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Visual acuity in the pigeon. II. Effects of target distance and retinal lesions.

Visual acuity thresholds for grating targets were determined for three pigeons at target distances ranging from 13 to 73 cm. These measurements were made both while the birds were wearing goggles restricting vision to the frontal field of view and when vision was unrestricted. Using a slightly different method, performance was also compared for target distances of 6 and 13 cm while the goggles were in place. For a second group of three pigeons, acuity data were obtained before and after laser lesions of the retina's foveal region. The findings suggested that acuity was relatively poor for targets at the intermediate distances and that it improved as distance both increased and decreased from these intermediate values. The acuity improvement with increasing distance did not occur, however, when the birds were wearing frontal goggles. The data appear to be consistent with Catania's 1964 suggestion that the pigeon has separate frontal and lateral visual systems that differ in their refractive characteristics. Foveal lesions did not appear to affect acuity for distant targets, and it was concluded that, while the fovea serves the lateral field of view, its presence is not necessary to the static acuity characteristics of this system.

Animals↗

[The comparison of visual acuity and contrast sensitivity in patients with cataract and age-related macular degeneration implanted with foldable or rigid intraocular lenses].

OBJECTIVE: To evaluate the maximally corrected visual acuity and contrast sensitivity under photopic and mesopic conditions with or without glare in pseudophakic patients implanted with either foldable or rigid intraocular lenses. MATERIAL AND METHODS: A total of 83 patients after cataract surgery were examined at baseline and 8-12 weeks later: 47 patients with age-related macular degeneration (Group 1) and 36 patients without ocular comorbidities (Group 2). Contrast sensitivity was measured using a Ginsburg Box, VSCR-CST-6500. RESULTS: Using logistic regression analysis it was revealed that probability of clinically significant improvement of contrast sensitivity under photopic conditions with and without glare in the patients with implanted foldable lenses increased by 3.1 times (95% PI 1.6-5.9, P<0.001) compared with the patients with rigid lenses. In mesopic conditions with and without glare, it increased by 3.9 and 3.0 times (95% PI 1.9-7.8 and 1.6-5.9, respectively, P<0.001) in the patients with foldable lenses as compared with the patients with rigid lenses. CONCLUSIONS: The foldable intraocular lenses have shown better contrast sensitivity than rigid lenses under both mesopic and photopic conditions with or without glare. Postoperatively, there was no significant difference in visual acuity concerning the types of the implanted intraocular lenses.

Contrast Sensitivity↗

Visual acuity and pupillary reactions after peribulbar anaesthesia.

The effect of peribulbar anaesthesia on optic nerve function in 20 patients, before and after cataract surgery, was measured. All the patients had decreased visual acuity. Five (25%) had no perception of light. Seventeen (85%) developed a relative afferent pupil defect (RAPD). No patients saw the operating instruments. Seven (35%) had improved visual acuity immediately postoperatively. Patients should be warned that they may lose vision completely on being given a peribulbar anaesthetic; however their vision will improve, but not necessarily immediately, postoperatively. Examination for an RAPD is a good method of providing reassurance that the operating instruments will not be seen.

Aged↗

Visual acuity in infants--the effect of variations in stimulus luminance within the photopic range.

The forced-choice preferential looking technique was used to measure 2-month-old infants' visual acuity for black-and-white, square-wave gratings at six luminance values between -1.0 and 3.0 log cd/m2. The results indicated that the infants' acuity was relatively unaffected by variations in luminance above 1 log cd/m2, but was reduced by approximately 1 octave at a luminance of -0.8 log cd/m2. These results are in agreement with the results of adults tested in the same apparatus and with previously published data from adult subjects. Our results suggest that for infants, as for adults, variations in room illumination above 1.0 log cd/m2 have little effect on visual acuity.

Adult↗

Visual acuity and refractive errors in a suburban Danish population: Inter99 Eye Study.

