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At least 127 records · Page 7Linked to original sources
PubMed1995

Vision development in the monocular individual: implications for the mechanisms of normal binocular vision development and the treatment of infantile esotropia.

PURPOSE: The purpose of this research is to study the vision development in monocular individuals so as to better understand normal binocular vision development and to refine the treatment of infants with infantile esotropia. METHODS: Thirty-six subjects with one clinically normal eye and one eye with no vision (no light perception or history of enucleation) are studied. In addition to measurement of standard parameters of development such as visual acuity, measurement of motion processing is made by both optokinetic and electrophysiologic techniques. A comparison is made of vision development among three populations: the monocular population, the normal population, and patients with a history of infantile esotropia. Such comparison is made to study the relative effects of interruption of binocularity and binocular competition. The monocular population represents individuals who have interruption of binocularity, whereas the infantile esotropia population has both interruption of binocularity and binocular competition. RESULTS: The OKN data suggest that the monucular population is more similar to the normal population than the esotropia population. The electrophysiologic data shows a statistically significant difference in the three populations. Motion processing is more fully developed in the monocular population than in the infantile esotropia population when compared to the normal population. CONCLUSIONS: 1. The development of motion processing appears to be particularly vulnerable to abnormal experience during the first year of life. 2. Monocular subjects have a less abnormal motion processing system when compared to patients with infantile esotropia even when monocularity is congenital. 3. The results indirectly support the premise that prealignment alternate occlusion is of benefit to the patient with infantile esotropia prior to realignment. 4. Development of the motion processing system does not necessarily parallel the development of other binocular functions.

Adolescent↗
PubMed2004

Monocular versus binocular vision in postural control.

OBJECTIVE: In previous studies about the control of posture there have been controversial findings. Our aim was to examine the role of monocular and binocular vision in controlling posture in quiet stance. METHODS: Twenty-eight normal subjects were tested. We used a force platform in measuring postural stability. In main experiment, postural stability was measured in four conditions: both eyes open (BEO), dominant eye open (DEO) non-dominant eye open (NDEO), and both eyes closed (BEC). In a further experiment, 11 subjects were tested in conditions where a vertical prism was placed in front of dominant eye. Prism was strong enough to cause diplopia. Our interest was to see, if diplopia affected the balance. RESULTS: In main experiment, at level of group the body-sway in any of the three ocular (viewing) conditions did not differ from each other. At level of individuals, binocular vision was more effective on controlling posture in only half of subjects. In prism experiment, relative to normal binocular viewing the postural stability was modified in both prism conditions, but there was no difference between monocular and binocular viewing with prism. CONCLUSION: In quiet stance and in subjects with perfect binocular vision and stereopsis, the benefit out of binocular viewing in postural stability is subject-dependent. At the level of group, monocular vision provides equally good postural stability as binocular vision.

Adult↗
PubMed2000

Utility-based estimates of the relative morbidity of visual impairment and angina.

PURPOSE: To quantify and compare the reduction in quality of life due to visual impairment and angina using patient preferences (utilities). METHODS: Using a standard time tradeoff method, we obtained utilities for current vision, monocular and binocular blindness, current angina, and moderate angina in 60 patients with both vision problems and angina pectoris who sought care at the National Eye Institute (NEI), National Naval Medical Center, or Barnes-Jewish Hospital. Patients were characterized clinically based on visual acuity and the Duke Activity Status Index (DASI). Patients also completed a seven-item version of the NEI Visual Functioning Questionnaire and the SF-36 Health Survey Questionnaire. RESULTS: Patients had a median visual acuity of 20/100 in the worst eye, 20/40 in the better eye, and a median DASI of 24.2 (0 = severe functional limitations due to anginal symptoms, 58.2 = no limitations). There was substantial variation in utilities among patients. The average utility for current vision (relative to ideal vision [= 1.0] and death [= 0.0]) was 0.82; the average utility for current angina (relative to no angina symptoms [= 1.0] and death [ = 0.0]) was 0.89. Among 26 patients with both visual impairment and recent anginal symptoms, the decrement in utility (on a scale ranging from ideal health [= 1.0] to death [= 0.0]) imposed by current visual impairment was greater than that imposed by current angina symptoms (0.146 versus 0.072, p=0.08, Wilcoxon signed rank test). The decrement in utility associated with binocular blindness was greater than the decrement associated with the symptoms of moderate angina (0.477 versus 0.039, p<0.0001). CONCLUSIONS: Clinical status is not a surrogate for patient preferences regarding vision impairment or angina. There is substantial variation in utilities within the study population for both experienced and theoretical impairment states which is not explained by variations in clinical status. Some states of visual impairment may pose a greater quality of life burden than anginal symptoms. Because patient preferences for vision vary greatly, individual assessment is warranted for consideration in therapeutic decision making.

