image ghosting present despite apparently normal videokeratography. Epithelial thickening was shown after uncomplicated myopic LASIK. Hyperopic LASIK demonstrated relative epithelial thickening localized to the region of ablation accounting for refractive regression. CONCLUSIONS: VHF ultrasound shows promise as a sensitive method of determining the anatomic correlates of optical complications in lamellar refractive surgery.

Adult↗

PubMed2004

Ray-tracing analysis of diffractive-refractive X-ray optics.

Ray-tracing simulations of mistuned sagittal diffractive-refractive X-ray lenses (DRXL) are presented. In this article, firstly the characteristic aberrations for various types of crystal misalignments within one-crystal and four-crystal DRXLs are considered, and the sensitivity of such an optical system to the mutual misalignment of its components is discussed. The simulations reveal that a DRXL is not too sensitive to the adjustment of its components. In the second part of this article the performance of such lenses with ideal and approximate profiles is examined. Comparative analysis of parabolic and cylindrical DRXLs showed that, in the case when the linear source size is comparable with the acceptance of the lens, the performances of parabolic and cylindrical DRXLs are practically the same.

Algorithms↗

PubMed2004

Atmospheric refraction effects on optical-infrared sensor performance in a littoral-maritime environment.

During a number of transmission experiments over littoral waters, quantitative measurements of atmospheric refraction phenomena were carried out to determine the range performance of optical-IR sensors. Examples of distortion and intensity gain generated by spatial variations of the atmospheric refractive index are shown. A high-precision ray-tracing model has been developed for better understanding of the phenomena and to satisfy the requirements for accuracy of the meteorological data used in refraction models. The output of the model includes the propagation function, the intensity gain, and details of the ray curvature and of the optical phase behavior along the path between the target and the observer. Examples of measured transmission data and their interpretation are presented.

Journal Article↗

PubMed2005

Microinterferometric optical phase tomography for measuring small, asymmetric refractive-index differences in the profiles of optical fibers and fiber devices.

A new technique, microinterferometric optical phase tomography, is introduced for use in measuring small, asymmetric refractive-index differences in the profiles of optical fibers and fiber devices. The method combines microscopy-based fringe-field interferometry with parallel projection-based computed tomography to characterize fiber index profiles. The theory relating interference measurements to the projection set required for tomographic reconstruction is given, and discrete numerical simulations are presented for three test index profiles that establish the technique's ability to characterize fiber with small, asymmetric index differences. An experimental measurement configuration and specific interferometry and tomography practices employed in the technique are discussed.

Journal Article↗

PubMed2005

Refractive index distribution and optical properties of the isolated human lens measured using magnetic resonance imaging (MRI).

Using a non-invasive MRI technique for measuring the refractive index distribution through the crystalline lens, refractive index maps were obtained through 20 intact isolated human lenses (7-82years). Focal length measurements, obtained by simulated light ray propagation through each index map were found to be in agreement with direct measurements performed on a scanning laser apparatus. With increasing age, the refractive index profiles became flatter in the central region, accompanied by steepening of the profile in the periphery. This appears to be an important mechanism underlying the observed changes in power and longitudinal aberration of the human lens.

Adult↗

PubMed2005

Refractive-index profiling of azimuthally asymmetric optical fibers by microinterferometric optical phase tomography.

Accurate nondestructive refractive-index profiling is needed in the modeling, design, and manufacturing of optical fibers and fiber devices. Most profile measurement techniques cannot correctly characterize fibers with small or irregular refractive-index variations over their cross sections. Microinterferometric optical phase tomography (MIOPT) is a technique that allows measurement of fiber refractive-index profiles exhibiting such variations. We present the first demonstration, to our knowledge, of MIOPT. The profile of a polarization-maintaining fiber is measured by MIOPT and shown to be in agreement with (destructive) fiber end-face measurements. MIOPT is also applied to the limiting case of a symmetric single-mode fiber.

Journal Article↗

PubMedDate not supplied

[Correction of light refraction and reflection in medical transmission optical tomography].

The effects of light refraction and reflection on the quality of image reconstruction in medical transmission optical tomography of high-scattering media are considered. It has been first noted that light refraction not only distorts the geometric scheme of measurements, but may lead to the appearance of object areas that cannot be scanned. Some ways of decreasing the effect of refraction on the reconstruction of spatial distribution of the extinction coefficient are stated.

Biophysical Phenomena↗

PubMed2001

Increased higher-order optical aberrations after laser refractive surgery: a problem of subclinical decentration.

