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BORIC ACID POISONING: REPORT OF 11 CASES.

Boric acid poisoning in 11 infants, occurring in the newborn nursery as a result of the accidental and inadvertent use of 2.5% boric acid in the preparation of the formulae, is reported. Five of the infants died. All except two exhibited the classical symptomatology of acute boric acid poisoning, namely, diarrhea, vomiting, erythema, exfoliation, desquamation of the skin, and marked central nervous system irritation. Early manifestations of poisoning were nonspecific, and one patient died before skin manifestations were noted. Peritoneal dialysis, instituted in nine cases, was found to be the most effective method of treatment. It is recommended that boric acid, which is of doubtful therapeutic value, should be completely removed from hospitals, dispensaries and pharmacopoeias.

Acidosis↗

[Color vision defects in patients with arterial hypertension].

PURPOSE: In view of the generally impaired vascular condition in patients with arterial hypertension, we were interested in their colour perception. METHODS: Patients (n = 35, f:m = 14:21, mean age 52 +/- 11 years) with arterial hypertension without damage in end-organs and normal subjects (n = 62, :m = 28:34, mean age 49 +/- 9 years) as a control group were included in this study. Exclusion criteria were other systemic or ophthalmological diseases. In addition to the ophthalmological examinations (visual acuity, refraction, intraocular pressure, slit lamp and fundus examination) the colour vision was tested by the colour arrangement test Roth 28-hue (E) desaturated under standard conditions: The background used was black cardboard, illuminated by two Osram fluorescent lamps (L36 W/12LDL Daylight) providing 2000 lux at the test table. RESULTS: The ophthalmological examinations in the patients and in the control group were normal. The patients with arterial hypertension had a significantly higher mean error score (median +/- mean absolute deviation 150 +/- 56, Mann-Witney U-test: p < 0.001) in the colour arrangement test than the control group (median +/- mean absolute deviation 72 +/- 53.4). A particular colour axis (blue-yellow or red-green) was not found. CONCLUSION: Although the ophthalmological examinations were normal we found a disturbed colour vision in patients with arterial hypertension. This has to be taken into account in colour vision testing to avoid diagnostic interferences between specifically ocular diseases (e.g. glaucoma) and arterial hypertension.

Adult↗

Blue field entoptic phenomenon in cataract patients.

The blue field entoptic phenomenon (BFE), which allows the observation of one's own leukocytes flowing in macular retinal capillaries, was used to predict postoperative macular function in 136 consecutive patients undergoing uncomplicated cataract operation. The results were compared to those obtained with three commonly used tests: two-light discrimination, color perception, and the Purkinje vascular entoptic phenomenon. All four tests identified a nearly equal number of the good maculae (visual acuity 20/40 of better) ranging from 87% for the two-light discrimination test to 94% for the BFE test. However, the tests varied greatly in predicting poor macular function (visual acuity 20/50 or worse). The BFE test identified more than 75% of the poor maculae; the Purkinje vascular entoptic test and the two-light discrimination test, only 22%; and the color perception test, 11%. A positive response to the BFE test indicated a .98 probability of good macular function; a negative response indicated a .82 probability of poor macular function, predictions that were better than the other three tests or their combination.

Cataract↗

A model for the observer on the Farnsworth-Munsell 100-hue test.

PURPOSE: To use a theoretical model of the observer on the Farnsworth-Munsell 100-hue test to estimate the magnitude of random variation in 100-Hue test error scores. METHODS: The model was based upon classical signal detection theory. Results from the model were obtained by computer simulation. RESULTS: There is a fairly regular relationship between mean test scores over many tests and the standard deviation of those scores. This relationship is for practical purposes unaffected by polarity in the observer's hue discrimination and by changes in the detailed assumptions of the model. CONCLUSION: The model provides a flexible tool for further theoretical research into the 100-hue test.

Color Perception↗

Colour perception in pseudophakia.