Aged↗
PubMed1985

Complementary spatial locations, width, and disparity.

An alternative analysis is offered for human depth perception in addition to the depth cue of disparity. The new analysis considers locations both proximal and distal to the fixation point and offers an explanation as to why a stimulus presented at one disparity sign may be mistakenly considered to possess the opposite sign. Three descriptions of applications, the Pulfrich phenomenon, an interpretation of the Hornbostel effect (the three-dimensional Necker cube), and the determination of the limits of stereoscopic vision, are discussed. In addition the new analysis discloses a particular advantage of binocular over monocular vision which had not been appreciated formerly. The new analysis offers a powerful analytical tool of simple mathematical form. The means of conversion from the new analysis to and from disparity is included. In addition the similarity between the new approach and the classical lens equation is examined.

Depth Perception↗
PubMed1991

Visual acuity and contrast sensitivity in cataract: summation and inhibition of visual performance.

Patients exhibiting uniocular cataract often report an improvement in vision on closing their cataractous eye. Such qualitative evidence suggests the presence of binocular inhibition--the converse of binocular summation (that is the normal superiority of binocular over monocular vision). To quantify the extent of inhibition in cataract, binocular and monocular visual acuity and contrast sensitivity were measured in 28 patients. Twelve patients showed binocular inhibition for visual acuity whilst 11 showed inhibition for contrast sensitivity measured at four cycles per degree (c.deg-1). Contrast sensitivity for 8 c.deg-1 targets was further recorded in a subset of 14 patients in whom seven showed inhibition. In patients who demonstrated inhibition, the mean decrement in performance for visual acuity was 13%. For contrast sensitivity at 4 and 8 c.deg-1 the mean decrement was 25% and 32% respectively. The clinical significance of these findings is discussed with respect to the assessment of visual function and management of the cataract patient.

Adult↗
PubMed1993

Effects of target distance and pupil size on letter contrast sensitivity with simultaneous vision bifocal contact lenses.

Using simulated presbyopia we measured the effects of target vergence and pupil size on letter contrast sensitivity while subjects wore accurately centered simultaneous vision bifocal contact lenses. These experiments examined the increase in depth of focus provided by two bifocal contact lenses, and the effects of pupil size on near and distance vision. Monocular contrast sensitivity was assessed with three different designs of soft contact lenses. First, as a single vision control, we measured contrast sensitivity with a Bausch & Lomb, Optima 38 lens corrected for distance. We then measured contrast sensitivity with an Allergan Optical, Hydron Echelon, which is a diffractive simultaneous bifocal and a CIBA Vision, Spectrum, which is a concentric design, center-near, two-zone simultaneous vision bifocal. In general both bifocal contact lenses improved contrast sensitivity at near but decreased contrast sensitivity at distance (when compared to the single vision lens). With a fixed 3.5-mm artificial pupil, the Echelon lens had two clear peaks of sensitivity, one at distance (0.00 D) and one at near (-2.00 D), but the Spectrum lens had no clear peaks. Performance of the Spectrum lens depended on its center zone size. Near (-2.00 D) and distance (0.00 D) contrast sensitivity was measured with pupil sizes that ranged from 1 to 6 mm. The results showed that visual performance with a diffractive lens was almost independent of pupil diameter up to 3 to 4 mm but, as predicted, performance with the two-zone lens depended critically on pupil size.

Contact Lenses, Hydrophilic↗
PubMed2005

The Bristol cataract listing survey: profile of listed patients with visual acuity 6/12 or better.

INTRODUCTION: The aim of this study was to assess the vision-related quality of life (VR-QOL) in patients with good distance Snellen visual acuity (VA) who are listed for cataract surgery. METHODS: An observational cross-sectional prospective study of patients listed for cataract surgery. VA and VR-QOL data using the VCMI questionnaire were collected on patients attending preoperative assessment during June 2002. RESULTS: A total of 397 cataract patients were listed during this month. Following exclusions there were 378 eligible individuals, 210 (56%) of whom had a VA of 6/12 or better in the eye scheduled for surgery. Of these, 40% patients had only mild VR-QOL impairment. More than half of the patients with good VA (6/12 or better) in the surgery eye and mild VR-QOL impairment described their vision as poor in this eye. However, most of these patients were not dissatisfied with their overall level of vision. CONCLUSION: A significant number of patients listed for cataract surgery with VA of 6/12 or better had only mild VR-QOL impairment and were not dissatisfied with their overall level of vision. The decision to list a patient for surgery may have been based on the patient's perception of monocular vision rather than their quality of life.

Aged↗
PubMed1981

The effects of dark-rearing on the development and plasticity of the lateral geniculate nucleus.

During a prolonged period of dark-rearing, lateral geniculate X-cells developed normal spatial resolving capacities and otherwise normal receptive field properties. Y-cells were reduced in frequency. Neither of these developmental processes were altered by subsequent monocular vision. In visual cortex, on the other hand, both the development of normal receptive field properties and the susceptibility to monocular deprivation were delayed by dark-rearing.