PURPOSE: The present study was performed as part of an epidemiological study, the Inter99 Eye Study. The aim of the study was to describe refractive errors and visual acuity (VA) in a suburban Danish population. METHODS: The Inter99 Eye Study comprised 970 subjects aged 30-60 years and included a random control group as well as groups at high risk for ischaemic heart disease and diabetes mellitus. The present study presents VAs and refractive data from the control group (n = 502). All subjects completed a detailed questionnaire and underwent a standardized general physical and ophthalmic examination including determination of best corrected VA and subjective refractioning. RESULTS: Visual acuity </= 0.05 was found in one eye of one subject and VA </= 0.3 in 11 eyes of 11 subjects. The main cause of reduced visual function was strabismic amblyopia. Myopia (</= - 0.5 D, spherical equivalent refraction) was present in 33.1% of right eyes of the total population but in 56.8% of subjects with a university degree. CONCLUSIONS: Strabismic amblyopia was a significant cause of unilateral visual impairment. Myopia was approximately twice as frequent in subjects with a university degree as in the remaining study population.

Adult↗

The training of visual acuity in myopia.

Seventeen myopes were trained with a computerized optometer to increase their far-point visual acuity from up to 20/800 to 20/25 for limited durations under conditions where "squinting" and pupil size were controlled. No associated changes in refraction were found. The results are best explained by the formation of an artificial contact lens resulting from tear-film changes. Measuring contrast sensitivity across a range of spatial frequencies is suggested to investigate the possibility that a learned perceptual process may also be involved.

Adult↗

Effect of citicoline on visual acuity in amblyopia: preliminary results.

BACKGROUND: Citicoline has been used to improve consciousness levels in cerebral trauma and as a complement for levodopa in Parkinson's disease. It has also been shown that severe glaucomatous visual field deficits improve for at least 4 months with the use of citicoline. In this paper, preliminary results are presented of an open and a double-blind study on the effect of citicoline in amblyopia. METHODS: The open study was started in 1991. Fifty patients with amblyopia were treated with citicoline (1000 mg i.m. daily for 15 days). They were selected from an age group beyond the plastic period of the visual system. Occlusion or other types of anti-amblyopic treatment were never used at the same time as citicoline. A double-blind study was conducted on 10 more patients, randomly assigned to a treatment or placebo group and followed for 6 months. A statistical test for repeated measures was performed on all the results. RESULTS: A statistically significant improvement in visual acuity was found both for the amblyopic and the sound eye in 46 of the 50 patients (92%). The behaviour was different for normal and amblyopic eyes. The improvement remained stable for at least 4 months. These results have been substantiated by the double-blind study. No side effects were observed. CONCLUSION: Citicoline improves visual acuity, at least temporarily, in amblyopic patients beyond the plastic period of the visual system. Our results suggest that trials of citicoline as a medical treatment of amblyopia are warranted.

Adolescent↗

Relationship of glare to uncorrected visual acuity and cycloplegic refraction 1 year after radial keratotomy in the prospective evaluation of radial keratotomy (PERK) study.

This study examines the relationship of subjective glare to refraction and visual acuity, respectively, 1 year after surgery in 435 patients who underwent radial keratotomy for nearsightedness in the Prospective Evaluation of Radial Keratotomy (PERK) study. Patients were asked if they experienced glare in bright light. Of the 425 responding, 200 patients responded "no" and 225 patients responded "yes." We found no statistically significant difference in the mean value of the cycloplegic refraction 1 year after surgery in these two patient groups. (Mean cycloplegic refraction: no = -.48, yes = -.52, p = .73). We also found no difference between these groups with respect to the percent of patients with uncorrected visual acuity of 20/40 or better 1 year after surgery (no = 79%, yes = 76%, p = .46).

Clinical Trials as Topic↗

Optical coherence tomography in the evaluation of incomplete visual acuity recovery after macula-off retinal detachments.

PURPOSE: To determine whether pre and/or postoperative optical coherence tomography (OCT) evaluation of the fovea is useful in explaining delayed or incomplete visual acuity recovery after successful surgery for shallow macula-off retinal detachments. METHODS: Prospective study of 16 patients (10 female, 6 male; mean age 53+/-4 years) with a spontaneous rhegmatogenous retinal detachment with peripheral breaks and a shallow elevation of the fovea. Patients were examined by OCT preoperatively and at 1, 6, and 10-12 months after surgery. At 1 month after surgery, fluorescein angiography was also performed. Mean follow-up was 11.0+/-1.0 months. RESULTS: Preoperative OCT images could be classified into four categories according to the extent of retinal edema and presence of foveal depression. The extent of retinal edema in the detached macula did not correlate with preoperative or postoperative vision. In 11 cases, OCT images at 1 month after surgery showed a foveal detachment with residual subretinal fluid that was not visible clinically or on angiography. Long-term persistence of this fluid could be observed in eight cases at 6 months and in one case at 12 months, and was associated with incomplete recovery of visual acuity. CONCLUSIONS: Preoperative OCT of the detached macula can demonstrate widespread retinal edema, the extent of which does not appear to influence final postoperative vision. Delayed and incomplete visual recovery after successful reattachment of the retina may, however, be due to persistent circumscribed subfoveal fluid accumulation that is visible only on OCT not clinically or on fluorescein angiography.