Minor differences in colour perception between pseudophakic, phakic, and spectacle aphakic eyes were identified by the Pickford-Nicholson anomaloscope and the Farnsworth-Munsell 100-hue test. The results suggest that pseudophakic eyes are more sensitive to red and less sensitive to blue than aphakic eyes corrected with spectacles. Spectrophotometer measurements reveal that the Rayner-Pearce posterior chamber intraocular lens used in this study transmits an evenly balanced colour spectrum, whereas an aphakic spectacle lens exhibits significant colour distortion, reducing the red and enhancing the blue transmission. This distortion may possibly be attributed to the increased chromatic aberration in the spectacle lens compared with the intraocular lens.

Aged↗

A disorder of colour perception associated with abnormal colour after-images: a defect of the primary visual cortex.

A 64 year old woman with posterior cortical atrophy secondary to probable Alzheimer's disease is described. Her presenting symptom was of seeing objects as abnormally coloured after prior exposure to a coloured stimulus. Formal testing disclosed that the patient experienced colour after-images of abnormal latency, duration, and amplitude.The demonstration of prolonged colour after-images in a patient with a cortical disease process provides strong evidence that the generation of colour after-images is mediated at least in part by the visual cortex. A mechanism for the generation of colour after-images is proposed in which abnormal prolongation of the images results from excessive rebound inhibition of previously excited wavelength selective neurons in V1. This may occur as a consequence of the relative sparing of inhibitory interneurons in V1 in the context of the degeneration of excitatory neurons that occurs in Alzheimer's disease.

Afterimage↗

Colour vision disturbances in chronic smokers.

PURPOSE: The aim of the present study was to test the influence of smoking on colour perception. SUBJECTS AND METHODS: At the University Eye Hospital Tübingen, 76 generally healthy smokers with inconspicuous ophthalmological findings (visual acuity, refraction, intraocular pressure, morphology) were examined by the cap-sorting test, Roth 28-hue desaturated. Group 1 was comprised of smokers (n = 20; M 9, F 11; mean age 28.1+/-10.3 years) with a smoking consumption of less than one packet of cigarettes per day (8.4+/-5.3 cigarettes/day) for 9.1+/-8.3 years. Group 2 consisted of smokers (n = 32; M 22, F 10; mean age 28.6+/-9.7 years) with a smoking consumption of one or more than one packet per day (30+/-8.4 cigarettes/ day) for 9.5+/-8.3 years. Generally healthy and ophthalmologically normal non-smokers served as a control group (n = 76; M 41, F 35; mean age 30+/-9 years). RESULTS: The average error score of the control group was (median +/- mean absolute deviation) 42+/-18. Group 1 showed no difference to the control group (51+/-27; P = 0.42). On the other hand, group 2 had a significantly higher error score than the control group (102+/-45; P<0.0001). CONCLUSION: Otherwise healthy smokers with a cigarette consumption of less than 20 cigarettes per day do not show any disturbances in colour vision. Smokers who consume more than 20 cigarettes per day may suffer colour vision defects as a result.

Adult↗

Color contrast and contextual influences on color appearance.

We used a hue-scaling task to examine changes in color perception resulting from adaptation or induction to color contrast in spatially-varying backgrounds. Observers judged the perceived color of tests after or while viewing backgrounds composed of color differences along selected axes in color space. Both contrast adaptation and contrast induction produced large and selective shifts in perceived hue angle, and interacted in similar ways when combined, suggesting that they had functionally similar influences on perceived hue. Both also consistently biased perceived hue away from the color axis of the background, implying response changes within multiple channels tuned to different directions in color space. Selective hue changes were also observed when the gamut of colors forming the backgrounds were drawn from natural color distributions. This suggests that color perception in different environments may be systematically biased by adaptation to the distributions of colors in those environments. However, we did not find these biases when the same test stimuli were judged after adapting to actual natural scenes.

Adaptation, Ocular↗