PURPOSE: To study the clinical and theoretical effects of subclinical decentrations on the optical performance of the eye after photorefractive laser surgery. SETTING: Department of Ophthalmology, University of Dresden, Dresden, Germany. METHODS: Ocular aberrations were determined before and 1 month after uneventful photorefractive keratectomy (PRK) with the Multiscan laser (Schwind) in 10 eyes of 8 patients. The corrections ranged from -2.5 to -6.0 diopters, and ablation zones of 6.0 mm and larger were used. The measured wavefront errors were compared to numerical simulations using the individually determined decentrations and currently used ablation profiles. RESULTS: The PRK-induced aberrations were significantly greater than the preoperative aberrations. The numerically calculated increase in the higher-order optical aberrations correlated with the clinical results, demonstrating a major increase in coma- and spherical-like aberrations. Subclinical decentration (less than 1.0 mm) was found to be a major factor in increased coma-like and spherical-like aberrations after corneal laser surgery. CONCLUSION: To minimize higher-order optical errors, special efforts to center the ablation zone are necessary; for example, by eye-tracking systems that consider the visual axis.

Astigmatism↗

PubMed1999

The role of optical defocus in regulating refractive development in infant monkeys.

Early in life, the two eyes of infant primates normally grow in a coordinated manner toward the ideal refractive state. We investigated the extent to which lens-induced changes in the effective focus of the eye affected refractive development in infant rhesus monkeys. The main finding was that spectacle lenses could predictably alter the growth of one or both eyes resulting in appropriate compensating refractive changes in both the hyperopic and myopic directions. Although the effective operating range of the emmetropization process in young monkeys is somewhat limited, the results demonstrate that emmetropization in this higher primate, as in a number of other species, is an active process that is regulated by optical defocus associated with the eye's effective refractive state.

Animals↗

PubMed2002

Direct deflection method for determining refractive-index profiles of polymer optical fiber preforms.

We present a method for determining the refractive-index profile of polymer optical fiber preforms through a direct-deflection measurement. The method is simple to use, compact, and has good resolution. The profile is obtained from the deflection data by numerically integrating the differential-ray equation for a radial refractive-index gradient. Corrections for topographical deviations are also discussed. Results for both graded-index and step-index fibers are presented.

Journal Article↗

PubMed2000

Optical correction of form deprivation myopia inhibits refractive recovery in chick eyes with intact or sectioned optic nerves.

The finding that the eyes of young chicks recover quickly from form deprivation myopia (FDM) has been interpreted as indirect evidence for active emmetropization. More direct evidence would be the demonstration that correction of FDM with spectacle lenses, thereby removing the defocus signal, prevents recovery. We investigated this issue in eyes with intact and sectioned (ONS) optic nerves. Previous studies suggest that an intact optic nerve is necessary for accurate emmetropization. Seventy day-old male chicks were monocularly deprived using velcro-mounted diffusers, which were removed after 5-6 days and in some (n=51), but not all cases, replaced by spectacle lenses (-5, -10 or -15 D). Approximately half (n=34) of the chicks also underwent ONS on day 1. Refractive errors and axial ocular dimensions were measured when the diffusers were first removed and thereafter at 2-4 day intervals over the following 1-2 weeks. In one case, measurements were continued at less regular intervals to 33 days. Lens powers were selected to either approximately correct or under-correct the refractive errors present when the diffusers were removed. Form deprivation in normal chicks produced large myopic shifts in refraction (means for groups range from -9.20 to -16.07 D). When the deprivation treatment was terminated, the myopia quickly decreased to negligible levels unless optically corrected. Correcting lenses stabilized the myopia to a level consistent with the lens power used. Interocular differences in axial length were consistent with an axial origin to the refractive changes. Results for the ONS groups exhibited similar trends although there was increased variability in the data. The findings support the interpretation that recovery from FDM is a product of active emmetropization. That ONS increased the variability of such responses implies that an intact optic nerve is required for accurate emmetropization.

Animals↗

PubMed1985

Laser scanning phase modulation microscope.

We describe the concept and first implementation of an innovative new instrument for quantitative light microscopy. Currently, it provides selective imaging of optical path differences due to birefringence; with further development, it is also possible to selectively image several optical properties, including refractive path differences, optical rotation, and linear and circular dichroism, all with diffraction-limited resolution. An image consists of a 512 X 512 element array, with each pixel displaying one of 256 grey levels, linearly proportional to the specific optical property being observed. Additionally, conventional brightfield and polarized light microscopy are available, with the accompanying advantages of laser scanning and digital image processing. The microscope consists of three subsystems, representing three distinct technologies. The laser scanning subsystem moves a focused microspot across the specimen; the output of a photodetector is an electric signal corresponding to a scanned image. The image display subsystem digitizes this signal and displays it as an image on a video monitor. When used in conjunction with a phase modulation feedback loop, the image formed is of the specimen's birefringent retardation or other selected optical property. The digitized images are also available for computer enhancement.

Animals↗

PubMed1989

An evaluation of Bennett's method for determining the equivalent powers of the eye and its crystalline lens without resort to phakometry.

Refraction and optical components have been measured in 36 eyes using objective optometry, keratometry, ophthalmophakometry and A-scan ultrasonography. A computing scheme was used to confirm that the accumulated experimental errors for a phakometric technique tend to exceed the inherent errors of a new method which calculates the equivalent powers of the eye and its crystalline lens without resort to phakometry. Bennett's method was shown to be a valuable technique in biometric studies which obviates the need for lengthy experimental investigations.

Adult↗