Animals↗
PubMed1992

The role of binocular information in ball catching.

The role of binocular vision in a ball-catching task involving spatial uncertainty was examined in three experiments. In all three experiments, subjects' catching performance was evaluated during monocular and binocular viewing, in normal room lighting and in complete darkness with a luminescent ball. Subjects' performance was found to be significantly better with binocular than with monocular vision, especially under normal lighting conditions. In the second and third experiments, catching performance was evaluated in the presence of minimal visual frames, consisting of a series of light-emitting diodes (LEDs). In Experiment 2, the visual frame consisted of a single plane of LEDs, whereas in Experiment 3, the visual frame consisted of two planes of LEDs. Catching performance was found to be significantly better with the visual frame than in complete darkness, but this was true only for binocular viewing. This result supports the hypothesis that binocular convergence is used to scale perceived space and that this information enables subjects to contact the ball successfully. It was further found that postural sway varied between lighting conditions and that less sway was accompanied by higher performance. There was no effect of binocular viewing in this respect. In general, the results suggest two additive effects of viewing conditions: a direct effect of binocular vision on ball catching and an indirect effect of lighting on postural stability, which, in turn, affects catching performance.

Journal Article↗
PubMed2003

Retinotopic modulation of space misrepresentation in unilateral neglect: evidence from quadrantanopia.

A patient with right sided brain damage suffered contralesional neglect, inferior quadrantanopia (with 0 degrees sparing in the left eye and 13 degrees sparing in the right), and a visual field restriction (to 15 degrees ) in the upper contralesional quadrant of the left eye. In binocular vision, the patient showed underestimation of the horizontal size of contralesional line segments unless cued to localise their end points. When asked to reproduce, in monocular vision, 10 degrees and 20 degrees distances between two attentionally cued end points lying on the frontal vertical plane, the patient showed relative contralesional overextension and ipselesional underextension along the directions falling within the blind sectors of the neglected space. No asymmetry was present along the directions falling within the seeing sectors of the same space. These findings suggest precise retinotopic modulation of space misrepresentation in unilateral neglect.

Aged↗
PubMed1994

Effect of visual impairment on driving.

The aim of the study was to determine the effect on driving of restricting vision. This was undertaken by comparing the driving performance of young, normal subjects under conditions of simulated visual impairment with a baseline condition. Visual impairment was simulated using goggles designed to replicate the effects of cataracts, binocular visual field restriction, and monocular vision. All subjects had binocular visual acuity greater than 6/12 when wearing the goggles and thus satisfied the visual requirements for a driver's license. Driving performance was assessed on a closed-road circuit for a series of driving tasks including peripheral awareness, maneuvering, reversing, reaction time, speed estimation, road position, and time to complete the course. Simulated cataract resulted in the greatest detriment to driving performance, followed by binocular visual field restriction. The monocular condition did not significantly affect driving performance for any of the driving tasks assessed.

Adult↗
PubMed2005

Three- to eight-month-old infants' catching under monocular and binocular vision.

We report a cross-sectional and a longitudinal experiment that examined developmental changes in the relative contribution of monocular and binocular variables in the guidance of interceptive arm movements. Three- to eight-month-old infants were observed while presented with differently sized balls that approached frontally with a constant velocity under both monocular and binocular viewing conditions. Movement onset indicated that with age infants increasingly came to rely on binocular variables in controlling the timing of the interceptive arm movements. That is, from 7 to 8 months of age movement onset was independent from object size under binocular but not under monocular viewing. In contrast, binocular viewing enhanced the spatial accuracy of the interceptive arm movements at all ages. We concluded that attunement to binocular information is a key process in infants' gaining adaptive control of goal-directed arm movements. However, interceptive arm movements entail the formation of multiple on-line couplings between optic and movement variables, each of which appears to develop at its own pace.

Humans↗
PubMed1976

[Visual properties of unilateral aphakics corrected with spectacles (author's transl)].

A study of visual habits consisting of a questionaire and an examination was carried out on 70 unilaterally aphakic patients. These patients wore correcting glasses and had better vision in the cataract operated eye. It was observed that the patients, aided by senile convergence weakness on one side and senile divergence weakness on the other, were able to develop a form of monocular vision without complications and in particular without double vision. These patients who wore glasses developed a type of "multiple choice" vision, which was dependent on the intelligence and the determination of the individual.

Cataract Extraction↗
PubMed1996

Accommodation, convergence, pupil diameter and eye blinks at a CRT display flickering near fusion limit.