Adult↗

Validity of a survey question as a measure of visual acuity impairment.

Survey questions are frequently used to collect data on the prevalence of vision difficulties. The 1971-1972 Health and Nutrition Examination Survey included both a question about "trouble with your vision even when wearing glasses or contact lenses," and clinical measurement of central distance visual acuity with usual corrective lenses. The question had low sensitivity for impairment of visual acuity, with variation by age and severity of impairment. Sensitivity analyses from other studies are reviewed. (Am J Public Health 1983; 72:93-96.)

Adult↗

A clinical test of dynamic visual acuity for children.

OBJECTIVE: Children with sensorineural hearing impairment (SNHI) and concomitant vestibular hypofunction demonstrate deficits in gaze stability that may affect reading. The objective of this study was to develop a reliable, valid clinical test of dynamic visual acuity (DVA) for children. METHODS: Seventy-six typically developing children, 26 adults and 11 children with sensorineural hearing impairment participated. Visual acuity was tested under three conditions: (1) head stable (static acuity), (2) head tipped forward 30 degrees and passively rotated 30 degrees in the yaw plane at 2 Hz (horizontal dynamic acuity) and (3) head passively moved in the pitch plane 30 degrees at 2 Hz (vertical dynamic acuity, vDVA). The difference, in number of chart lines, between static dynamic acuity was calculated (dynamic acuity score). Based on normative data collected, results were scored as: (1) pass < or =2S.D. from the normative mean and (2) fail > or =2S.D. from normative mean. Children were grouped by age to enable examination of the effect of age on scores. RESULTS: We found excellent test-retest and inter-tester reliability (ICC(2,2)=0.94 and ICC(3,2)=0.84) for the horizontal dynamic acuity (hDVA) test. Sensitivity, specificity, positive and negative predictive values were 100% to identify children with bilateral vestibular hypofunction (BVH). Although a statistical difference was found, the difference was not clinically significant (all achieved DVA scores <2 lines). The vertical dynamic acuity test was not tolerated by most children, precluding its usefulness. CONCLUSIONS: The clinical test of horizontal dynamic acuity is a reliable test for children as young as 3 years. It is simple and inexpensive, and will enable identification of those for whom more extensive testing is warranted.

Adolescent↗

Focus adjustment effects on visual acuity and oculomotor balance with aviator night vision displays.

Sixteen U.S. Army aviators, who were given training on focus adjustment technique with aviator night vision goggles (NVG), showed an improvement in visual acuity with focus adjustment compared to a fixed infinity focus control. The long-term effect of focus adjustment on vision was not measured; however, adjustment accuracy was found to be generally within acceptable limits based on computer modeling and available physiologic data. Fixed focus eyepieces that are set to a low minus power may partially compensate for instrument myopia, but they may not optimize visual acuity to the extent that adjustable focus eyepieces do. Eyepiece adjustment proficiency with present night vision devices can be improved through training that emphasizes focusing to the least possible minus dioptric power. Future night vision displays can minimize focus misadjustment by providing a tactile zero marking, a limited dioptric adjustment range, and a focusing knob capable of finer adjustment than is available with current NVG's.

Aerospace Medicine↗

Dynamic visual acuity while walking in normals and labyrinthine-deficient patients.

We describe a new, objective, easily administered test of dynamic visual acuity (DVA) while walking. Ten normal subjects and five patients with histories of severe bilateral vestibular dysfunction participated in this study. Subjects viewed a visual display of numerals of different font sizes presented on a laptop computer while they stood still and while they walked on a motorized treadmill. Treadmill speed was adapted for 4 of 5 patients. Subjects were asked to identify the numerals as they appeared on the computer screen. Test results were reasonably repeatable in normals. The percent correct responses at each font size dropped slightly while walking in normals and dropped significantly more in patients. Patients performed significantly worse than normals while standing still and while walking. This task may be useful for evaluating post-flight astronauts and vestibularly impaired patients.

Adult↗

The association of indicators of fetal growth with visual acuity and hearing among conscripts.

Impaired fetal growth is associated with increased susceptibility to several chronic diseases. We studied the association between birth weight, indicators of disproportional fetal growth, and impaired visual acuity and hearing in 4,300 conscripts from a well-defined region in Denmark from August 1, 1993, to July 31, 1994. From the standard health examination for conscripts, we obtained data on sight based on the Snellen's chart and data on hearing acuity based on audiometry. By means of record linkage, we obtained data on outcomes for the conscripts at birth from the Medical Birth Registry. From this registry, we have data on birth weight, gestational age, and birth length that were recorded from existing computerized registers based on the records of midwives. A birth weight of less than 3,000 gm and a body mass index at birth of less than 3.4 were associated with reduced visual acuity and impaired hearing. The results could be due to fetal brain programming or due to confounding, by early birth trauma or other factors.

Adult↗

Improvement in visual acuity in children with ectopia lentis.

The early development of vision in an eye with a dislocated lens is often poor, leading to disappointing postoperative results due to amblyopia. A retrospective review of the best corrected visual acuity of 49 eyes of 27 children with ectopia lentis, who were rendered aphakic either spontaneously or by lensectomy, showed a gradual improvement. Nineteen eyes achieved an early postoperative acuity of 6/12 or better. Of the remaining 30 eyes, 21 were followed up for 1 or more years. During this period, an improvement of two or more Snellen visual acuity lines was noted in all but one of the eyes.

Adolescent↗

Comparison of 2 interferometers for predicting visual acuity in patients with cataract.

Two clinical interferometers generated gratings directly on to the retina in young experienced observers and also in patients about to undergo cataract surgery. Eyes in the patients with no media opacities were used as controls. We agreed with the manufacturers' claims that gratings are seen on the retina independent of refractive state and that gratings can still be seen through most cataracts. However, we did not find that preoperative retinal visual acuity was of any value in predicting postoperative Snellen visual acuity. Reasons for this are discussed.

Aged↗

Effect of long-chain n-3 fatty acid supplementation on visual acuity and growth of preterm infants with and without bronchopulmonary dysplasia.

Healthy preterm infants fed formula with long-chain n-3 fatty acids (n-3 LCFAs) from marine oil have better early visual acuity but lower plasma phosphatidylcholine (PC) arachidonic acid (AA) and growth than infants fed formula containing linolenic acid (LLA) as the sole n-3 fatty acid. This randomized, double-blind trial was designed to study the effects of a different source of n-3 LCFAs and a shorter feeding interval on visual acuity (by Teller Acuity Card) and growth of preterm infants (n = 59; 747-1275 g birth wt), some of whom required long periods of supplemental oxygen and developed bronchopulmonary dysplasia (BPD). Infants were studied at 0, 2, 4, 6, 9, and 12 mo past term. Plasma PC AA, and normalized weight, length, and head circumference were not influenced by BPD or n-3 LCFAs except that n-3 LCFA-supplemented infants weighed less at 6 (P<0.05) and 9 (P<0.01) mo and had smaller head circumferences at 9 mo (P<0.05). Compared with control infants, however, those fed n-3 LCFAs had lower weight-for-length at 2, 6, 9, and 12 mo (P<0.0003, P<0.0114, P<0.0008, and P<0.006, respectively). n-3 LCFAs improved early (2-mo) but not later acuity among infants without BPD (P<0.02). Regardless of diet, infants with BPD had poorer grating acuity at 2 (P<0.0002) and 4 (P<0.04) mo but not thereafter.

Arachidonic Acid↗

[The retinal visual acuity of amblyopia].

The authors studied the relationship between the retinal visual acuity (grating acuity) and recognition acuity (E acuity) in 94 normal eyes and 169 amblyopic eyes with the results that the RVA in 84% of the normal eyes was the same as E acuity, while in 66% of the amblyopic eyes, especially the strabismic category, RVA was better than E acuity. RVA was not affected by the orientation (0 degrees, 45 degrees, 90 degrees, or 135 degrees) of the grating or the size of the light field (1.5 degrees or 3.5 degrees). Factors which could contribute to the difference between the RVA and the E acuity and the difference between strabismic and refractive amblyopia were discussed. It was put forward that grating acuity was reliable in the diagnosis of amblyopia.

Adolescent↗