This study investigates possible effects of temporally modulated light stimulation near critical fusion frequency (CFF) when subjects observe a cathode ray tube (CRT) operated at different refresh rates. Various visual functions were measured in a series of tests of 2.5 min duration. In experiment 1, at a repetition rate of 50 Hz mean pupil size was 0.055 mm smaller than at 300 Hz. The precision of convergence and accommodation in binocular vision was not affected. In experiment 2, 300 Hz was compared with the lowest frequency that did not produce visible flicker for each subject. At the lower rate (55 to 90 Hz), mean accommodation in monocular vision was 0.06 D weaker, median eye blink duration was 6% shorter, and mean eye blink interval was 15% longer. Individual differences and possible fatigue effects of intermittent light at visual display units are discussed.

Accommodation, Ocular↗
PubMed1989

Fused binocular vision is required for development of proper eye alignment in barn owls.

The eyes of adult barn owls (Tyto alba) are virtually fixed in the head in positions that are highly consistent from one individual to the next. However, early in development the eyes are exodeviated; the eyes achieve their adult positions during the owl's second month of life. Disruption of binocular vision in baby owls leads to permanent, highly abnormal eye positions and interocular alignment. Of three owls raised with both eyelids sutured closed, two developed exotropic strabismus and one developed esotropic strabismus. Two owls reared with monocular vision developed esotropic strabismus, whereas three owls reared with fused, but optically deviated binocular vision developed normal eye positions. Thus, the alignment of the eyes in adults results from an active process that depends on fused binocular vision during early life. Extracellular microelectrode recordings from the optic tecta of strabismic owls reveal that many units retain binocular inputs from corresponding points of the two eyes: the left-eye and right-eye receptive fields of individual units are misaligned by an amount predicted by the direction and magnitude of the strabismus. These results indicate that an innately determined pattern of connections in the brain anticipates the eye positions necessary to achieve binocular fusion. The hypothesis is put forth that the powerful activation of such binocular neurons by strong, synchronous inputs from the two eyes is the signal required by the optimotor system that proper eye alignment has been attained.

Animals↗
PubMed2007

Public health impact of neovascular age-related macular degeneration treatments extrapolated from visual acuity.

PURPOSE: To estimate the potential public health impact of treatment with new medications intended to preserve vision in patients with neovascular age-related macular degeneration (AMD). METHODS: A Markov model was used to simulate the natural history of AMD over the lifetime of patients with diagnosed neovascular AMD from clinical trials and epidemiologic surveys. It applied to a cohort of patients aged 75 years, with newly diagnosed neovascular AMD in one eye, whose visual acuity was 0.7 logMAR. Probabilities were calculated for the risk of AMD in the remaining eye and for premature mortality. Results of the model were expressed as the duration of low vision (worse eye VA>1.0 and better eye VA>0.7 logMAR) and blindness (bilateral VA >1.0 logMAR). Health consequences of blindness and low vision were estimated for depression, hip fractures, institutionalization, and life expectancy. RESULTS: For AMD patients with a 50% probability of VA >1.0 logMAR at 1 year, in one eye, the probability of lifetime bilateral blindness was >47%. The patients would live approximately 7 years with monocular vision >1.0 logMAR and an additional 4 years with bilateral blindness and a >15% probability of depression due to AMD. Life expectancy was decreased by approximately 2 years, >90/1000 patients would sustain a new hip fracture, and 1.5% of the patients would require institutional care for visual impairment due to AMD. To achieve a defined public health outcome (visual impairment and consequent comorbidity), it was necessary for the VA effectiveness of new treatments to increase in parallel with disease severity. CONCLUSIONS: Comorbidity related to visual impairment contributes significantly to the public health impact of AMD. Aggressive lesions need highly effective treatments. Models may be used to compare the public health impact of placebo-controlled clinical trial results.

Aged↗
PubMed2003

Restoration of binocular single vision after long-term fusion disruption.

BACKGROUND: One of the most difficult situations faced by orthoptists and pediatric ophthalmologists is attempting to restore binocular single vision to a patient who has experienced a long-term disruption of fusion. Initial poor results with standard treatment modalities, including prisms and strabismus surgery, may lead to a diagnosis of intractable diplopia. METHODS: We examined, treated, and followed up 5 patients with strabismus after an extended period of monocular vision loss. All patients were diplopic after the restoration of visual acuity in the affected eye. RESULTS: All 5 patients experienced a period of uncomfortable intermittent fusion with the initial prismatic correction. After many months of close follow-up with prism and orthoptic therapy, comfortable fusion was restored for 3 patients. Convergence amplitudes improved with the orthoptic exercises, and we were eventually able to eliminate most or all of the horizontal prism in the 3 patients who regained binocular single vision; however vertical fusion was less responsive and most often required permanent prismatic correction. CONCLUSIONS: A combination of prism therapy, orthoptic treatment, and follow-up during a period of many months to years can restore fusion in some patients who have experienced a long-term disruption of fusion.

Adolescent↗